Your Orthodontic Journey: Questions Uncovered

The American Association of Orthodontists recognizes that some patients may find the idea of radiation exposure from X-rays to be uncomfortable.

Our hope in producing this guide is to help patients understand radiation and X-rays, putting them in perspective with the larger goal of achieving better oral health. While our orthodontists require dental X-rays to begin treatment, we are always happy to discuss treatment options further and address any questions you may have about orthodontic procedures.

Feel free to contact an AAO orthodontist to discuss your concerns about dental X-rays and your orthodontic treatment plan.

Yes. Dental X-rays are considered safe for children. The amount of radiation exposure is minimal, and the potential to find and prevent significant oral health issues far outweighs the small risks associated with the procedure.

Yes. It is perfectly safe to get a dental X-ray while breastfeeding. Dental X-rays expose patients to very low levels of radiation and are focused on the mouth. If you are worried about getting a dental X-ray while breastfeeding, inform your orthodontist. It may be possible to request extra precautions (such as lead shielding) during the X-ray procedure.

It is perfectly safe to get a dental X-ray while pregnant. In fact, new American Dental Association guidelines recognize that dental X-rays are so safe that they no longer require lead aprons or thyroid collars, regardless of a patient’s age or whether they are pregnant. If you feel uncomfortable about receiving a dental X-ray during pregnancy, please discuss this with your orthodontist to determine the best course of action for your treatment plan.

An old or dirty retainer case can harbor bacteria, undoing your cleaning efforts. It’s time to replace your retainer case if:

• You notice visible cracks or wear.
• The case smells even after cleaning.
• You’ve used the same case for a few months.

No—pets are often attracted to the smell of saliva on retainers. Chewing on the appliance can be dangerous for the pet and damaging to the retainer. If your retainer has been chewed or otherwise compromised, discontinue using it and contact your orthodontist for a replacement. Always store your retainer in a sealed case out of your pet’s reach.

Just because you’re not home doesn’t mean you can skip out on cleaning your retainer. When you’re traveling, bring a travel-size cleaning kit that includes a soft-bristled brush, a mild soap or specialized retainer cleanser, and a compact container for soaking. You should also always carry a sturdy, ventilated retainer case in your carry-on or day bag so you can rinse and store your appliance safely while on the go. Even if you’re on a different schedule or in a new environment, it’s essential to maintain your daily rinse and brushing routine.

If the retainer isn’t dried properly or if there are micro-cracks, bacteria can linger. Consistently consuming strong-smelling foods or drinks can also contribute to odor. If you notice a smell after cleaning, try a weekly soak with a retainer-cleaning tablet or use a baking soda paste. If the odor persists, contact your orthodontist, as there may be microscopic damage or material breakdown that requires professional help.

It’s best to avoid soaking your retainer in standard mouthwash. Many mouthwashes contain alcohol or other harsh ingredients that can weaken retainer materials or cause discoloration. If you like the minty-fresh feeling, use an alcohol-free mouth rinse and only briefly swish it with your retainer in place. Always follow up with a thorough rinse under lukewarm water.

A deep bite might initially be identified due to its visual impact. However, it often carries several health concerns, including accelerated upper and lower front teeth wear, potential jaw discomfort, gum recession, and increased risk of chipping the front teeth.