Can I Get Braces If I Have Periodontitis? Smilux International Dental Clinic explains the conditions for safe orthodontic care for people with periodontitis, helping you understand the risks and key considerations.
Bone Loss With Braces is something no one wants to experience, and it can result from many different causes, including both objective and subjective factors. In the article below, Smilux Dental dentists will help you better understand the causes, management methods, and preventive measures for bone loss during braces. Keep reading for more details.

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ToggleBone loss during braces is a condition in which the alveolar bone surrounding the tooth roots decreases in height, density, or volume during orthodontics. This bone plays an important role in supporting and keeping the teeth stable on the dental arch.
During braces, the teeth move through the continuous remodeling of the alveolar bone under the effect of orthodontic force. If the force applied to the teeth is properly controlled, this process can take place safely.
However, in some cases where patients have weak bone structure, gingivitis, periodontitis, poor oral hygiene, or inappropriate orthodontic force, the bone around the teeth may be affected and lead to bone loss.
Simply put, dental bone is mainly composed of biological mineral salts, making it prone to creating spaces. When affected by external factors such as orthodontic force, the jawbone can easily become resorbed or depressed if not well controlled.
When the alveolar bone is lost, the teeth may lose the necessary support, thereby increasing the risk of loose teeth, gum recession, exposed tooth roots, or affecting orthodontic results.
The degree of bone loss varies from patient to patient, depending on the condition of the teeth, gums, jawbone, and oral care habits during braces. Therefore, patients wearing braces should attend follow-up appointments as scheduled so the dentist can monitor tooth movement, check periodontal tissues, and adjust the orthodontic force when necessary.
Most cases of alveolar bone loss during orthodontics are related to patients choosing to get braces at a poor-quality dental facility, being treated by an inexperienced dentist, or having orthodontic force that is not properly controlled.
In addition, this condition may also result from several other factors below:
If jawbone loss with braces is not detected and managed promptly, it can lead to many serious consequences, such as:
When the alveolar bone decreases, the surrounding gum tissue also loses the necessary support. Over time, the gums may recede lower than their normal position, exposing the tooth roots, making the teeth appear longer and more likely to become sensitive when eating, drinking, or performing oral hygiene.
For more detailed information about this condition, you can refer to the article: Gum Recession With Braces.
Reduced bone support around the teeth can cause the teeth to shift from their original positions. Over time, the dental arch may become misaligned, the bite between the upper and lower jaws may become unbalanced, and chewing function may be affected.
One consequence of Bone Loss With Braces is reduced chewing function because the teeth become weaker and the bite force is no longer as stable as before. Patients may have difficulty chewing hard, tough, or force-demanding foods. If this condition persists, it may affect daily eating, digestion, and nutrient absorption.
Bone loss with braces causes the supporting bone around the tooth roots to decrease. When the teeth are no longer firmly held in the alveolar bone, patients may experience loose teeth. If not managed promptly, the teeth may gradually weaken, become unstable, and may even need to be extracted in severe cases.
Bone Loss With Braces often develops silently, especially during the first 3 months, making it difficult for patients to recognize with the naked eye. During orthodontics, the alveolar bone restructures so the teeth can move into their new positions. If this change remains within normal limits and is well controlled by the dentist, it usually does not cause long-term effects.
However, if the bone around the teeth decreases more than normal, patients may notice some signs of Bone Loss With Braces, such as:
If you notice signs of bone loss during braces, you should not be too worried. Instead, see your orthodontist right away for dental intervention. The dentist will examine your teeth and take X-rays to determine the extent of alveolar bone damage and recommend an appropriate approach, such as:
For mild bone loss, the dentist may monitor the condition and adjust the orthodontic force appropriately so the teeth can continue moving safely. After the teeth stabilize in their new positions, the alveolar bone will continue to adapt and regenerate. Therefore, patients should attend follow-up appointments as scheduled so the dentist can check the condition in time, preventing it from progressing more severely and affecting the results of braces.
Based on the possible causes of bone loss during braces, you can completely take proactive steps to prevent this condition through several measures below:
Getting braces at a reputable dental clinic helps patients reduce the risk of bone loss and other complications during orthodontics. With an experienced dentist, a complete dental imaging system, and a clear treatment plan, the orthodontic force will be properly calculated for each stage. As a result, the teeth can move more stably, reducing the risk of affecting the alveolar bone and periodontal tissues.
Before getting braces, you should stabilize dental problems such as tooth decay, gingivitis, or periodontitis. When your oral health is in good condition, the dentist can control the orthodontic force more easily. As a result, the braces process can take place safely and smoothly, while limiting complications such as Bone Loss With Braces or gum swelling with braces.
During orthodontics, you need to attend follow-up appointments as scheduled according to your dentist’s instructions. Each check-up allows the dentist to monitor the direction of tooth movement, adjust the orthodontic force appropriately, and detect problems early, such as gingivitis, tooth decay, plaque buildup, or abnormal signs in the bone around the teeth.
After each braces adjustment, soreness may make eating more difficult. However, you should still maintain a nutritious diet to give your body a good foundation for tooth movement and stabilization.
You should choose soft, easy-to-chew foods that are still rich in nutrients, such as milk, eggs, fish, tofu, green vegetables, and calcium-rich foods. Among them, calcium and vitamin D are two essential nutrients that help support bone and dental health and should be prioritized.
Proper oral hygiene is also an important factor that helps you avoid Bone Loss With Braces. Below are some notes:
Braces are a relatively complex technique that requires a highly qualified dentist and a clear orthodontic plan. To achieve optimal results while reducing the risk of bone loss during orthodontics, you should choose a reputable dental center from the beginning.
Smilux Dental is one of the dental systems specializing in braces in Ho Chi Minh City and is currently trusted by many patients, with outstanding advantages such as:
Smilux Dental brings together a team of highly qualified dentists in the field of Dentistry and Oral-Maxillofacial Care, who directly examine and develop an orthodontic plan for each patient. With more than 15 years of experience, the dentist will carefully assess the condition of the teeth, jawbone, and bite before braces to control the orthodontic force appropriately and reduce risks during orthodontics.
We apply BioLight braces technology with biological orthodontic force, helping teeth move more accurately, safely, and gently. This technology also helps shorten the orthodontic time while supporting the protection of the teeth, gums, and alveolar bone for patients.
Modern facilities and equipment:
Smilux Dental invests in a modern dental equipment system, directly imported from overseas, to support more accurate examination, diagnosis, and orthodontics.
We use dental materials with clear origins during the orthodontic process. This helps ensure safety, stability, and long-term effectiveness, especially for orthodontic appliances that need to be used for a long time, such as brackets, archwires, or aligners.
Before starting braces, patients are examined and clearly advised on their oral condition, suitable method, and estimated cost. As a result, patients can prepare financially in advance and feel more confident throughout their braces journey at Smilux Dental.

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Hopefully, the information above has helped you better understand Bone Loss With Braces, as well as its causes, management methods, and preventive measures.
To reduce risks during orthodontics, you should choose a reputable dental clinic with experienced dentists and a clear treatment process. If you are considering braces or need to check your oral health condition, please contact Smilux Dental via HOTLINE (+84) 866 251 379 for detailed consultation from a dentist.
Note: The content in this article is for reference only and does not replace a dentist’s diagnosis or clinical recommendation. For accurate advice based on your oral condition, you should visit a dental specialist directly. See more.
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