It is really important to brush properly with braces. If brushing is not done correctly, white spots, or decalcification, can start to form on the teeth.


Permanent “decalcification.” It is the start of a cavity, which causes discoloration and damage to the surface of your teeth.

  • Lack of proper brushing
  • Frequently eating or drinking sugary foods and drinks that are sugary
  • Increase attention to brushing
  • Focus around the gum line and the brackets
  • Brush more frequently
  • Brush after each meal
  • Don’t eat or drink after brushing before going to bed
  • Use the Christmas tree toothbrush to clean in between your brackets every time you brush
  • Floss on a regular basis
  • Decrease snack in between meals and eliminate sugary drinks. (Ex. sports drinks, soda, and juices)
  • Brush with a high fluoride toothpaste, and don’t rinse after brushing at night
  • See your dentist every six months

Brush your teeth for two minutes after every meal with a soft-bristled, small-headed toothbrush and fluoride toothpaste. As an alternative, you can use a powered toothbrush to increase your brushing effectiveness. Brush the outside and inside surfaces of your teeth using small, gentle, circular motions while positioning the head of the toothbrush at a 45-degree angle to the gum line. Brush your teeth’s chewing surfaces and the inside surface of your front teeth using short, gentle, back-and-forth motions. Pay close attention to the areas around your brackets or other appliances.


Flossing after every meal will help keep your teeth and braces clean, which will also help keep your treatment time on track. To floss with braces, use a floss threader or special orthodontic floss to thread the floss behind each wire. Wrap the ends of the floss around your pointer fingers of both hands, leaving a few inches of taught floss between them. Gently slide the floss between each set of teeth using a back and forth motion. Floss the sides of each tooth beneath the gum line to remove plaque and food particles. Repeat this process until you’ve flossed all of your teeth. If you find that your floss is not removing all of the food particles between your teeth and around your braces, ask us about a water flosser!

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