Precautions after bracket bonding

  As people’s living standards and self-image requirements continue to improve, more and more people are seeking orthodontic treatment. However, the final outcome of orthodontic treatment is not only related to the skill of the orthodontist, but also depends on the active cooperation of the patient and family and effective care measures to achieve satisfactory treatment results. Below we will provide a few common considerations for orthodontic patients after bonding brackets to facilitate self-care in orthodontic friends.  I. Pain: Pain occurs mainly during the first wear of the aligner and each adjustment of the force. After 5-6 hours after the first paste full orthodontic brackets, the teeth will appear sore and painful symptoms, more obvious when biting and force, the next day to reach the peak, the next few days gradually weakened, adult patients pain will last longer, but generally will basically disappear after a week. After each subsequent follow-up, the same soreness and pain will be experienced on the same day or for a day or two, but not as severe as the first time. These are normal phenomena and should be treated correctly by the patient without undue stress. If the pain persists for more than a week or tends to increase, contact your doctor for help.  There are also some patients with slower adaptation of the oral mucosa, often have lip and cheek mucosa and orthodontic appliance with friction discomfort, and can even have oral ulcers, at this time can use orthodontic protective wax applied to the orthodontic appliance, can effectively reduce discomfort.  Second, food selection: Wearing orthotics patients need to eat a balanced diet and reduce snacking, strengthen nutrition, eat more tomatoes, oranges, liver, lean meat, eggs, milk and cereals, etc.. Do not chew food, avoid eating too sticky, too hard food, such as nuts, bones with meat, hard popsicles, chewing gum, etc. Otherwise, fixed bands and brackets can fall off, wire deformation, which can damage the force system of the aligner, loosening and abnormal displacement of teeth, which can lead to pulp necrosis and periodontal damage in serious cases, requiring re-bonding or fabrication of aligners and prolonging the treatment.  The band ring or brackets should be contacted promptly for re-bonding after they fall out.  Third, oral hygiene care Oral hygiene is particularly important for orthodontic patients. Brushing after each meal, flossing every day and regular dental check-ups can maintain the health of teeth. After wearing orthodontic brackets, many objects will be added to the teeth, which will easily cause food embedment and lead to gingivitis and periodontitis. At this time, it is necessary to use special tools, such as: orthodontic toothbrush, gap brush, dental floss, etc. If you have conditions, you can also choose water floss, flosser and other equipment to assist in cleaning some parts that are not easy to clean. It is recommended to carry oral cleaning appliances with you to help maintain a healthy and hygienic mouth.  Since it is more difficult to clean the oral hygiene after wearing orthodontic appliances, saliva secretion increases and calculus will be more easily produced, so we recommend periodontal basic treatment once in 3-6 months during orthodontic period. For some patients, we will suggest fluoride anti-caries treatment with the help of dentist.  IV. Accidents 1. Sometimes the brackets fall off during the orthodontic process: Generally the brackets will not fall off completely, they just slide back and forth on the arch wire, but if the brackets fall off at the end, the brackets may also fall off completely, then you need to put away the fallen brackets and contact the doctor for re-pasting in time. But sometimes the aligners fall off, which can cause digestive and respiratory tract damage, and in serious cases even life-threatening, attention should be paid to prevention.  2, the arch wire sticking mouth: in the teeth alignment after the arch wire appears a certain left and right slide, so that the arch wire side is too long sticking mouth, at this time can be protected with mucosal protective wax to prevent the arch wire cut through the mucosa and other soft tissues, while timely contact your doctor for help.  3.Wire ligature: Non-self-ligating brackets require the use of ligature wire or ligature ring to connect the wire to the bracket. When using the ligature wire, the broken section of the ligature wire may stick out due to chewing or other reasons and lacerate the mucosa and other soft tissues, so wash your hands and press the broken section of the wire that sticks out back under the arch wire in front of the mirror. If this does not work, please seek help from your doctor after applying mucosal protection wax.