Orthodontic Separators: Brushing Techniques, Foods to Avoid, and When to Seek Help

How to Brush Teeth with Separators?

Brushing teeth with orthodontic separators requires a gentle, meticulous approach to ensure thorough cleaning around the device without dislodging it, laying the groundwork for optimal oral health throughout your orthodontic treatment.

Understanding Orthodontic Separators

Before delving into the how-to, it's crucial to understand what orthodontic separators are and their purpose.

• What are Separators? Also known as orthodontic spacers, these small elastic rings or metal springs are temporarily placed between your back teeth (molars and premolars).
• Why are they Used? Their primary function is to create a small amount of space between specific teeth. This space is necessary to comfortably fit orthodontic bands (metal rings that encircle the tooth) around your molars, which serve as anchors for braces. Separators typically remain in place for a few days to a week before the bands are applied.
• Common Types: The most common type is a small blue or clear elastic ring. Less frequently, metal spring separators may be used.

The Importance of Oral Hygiene with Separators

Maintaining excellent oral hygiene is paramount throughout any orthodontic treatment, and the period with separators is no exception.

• Preventing Plaque Buildup: Separators can create new nooks and crannies where food particles and plaque can accumulate. Diligent brushing is essential to prevent plaque from hardening into tartar, which can lead to cavities and gum disease.
• Gum Health: Proper cleaning helps to prevent gingivitis (gum inflammation), which can cause discomfort, bleeding, and complicate future orthodontic procedures.
• Preparing for Braces: A clean, healthy oral environment is critical for the successful application and function of braces. Neglecting hygiene with separators can lead to complications once full braces are in place.

Step-by-Step Guide: Brushing Teeth with Separators

The key to brushing with separators is gentleness combined with thoroughness.

1. Choose the Right Tools:

   • Soft-Bristled Toothbrush: Always use a toothbrush with soft bristles. Hard bristles can be too aggressive and may dislodge the separators or irritate your gums.
   • Fluoride Toothpaste: Use a fluoride toothpaste to strengthen tooth enamel and protect against cavities.

2. Gentle Brushing Technique:

   • Angle the Brush: Hold your toothbrush at a 45-degree angle to the gum line, aiming the bristles towards the space between your teeth and gums.
   • Small, Circular Motions: Use small, gentle, circular motions to clean each tooth surface. Avoid scrubbing vigorously back and forth, as this can be less effective and potentially harmful.
   • Focus on All Surfaces: Ensure you clean the outer, inner, and chewing surfaces of every tooth. Pay particular attention to the areas around the separators.
   • Around the Separators: When you reach the teeth with separators, be extra cautious.
     • Brush around the separator, not directly on it with force.
     • Use the same small, circular motions, allowing the soft bristles to gently clean the tooth surface adjacent to the separator.
     • The goal is to remove food debris and plaque without snagging or pulling the separator.

3. Flossing (with caution or avoidance):

   • In most cases, your orthodontist will advise against flossing between the teeth that have separators, as this action is designed to remove items from between teeth and will likely dislodge the separator.
   • However, continue to floss all other teeth where no separators are present, ensuring you maintain comprehensive interdental cleaning. If you are unsure, always consult your orthodontist.

4. Rinsing:

   • After brushing, rinse your mouth thoroughly with water to remove loosened food particles and toothpaste.
   • Your orthodontist may recommend a fluoride mouthwash or a non-alcoholic antiseptic mouthwash to further reduce bacteria and promote gum health.

What to Avoid When You Have Separators

Certain actions and foods can dislodge separators, potentially delaying your orthodontic treatment.

• Sticky or Chewy Foods: Avoid foods like gum, caramels, taffy, and even very chewy bread. These can adhere to the separators and pull them out.
• Hard Foods: Steer clear of nuts, hard candies, popcorn, and ice. Biting down on these can crush or dislodge the separators.
• Aggressive Brushing or Flossing: As mentioned, direct, forceful brushing or flossing around the separators is a primary cause of dislodgement.
• Picking at Separators: Resist the urge to poke, prod, or pick at the separators with your fingers or other objects. This can easily move them out of place.

When to Contact Your Orthodontist

While some initial discomfort is normal, certain situations warrant a call to your orthodontist.

• Dislodged Separator: If a separator falls out, contact your orthodontist. Depending on how long it's been out and how close you are to your next appointment, they may advise you to come in to have it replaced or provide instructions on what to do. Sometimes, if enough space has been created, it may not need to be replaced.
• Persistent Pain: While mild soreness is common for a day or two, severe or persistent pain that doesn't subside with over-the-counter pain relievers should be reported.
• Swelling or Bleeding Gums: These could be signs of irritation or infection and should be evaluated by your orthodontist.

Maintaining Oral Health: Beyond Brushing

Oral hygiene is a comprehensive effort that extends beyond just brushing.

• Dietary Considerations: Beyond avoiding foods that dislodge separators, a generally healthy diet low in sugar and acidic foods will support overall oral health and reduce the risk of cavities.
• Regular Orthodontic Check-ups: Adhere to your orthodontist's scheduled appointments. These visits are crucial for monitoring progress, addressing concerns, and ensuring the success of your treatment.
• Professional Cleanings: Continue with your regular dental cleanings with your general dentist, as advised. They can reach areas that might be difficult to clean effectively at home, especially with orthodontic appliances.

Conclusion: Prioritizing Oral Health During Orthodontic Treatment

Brushing teeth with separators is a minor but significant step in your orthodontic journey. By employing a gentle yet thorough brushing technique, avoiding specific foods, and maintaining open communication with your orthodontic team, you can ensure your teeth and gums remain healthy, preparing them for the next phase of your treatment and contributing to a successful outcome. Prioritizing your oral health now will pay dividends in a healthier, more confident smile in the future.