Periodontal disease, also known as gum disease, is a common oral health problem that affects the gums and supporting structures of the teeth. Many individuals wonder if they can still get braces if they have periodontal disease. The answer isn't a simple yes or no; it depends on several factors. While it's not impossible, getting braces with periodontal disease requires careful consideration and a collaborative approach between your orthodontist and periodontist.
What is Periodontal Disease?
Periodontal disease is an infection of the gums and the bone that supports your teeth. It's caused by bacteria that build up on the teeth, forming plaque and tartar. If left untreated, this can lead to gum inflammation (gingivitis), gum recession, bone loss, and ultimately, tooth loss. The severity of periodontal disease varies greatly.
Can Braces Worsen Periodontal Disease?
This is a key concern. While braces themselves don't cause periodontal disease, they can potentially make existing conditions worse. The brackets and wires of braces can make it more challenging to clean teeth effectively. This increased difficulty in maintaining optimal oral hygiene can lead to plaque buildup and exacerbate existing gum inflammation. Consequently, managing periodontal disease effectively before or concurrently with orthodontic treatment is crucial.
How Can I Get Braces if I Have Periodontal Disease?
The best approach is to address the periodontal disease before starting orthodontic treatment. This often involves a combination of professional cleaning, scaling and root planing (to remove plaque and tartar below the gumline), and possibly antibiotic therapy. Your periodontist will work to control the infection and stabilize your gum health.
Once your periodontal health is under control and stable, your orthodontist can assess your suitability for braces. They might recommend a specific type of brace or treatment plan to minimize the risk of further periodontal complications. Regular monitoring and meticulous oral hygiene are essential throughout the orthodontic process.
What are the Risks of Getting Braces with Periodontal Disease?
The primary risk is the potential worsening of the periodontal disease. This could lead to:
- Increased gum inflammation and bleeding: Making it harder to keep your teeth and gums clean.
- Accelerated bone loss: Leading to increased tooth mobility and potentially tooth loss.
- Treatment failure: If the periodontal disease is severe, the orthodontic treatment might not be successful or could lead to further complications.
How Can I Maintain Good Oral Hygiene with Braces and Periodontal Disease?
Maintaining meticulous oral hygiene is critical, even more so when you have braces and periodontal disease. This involves:
- Brushing: Use a soft-bristled toothbrush and fluoride toothpaste, brushing gently but thoroughly at least twice a day. Pay special attention to the areas around the brackets and wires. Consider using an interdental brush to clean between the teeth and under the wires.
- Flossing: Use floss threaders to help navigate the floss around your braces, flossing carefully at least once a day.
- Mouthwash: Use a therapeutic mouthwash as recommended by your dentist or periodontist.
Can periodontal disease prevent me from getting braces?
While it's not an automatic disqualifier, severe and uncontrolled periodontal disease can indeed prevent you from getting braces. Your dentist and periodontist will need to assess your gum health and determine if treatment is safe and effective.
What type of braces are best for someone with periodontal disease?
This is a decision made in collaboration with your orthodontist and periodontist. They will consider the severity of the disease and your individual needs. Options might include traditional braces, clear aligners (though these may be more challenging to keep clean), or lingual braces (placed on the back of the teeth).
Is it possible to get Invisalign with periodontal disease?
Invisalign, like other types of braces, might exacerbate existing periodontal disease if not managed carefully. Similar to traditional braces, addressing periodontal concerns prior to starting Invisalign is highly recommended.
By working closely with both your orthodontist and periodontist, you can increase your chances of successfully undergoing orthodontic treatment while protecting your gum health. Remember, proactive management and diligent oral hygiene are key to achieving a successful outcome.
