Orthodontic treatment does more than simply move teeth. It also changes the way plaque accumulates and the way we brush our teeth.

During treatment, maintaining rigorous oral hygiene is just as important as wearing aligners or braces correctly. Inadequate cleaning can lead to gum inflammation, white spots on the enamel, or even tooth decay.

At Clinical Blasi, we emphasise that the success of orthodontic treatment depends not only on the system chosen, but also on maintaining the right balance between tooth movement and periodontal health.

Why Oral Hygiene Is More Demanding During Orthodontic Treatment

The presence of braces, aligners, or attachments changes the way plaque is retained around the teeth.

In fixed orthodontic treatment, brackets and wires create areas where plaque can accumulate more easily. With clear aligner therapy, although the aligners are removable, plaque build-up may still occur if the aligners are not cleaned properly or if they are reinserted without prior brushing.

The main risk during treatment is not tooth movement itself, but the possible development of:

  • Persistent gingival inflammation

  • Enamel demineralisation

  • Interproximal caries

  • Gingival recession caused by traumatic brushing techniques

For this reason, the daily oral hygiene routine must be adapted to the specific demands of orthodontic treatment.

Hygiene routine recommended with fixed orthodontic treatment

With braces, the brushing should be more careful and aware.

It is recommended

  • to Brush after every meal.
  • Pay special attention to the gingival margin.
  • Use interdental brushes to clean around the brackets.
  • Complement with handpiece when it is indicated.

The goal is not to brush with more force, but with greater precision.

Gingival inflammation mild is often in the first few months if the technique is not suitable. In these cases, the adjustment of hygiene is usually enough to recover stability.

Oral Hygiene with Clear Aligners

With clear aligner orthodontics, the main advantage is that the aligners can be removed for eating and brushing, making daily oral hygiene easier than with fixed braces.

However, this does not eliminate the risk of inflammation or dental problems if:

  • The aligners are reinserted without brushing beforehand

  • The aligners themselves are not cleaned properly

  • Sugary or acidic drinks are consumed while wearing the aligners

Maintaining the cleanliness of the aligners is just as important as maintaining the cleanliness of the teeth. Poor hygiene can lead to unpleasant odours, staining, and gingival inflammation.

For more detailed information, see our guide on how to clean clear aligners properly.

Accessories that really bring benefit

Not all of the products on the market are necessary.

In clinical practice, the accessories that tend to provide real value are:

  • interdental Brushes adapted to the space.
  • Irrigator dental in cases of hygiene more complex.
  • Dental floss specific to fixed orthodontic treatment.

The use of mouthwashes should be indicated by the professional, especially if there is gingival inflammation.

More important than the quantity of products is the correct technique.

Warning Signs During Orthodontic Treatment

It is advisable to consult your orthodontist or dental hygienist if any of the following signs appear during treatment:

  • Persistent gingival bleeding

  • Swelling that does not improve despite proper oral hygiene

  • White spots developing around the braces

  • Progressive dental sensitivity

Early detection allows oral hygiene habits and treatment protocols to be adjusted before more serious complications develop.

Oral Hygiene and Regular Check-Ups

 

Orthodontic review appointments are not only intended to change wires or aligners. They also allow the clinician to assess the condition of the gums and reinforce proper oral hygiene habits throughout treatment.

In patients with a history of periodontal disease or a thin gingival biotype, monitoring must be particularly careful in order to minimise the risk of inflammation or gingival recession.

Well-planned orthodontic treatment aims not only to achieve a well-aligned smile, but also to preserve a healthy and stable periodontal structure over the long term.

Orthodontics in Barcelona with a comprehensive approach

In Clinical Blasi, the orthodontic treatment arises from a global vision. The tooth movement should respect the gingival health and functional balance.

Proper hygiene during treatment is an investment in stability in the future.

If you’re in orthodontic treatment or you are weighing whether to start it, a valuation specialist will define not only the plan of tooth movement, but also the maintenance guidelines are most appropriate for your case.