The Hidden Risk of Braces Nobody Warns You About — A Periodontist Explains

Added: 2026-06-03

[00:00:00]Any patient that undergoes orthodontic therapy must be instructed for proper oral hygiene to prevent areas of inflammation that can lead to a faster progression of bone loss and attachment loss. If the patient does not have good oral hygiene with the brackets on, there is a higher risk of problems, gum inflammation, pocket formation.

[00:00:22]Basically, there is a compounding effect, a negative effect when an excessive orthodontic force is applied on a tooth that has inflammation.

[00:00:32]Inflammation as a result of poor oral hygiene. If a tooth that has inflamed gums receives an orthodontic force that is too excessive, too high, that tooth will end up suffering and as a result might develop a gum recession that may be difficult to treat. Having a recession not only means having a gum recession, that also entails having bone loss around that tooth, which is more difficult to correct, especially on the lower front teeth.