woman inside with braces smiling in turtleneck

Braces Care Instructions

Your Life In Braces

If you have any orthodontic appliances cemented in your mouth, like traditional braces, appliances with bands, lingual braces or fixed retainers, you must change what you eat and how you eat during orthodontic treatment. It is important to follow all braces care instructions as outlined by Dr. Pompei.

What To Expect During Your Orthodontic Treatment

  • It is normal for your teeth to feel achy after new forces are placed on them for the first time. Soreness WILL go away and you WILL get used to your new appliances. In the meantime, take Ibuprofen or Tylenol to stop the aching pain.

  • You may get a blister or sore here and there, but warm salt water rinses work wonders. Take a teaspoon of salt and mix it in a cup of warm water until it’s dissolved. Swish it around in your mouth for several seconds, then spit and repeat!

  • Apply wax, such as OrthoDots or GishyGoo over whatever is irritating your soft tissue. Be sure to first dry off the part of the appliance that is digging into you with a cotton swab, roll the wax in between your fingers to soften it, then gently press it into the area offending your gums or cheek.

  • It is completely normal for your teeth to feel slightly loose. In orthodontic treatment, we are moving your teeth within your bone to a new, better position. There is transient mobility in the process but the teeth will become firm once the teeth reach their final position and are stabilized.

  • Your bite is in a dynamic state during treatment. Sometimes, it will have to feel worse before it feels better—this is normal!

  • Some teeth feel forces differently at times during treatment. As long as the discomfort goes away within a week or two, there is nothing to worry about.

  • If you have severe pain that does not go away after a few days and with Advil or Tylenol, please call or text the office so we can have everything checked out.

Braces-Friendly Diet

  • Sticky, chewy, gooey and hard candy
  • Nuts
  • Hard granola bars
  • Hard-crust bread or pizza
  • Meat directly off of the bone
  • Jerky
  • Corn directly off of the cob
  • Popcorn
  • Ice
  • Chips and hard pretzels
  • Raw vegetables like carrots
  • Soft bread
  • Soup
  • Cereals
  • Cooked or soft vegetables
  • Ground meat
  • Yogurt
  • Smoothies
  • Rice
  • Pasta
  • Ice cream
  • Cake

Swipe to see suggestions for easy swaps for braces-friendly foods!

popcorn with red x to show it is not braces friendlypuffs with green check to show it is braces friendly
whole apple not braces friendly with red xapple slices braces friendly green check
gum piece with red x to show it is not braces friendlymouth spray with green check to show it is braces friendly
not braces friendly nuts red xpeanut butter braces friendly green check
hard taco shell red xsoft tortilla shell green check

If you are unsure whether a food is too crunchy or hard for your appliances, take small bites with a sip of water to soften the food and chew slowly.

Home Care And Dental Hygiene

  • Brushing, flossing, and using a fluoride rinse are more important than ever when in braces.

  • Brush each time after eating whenever possible, and check for fuzzy plaque that stays on the teeth, under wires, near gums and around brackets.

  • If you don’t exercise EXCELLENT hygiene while in braces, you will get white spot decalcifications, gingivitis (bleeding gums) and cavities.

Parts of Braces

Braces Home Care

Braces Instructions

Breakage and Soft Tissue Irritation

  • Loose/detached bracket: Brackets, bands, etc. are bonded firmly to the teeth, but they do need to be removed at the end of treatment without damaging your teeth, so the bond is not so strong that it can withstand heavy forces from biting down on crunchy foods/candies or items such as pens. It’s not unusual to have some debonding occur while you’re getting used to eating with braces. If you notice a bracket has come debonded from a tooth, it’s not urgent to fix it—this is not an emergency. If the moving bracket bothers your teeth, place wax on the loose bracket, and call or text the office so we can arrange for a appointment to make you comfortable or fix it as needed, or we can plan to fix it at your next regularly scheduled appointment. After you’re thoroughly accustomed to new braces/appliances, breakage should happen far more infrequently, and it’s up to you to make sure you’re eating carefully to avoid breakage that will delay treatment and/or compromise final results.

  • Loose band: With gentle finger pad pressure, press the band back around the tooth. Eat soft, non-sticky foods. Call or text the office and we will arrange for a comfort visit to fix it as needed.

  • Poking wire: Although every effort is made to make sure you leave your adjustment visits with nothing that could poke or scratch you, the wires in your mouth move slightly as your teeth straighten and as you chew food. This can cause new irritations in between office visits. First, try placing wax on the end of the poking wire. Make sure the area you place wax is dry. Sometimes your cheeks just need time to acclimate to the wires, just like your skin does with a new pair of sandals that at first causes blisters. In the first few months of treatment, your braces wire is thin and flexible and can be cut with a nail clipper if it is bothering you. Warm salt water rinses also help to heal irritation from poking wires. If you don’t feel better in a day or two, call or text the office to arrange a comfort visit. You can also snap a photo of the area bothering you and text or email it to us. We can often remotely walk you through how to resolve the issue at home.

  • Sore in mouth: Place wax over the appliance that is digging into your mouth. Take Advil. Call or text the office and arrange a comfort visit.

Lingual Braces

All of the home care instructions for traditional braces apply to lingual or inside braces. However, cleaning lingual braces can take more time, as they are harder to see. Regular maintenance and diligent hygiene is critical to avoid tarter buildup and gum inflammation that will interfere with tooth movement.

Altered speech is common during the first few weeks in lingual braces. However, reciting this passage out loud repeatedly after appliances are first placed will help tremendously with clear articulation. This passage was developed by a speech/language therapist particularly because it has all phonetic sounds in the English language.

Braces FAQs

Most patients notice some discomfort 24-48 hours after an appointment. This can last up to a week. This is because your teeth are moving. Any discomfort should subside within a few days. Any over-the-counter pain reliever can be used to help ease any discomfort (similar to what you would use for a headache). It has also been shown that chewing on a small stick of sugar-free gum also helps increase blood flow and healing to the area. We also give you orthodontic wax that you can place over the bracket in case the brackets feel like they are irritating the inside of your mouth.

orthodontic wax covering braces bracket to prevent pain

Waterpiks are great products to help wash out food from around brackets. Think of them as small water guns to spray the food off your appliances. Also, proxy brushes are useful for getting food out from behind the wire and are easy to carry with you. Lastly, flossing is important, and we recommend using orthodontic flossers to help you easily floss under the wires.

cleaning braces with a blue brush around the brackets

We aren’t trying to trick you into cleaning your teeth (you should want to have nice fresh breath and clean shiny teeth!) but it is true that clean teeth move faster! Why? Plaque and bacteria cause gingival inflammation. Inflammation inhibits bone-forming cells that are necessary for tooth movement. Inflammation also creates thicker and larger tissues that the tooth has to move through to straighten out. Inflammation can also cause gum recession and other periodontal problems that can require costly restorative work later.

diagram of clean teeth moving faster than teeth with poor hygiene

Bacteria in your mouth are irritants, and they create acids that can break down the enamel of the teeth. This can create areas of demineralization (often around a bracket where the bacteria is sitting) which show up as white areas on the teeth. Unfortunately, they are permanent and often cannot be removed without costly restorations.

decalcification spots on teeth after braces removal

Mouthguards are recommended for patients involved in contact sports. You can buy one over the counter that is made for braces—we recommend the ones that are one arch and boil-and-bite.

There are four main ways to help get your orthodontic treatment completed as efficiently as possible:

  • Keeping your appointments and being on time
  • Not breaking your appliances. Make sure you are following all instructions on foods to avoid and how to take care of your braces. Do not pick or pull at your braces and wires.
  • Wearing your elastics and appliances as instructed
  • Keeping your teeth and braces clean and healthy and seeing your general dentist for regular check-ups

[ Radiate Confidence ]

Request Your braces Or Invisalign
Consultation Today