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Decay risk exists for all patients to varying degrees in occlusal pits and fissures, interproximal surfaces and facial surfaces. Orthodontic treatment increases the risk of decay for a variety of reasons. Oral hygiene is more difficult; wires are in place for two to three years or longer with little opportunity to obtain bitewing radiographs; excess resin around brackets acts as a plaque trap; patients sometimes believe that because they are being seen regularly at the orthodontic office, they don’t need to visit their regular dentist until treatment is completed.
Reprinted with permission of the Ontario Dental Association and Ontario Dentist, 2012.