Do you clean in between teeth? Dental plaque is the primary factor for gingivitis (early gum disease) and dental caries.⁠ Plaque removal (good oral hygiene) reduces the incidence of dental caries and gum disease⁠.⁠ Brushing twice daily with fluoride toothpaste is recommended but may not be enough to remove plaque, especially from wires and brackets.⁠ Did you know that brushing with a toothbrush only cleans about 60% of your tooth surfaces, leaving plaque and nasty bacteria in