Lingual orthodontics, a technique where braces are placed on the inner surfaces of the teeth, offers aesthetic advantages for patients who wish to straighten their teeth without the noticeable appearance of traditional braces.
While the cosmetic benefits are widely recognized, it’s crucial to consider how lingual braces impact gum health.
This article will focus on the relationship between lingual braces and gum health, especially the potential effects on the gums during treatment.
What is Lingual Orthodontics?
Lingual braces, sometimes called hidden braces, are a type of orthodontic treatment attached to the inner surface of the teeth rather than the outer surface.
Although these braces are invisible, they are still dental orthodontics with wires and brackets.
They are designed to correct alignment and bite issues, much like conventional braces, by applying gentle pressure to move the teeth into their proper positions. This treatment is often preferred by adults who are concerned about the appearance of metal braces.
Lingual braces are also known as internal braces, inside braces, invisible braces and hidden braces.
Gum Health and Orthodontic Treatment
While orthodontic treatment primarily focuses on the alignment of teeth, it is equally important to monitor the health of the gums. The gums act as a support system for the teeth, and any orthodontic appliance can influence gum health.
In the case of lingual orthodontics, patients might experience initial discomfort or irritation in the gum areas surrounding the braces. As the brackets are placed on the tongue-facing side of the teeth, they can cause rubbing and pressure, which may lead to inflammation or soreness in the gums.
How can this affect your gums?
Patients often experience gum irritation during the initial phase of treatment, which may cause mild gum bleeding or swelling. These side effects are typically temporary but should not be ignored.
Prolonged irritation or inadequate oral hygiene can lead to more significant gum issues, such as gum disease or gingivitis.
Types of Lingual Orthodontics
There are two types of lingual orthodontics. The standard type corrects severe malocclusions, while the social type corrects minor problems in the front teeth.
In other words, the social kind of orthodontics seeks to create a beautiful smile in a person and rarely has a therapeutic aspect. Below, we will compare these two braces.
- Social Lingual Orthodontics: This method can correct moderate misalignments and small gaps in teeth. It can correct only 6 to 8 of your front teeth; in other words, it will adjust your social smile.
The total treatment duration is a few months and rarely exceeds one year.
- Standard Lingual Orthodontics: This type of orthodontics corrects excessive teeth malocclusions and eliminates severe gaps between them.
It is suitable for completely correcting an upper or lower dental arch and improving the overall condition of a person’s teeth. Dental correction with this method may take several years.
The Role of Proper Oral Care
One of the critical challenges with lingual braces is maintaining proper oral hygiene. Since the brackets are placed on the inner surfaces of the teeth, they can be more difficult to clean effectively. If food particles are trapped around the braces and not properly removed, they can contribute to the development of plaque and tartar, which can irritate the gums and lead to gum disease.
How can you ensure healthy gums while wearing lingual braces?
- Brush thoroughly: Brush your teeth after every meal to remove food particles and plaque. Pay extra attention to the areas around the brackets, as food can get trapped easily.
- Floss daily: Use floss threaders or special orthodontic floss to clean between the teeth. This helps prevent plaque buildup, which can lead to gum problems.
- Use mouthwash: A good antibacterial mouthwash can help reduce the risk of gum infection and ensure fresh breath.
Gum Disease and Lingual Braces
Untreated gum irritation or improper oral care can result in gum disease. Gingivitis, the mildest form of gum disease, is common in patients with braces, as the gums become inflamed due to plaque buildup. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can cause tooth loss.
What signs should you look for?
- Red, swollen gums
- Bleeding gums when brushing or flossing
- Persistent bad breath
It’s essential for patients to monitor their gum health and consult with their orthodontist or periodontist if these symptoms arise.
Preventive Measures for Gum Health
Several preventive steps can help mitigate the risk of gum issues when undergoing lingual orthodontic treatment.
- Regular check-ups: Schedule frequent visits with your orthodontist to ensure that the braces are correctly placed and that no issues with your gums or teeth are developing.
- Professional cleanings: Regular professional dental cleanings are crucial in preventing plaque buildup that can irritate the gums. Your dentist or dental hygienist can remove plaque and tartar from hard-to-reach areas.
- Use orthodontic wax: Applying orthodontic wax to the brackets can help reduce irritation in the mouth, particularly for patients who experience gum sensitivity during the early stages of treatment.
Long-Term Effects on Gum Health
While there may be some discomfort or gum irritation during the first few weeks of wearing lingual braces, these issues typically subside as the mouth adjusts to the appliances. However, patients must maintain excellent oral hygiene throughout their treatment to ensure that no long-term effects on their gums occur.
Lingual orthodontics, when managed properly, can provide a beautiful and healthy smile without compromising gum health. Maintaining regular visits to both the orthodontist and periodontist will ensure that the treatment progresses without any adverse effects on the gums.
FAQ
1. Does lingual orthodontics harm the gums?
Lingual orthodontics may cause initial irritation or discomfort in the gums, but these side effects are typically temporary and can be reduced with proper oral hygiene. If persistent problems occur, it’s advisable to consult with your dentist or orthodontist.
2. How can I prevent gum issues while using lingual braces?
Maintaining good oral hygiene, especially around the brackets and wires, is essential. Brushing after every meal and using orthodontic floss can help prevent gum problems. Antibacterial mouthwash is also recommended to reduce the risk of gum infections.
3. Can lingual orthodontics cause gum inflammation?
Yes, gum inflammation or bleeding may occur at the beginning of treatment. However, this condition usually improves after a few weeks. If the symptoms persist, it is important to visit your dentist.
4. When should I see a dentist if my gums are bleeding?
If your gum bleeding does not improve after a few days or if you experience severe pain or swelling, it’s best to consult your dentist promptly. This may indicate a more serious issue, such as gum disease or infection.
5. Can people with gum problems use lingual orthodontics?
People with existing gum issues should address these problems first before starting lingual orthodontics to avoid complications. Once the gums are healthy, lingual braces can be an option, but treatment should be monitored by both the orthodontist and periodontist.
6. Is lingual orthodontics as effective as traditional braces?
Yes, lingual orthodontics is just as effective as traditional braces for correcting dental issues. The main difference is that the brackets are placed on the back of the teeth, making them less visible.
7. How long does it take for the gums to adjust to lingual orthodontics?
The adjustment period for the gums can take anywhere from a few days to a few weeks. This depends on the condition of your gums and how well you care for them during treatment.
In conclusion, while lingual braces offer significant aesthetic benefits, it’s important to be aware of how they might affect gum health. Regular care, attention to oral hygiene, and professional monitoring are essential for ensuring both beautiful teeth and healthy gums.
For more personalized guidance, consult with Dr. Ghayoumi, a periodontist in Irvine, CA, where your gum health is just as important as your smile.
Sources:
Evidence of Effectiveness of Lingual Orthodontics as an Alternative
Lingual Orthodontics – A Review