If you have cavities and are considering braces, you may need to have the cavities treated first. Orthodontic treatment requires a healthy foundation, and untreated cavities can complicate braces.
Understanding Cavities and Orthodontics
Cavities, or dental caries, are areas of tooth decay that need prompt attention. They can weaken the teeth, making it problematic to apply the pressure needed for braces to work effectively. Before starting orthodontic treatment, a dentist will assess your teeth and gums to ensure they’re in a suitable condition for braces.

Why Cavities Matter
Having cavities during orthodontic treatment can lead to further complications. Braces create additional nooks and crannies where plaque can easily accumulate, increasing the risk of existing cavities worsening. This is why most orthodontists recommend addressing cavities beforehand.
Orthodontists usually require a clean bill of oral health before starting braces to avoid complications during treatment.
Steps Before Getting Braces
- Dental Examination: Your dentist will conduct a thorough examination to check for cavities and gum health.
- Treatment of Cavities: If cavities are found, they’ll need to be filled or otherwise treated before braces can be applied.
- Regular Oral Hygiene: Maintaining good oral hygiene is crucial both before and during orthodontic treatment to prevent new cavities.
The Role of Orthodontists
Orthodontists are specialists in aligning teeth and jaws, and they work closely with general dentists to ensure your teeth are healthy enough for braces. They may postpone starting braces until any dental issues, such as cavities, are resolved.
Working with Your Dentist
Your dentist and orthodontist will collaborate to create a treatment plan that addresses any cavities, ensuring your mouth is healthy enough for braces. This teamwork is vital for a successful orthodontic outcome.
Alternatives and Considerations
If you have multiple or severe cavities, your dentist might suggest alternative treatment routes before proceeding with braces. In some cases, delaying orthodontic treatment until oral health is restored might be the best option.
Maintaining Oral Health with Braces
Once you have braces, maintaining oral health becomes even more important. Regular dental check-ups will help in monitoring any new cavities or other issues that might arise during treatment. Using proper cleaning techniques is key to preventing cavities.
- Use a soft-bristled toothbrush to clean around each bracket.
- Floss daily using a floss threader or special orthodontic floss.
- Consider an interdental brush to reach under wires and between teeth.
Living in a major city like Toronto or Vancouver? Check our directory for local clinics that can address your needs.
Next Steps
If you suspect you have cavities and are considering braces, schedule a dental check-up to address any issues first. This ensures your orthodontic treatment can proceed smoothly without added complications.
Frequently asked questions
Can braces be applied directly on decayed teeth?
Braces should not be applied to decayed teeth as it can worsen the cavities. Cavities need to be treated before starting orthodontic treatment.
How can I maintain oral hygiene with braces?
To maintain oral hygiene with braces, brush after every meal, use a floss threader for flossing, and attend regular dental check-ups.
Do I need to visit both a dentist and an orthodontist?
Yes, a dentist will handle cavity treatment and overall oral health, while an orthodontist will focus on aligning your teeth with braces.
What happens if a cavity develops during braces treatment?
If a cavity develops during braces treatment, your dentist will treat it while coordinating with your orthodontist to adjust the braces as needed.
