Inflamed gum with braces

An inflamed gum around a brace is commonly linked to plaque trapped near the bracket, excess orthodontic pressure, or local injury.

The gum margin may look red, puffy, or bleed when plaque collects beside brackets and along the wire. A rubbing wire can cause a separate sore.

Brush around each bracket with a small soft brush and clean under the wire with an interdental brush.

Seek care promptly for facial swelling, fever, pus, severe or worsening pain, persistent bleeding, or difficulty breathing or swallowing. A dentist can examine the tissues, identify the cause, and provide treatment such as cleaning, restoration, drainage, or review of an appliance.

Ask what caused the symptom, which examination or imaging is needed, what treatment is appropriate, and which changes require urgent review.