Periodontics and Braces Treatment

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let the doctor know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Holden, Massachusetts office.

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Monday:

7:30 am-4:00 pm

Tuesday:

7:30 AM-4:00 pm

Wednesday:

7:30 am-4:00 pm

Thursday:

8:20 am-6:00 pm

Friday:

Closed

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  • "Even though I was 30 minutes late for my appt , everyone was very kind. Danielle and Shay are delightful additions to a great team.!"
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  • "I have always had a positive experience at Dr. Tretter’s office. The staff is consistently kind, courteous and professional. Dr. Tretter is a wonderful person and a phenomenal dentist. I highly recommend him!"
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  • "Dr. Tretter is the best dentist I've ever had. Every time I go to have work done, I feel relaxed because I know I am in good hands. I cannot imagine a more competent dentist. All the others on the staff are very professional and extremely pleasant. I know it's hard to believe, but I actually have fun whenever I visit the practice. Dr. Tretter keeps up with the latest dental technology. A crown is completed in one visit, about 2 hours long."
    Nancy Blodget
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