Braces are a great step toward a straighter, healthier smile—but if your gums are looking puffy or swollen, you’re probably wondering what’s going on. Is it normal? Should you be concerned? Let’s break it down.
Swollen Gums with Braces: What’s Causing It?
Swollen gums during orthodontic treatment are actually pretty common, especially in the first few weeks after getting braces or after adjustments. Here are the most common reasons for gum swelling:
1. Inflammation From Plaque Buildup
When you have braces, it’s easier for food and plaque to hide around brackets and wires. If plaque isn’t properly removed, it can lead to gingivitis—an early stage of gum disease that causes redness, swelling, and bleeding gums.
What you can do:
Brush thoroughly (especially around the brackets) and don’t skip flossing. Floss threaders or water flossers can make a big difference!
2. Your Gums Are Adjusting to the Braces
Your mouth needs time to adjust to all the new hardware. The braces can irritate the soft gum tissue, especially if they’re rubbing or putting pressure on certain areas.
What you can do:
Ask your orthodontist for orthodontic wax to cover sharp spots, and stay on top of regular dental checkups to monitor gum health.
3. Hormonal Changes
Teenagers going through orthodontic treatment may also be experiencing hormonal shifts that make the gums more reactive to plaque. This can lead to exaggerated gum swelling known as puberty gingivitis.
What you can do:
Keep up with daily brushing and flossing, and ask your dental provider if any special rinses or products may help reduce inflammation.
4. Overgrown Gum Tissue (Hyperplasia)
In some cases, gums may actually begin to grow over the braces. This is known as gingival hyperplasia, and it’s often linked to poor oral hygiene—but not always.
What you can do:
If your gums are growing excessively, your dentist or orthodontist may recommend a deep cleaning or, in rare cases, minor gum contouring to remove the excess tissue.
When to See Your Dentist or Orthodontist
A little puffiness is usually nothing to worry about—but if your gums are painful, bleeding heavily, or interfering with your ability to brush and eat, it’s time to schedule an appointment. The team at Espire Dental is here to help you stay comfortable and healthy during every stage of your smile journey.
Healthy Smile, Healthy Gums
Braces are an investment in your long-term health—but they require a little extra effort to keep your mouth in top shape. If you’re dealing with swollen gums, don’t wait. Let us help you get back on track and feeling good about your smile.
Need advice or want to schedule a checkup? Contact your local Espire Dental office today!
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