Braces gum inflammation

The gingiva becomes red, puffy, tender, or prone to bleeding when plaque bacteria trigger inflammation at the gum margin. Fixed brackets make brushing and interdental cleaning more demanding, and excess cement, a loose bracket, or a wire pressing the tissue can create a local sore area.

Use a soft orthodontic brush with fluoride toothpaste, clean above and below each bracket, and use an interdental brush or floss threader daily. Tell the orthodontic team about a loose bracket or protruding wire so it can be adjusted, and use orthodontic wax over a rubbing area while waiting.

Seek an appointment if inflammation persists despite careful cleaning, occurs around one isolated appliance, or comes with pus, severe pain, fever, recession, or facial swelling. Rapid swelling or difficulty breathing requires urgent care.

Ask whether the inflammation is plaque-related or caused by the appliance, which brush and interdental size fits, and whether your cleaning technique is removing plaque at the gum margin. Ask when the orthodontic team wants the gums reassessed.