The application of orthodontic braces requires a temporary change in diet to ensure successful treatment. Dietary modifications are necessary to prevent damage to the brackets and wires while also protecting the teeth underneath the appliances. A successful outcome depends on protecting the delicate orthodontic hardware from mechanical stress and the teeth from prolonged exposure to harmful substances.
The Orthodontic Concerns with Citrus Fruit
Consuming oranges and other citrus fruits while wearing braces poses two risks: mechanical damage and chemical erosion. The mechanical risk arises from biting into the fruit with the front teeth. Biting into a whole orange or large segments places excessive pressure on the brackets bonded to the incisors, potentially leading to a dislodged bracket or a bent archwire. Such damage requires an unplanned visit to the orthodontist and can extend the overall treatment time.
The second concern is the chemical risk posed by the high acidity of citrus fruits. Oranges contain citric acid, which contributes to a low pH level, often ranging between 2 and 3. Frequent exposure to this acidity can initiate the demineralization process of tooth enamel, especially around the brackets where cleaning is difficult. This demineralization can manifest as opaque white spots on the tooth surface once the braces are removed. The fibrous nature of the fruit segments can also get trapped within the wires and brackets, prolonging the contact time between the acid and the enamel.
Safe Methods for Enjoying Oranges
It is possible to enjoy the nutritional benefits of oranges without jeopardizing orthodontic treatment, provided the fruit is prepared correctly. The primary adjustment involves avoiding biting into the fruit directly with the front teeth. This is accomplished by peeling the orange completely and then cutting the segments into small, bite-sized pieces, which should be chewed using the back teeth, or molars, to minimize stress on the front hardware. Consuming 100% orange juice is another option, though it should be limited due to its concentrated sugar and acid content. After consuming any acidic citrus product, rinse the mouth immediately with water to quickly wash away residual acid and sugar, neutralizing the oral environment.
General Food Categories to Avoid While Wearing Braces
New braces wearers should be mindful of several broader food categories that pose a high risk to orthodontic appliances. Hard foods are a major threat, as biting them can snap wires or pop brackets completely off the tooth surface. This category includes nuts, hard candies, ice, and crunchy snacks such as popcorn kernels and hard pretzels. Sticky or overly chewy foods must also be avoided because they can wrap around and pull at the wires, potentially bending them out of alignment. Finally, common examples of sticky items are caramel, taffy, licorice, and certain chewy candies; these are difficult to clean off the brackets, leading to prolonged sugar exposure and an increased risk of tooth decay.