**Orthodontics** is one of the most advanced dental methods for correcting dental and jaw abnormalities that brings a beautiful smile and better performance. However, one of the common challenges during orthodontic treatment is orthodontic bracket dislodgement. This problem can disrupt the treatment process, prolong its time and bring additional costs. In this comprehensive article, we will examine the causes of orthodontic bracket loosening, prevention methods, alternative treatments, and key tips for managing this problem. Our goal is to provide complete and practical content that will help patients and interested parties to have a successful experience of orthodontic treatment with full knowledge. **Definition of orthodontic bracket and its role** Orthodontic brackets are small metal, ceramic, or plastic components that are attached to the surface of the teeth and, along with archwires and other components, apply forces to move the teeth into the correct position. These parts are attached to tooth enamel using special adhesives and play a vital role in the process of teeth correction. Dislodged orthodontic bracket is a situation where these parts are separated or loosened from the tooth, which can happen for various reasons and requires immediate attention. ### **Orthodontic bracket components** - **bracket jewelry**: the main part that is attached to the tooth. - **Arch wire**: provides the necessary force to move the teeth. - **Orthodontic adhesive**: the material that connects the bracket to the tooth. - **Straps and elastics**: used for support and pressure adjustment. ### **Reasons of orthodontic bracket removal** Orthodontic bracket pulling can occur for several reasons, which we will examine in detail below: #### **1. Condition of teeth** Brackets are designed to bond firmly to healthy tooth enamel. If **tooth enamel** is weak, due to lack of calcium or other problems, the adhesion of the bracket decreases and the possibility of its separation increases. Also, teeth that have been filled or have veneers may have a weaker connection to the brackets. #### **2. Consumption of inappropriate foods** Eating hard foods such as nuts, crackers, candy, or stone fruits can put pressure on the brackets and cause them to fall out. Sticky foods like gum and caramel can also weaken the orthodontic adhesive. #### **3. Incorrect bracket installation technique** If the orthodontist uses poor-quality adhesive or does not properly prepare the tooth surface (eg, dry or isolate), the chance of bracket removal increases. This problem mostly depends on the skill and precision of the orthodontist. #### **4. physical blows** Sudden blows to the mouth, such as accidents, contact sports, or even chewing on hard objects (such as pencils), can cause brackets to loosen or come off. #### **5. Failure to comply with the orthodontist's recommendations** Ignoring care instructions, such as using the wrong toothbrush or not following the recommended diet, can lead to loose brackets. #### **6. Changes in the position of the teeth** During treatment, shifting teeth may cause a change in pressure on the brackets, which sometimes results in them loosening. ### **Methods to prevent orthodontic bracket pulling out** Prevention of orthodontic bracket removal requires compliance with the following points: #### **1. Following a proper diet** - Avoid eating hard and sticky foods such as nuts, teapot, gum and caramel. - Include soft foods such as soup, mashed potatoes and yogurt in your diet. - Cut fruits and vegetables into small pieces to put less pressure on the brackets. #### **2. Use of dental protection** Wear a mouth guard during sports activities, especially contact sports such as boxing or football. These guards protect the brackets from impact. #### **3. Compliance with oral and dental hygiene** - Use a soft toothbrush and non-abrasive toothpaste. - Regularly use dental floss or an interdental brush to clean around the brackets. - Use alcohol-free mouthwashes so that the adhesive of the brackets is not damaged. #### **4. Regular visits to the orthodontist** Periodic checkups allow the orthodontist to identify and repair loose brackets. These references also help to adjust the wires and ensure that the treatment is progressing properly. #### **5. Suitable exercises to reduce pressure** - Avoid chewing non-edible objects such as nails or pencils. - Practice chewing food with the back teeth to reduce the pressure on the front brackets. ### **Orthodontic bracket removal treatments** If an orthodontic bracket is dislodged, the following measures can help manage the problem: #### **1. Immediate referral to an orthodontist** Contact an orthodontist immediately if a bracket becomes loose or dislodged. The orthodontist can repair or replace the bracket. #### **2. temporary protection** - If the bracket is loose but still attached, use orthodontic wax to hold it in place. - Keep the removed bracket in a clean container so the orthodontist can reinstall it. #### **3. Alternative therapies** In cases where brackets frequently come loose, the orthodontist may recommend alternatives such as clear aligners (such as Invisalign). This method is suitable for patients who cannot follow the diet or the necessary care. #### **4. glue repair or gem** If the problem is due to loosening of the adhesive or gem, the orthodontist can use higher quality adhesive or more advanced techniques for reattachment. ### **Conclusion** The removal of orthodontic bracket is one of the common problems in orthodontic treatment, which can be minimized by being aware and following preventive measures. Choosing an experienced specialist, following a proper diet, using mouth guards and regular visits to the orthodontist are the most important ways to prevent this problem. In case of this problem, an immediate visit to a **specialist** and using alternative treatments such as aligners can help to continue the treatment successfully. By following these tips, you can have a carefree experience of orthodontic treatment and achieve a beautiful and healthy smile. ### **