Lots of kids are really good at keeping their teeth clean when they have braces and let me tell you it's not easy! But it is really worth the effort. When food and dental plaque is not removed meticulously around braces the decay process starts. Even if it does not progress to full cavities ( holes in the teeth) early decay makes the enamel white and blotchy where it is decalcifiying the enamel. This is the result of an acid attack- the bacteria in dental plaque produce acids that decalcify the enamel. Where the metal brackets of the braces are attached to the teeth the enamel is undamaged so you get the typical look seen in here the photo. Oh, and the gums react to the plaque too with fiery red inflammation and bleeding called Gingivitis.After spending the time and effort not to mention the cost to straighten teeth it can be heartbreaking to remove a child's braces and see what should be a perfect smile!
For this reason we highly recommend more frequent dental visits to help keep a childs teeth clean during orthodontic treatment
Dr Steven Rosenblat
Great things start with a smile!