08/01/2026
Parents, here's something orthodontists wish more families knew: braces don't cause cavities-but they do create the perfect environment for them.
When brackets and wires cover tooth surfaces, plaque builds up in spots your toothbrush can't reach. Without intervention, minerals leach from the enamel beneath, leaving permanent white marks (demineralization) even after braces come off.
The good news? This is 100% preventable.
I've treated hundreds of kids in braces, and the ones who stay cavity-free follow a simple evidence-based protocol:
✓ Daily fluoride rinse (prescription strength)
✓ Prescription fluoride toothpaste (2x daily)
✓ Meticulous brushing around every bracket
✓ Floss or water flosser daily
✓ Limited sticky/sugary foods
The clinical evidence is clear: fluoride + hygiene = protected enamel. Your child can have a beautiful straight smile AND healthy teeth underneath.
If your child is starting orthodontic treatment or already in braces, let's talk about a personalized prevention plan. Message me or call our Winston-Salem office-I'm here to help you protect that smile.
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