Thinking about getting braces but worried because you have cavities or gum issues? You are not alone. Many patients ask whether orthodontic treatment is still possible when their oral health is not perfect. The good news is: you can still get braces — but any cavities or gum problems must be treated first.
At The Braces Practice, our team of certified dentists helps patients understand the right steps to take before starting their braces journey, ensuring a safe and smooth experience from day one.
Can You Get Braces If You Have Cavities?
Why Cavities Must Be Treated First
Braces can only be placed on healthy teeth. If cavities are present, the decay can worsen once brackets, wires, or aligners are added. Orthodontic appliances make cleaning harder, which means untreated decay may become deeper and affect the root canal causing pain, or even affect the tooth structure needed to support braces.
Starting orthodontic treatment on decayed teeth may also lead to complications such as:
- Increased tooth sensitivity
- Enamel damage
- Infection
- Longer treatment times
Who Treats Cavities Before Braces?
While orthodontists specialise in straightening teeth, general dentists are the ones who treat cavities. During your assessment at The Braces Practice, our dentists will detect any signs of decay and arrange for fillings or other restorative work if needed.
Once your teeth are healthy, you can safely begin your braces journey.
Can You Get Braces If You Have Gum Problems?
Why Gum Health Matters for Orthodontics
Your gums and bone hold your teeth in place — so if they are inflamed or infected, orthodontic treatment can be risky. Braces place gentle pressure to move teeth, but this movement must happen in a strong, healthy environment. If gum disease is active, it can worsen during braces due to plaque buildup around brackets and wires.
Treatment Needed Before Braces
If you have gingivitis or periodontal issues, you must see a dentist or periodontist for:
- Scaling and polishing
- Root planing
- Gum disease management
The dentists at The Braces Practice will check your gum health and advise you to get these conditions treated before starting braces. Once the gums are stable and controlled, orthodontic treatment can proceed safely.
Why Dentists Require All Oral Issues to Be Treated First
Orthodontic treatment relies on the ability to move teeth safely within the bone. When your teeth and gums are healthy:
- Tooth movement is more predictable
- There is less risk of decay or gum recession
- Treatment progresses smoothly
- You avoid unnecessary discomfort and cost
Since braces make oral hygiene more challenging, starting with a clean and healthy mouth is essential for long-term success.
What Happens If You Start Braces Without Fixing Cavities or Gum Issues?
Skipping dental treatment before braces may lead to:
- Cavities spreading under brackets
- Gum disease worsening
- Pain, swelling, or infections
- The need to pause orthodontic treatment
- Higher costs for repairs and additional dental work
This is why The Braces Practice always ensures patients are fully ready before starting their braces or aligners.
How to Maintain Healthy Teeth and Gums Before & During Braces
To prevent new cavities or gum issues:
- Brush at least twice a day
- Floss or use interdental brushes
- Use fluoride toothpaste
- Use fluoride mouthrinse
- Visit your orthodontist for regular adjustments
- Visit your dentist for regular dental cleaning
- Follow your dentist’s care instructions
Good hygiene ensures faster treatment and a healthier smile throughout the process.
When Should You See an Orthodontist?
You may be ready for braces if you have:
- Crooked or crowded teeth
- Overbite, underbite, or crossbite issues
- Gaps between teeth
- Difficulty cleaning or chewing
Even if you suspect you have cavities or gum problems, scheduling a consultation early helps you avoid delays and get the right treatment plan prepared.
Why Choose The Braces Practice
At The Braces Practice, your smile is in the hands of experienced dentists who specialise in:
- Safe and effective teeth-straightening
- Gentle, patient-focused care
- Modern orthodontic technology
- Clear guidance at every stage
- Creating healthy, confident smiles for life
Our friendly team ensures you feel supported from your first assessment to your final results.
Can You Get Braces If You Have Cavities or Gum Problems?
Yes — you can get braces even if you have cavities or gum issues. You just need to treat these problems first to ensure your teeth and gums are strong enough for orthodontic movement. Addressing oral health early prevents complications and helps you achieve a smooth, successful braces journey.
Ready to begin your smile transformation?
Book your consultation with The Braces Practice today and let our dentists guide you toward a healthier, straighter smile.










