How to treat inflamed gums with braces

Inflamed gingiva may look red, swollen, or bleed because plaque collects around brackets and along the gum margin. Braces do not prevent cleaning, but their surfaces create more areas where plaque can remain.

The usual contributors are inadequate plaque removal, crowded or hard-to-reach surfaces, mouth breathing, smoking, hormonal changes, some medicines, and an overhanging appliance or restoration. Persistent inflammation can indicate gingivitis or periodontal disease rather than simple adjustment soreness.

Braces-related gum inflammation is managed by removing plaque around brackets and treating any underlying gum disease.

Brush gently at the gumline and above and below each bracket with fluoride toothpaste, then clean between teeth with an interdental brush or threader. Keep orthodontic appointments and ask for professional cleaning when home care cannot remove deposits.

Keep a record of changes and bring the product, appliance, or medication list to the appointment so the clinician can assess the relevant details.

Arrange a dental review for spontaneous bleeding, persistent swelling, recession, bad taste, pus, loose teeth, or worsening pain. Facial swelling or fever requires prompt care.

Do not delay assessment when symptoms are escalating, recurring, or affecting eating, sleep, mouth opening, breathing, or swallowing.

Ask for a demonstration of brushing angles, the right interdental size, whether calculus is present, and whether the wire or bracket is making cleaning impossible.

Ask what the examination found, which treatment is intended to address the cause, and how you will know whether the problem is improving.