Can You Get Braces with Periodontal Disease?
Periodontal disease, also known as gum disease, is a serious infection affecting the gums and bones supporting your teeth. It's a common concern, and many people wonder if it prevents them from getting braces. The short answer is: it depends. While it's not an automatic disqualifier, periodontal disease requires careful consideration and often necessitates treatment before orthodontic work can begin.
This article will delve deeper into this complex relationship, answering frequently asked questions and providing valuable insights for anyone considering braces while dealing with gum disease.
What is Periodontal Disease?
Periodontal disease is an inflammatory condition resulting from bacterial infection around the teeth. It progresses through several stages, from gingivitis (inflammation of the gums) to more advanced forms like periodontitis (infection affecting the gums and bone). Left untreated, periodontitis can lead to tooth loss. Symptoms can include bleeding gums, bad breath, red or swollen gums, receding gums, and loose teeth.
Can Braces Worsen Periodontal Disease?
Yes, braces can potentially worsen existing periodontal disease. The brackets and wires provide extra surface area for plaque to accumulate, making it more challenging to maintain optimal oral hygiene. This increased plaque buildup can exacerbate the inflammation and infection associated with periodontal disease. Therefore, meticulous oral hygiene is crucial during orthodontic treatment, even more so for individuals with pre-existing gum problems.
Can I Get Braces If I Have Gingivitis?
Gingivitis, the early stage of gum disease, is often treatable. With proper oral hygiene—including regular brushing, flossing, and professional cleanings—gingivitis can often be reversed. Once the gingivitis is under control, your orthodontist might proceed with braces. However, they will likely emphasize the importance of diligent oral hygiene throughout treatment.
What About Periodontitis? Can I Still Get Braces?
Periodontitis is more complex. Active periodontitis requires treatment before orthodontic treatment can begin. This usually involves scaling and root planing (deep cleaning to remove plaque and tartar from below the gum line) and sometimes antibiotic therapy to control the infection. Your orthodontist and periodontist will likely work collaboratively to determine the best course of action. Treatment might involve stabilizing the gum health before starting braces or incorporating periodontal maintenance throughout the orthodontic process.
What are the Risks of Getting Braces with Untreated Periodontal Disease?
Ignoring periodontal disease while undergoing orthodontic treatment poses several significant risks:
- Increased risk of infection: The presence of braces increases the risk of infection, which can be more severe with existing gum disease.
- Tooth loss: Advanced periodontitis can lead to tooth loss, which is exacerbated by the forces applied during orthodontic treatment.
- Treatment failure: Untreated periodontal disease can interfere with the success of orthodontic treatment, potentially requiring additional procedures or even removal of braces.
- Increased discomfort: Inflammation and infection can cause significant discomfort and pain.
How Can I Prepare for Braces if I Have Periodontal Disease?
If you have periodontal disease and are considering braces, it's essential to:
- Consult with a periodontist: A periodontist is a dentist specializing in gum disease. They can assess the severity of your condition and develop a treatment plan.
- Undergo periodontal treatment: Address the gum disease before starting orthodontic treatment. This ensures your gums are healthy enough to withstand the stress of braces.
- Maintain impeccable oral hygiene: This is crucial throughout the entire orthodontic process. Your orthodontist and periodontist will provide guidance on the most effective techniques.
- Attend regular checkups: Regular checkups with both your orthodontist and periodontist are vital for monitoring your progress and addressing any complications promptly.
In conclusion, getting braces with periodontal disease is possible, but it requires careful planning and collaboration between your orthodontist and periodontist. Addressing the gum disease before or concurrently with orthodontic treatment is crucial for the success of both procedures and to protect your oral health. Don't hesitate to discuss your concerns with your dental professionals to develop a customized treatment plan that meets your individual needs.
