Braces

Braces are used in orthodontics which helps to straighten the misaligned teeth. Dental braces for adults can be either cosmetic or structural. These are used with other appliances to help to widen the jaws and assist in teeth and jaw shaping. The application of braces moves the teeth as a result of force and pressure on the teeth. Braces have constant pressure, which over time, move teeth into their proper positions.

Types of Braces for Teeth

Traditional metal – wired braces: These are stainless steel braces and are widely popular in India. These traditional braces include conventional braces which require ties to hold the arch wire in place, and newer self-tying brackets. Self-legating brackets may reduce friction between the wire and the slot of the bracket, which in turn might be of therapeutic benefit.

In the case of traditional metal braces, one uses brackets, bonding material, arch wire, and ligature elastic to help align the teeth. The teeth move when the arch wire puts pressure on the brackets and teeth. Sometimes springs or rubber bands are used to put more force in a specific direction. Teeth braces have constant pressure, which over time, move teeth into their proper positions. The movement of periodontal membrane needs to be done slowly otherwise the patient risks losing his or her teeth. This is why teeth braces are commonly worn for approximately two and a half years and adjustments are only made every three or four weeks. Traditional braces are mostly used in treating children, as well as adults.

Clear braces: Clear braces are cosmetic alternative to traditional metal braces. These dental braces match with the natural colour of the teeth or less conspicuous or hidden appearance. In these braces, brackets are made up of ceramic or plastic materials. Clear elastic ties and white metal ties are available to be used with these clear braces to help keep the appliances less conspicuous. The disadvantage of these braces is that they tend to be more brittle and difficult to remove at the end.
Gold Plated stainless steel braces: These kinds of braces are preferred of choice of people who are allergic to nickel.

Lingual Braces (braces behind the teeth): These are cosmetic alternative to those who do not wish the tooth braces to be visible. In these brackets are cemented on to the backside of the teeth and makes them invisible.

Titanium braces: These are expensive compared to stainless steel braces but are lighter and just as strong.

In our clinic we are providing you good quality metal, clear or ceramic brackets and you can choose the brackets according to your convenience.

Procedure

The first step in treatment is to determine whether teeth braces are suitable for the patient. If braces are appropriate then impressions and moulds are made. Teeth to be braced will have an adhesive applied to help the cement bond to the surface of the tooth. In most cases the teeth will be banded and then brackets will be added. A bracket will be applied with dental resin, and then cured with light until hardened. This process usually takes a few seconds per tooth. An arch wire will be threaded between the brackets and affixed with elastic or metal ligatures. Elastics are available in a wide variety of colours. In many cases there is insufficient space in the mouth for all the teeth to fit properly. There are two main procedures to make the space in such cases. One is that the teeth are removed to create more space and the second is expansion (the palate or arch is made larger by using a palatal expander. About 2 weeks before the braces are applied, orthodontic spacers are required to spread apart back teeth in order to confirm enough space for the bands.

If the patient does not wear the braces appropriately for the right amount of time, the teeth may move towards their previous position. Each month the braces must be adjusted. This helps shift the teeth into the correct position. To maintain straightened teeth after braces are removed, people must wear retainers. These appliances hold the teeth in their corrected position until the bones grow around the teeth to stabilize them. Retainers to straighten teeth can be all plastic, or plastic with some metal wire. They are either fixed permanently in the mouth or are removable. Like braces, retainers come in different colours and designs. Having braces requires more frequent brushing, flossing, and general care.

Typical treatment times vary from six months to two and a half years depending on the complexity and types of problems. Orthognathic surgery may be required in extreme cases. The cost depends on whether both arches are being treated, the length of treatment and the type of the braces.

Possible complication and risks

  • There is a more chance for plaque formation
  • Chance of allergic reactions to the metals and elastics
  • Mouth sores as a result of irritation from the brace components
  • Change in the shape of face and jaws
  • Sticky and hard food can damage the braces
  • Pain and discomfort is rare after each adjustment

Once you have undergone braces, it is necessary that you need to concentrate on dental hygiene. You should brush your mouth after each meal and make sure that your mouth is always clean. When you have braces, there are more chances for a plaque formation and it can damage your teeth.

FAQS

Does removing a tooth for treatment have any consequences?
Usually removing teeth will help in the dental treatment. When we are correcting alignment of teeth, we need space in the jaw. For achieving this space dentist is removing your teeth and the space i will be occupied by the adjacent tooth giving a perfect alignment.

Will orthodontic treatment weaken the tooth?
Teeth will not be weakening after orthodontic treatment if the treatment is done by a qualified and skilled professional by following an appropriate procedure. Post treatment patient should follow a complete oral hygiene. Giving more pressure to the teeth and Jaw after the treatment can increase the chances of teeth weakening.

How long will the treatment continue?
Orthodontic treatment duration may depend upon the type of treatment you are undergoing and the severity of disorder. Patient’s cooperation in maintaining braces and appointments are also a factor which decides the treatment duration. For conditions which are not severe, treatment may take around 1.5 years to 2 years to complete.