After the initial placement of the fixed appliances, ulceration of the lips and cheeks are common findings in the first and second week. Pain, arising from the ulcers and from the teeth, is a major concern raised by patients in the first two weeks. The use of the painkiller, Panadol, is usually sufficient in helping the patient cope with the discomfort. Another medication, Oracort, comes in a paste, and is effective in alleviating the pain from ulcers. As with any foreign substance attached to the teeth, the control of bacterial plaque becomes increasingly more difficult.
Brackets act as a trap for food.
Bacteria thrive and multiply easily in the areas around each bracket. For the teeth and gums to be in excellent health, an individual with fixed braces must undertake to practise a regular and consistent oral hygiene routine such as daily brushing and flossing. Failure to maintain good oral hygiene will result in extensive tooth decay, chronic gum inflammation and bad breadth. Ceramic brackets are made from aluminum oxide or silica. Inherent in silica is its brittle nature and hardness.