For many, a beautiful smile is a dream, since not all of us have naturally perfect teeth. Braces can help correct crooked teeth and malocclusion. Malocclusion is not only an aesthetic problem, so you should not delay orthodontic treatment.
Modern dentistry offers a large selection of systems. Recently, combined braces have become quite popular. They are classic systems that use, in addition to metal structures, ceramic, sapphire or plastic locks. It is this diversity that allows the dentist to choose the optimal treatment option from a financial point of view and the preferences of the patient.
Often, more aesthetically attractive clasps are installed in the smile area, for example, sapphire or ceramic, and metal braces are placed in the chewing teeth area. It is also preferable to install metal structures on the lower teeth, since this area of the teeth is less visible when smiling. Such systems are not only aesthetically superior to conventional metal structures, but many orthodontists also note very high functional performance.
Combined braces: indications for installation
Combined braces are selected according to indications:
- Finding a compromise between aesthetics and functionality. It has been proven that metal braces guarantee the maximum effectiveness of treatment, but they are the most unaesthetic and stand out on the teeth. In order not to spoil the beauty of a smile with metal locks, doctors select a different type of brace system for the front teeth, leaving metal for invisible areas.
- Selection for malocclusion pathology. Often, only one jaw needs strong correction—the upper or lower. The second requires less intensive treatment. In this case, doctors recommend installing different orthodontic systems on the upper and lower teeth, which allows you to combine materials or types of devices.
- Patients' financial wishes. Metal structures are not only the most effective, but also inexpensive. Sapphire and lingual braces cost significant amounts. Combining options allows you to save money, get an aesthetically pleasing result during the correction period, and achieve bite correction in a short time.
If we consider strictly the medical indications for installing combined braces, then among them will be:
- pathological bite - open, distal, mesial, deep;
- disproportionate development of the jaws;
- diastemas, trema, large interdental spaces;
- dystopia, incorrect position of individual teeth in the jaw.
Features of combining systems
Damon System braces are passive, that is, to hold the arch, not a ligature is used, but a clamp in the form of a flap. This reduces friction, makes wearing comfortable, and the correction is soft and physiological. The features of the device include:
- movement of units is smooth, uniform;
- no pain, no changes in diction;
- the edges of the braces are rounded, which facilitates maintenance and reduces the likelihood of developing caries;
- to reduce the duration of therapy, specially shaped arcs are used;
- Changing the arc using Spin Tek technology takes just a couple of minutes.
For the combined system, the following options apply:
- Q - this model belongs to compact designs. This is a basic model, for the manufacture of which metal is used. Features of the product make it possible not to remove teeth during fixation. The locks have an improved shape, they do not cause pain and reliably fix other components. Braces can be used to eliminate various types of pathologies, and the effectiveness of therapy is increased. Replacement and visits to the dentist require 1 time every 2 months.
- Clear is a non-ligation model. These are braces using high-strength transparent material. This modification is used for the front row; it is unnoticeable and aesthetically attractive. The coefficient of friction is low, which increases wearing comfort for the Patient. For installation by a doctor, special positional marks are used. From an aesthetic point of view, the product is attractive and hardly noticeable on the surface of the row.
Combined braces: metal-ceramics and other types
In the photo, combined braces are a combination of metal with ceramics or sapphire clasps. In fact, there are very different combinations. The most popular and in demand among patients:
- Combined metal and ceramic braces. According to pediatric dentists, the optimal combination of materials. Ceramics do not withstand heavy loads well, which justifies its use for front teeth. Metal braces do an excellent job of basic correction, quickly and accurately correcting the bite.
- Combined bracket system made of metal and sapphires. More expensive than the previous option, but even more aesthetically pleasing and comfortable. Sapphires have the ability to adapt to the color of tooth enamel, which makes braces virtually invisible on patients' teeth.
- A combination of the vestibular and lingual systems, which allows you to make bite correction invisible to others. Internal braces are placed on the teeth of the upper jaw row, and metal classics are attached to the lower ones.
What pathologies are corrected by certain types of braces?
An experienced orthodontist can already assess the condition of the patient’s dental system at the first consultation and tell you which braces will help correct the clinical situation.
- All non-removable orthodontic structures cope well with wide interdental spaces and eliminate crowding of teeth. Therefore, the correction program will be developed taking into account the patient’s wishes regarding aesthetics and cost of treatment with braces.
- For patients with a deep bite, the best option would be metal braces installed below. If you install an inexpensive polymer device, it will quickly wear out when it comes into contact with the upper teeth.
- When a tooth needs to be moved a significant distance, ligature-free ceramic braces work well.
- To expand the dentition, as a rule, Clarity Advanced braces installed in installments are used.
| Clarity SL ceramic braces Thanks to new technologies, the process of correcting malocclusion can be made invisible to others. This opportunity was provided by the advent of ceramic braces. Their invention allowed people who are worried about their appearance to freely use the effective treatment offered to their patients using Clarity SL ceramic braces | Price on request Interest-free installments for 12 months! |
When choosing the optimal combination, the dentist will first evaluate the effectiveness of the bite correction, but will also take into account the level of comfort of the system for the patient. We are talking not only about physical, but also about mental comfort, since quite often, when wearing braces, teenagers, women, and people in creative professions have complexes about their appearance.
Why do people come to the Aza&Buka clinic for combined braces?
The installation of combined brace systems has nuances and requires maximum professionalism from orthodontists. Pediatric dentistry Aza&Buka is:
- The work of experienced doctors. Patients are treated by orthodontists of the highest category who have experience working with various materials, systems, and devices.
- Excellent diagnostics and proven treatment regimens. Doctors select combinations of braces taking into account the existing bite pathology, combining the functionality and aesthetics of different materials.
- Selection of orthodontic appliances. The dental clinic offers braces from the best manufacturers - metal, ceramic, sapphire, lingual, vestibular.
Prices
| Service | Price |
| Metal self-ligating bracket system (USA) (2 jaws) | 50,000 rub. |
| Metal self-ligating bracket system (USA) (1 jaw) | 25,000 rub. |
| Aesthetic ligature bracket system (sapphire) (2 jaws) | 50,000 rub. |
| Aesthetic ligature bracket system (sapphire) (1 jaw) | 25,000 rub. |
| Ligature bracket system (2 jaws) | 35,000 rub. |
| Ligature bracket system (1 jaw) | 17500 rub. |
| Removing the bracket system (1 jaw) | 6000 rub. |
| Pitz 21 system bracket (2 jaws) | 40,000 rub. |
| Pitz 21 system bracket (1 jaw) | 20,000 rub. |
| Fixation of braces system (1 jaw) | 16,000 rub. |
Installation of combined braces: stages
Combining braces require a careful approach when treating malocclusion. The correction takes place in several stages:
- Diagnostics
The patient is given CT, OPTG, and TRG images, which guarantees the opportunity to study the structure of the jaws in different projections - to determine the type of pathology and prepare a treatment strategy.
- Taking impressions
Impressions of the patient's dentition are intended to create a diagnostic model and carry out calculations.
- Oral preparation
The patient is treated for all teeth - caries, pulpitis. They also perform professional hygiene to remove plaque and mineral deposits.
- Fixing braces
The doctor attaches braces to the teeth one by one according to the agreed pattern. Usually, aesthetic, inconspicuous plates are placed on the upper teeth, from canine to canine, and metal plates are placed on the upper and lower lateral teeth. Sometimes sapphire and ceramic braces are glued to 12 teeth - to the frontal areas of both jaws.
- Treatment control
Planned appointments are carried out every month - to replace ligatures, orthodontic power arches, and install elastics. And also to check the effectiveness of the correction.
- Retention period
After removing the combined braces, the patient wears retainers, special arches installed behind the 6 front teeth. The task of retainers is to record the result of treatment.
How to care for braces
Care must be more thorough than for conventional metal structures. It is aimed at preventing damage to the enamel surface and preserving the aesthetics of ceramic and sapphire elements. Care instructions:
- brush your teeth after every meal. Both the outside and the inside need to be cleaned. If it is not possible to carry out full hygiene procedures, you can simply rinse your mouth with warm water (preferably with mouthwash) to remove all food residues;
- For cleaning, use an orthodontic, single-beam brush, dental floss and brushes to care for interdental spaces. It is better to avoid using an ultrasonic brush, as it affects the fastening of the plates;
- review your diet - eliminate foods that can damage locks. It is not recommended to eat too hot or cold foods, as this may impair the fastening of the plates;
- In addition to toothpaste, use a remineralizing gel and irrigator.
It is necessary to come to the doctor within the specified time frame for correction and monitor the results of treatment. Doctors at a dental clinic in Moscow solve problems with bite, incorrect position of teeth of any complexity, with various removable and non-removable structures. We use the latest technologies, modern European materials, certified drugs, which ensures high quality work.
Answers to popular questions
What are the “disadvantages” of combined braces?
Combined braces require a little more careful care, as well as careful wearing, since ceramics and sapphires are quite fragile materials. There are no more cons.
Do ligature and self-ligating braces combine?
Yes, but rarely, since there are no special indications for combining systems.
Why don't all orthodontists agree to combine braces?
Connecting different brace systems requires experience and professionalism from the doctor. It also takes longer to install. Aza&Buka dentistry practices the installation of combined braces according to indications and with the consent of the patient.
Why do they put transparent ones in front and metal ones on the sides?
This is justified aesthetically and functionally. The most inconspicuous materials are used in the smile area, and the most effective metal braces work to move molars and premolars.
Can combined braces be used only on the upper teeth?
Yes, sure. In this case, the doctor will place metal braces on the lower jaw.
Did not find an answer to your question?
Three advantages of combined systems
- The process becomes as efficient as possible, since the doctor has the opportunity to use fast-acting metal braces in certain areas, which will not affect the attractiveness of the patient’s smile.
- Correcting a bite with braces becomes psychologically comfortable and does not cause emotional distress in the patient.
- The budget can be optimized, saving money on the installation of expensive transparent structures. Sapphire can only be used on the top six teeth, and metal clasps on the rest.
Hygiene recommendations
Orthodontic structures require more careful and careful hygiene, since it is possible for food debris to get stuck between the individual elements of the structure. To do this, it is recommended to use special brushes and brushes that make cleaning easier, as well as an irrigator that helps to quickly and efficiently clean hard-to-reach places. During treatment, follow-up with a periodontist and regular professional oral hygiene are recommended to prevent gum inflammation and the development of dental caries.
