Which are the best toothpaste and mouthwash during orthodontic treatment?

Which are the best toothpaste and mouthwash during orthodontic treatment? 

Today I want to talk about the recommended toothpaste and mouthwash during the orthodontic treatment, whether you have fixed appliances (traditional or hidden braces, such us Incognito) or removable aligners (like Invisalign)

  1. Toothpaste

 If you are wearing fixed appliances, there will be more nooks where the food can get trapped, that will make that you are considered a high risk caries person.

If you have any of these habits the risk multiplies (with fixed or removable appliances):

  • Sometimes you forget brushing your teeth or you are not as detailed as needed
  • You are a fan of carbonated drinks (soft drinks, sodas,)
  • You consume food with high sugar content (candies, ice creams, chocolates, cookies,)
  • You follow a diet high in fruits or fruit juices (smoothies, raw vegan diets,)

In all these cases we will need toothpaste with a high concentration in Fluor or Hydroxyapatite to remineralize the enamel and make it more resistant to acid attacks.

The toothpastes with Fluor need to have more than 1000 ppm to be effective, if they have less there is no effect on our enamel. You could buy your tooth paste in the supermarket as long as you check that the composition has enough Fluor. My choice is that for orthodontic patients your toothpaste should have at least 1500 ppm when you have an orthodontic treatment of any kind. In this link to the web of Dr. Martínez Leon, (http://martinezleon.es/fluor-en-las-cremas-dentales-infantiles/) our paediatric dentist, you can find more information about the amount of Fluor that different toothpaste have and check the one you are currently using.

The flour in toothpaste and mouthwash is topic, in some cases Fluor can have a toxic effect when you have pills of Fluor or drinking water with an excess of Fluor on it but using it topically is safe for the human body. That is the reason why these toothpastes are not recommended for children under 6 years of age to avoid that they can swallow it.

If you are wearing a fixed appliances which means you are at high risk of caries, my recommendation is that you choose a toothpaste with 2500 ppm o the treatment with hydroxyapatite.

Toothpastes with 1500 ppm available: Toothpastes with 2500 ppm available:
·      Fluocaril gel junior

·      Lacer junior

·      Oraldine

·      Ortolacer

·      Lacer junior

·         Vitis Orthodontic

·         Fluocaril bi-fluoré

·         Fluor Aid 250



Hydroxyapatite toothpastes (PrevDent u OrthoCare) can be purchased at your dental clinic as it is a treatment that it is not distributed at the chemist to the general public, this is a great option for patients with demineralized enamel with gives excellent results.


Often times we add too much toothpaste of the toothbrush that usually ends up on the sink or all over our face. We do only need a pea size amount of toothpaste, if we add more the bristles of the toothbrush will slide over the surface of the teeth and won´t clean properly dental plaque on the nooks and crannies.

  1. Mouthwash:

Mouthwashes are a complement to the use of toothpastes, the use of the toothbrush is what will really keep your teeth in good shape. The mouth rinses have the following functions:

  • Increase the protection against cavities
  • Strengthen the enamel to avoid dental sensitivity
  • Decrease gum inflammation (in case they have an antibacterial agent)

They leave a refreshing feeling on your mouth but some brands have alcohol added to their mouthwash in these cases the feeling is of itchiness and discomfort.

The alcohol was used long time ago as an antiseptic and to disinfect and prolong the life of different medicines.

The problems is that it produces a dryness in the mucosa damaging our natural protection, which means that our first barrier becomes weaker and our mouth is more sensible to any external aggression, ulcers take longer to cure for instance.

Today every brand has their own toothpaste and mouthwash kit. When you are under orthodontic treatment, after brushing your teeth with fluoride toothpaste or hydroxyapatite toothpaste I do recommend you use mouthwash once a day to rinse your mouth, preferably before going to sleep to improve the strength of your enamel.

Take into account that after rinsing your mouth you should not drink nor eat anything until the next day. If you are really thirsty and want to drink some water wait 30 min so that the effect of the mouth rinse last longer.

If during treatment by any reason your gums are swollen we will advise you to use a mouth rinse with an antiseptic formula (without alcohol). In this case you should not use it longer that 1 week as it can change the oral flora and alter taste as it can affect your gustative papillae and also it will be more noticeable your teeth as the tooth surface can turn brownish and they will need a professional polish of the surface of all your teeth to be able to remove the stains.