Dental Case Analysis – Active Orthodontic Treatment With Crowding and Mild Gum Irritation

Case Overview

This image shows a patient undergoing active orthodontic treatment with fixed braces on both upper and lower teeth. The teeth demonstrate crowding and alignment correction in progress, with mild gum redness visible around brackets. These findings are common during early to mid-stages of orthodontic therapy.

Scale All Teeth

• Upper and lower teeth fitted with orthodontic brackets

• Archwires and elastic ligatures visible

• Noticeable crowding, especially in the anterior region

• No visible fractures or obvious decay in this image

• Primary focus is tooth movement and soft-tissue response

Full Analysis and Diagnosis

Clinical Findings

• Fixed orthodontic brackets on all visible teeth

• Teeth in active alignment and leveling phase

• Mild gingival redness around brackets

• No visible abscess, ulcer, or acute infection

• Lips and cheeks appear intact

Interpretation

• Findings are consistent with normal orthodontic tooth movement

• Mild gum irritation likely related to:

  • Plaque retention around brackets

  • Pressure from orthodontic forces

  • Recent appliance adjustment

Probable Diagnosis

• Orthodontic crowding under active correction

• Appliance-related mild gingival inflammation

(Clinical confirmation recommended.)

Deep Examination

Tooth Movement Assessment

• Teeth are shifting toward improved alignment

• Brackets appear evenly bonded

• Archwires engaged and functioning

Soft Tissue Assessment

• Gingiva mildly inflamed but intact

• No signs of ulceration or pus

• Tissue response appears within expected limits

Time Frame to Heal

With Proper Care

• Gum irritation improvement: 7–14 days

• Tissue adaptation to braces: 2–3 weeks

• Continued alignment over months per orthodontic plan

Without Proper Care

• Persistent gum inflammation

• Increased plaque buildup

• Gingivitis development

• Discomfort during orthodontic treatment

Process to Execute (14-Day Window)

Days 1–3

• Reinforce proper brushing around brackets

• Use interdental brushes or floss threaders

• Rinse thoroughly after meals

Days 4–7

• Monitor gum redness and sensitivity

• Maintain consistent oral hygiene

• Apply orthodontic wax if irritation occurs

Days 8–14

• Re-evaluate gum condition

• Schedule orthodontic review if inflammation persists

• Continue planned orthodontic adjustments

Issues That Will Scale Up If Untreated

• Chronic gingival inflammation

• Gum bleeding and swelling

• Increased cavity risk around brackets

• Slower orthodontic progress

• Reduced patient comfort and compliance

Clinical Comments

Mild gum redness during orthodontic treatment is common and usually temporary. Consistent oral hygiene and regular orthodontic follow-ups are essential to maintain healthy gums and ensure successful alignment.

Find a Dental Clinic Near You

Search for a dental clinic using our directory:
https://cebudentalimplants.com/map-dental-clinic