It is usual for the teeth to be uncomfortable for the first few days after the brace is first fitted – stay with a soft diet and if necessary take one or two tablets of paracetamol or ibuprofen.
If one bracket comes off then leave it until your next scheduled visit. If several break off then phone for an appointment to have the brace repaired.
Often as the teeth move the archwire sticks out at the back. If this scratches your cheek come in to have the end cut off (ask reception for a packet of wax in case this happens).
Since the brace is fixed you cannot remove it for brushing. It is extremely important to spend extra time brushing all around the brace and especially the gums. If the dirt builds up then your gums will bleed a lot (gingivitis) and your teeth will decay. Special brushes and fluoride mouthwashes for daily use can usually be obtained from the receptionist of your dental surgery.
Poor cleaning and too many fizzy drinks can cause permanent decay marks. The importance of thorough brushing and the use of a fluoride mouthwash cannot be emphasised enough.
Contact sports such as rugby present a problem since it is difficult to make a gum shield that will fit over the brace. A reasonable solution is to buy a cheap gumshield from a sports shop which can be softened in hot water and moulded over the brace.
It usually takes about 18 months, occasionally longer, to straighten your teeth. “Traintrack” braces are very good at straightening teeth so that they look better in months. It is important to remember, however, that if the brace is removed too quickly before the teeth have settled into their new positions, then the teeth tend to go crooked again.
Usually we make a removable brace called a retainer to wear at nights for at least 12 months. Sometimes a wire is fixed to the insides of the teeth to hold them straight.