Braces With Periodontal Disease

Braces make it hard to brush and floss, which increases your risk of gum disease. However, it’s still possible to reduce your risk of disease with regular dental care.

A vigorous approach to oral hygiene, combined with professional advice from your orthodontist and periodontist, will ensure your orthodontic treatment is safe and effective.


Braces make it easier to achieve a straight, beautiful smile, but they can also affect your oral health. The wires and brackets can push food particles into the tiny spaces between your teeth and gums, making it harder to remove plaque effectively when brushing and flossing.

Braces With Periodontal Disease

Plaque is an invisible, sticky film composed of mainly bacteria that forms on your teeth when starches and sugars interact with normal bacteria in your mouth. It needs to be removed daily because it re-forms quickly.

Gingivitis, the first stage of gum disease, is a mild infection of your gingiva (the part of your gum closest to your teeth). This form of periodontal disease is usually mild enough to be controlled with good oral hygiene and regular dental visits.

Left untreated, gingivitis can develop into periodontitis, a more serious gum disease that can cause bone loss and lead to tooth loss. In addition, research suggests that chronic gingiva inflammation can have a significant impact on the health of your heart and lungs.

Bleeding Gums

Swollen and bleeding gums are a warning sign of periodontal disease. This is a serious gum condition that can lead to the destruction of the soft tissue surrounding your teeth and bone damage.

It is a highly treatable condition that can be avoided by taking excellent care of your teeth and gums. Regular dental hygiene visits, brushing twice daily and flossing thoroughly are essential.

Bleeding gums in braces are often a symptom of gingivitis, an early stage of periodontal disease. This is reversible and if caught quickly, treated with better oral hygiene and a medicated mouth rinse.

If the bleeding persists, you will need to visit your dentist and orthodontist more regularly than a normal patient to keep your gums healthy and the treatment progressing as planned. Your orthodontist may also refer you to a specialist gum doctor (periodontist) for advanced treatment.

Gum disease is one of the leading causes of tooth loss. This is because the infection weakens the tissue and destroys the bones that support your teeth.

Loss of Bone & Ligaments

Because braces and even Invisalign exert pressure on your teeth, they are also pressing on the ligaments that hold them in place and the bone underneath. When these elements are not healthy, they can be lost during orthodontic treatment.

Periodontal disease can destroy the gum tissue, the ligaments that hold the teeth in place and the underlying bone. If left untreated, this can result in loose or missing teeth.

Gums become irritated and red, and can bleed easily. Pockets form between the gums and teeth, allowing harmful bacteria to spread.

The bacteria in plaque can cause the destruction of the periodontal ligaments and the underlying jawbone. If this happens, your dentist may recommend surgery to repair the damage. Flap surgery or bone and tissue grafting can help to restore the lost support and improve your oral health.


If you have periodontal disease, your gums are likely to bleed easily while brushing and can be reddened or swollen. This is a sign of bacterial plaque buildup and an inflammatory response by your body.

Often, this early stage of gum disease (called gingivitis) is reversible with good daily oral hygiene. However, if the swollen gum tissue continues to bleed, you need to see your dentist for professional cleans and recommendations for oral rinses to prevent the disease from progressing.

When periodontal disease is advanced, you might lose teeth and bone due to the deterioration of connective tissue. This can make it harder to secure teeth into their new positions during orthodontic treatment.

braces with periodontal disease

Braces can help prevent gum disease by correcting malocclusions and crooked teeth, as well as reducing the risk of tooth decay. Patients should still keep up good oral hygiene habits and attend their dental appointments regularly, as they can be a major risk factor for gum disease.

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