Orthodontic Treatment Does Not Prevent Tooth Decay

Dentistry Today


While orthodontic treatment has a positive effect on oral function and aesthetics, it does not prevent future tooth decay, according to a study from the University of Adelaide Dental School and the Australian Research Centre for Population Health, which assessed the long-term dental health of 448 people from South Australia.

“The study found that people who had orthodontic treatment did not have better dental health later in life,” said Esma J. Dogramaci, MSc, BDS, PhD, senior lecturer in orthodontics at the school. “Patients often complain about their crooked teeth and want braces to make their teeth straight so they can avoid problems like decay in the future.”

The study followed people from the age of 13 until they were 30, recording their dental health behavior and the number of decayed, missing, or filled teeth they had. By the age of 30, more than a third of the subjects had received orthodontic treatment.

Yet the study found no difference in the number of decayed teeth between those who had received orthodontic treatment and those who had not. Instead, greater numbers of decayed teeth were strongly linked to brushing less than twice a day. 

“There is a misconception amongst patients that orthodontic treatment prevents tooth decay, but this is not the case,” said Dogramaci, noting that this belief is based on the mistaken idea that straighter teeth are easier to brush.

The costs of orthodontic treatment range from about $3,000 to $13,000 in Australian dollars, according to the severity of the problems. Also, adults account for every one in five orthodontic patients in Australia. The global orthodontics market is expected to reach more than $6 billion by 2023, according to the school. 

“Evidence from the research clearly shows that people cannot avoid regularly brushing their teeth, good oral hygiene, and regular dental checkups to prevent decay in later life,” Dogramaci said. “Having your teeth straightened does not prevent tooth decay in later life.”

The study, “The Influence of Orthodontic Treatment on Dental Caries: An Australian Cohort Study,” was published by Community Dentistry and Oral Epidemiology.

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