Do braces cause gums to recede?

Do braces cause gums to recede?

The sources we read do not establish that they do. Healthline's article on swollen gums with braces does not mention gum recession. It says gum swelling and tenderness are common when braces are first placed and after adjustments, lasting up to a week after placement and one to three days after each tightening, and that gingivitis is a bigger concern, since plaque trapped around braces can inflame the gums and severe gingivitis can destroy bone around the teeth. Cleveland Clinic says misaligned teeth and aggressive brushing can cause recession, and lists orthodontics for crooked teeth among its treatments, so braces can sometimes help recession, not only risk it. If a gum edge starts to pull away during treatment, tell your orthodontist.

What gum problems do braces cause?

Healthline lists swelling, gingivitis and gingival hyperplasia, an overgrowth of gum tissue around the teeth that plaque or braces-related irritation can trigger. It often improves with better hygiene and may subside six to eight weeks after the braces come off, though fibrotic tissue may need surgical removal. Causes it lists include poor oral hygiene, inflammation from tooth movement pressure and underlying conditions such as diabetes. At home, it suggests warm salt water rinses, over-the-counter anti-inflammatory medicine, soft foods and daily flossing, with professional cleanings. See a dentist if gums look as if they are growing over the teeth or a wire is cutting them.

Why do teeth shift back after braces?

The AAO says teeth move through bone remodeling, a lifelong process in which bone is continually rebuilt and reabsorbed, and that braces use the same process, so once treatment ends teeth naturally attempt to return to their original positions. Retainers hold teeth in their corrected positions, and the AAO warns that skipping them for even a few days could cause teeth to shift significantly, and many people may need to wear them for life. Minor shifts may be handled by adjusting the retainer, while more serious cases may need a short round of braces or aligners. See our guides on wearing retainers forever.

Can braces cause TMJ?

The sources we read do not say braces cause TMJ disorders. Cleveland Clinic lists TMJ disorders among the causes of malocclusion but does not explain the link. NIDCR says bite-altering treatments, such as crowns, grinding teeth or orthodontics, are not supported by sufficient evidence for treating TMD and may worsen it, and advises trying simpler treatments first and getting second opinions. If you have jaw pain, clicking or locking before or during braces, tell your orthodontist. See our TMJ guides.

Why do people have braces?

Cleveland Clinic says braces and other orthodontic treatments realign teeth, and that untreated malocclusion, a misaligned bite, can lead to tooth erosion, gum disease, and problems with chewing or speech and can affect self-confidence. Treatment is generally recommended when the misalignment affects oral health or function. Most cases are hereditary, though tooth loss and dental trauma can also cause it. Healthline distinguishes cosmetic motivations from needs related to long-term oral health.

Can you get braces for no reason?

Braces are an orthodontic treatment, and an orthodontist will decide whether treatment is advisable. Healthline says to speak with a dentist if you have any symptoms that suggest you might need braces, and that adults can still get treatment. Cosmetic reasons are accepted by many orthodontists, but ask about the risks and the commitment, including wearing a retainer for life.

What happens at your first orthodontist appointment?

The sources we read do not list the steps in order. Expect a review of your health and dental history, an examination of your teeth and bite and probably photos, scans or X-rays, and a discussion of treatment options, timing and cost. Healthline says you typically do not need a dentist's referral to book. Our guide on how to know if you need braces covers the signs.

Questions to ask your orthodontist

Ask about gum health before you start.

• Are my gums healthy enough for braces, and do I have any recession now?
• How should I clean my gums and teeth during treatment?
• What happens if my gums swell or grow over my teeth?
• Could my bite or jaw joint problems affect treatment?
• How long will I wear a retainer afterwards?

Frequently asked questions