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Important points in maintaining gum health during orthodontics
مقاله تخصصی

Important points in maintaining gum health during orthodontics

1 week ago
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Dr. Mahdia Khosravi

Dr. Mahdia Khosravi

Tehran

Orthodontic specialist

درمان ارتودنسی یکی از مؤثرترین روش ها برای ایجاد لبخندی زیبا و منظم است، اما در کنار مزایای مهم آن، چالش هایی نیز وجود دارد که اگر به درستی مدیریت نشوند، می توانند سلامت دهان و لثه را تهدید کنند. براکت ها، سیم ها و تجهیزات ارتودنسی محیط دهان را پیچیده تر می کنند و همین موضوع سبب می شود لثه بیش از گذشته در معرض التهاب، خونریزی و تجمع پلاک قرار گیرد.

بسیاری از بیماران تصور می کنند مشکلات لثه در دوره ارتودنسی طبیعی است، اما واقعیت این است که بخش عمده این مشکلات با رعایت اصول علمی و مراقبت صحیح قابل پیشگیری هستند. حفظ سلامت لثه در این دوران تنها یک موضوع زیبایی شناختی نیست، بلکه ارتباط مستقیم با موفقیت درمان ارتودنسی دارد.

لثه ای که ملتهب باشد یا دچار خونریزی شود، نه تنها درد و ناراحتی ایجاد می کند، بلکه ممکن است حرکت دندان ها را کند کند، خطر تحلیل استخوان را افزایش دهد و حتی نتیجه نهایی درمان را تحت تأثیر قرار دهد. در این مقاله، یک راهنما ارائه می شود تا بیماران بدانند چگونه می توانند در طول درمان ارتودنسی از لثه های خود محافظت کنند.

روش های علمی جلوگیری از التهاب و خونریزی لثه

التهاب لثه یکی از شایع ترین مشکلات در طول درمان ارتودنسی است و اولین دلیل آن افزایش تجمع پلاک در اطراف براکت ها و لثه است. زمانی که پلاک و باکتری ها برای مدت طولانی روی دندان باقی بمانند، لثه دچار تورم، قرمزی و در نهایت خونریزی می شود. به همین دلیل است که رعایت اصول علمی در بهداشت دهان، نقش اساسی در سلامت لثه دارد.

اولین قدم در این مسیر، مسواک زدن منظم و اصولی است. مسواک زدنی که فقط روی سطح براکت ها تمرکز کند کافی نیست؛ باید زاویه مسواک طوری تنظیم شود که لبه لثه نیز کاملاً تمیز شود. Regular brushing is only one aspect of proper care.

The role of dental floss and interdental washing becomes more important than before during this period, because brackets usually create small and difficult spaces that are perfect places for bacteria to accumulate. Using auxiliary tools such as special orthodontic floss or interdental brushes helps to clean all parts of the mouth completely.

Another scientifically proven point is the importance of controlling inflammation through proper diet. High consumption of sugary substances, sticky foods and acidic drinks makes the oral environment highly prone to inflammation. Orthodontic patients should avoid these things and instead, increase the consumption of water, fresh vegetables, low sugar foods and foods that do not require excessive chewing.

Finally, visit an orthodontic specialist regularly and perform a professional evaluation by a dentist is one of the most reliable ways to prevent gingivitis. Scaling removes hardened plaque and improves gum health. If the gums remain healthy during this period, teeth movement will be easier and painless.

Difference between healthy gums and inflamed gums during orthodontics

The difference between healthy gums and inflamed gums during orthodontics

Gum conditionSymptomsConsequences
Healthy gumsPink color, no bleeding, no SwellingImproving tooth movement, reducing pain, more successful treatment
Inflamed gumsRedness, bleeding when brushing, swelling and sensitivityDelay in treatment, constant pain, increased risk of gum disease

The importance of an orthodontic toothbrush and the correct way to use it

Toothbrush Special orthodontics are specially designed for cleaning teeth and brackets. These toothbrushes usually have V-shaped bristles that help to clean the teeth and around the brackets more carefully. The importance of these toothbrushes is due to the fact that ordinary toothbrushes are not able to completely clean all the areas around the brackets, and this increases the risk of gingivitis.

The special orthodontic toothbrush should be placed on the tooth at a gentle angle; in such a way that both the surface of the brackets and the edge of the gums are cleaned. Fast and intense movements not only irritate the gums but also cause tooth enamel erosion. The best brushing technique during this period is to use slow and rotating movements. Patients should brush their teeth at least twice a day and preferably after each meal.

Brushing is not limited to the outer part of the teeth. The inner part of the teeth, the chewing surface and the edge of the gum should also be cleaned precisely. Many orthodontic patients only focus on the brackets and forget about the gums. This is a big mistake, because the main site of gingivitis is the area where the gums and teeth connect.

Using an electric orthodontic toothbrush can also have a very good result, because they are designed in such a way that it is easier to clean difficult spots. Of course, not all patients need this type of toothbrushes, but those who have little time to brush their teeth or are not proficient in the manual method, benefit greatly from electric toothbrushes.

Be sure to read! The difference between invisible orthodontics and traditional orthodontics What is it?
During the period of orthodontics, bacteria quickly gather around the brackets and mouthwashes can reduce a significant part of these bacteria. Of course, choosing the right mouthwash is very important, because not all of them are suitable for the orthodontic period.

Fluoride mouthwashes are one of the best options during this period. These mouthwashes help strengthen tooth enamel and significantly reduce the risk of tooth decay. Because the areas around the brackets are more exposed to decay, fluoride has a very powerful protective role.

Antibacterial mouthwashes can also reduce gingivitis. By controlling bacteria, these mouthwashes prevent bad breath and keep the oral environment cleaner. However, continuous and long-term use of strong disinfectant mouthwashes is not recommended, because it may disturb the natural balance of oral bacteria.

Herbal mouthwashes are also a suitable option for sensitive patients or people who react to chemicals. These mouthwashes usually have a mild anti-inflammatory effect and can be a good choice for daily use. Finally, the best mouthwash for each patient should be chosen in consultation with the doctor, because the type of orthodontics, the condition of the gums, and the history of sensitivity of each person are different.

Common mistakes that cause gum damage

Common mistakes that cause gum damage

Many gum problems during orthodontics are caused by mistakes that patients make unintentionally. The first and most common mistake is that the patient only focuses on the brackets and ignores the gums. This behavior causes the accumulation of plaque at the junction of teeth and gums and quickly causes inflammation.

The second mistake is brushing with too much pressure. The general idea is that the harder you brush, the cleaner you get; But this belief is completely wrong. Too much pressure on the gums causes ulcers, bleeding and even receding gums. Brushing should be done slowly, gently and with appropriate movements.

Another One of the mistakes is eating sticky and sweet foods. These foods stick to the brackets and are difficult to remove even with a toothbrush. Remaining food particles in these places creates an ideal environment for the growth of bacteria and aggravates gum inflammation.

Another mistake is that some patients think that dental floss cannot be used for orthodontics or is dangerous, and that is why they discard it. This mistake causes an important part of the plaque to accumulate between the teeth and eventually the gums bleed and become inflamed. Finally, some patients do not take periodic visits to the dentist seriously and just wait for orthodontic sessions. This behavior causes gum problems to be diagnosed late and treatment becomes more complicated. The general dentist and the orthodontic specialist each have a separate role in maintaining the health of the gums and should be referred to them simultaneously.

Conclusion

Maintaining the health of the gums during orthodontic treatment is an integral part of the success of the entire process. Healthy gums keep the teeth in the right direction and allow the treatment to proceed without pain, inflammation or delay. Scientific methods of preventing inflammation, choosing the right toothbrush, using mouthwash correctly, and avoiding common mistakes are a set of measures that can maintain the health of the gums in the best condition. Orthodontic treatment will have a beautiful and lasting result when the health of the gums is also maintained. Daily attention to oral hygiene, compliance with nutritional principles, and regular visits to the dentist paves the way to a healthier and safer smile.

Frequently Asked Questions

  1. Is gingivitis normal during orthodontics?
    Mild inflammation may occur, but severe inflammation, persistent bleeding, or swelling is a sign of poor hygiene or a problem and should be investigated.
  2. Can mouthwash be used without a doctor's prescription?
    Yes, but it is better to determine the type of mouthwash suitable for the condition of the gums and the type of orthodontics by a specialist in order to achieve the best results.
  3. How many times a day is it enough to brush your teeth during the period of orthodontics?
    You should brush your teeth at least twice a day and preferably after every meal so that plaque does not accumulate around the brackets.

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