Fixed Braces

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:

  • brackets that are affixed to the teeth
  • archwires
  • elastics, which act as a connection between the archwire and brackets. In self-ligating braces, there are no elastics.

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

Fixed braces types

Traditional fixed braces with metal brackets

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.

Brackets made of sapphire/glass

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 (invisible)

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.

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Four steps for

Correcting teeth with fixed appliances (braces)

Initial examination and consultation with the patient

After conducting diagnostic examinations, the orthodontist recommends the appropriate type of braces and outlines the treatment plan to the patient.

Placement of the appliance (braces)

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.

Periodic check-ups and adjustments of the appliance

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.

Answers and Questions

What is the recommended time interval between two check-ups?

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.

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.