If braces are used, toothbrushing should be done with more care than normal. Bacteria have many more places to hide. Brushing your teeth well allows them to move in healthy gums, without friction (no dirt on the wires slowing down movement).

The first signs of poor hygiene are gums that redden, swell or bleed when brushing. In this case, it is important not to avoid sensitive areas that bleed, but on the contrary to increase the frequency and duration of brushing.

In the case of insufficient brushing, over a longer period, a deposit of dental plaque around the brackets and at the gum line can lead to the start of demineralization of the enamel resulting in white spot lesion. Initially, these marks are reversible with the help of fluoride treatments. They become irreversible at a more advanced stage and can even end up as a cavity. In these last two cases, it may be appropriate to remove the device even if the treatment is not completed.

This is why it is imperative to brush your teeth well after each meal, especially between the gums and the bracket, because bacteria develop there preferentially. 

Flossing is always a good habit to have in order to avoid cavity between your teeth.

Toothpaste must be fluoridated to strengthen the enamel and therefore protect you from cavities. 

An electric toothbrush is not incompatible with orthodontic treatment, but a conventional toothbrush may suffice. The brush used must have soft bristles, with a small head to access all corners. In addition, it is possible to use interdental brushes and water flossers. Mouthwashes are not mandatory.

During your orthodontic treatment, it is recommended to maintain your cleaning appointments at your dentist. You should visit your dentist every 6 months.