There are several types of fixed braces, all equally effective in their primary role of restoring teeth to their correct positions. The differences lie in the appearance of the brace, its comfort, the interval between check-ups, and the visibility of the appliance.
A fixed brace consists of three parts:
Depending on their position, i.e., where they are placed in relation to the teeth, braces can be:
Vestibular – traditional braces attached to the outside (front) of the teeth.
Lingual – located on the inside of the teeth towards the tongue
This type of braces is the most affordable and excellent for children due to the colorful brackets, as well as for older individuals who appreciate their braces and are not shy to show them.
The prosthesis with sapphire braces, as the name suggests, has tooth brackets made of monocrystalline or polycrystalline sapphire in the color of the teeth. The advantages of this teeth correction appliance are purely aesthetic.
Self-ligating braces use clips (doors) on the brackets instead of elastic ligatures (rubber bands). As a result, there is less friction on the braces, leading to more precise and faster teeth movement.
In certain cases, such braces can shorten the treatment duration. The suitability of a specific case for self-ligating braces and the potential reduction in treatment time can be determined after analyzing panoramic X-rays (OPG) and conducting an in-office examination. Maintaining oral hygiene is simplified with these braces, and an additional advantage is that they require less frequent adjustments compared to traditional braces. Self-ligating braces can have either “metal” or clear brackets.
These are specially designed brackets that combine the best of both classic and aesthetic types. Crafted from metal but adorned with a golden coating, they exude a sophisticated champagne hue instead of the conventional cold and unappealing metal shade. This ensures impeccable aesthetics throughout the wearing period. The special construction and smaller dimensions allow for easier placement and removal, enhanced adherence, and greater predictability of teeth movement.
Four steps for
After conducting diagnostic examinations, the orthodontist recommends the appropriate type of braces and outlines the treatment plan to the patient.
This is the step when the braces (appliances) are installed. After the placement of brackets and archwires, the patient will have the freedom to choose colored elastics.
This step consists of routine check-ups usually every 4-6 weeks, allowing your orthodontist to monitor progress and make adjustments. The braces are adjusted, colored ligatures (elastics) are changed, and progress is recorded. When everything is as planned, the braces are removed, and the teeth are polished.
After completing orthodontic therapy, the retention phase follows, which is equally important as wearing braces (appliances). A retainer for teeth is created based on the impression of the patient’s teeth. There are several types of retainers: fixed (attached to the teeth), in the form of a removable plate appliance, or as an aligner (clear tray). The function of the retainer is to maintain the teeth in the corrected position.
Most patients will experience tightness or pain in their teeth shortly after the placement or adjustment of braces, typically occurring four to six hours after the appointment and lasting for several days. This happens due to the change in the position of the teeth. Analgesic medications such as Paracetamol or Ibuprofen can be helpful in alleviating the pain.
There should be a period of 4 to 6 weeks between each check-up to allow time for the teeth to move. The frequency of appointments depends on the planned teeth movement and the type of dental wire being used.
During treatment with fixed braces, it is important to avoid eating hard, sticky, or crunchy foods (such as chestnuts, chewing gum, caramel, etc.). These foods can damage the brackets and wire, extending the treatment time.
The duration of treatment with fixed braces varies, but it typically lasts between 12 and 24 months, depending on the complexity of the case and the amount of tooth movement required. It is important to follow the orthodontist’s instructions to ensure the treatment is as effective as possible.
Fixed braces can be used for people of all ages, although they are most effective in children and adolescents because their teeth and bones are still growing. However, an increasing number of adult patients are using fixed braces to improve the appearance of their teeth and bite.
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