ORTHODONTICS REMOVABLE APPLIANCE DR.MD.ABU JUBAED INTERN DOCTOR DEPERTMENT OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS INTRODUCTION • Oral hygiene has always been a challenge in orthodontics and the relation between orthodontic treatments and caries development, or periodontal diseases has been well studied. Orthodontic treatment induces several modifications of the oral environment, including a decrease in salivary ph, a facilitation of dental biofilm adherence on the orthodontic surface appliance, and an increase in cariogenic (S. Mutans, lactobacillus sp.) And periodontal pathogenic microorganisms levels (T. Denticola, A. Actinomycetemcomitans) . in addition, children represent a large amount of the orthodontic population, in which oral hygiene compliance is not perfect, associated with a possible lack of dexterity. Hence, hygiene methods in patients undergoing orthodontic treatment with fixed appliances have been widely addressed in the literature, whether it was brushing method possibly assisted with smartphone application , use of mouthwashes or direct use of antimicrobial agents in brackets, wires and orthodontic adhesives.