26 Simple Answers To All Your Troubling Brace Questions

26 Simple Answers to All your Troubling Brace Questions


Behind the scenes, I Love Straight Teeth receive hundreds of questions from patients who are considering straightening their teeth.  Many have trawled the internet to no avail to try and find the solution.  However quirky or straightforward, I Love Straight Teeth take all your questions seriously and will have the answer you are looking for. We are dedicated to straight teeth for everyone not only for aesthetic reasons but for the good health of your teeth and your wellbeing.

1# Can I wear braces if I have a crown?

Having a crown already is by no means restrictive to having braces. Many of our adult patients had had much of dental work over the years such as crowns, fillings, and even veneers, before they decided to straighten their teeth and acquire a great smile. When you have a crown, it is crucial to have healthy teeth or any treatment is bound to fail.

2# My teeth feel loose – Is this normal?

It’s normal. When you are wearing braces the bone around the teeth softens so the teeth can move into position, so it’s to be expected. If you are concerned, you can always contact your dentist for further reassurance.

3# What should I do in case of an orthodontic emergency?

An orthodontic emergency will be one of two things; either a bracket has come loose or wire is poking out. Use some orthodontic wax to cover over any sharp areas which could scratch or irritate your mouth and call your dentist for an emergency appointment to have your wire or brackets replaced.

4# My front teeth stick out. What can be done?

Prominent front teeth are a very common problem.  There are several reasons your teeth may stick out. Firstly, your adult teeth may have erupted in a forward position, or they may look more prominent if the adjacent teeth are very small,  or because your jaw is too far back.  The first issue may be addressed by wearing a brace. Small teeth can be resized with cosmetic bonding. If your jaw position is the problem, a more comprehensive orthodontic treatment will be needed.  See your dentist for a full assessment. We can help.

5# Are there any limitations to straight teeth I should know about?

Adult teeth are not all the same shape and size so when you when you move the teeth together you may notice some small imperfections in the appearance of your smile. Further adjustments to improve the shape can be made with re-contouring and cosmetic bonding.

6# Will braces fix flared out tooth problems

 Yes, braces can move flared out teeth back into position. They use a gentle force to rotate and pull teeth into their correct position. A clear fixed brace, a Lingual brace, an accelerated removable brace or clear aligner will work. Your dentist will advise which one is best for you.

7# Can braces cause locked jaw?

No, braces cannot cause lock jaw, but if you have a jaw joint problem, it may not be advisable for you to have braces. It is important to get your jaw checked to make sure there are no issues. Your dentist will  make sure that there are no limitations when opening or closing your jaw.

8# Does wisdom tooth extraction affect Invisalign?

If you are wearing Invisalign or have completed any brace treatment, and you have a fixed retainer or a removable retainer, your teeth will be fine. Having teeth removed will make more space for teeth to move so it is essential to wear your retainer to keep your newly straightened teeth permanently in place.

9# Does an Inman require good molars?

Yes, the Inman Aligner is an accelerated removable brace. It requires good strong teeth at the back to hold it in position so that the teeth can be moved. Your dentist will diagnose your bone levels and health of your gums before recommending treatment.

10# Can I still have braces if I have missing teeth and crowns?

 We quite often see people with missing teeth and crowns or veneers. This can be worked around. It’s possible to put braces to crowns, and it’s also possible to put disguises in so that it doesn’t look as if you are missing teeth.  We can move teeth so that there is space to have an extra tooth placed in position.

11# Do braces damage the teeth, roots, or gums?

All treatments make biological changes.  If you brush your teeth, follow a good oral health routine and visit your dentist regularly for check-ups, you will not cause any damage to your teeth, roots or gums by wearing braces.  However, if you have a brace and you don’t brush your teeth properly, then your teeth could get worse.  When you move teeth, there can be some very small changes which occur to the roots. Generally, this has no clinical significance. Specific teeth with a history of a lot of dentistry are going to be more vulnerable than normal, healthy adult teeth, so it’s important to be aware of all the different factors. Your dentist will advise you before fitting braces.

12# Do I need to use headgear?

I Love Straight Teeth focus on adult cosmetic orthodontics, so we do not use headgear. Headgear is for paediatric orthodontics, for children still growing.

13# Overbites – does the procedure works for it?

This depends on what you are trying to change.  An adult cosmetic brace, such as the Lingual Brace, will change the tooth position and retain your same bite.  If you have a complex overbite, you may need a more comprehensive orthodontic treatment.

14# Why do I keep drooling?

It is perfectly normal to produce more saliva than usual when you put something alien into the mouth.  Too much saliva will make you drool, especially when you are asleep.  Your mouth will soon acclimatise and usually, within a few days, you will stop drooling and waking up to a damp pillow.

15# When is pain considered normal, and when should I call the orthodontist?

Discomfort is normal for a few days when your brace is first fitted because they feel tight,  the teeth are moving,  and the bone is remodeling. Paracetamol or Ibuprofen will dull the pain. If you feel excessive pain, you should contact the Dentist just to make sure.

16# What should I do if I lose or damage my brace?

Contact you dentist for a replacement so there are no setbacks to your treatment.

17# What can I do about “black triangles” caused by Invisalign treatment?

Black triangles are the spaces between the teeth and are naturally occurring when you have triangular shaped teeth. These spaces appear when moving the teeth and are not caused by the Invisalign treatment per se.  Your dentist will be able to predict how the teeth will move, and cosmetic bonding will improve the shape of the teeth.

18# Are braces-safe for a crowned tooth with root canal?

As long as the tooth is healthy and there is no infection underneath the tooth,  you can wear braces.

19# Is It possible for a patient with gum disease to get braces?

The first step to getting braces is a full diagnosis of your oral health including bone density and gum health.  If you have periodontitis, gum disease, this will need to be treated before your braces are fitted.  Gum disease leads to decay and eventual tooth loss so it is important to get help without delay.  Braces and straight teeth are healthy teeth as they are easier to keep clean.

20# I have a stud in my tongue. Will this interfere with orthodontic treatment?

Not really but a stud in your tongue can cause problems with your back teeth.  This is not a great idea. Accidentally biting on a tongue stud can lead to broken teeth!

21# When is extraction necessary

Extraction depends on what type of orthodontic treatment needs to be done. In cosmetic orthodontics, where the focus is on the front 2,4, or 8 teeth to improve the smile, we generally do not extract teeth, but there are a few exceptions.

22# Will my teeth straighten out by themselves as they grow?

Maybe, maybe not.  It all depends on how much space there is for the teeth, where the force is and how much space there is in the jaw.  You teeth can improve but they are more likely to worsen.

23#  Why don’t teeth  straighten automatically after a tooth is pulled out?

Teeth will move in response to forces.  It can be the force of the tongue pushing forwards, lips pulling backwards or the forces of the jaw growing throughout life. The teeth will move, but they may not go to the right position, sometimes drifting into a worse position.

24# Will braces interfere with sports?

For contact sports it’s important to wear a mouthguard. You can get mouth guards that are specifically designed to be worn with braces with space for the brace to be in position. An example would be ‘Shock Doctor’. They make a variety of different mouth guards.

25# Is it better to start treatment early?

Ideally yes, but, as an adult, it’s never too late. It’s better to have the treatment as soon as possible because very crooked teeth can cause problems such as gum disease, cavities, and other such problems.

26# Can I chew chewing gum while wearing aligners?

Not while wearing an aligner. If you take the aligner out, you can chew gum.

Have we answered your troubling questions? If not and you have any more questions, post them here and we will give you an answer.

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