Braces are structures used in orthodontics that are necessary to correct malocclusion and uneven teeth. They are made from different materials; the modern method is to install ceramic braces, the pros and cons of which are described below. Indications for this type of treatment include the following conditions:
- malocclusion - in some cases, this problem may not bother a person and may not be visually manifested, but with more severe damage, facial distortions, speech impairment, and breathing and swallowing disorders may be observed;
- dense placement of teeth in the dentition - causes not only an aesthetic defect, but can also lead to the accumulation of pathogens in the oral cavity, abrasion of enamel, caries, damage to the mucous membrane and soft tissues;
- disproportionate development of the upper and lower jaws - the appearance of the dentition is distorted, which is noticeable during laughter, conversations, and the chewing process is also disrupted;
- dystopic arrangement of one or more teeth - implies rotation, advancement forward or backward;
- low density of teeth due to intrauterine pathology of organs and systems, hereditary predisposition.
It is recommended to install braces from the age of eleven to twelve, when the dentition has formed; until this moment, it is not advisable to use such methods on the development of teeth. There is no upper age limit. However, it should be noted that after thirty years the process of restoring a correct and even dentition takes longer - this is due to age-related changes, a slowdown in metabolism and regenerative properties.
Pros and cons of braces according to doctors' reviews
Real reviews from doctors about the pros and cons of braces boil down to the fact that the main advantage of these devices is their ability to correct even the most complex malocclusions, unlike other orthodontic devices, and the disadvantage is the difficulty of care and aesthetic qualities (with the exception of certain types of braces) . In addition, experts do not advise choosing braces based on numerous tables on the Internet, which compare treatment periods for different types of braces and prices for these designs. Why?
Firstly, every patient must understand that the degree of impact on the teeth and the duration of the correction process are the same for all braces. This is due to the natural mechanism of tooth movement. Secondly, the following can be said about the cost of braces. There are clinics that offer expensive sapphire braces for the price of ceramic ones. And it's not a joke. It’s just that the cost of orthodontic structures and services for their use depends on the pricing policy of dentistry, and not on the quality of braces or the qualifications of the doctor. Therefore, in our article we will, of course, talk about approximate prices for this or that type of braces, but, basically, we will evaluate bracket systems according to the following criteria:
- aesthetics;
- reliability;
- comfort of wearing;
- ease of care.
Interesting fact!
According to rumors, scientists at Oxford University are working on creating magnetic braces. They say that the principle of their operation will be based on the creation of a constant magnetic field using two miniature generators, which will act on the iron contained in the teeth and effectively correct the bite without the need to wear any structures.
Sixth, intimate minus
We specifically highlighted this minus as a separate item. Doctors tactfully remain silent about this drawback of any brace systems, including lingual ones. But it exists. And it causes a lot of problems for their owners. This is injury, but not to the tongue, but injury to parts of the mucous membrane of the sexual partner during intimate caresses: causing micro-scratches with possible infection of the wounds due to insufficient hygiene of braces.
Such statistics are periodically published in the European and American press, where they really and openly talk about it. With aligners, this problem is absent or minimized: we always try to brush our teeth normally, but with braces it becomes increasingly more difficult to clean. And remember that you will live with this problem side by side for the entire duration of treatment - from a year to 3 years. It suits you?
Type of braces
Ligature braces
- the elasticity of the ligatures ensures more comfortable wearing of braces.
- affordable price.
- It is necessary to change the ligatures regularly (about once a month), as they stretch while wearing braces.
- a more complex hygiene procedure due to the presence of ligatures.
Braces without ligatures
- There is no need to replace ligatures, so you can visit the doctor less often.
- Easier oral care routine.
- are more expensive than ligature braces.
Contraindications
The procedure for installing ceramic braces has a number of contraindications, which can be relative or absolute:
- The first group includes caries, non-compliance with the rules of personal oral hygiene, hypersensitivity and allergic reactions to the material of the structure being installed, and dental diseases of inflammatory origin. When treating the above ailments, wearing braces may be allowed - this issue should be decided by your attending physician.
- Conditions in which it is strictly forbidden to carry out this procedure are the absence of healthy teeth that will support braces and can withstand all the stress, diseases of the blood, immune, endocrine system, tuberculosis, damage to the bone apparatus.
Ceramic braces - pros and cons
These orthodontic systems are made from dental ceramics. Having analyzed the pros and cons of non-ligature and ligature ceramic braces, we can conclude that such brace systems represent good value for money, allowing you to solve any bite problems at an affordable price, which in Moscow clinics is about 30,000 rubles for the design itself. one row of teeth. In this case, diagnostics, installation and removal of the system will have to be paid additionally.
Doctors' opinion
On various forums you can find many reviews that the installation of braces negatively affects the condition of the enamel, provoking the development of caries and triggering the process of leaching of useful microelements and mineral salts from the protective layer of teeth - demineralization of the enamel and destruction of its organic matrix. This pathological process is complex and leads to rotting of the hard tissues of the tooth.
This information is partly correct. But experts are unanimous in the opinion that such a clinical picture is caused in most cases by the human factor.
The initial degree of development of caries from wearing braces is excluded for two reasons:
|
Remarkable!
The hardest layer of the crown of the tooth under the clasp is tightly closed from the penetration of pathogenic microorganisms. Thus, it becomes clear that the enamel can be destroyed not under the bracket, but around it.
Sapphire braces - pros and cons
These are transparent braces made from artificial sapphire, which really do not spoil the patient’s appearance, but look like a stylish accessory. As for the pros and cons of sapphire braces, their main advantage is considered to be high aesthetics, and a significant disadvantage is the price, since most often they cost much more than ceramic ones. However, there are cheaper options for sapphire designs combined with metal or ceramic. Thus, the cost of braces made entirely of sapphire starts in Moscow clinics from 70,000 rubles per design for one row of teeth.
Popular myths
1. It's not nice. There is a myth that fixed appliances do not look very aesthetically pleasing, and the person wearing them cannot look attractive. But modern braces do not affect the aesthetics of a smile. Firstly, there are lingual braces that are completely invisible to others. Secondly, even external braces can be beautiful: sapphire, ceramic, and plastic structures can even add a certain charm to your smile.
2. Braces are only for children. Many patients still have associations with braces - teenage schoolchildren. But it has no basis. Children and adolescents have more options and correction methods, and removable orthodontic appliances are more often used. Adults with a mature dental system have fewer options - braces are used more often as a powerful tool. It is worth noting that there are no upper age restrictions for braces - they are successfully used at both 25 and 60 years old. The older the patient, the longer the retention period, that is, the result will have to be consolidated longer, and this is the only age difference;
3. It hurts. This myth has a reasonable explanation; indeed, pain and discomfort do occur, but not all the time. It may be painful the first few days after installation. This is a normal symptom that occurs as a result of pressure on the teeth. Most patients report moderate pain and itching in the gums, which go away on their own and do not require correction with medications. But everyone has their own pain threshold and perception of pain, so the doctor will tell you how to get rid of unpleasant sensations.
4. It's harmful. It is believed that the non-removable structure destroys the teeth. But preliminary diagnosis is needed in order to assess the strength of the enamel and the risks of complications. Normal enamel can withstand the structure, and compliance with hygiene and doctor’s recommendations eliminates the risk of developing caries in areas of the teeth near braces.
Type of braces
Lingual
- completely invisible.
- as durable as metal systems.
- are more expensive than ceramic braces.
- They are more difficult to maintain than labial systems, which are attached to the outside of the teeth.
- significantly affect diction.
Of course, the above pros and cons of braces will play an important role in shaping your preferences regarding one or another type of these orthodontic structures. However, we will tell you a secret: the best braces for each patient will be those that will help him solve his particular bite problems. Therefore, an experienced and knowledgeable orthodontist will help you choose the right bracket system after examining and diagnosing your teeth.
What lengths do aligner manufacturers now go to in order to divert patients' attention from braces?
There are good discounts, free consultations, and even free modeling of a future smooth and beautiful smile. But most people, out of established habit, still choose braces as the main way to correct their bite. In any case, whichever method you choose now, this is the first step towards solving the problem of crooked teeth and entering a new world of opportunities that will open up your beautiful smile. And by the way, you can sign up for a free consultation and 3D smile modeling in your city by filling out the form below this article. Star Smile specialists will select a specialized orthodontic center for you in close proximity to your residence. By the way
, you can find out in 1 minute whether aligners are right for you at all or whether doctors will forcefully offer only braces: you need to answer only
9 express questions
.
Second factor: cost
If the choice of braces is determined not by the doctor, but by the clinic, then the clinic can save money. It is much more profitable to buy cheap braces, but how to work with them is a question for the orthodontist. More effective and technologically advanced brace systems are already slightly higher in cost due to the fact that scientific developments, a huge number of studies, and articles have been invested in them. And the bracket becomes a tiny orthodontic mechanism, into which a large technological base is invested. The cost of such a product cannot, in principle, be cheap. An analogy can be drawn with untested dietary supplements and medications that have undergone many certifications. Therefore, at the Confidence aesthetic orthodontics clinic, we work with braces produced by Ormco and 3M Unitek - these are truly first-class and proven products. They carry two categories of advantages - both for the doctor and for the patient.
Advantages for the patient: treatment time is reduced, it can be treated without removal, in cases that previously could not be treated in this way, these braces are small, comfortable, and due to self-ligation, the patient can visit the doctor less often. Pros for the orthodontist: more complex cases can be treated faster, more comfortably, this is an amazing compromise of quality, time and finances. The most ideal compromise.
Which braces do men choose and which braces do women prefer?
Lingual braces are most often chosen by men in leadership positions and women who are sensitive to the aesthetics and invisibility of braces. Men respond better to Incognito internal braces because they are willing to invest in their health and smile, while keeping orthodontic treatment a secret. In addition, men are impressed by German technology and reliability.
If invisibility does not play a role, then men more often choose advanced digital technologies Insignia and braces, which, like a good suit, are made individually. Insignia is the male choice, since they are aimed at high technology, they are interested in it, they believe in it. Women for whom aesthetics and invisibility of the treatment process are especially important often choose transparent braces such as Inspire Ice (sapphire) or Clear (ceramic). In general, at Confidential we always try to find a compromise between aesthetics and functionality.
Myth No. 5. An allergic reaction to braces is possible.
A very small percentage of patients are allergic to nickel, which is part of the alloy from which braces are made. This is not a problem. If you have any concerns, you can always conduct a preliminary allergy test and, if an allergy is detected, choose braces from a different material. If you are allergic to latex components necessary for treatment, they can be replaced with latex-free ones.
A very small percentage of patients are allergic to nickel, which is part of the alloy from which braces are made.
How to limit the possible negative effects of braces
You can minimize the disadvantages and possible risks of using braces at the initial stage by carefully choosing a specialist who will install braces and conduct a full course of bite correction. Before starting treatment, a qualified specialist must determine the state of dental health and the level of hygiene, provide treatment for carious cavities and other dental defects, identify the level of enamel resistance, and strictly monitor all changes in the condition of the oral cavity during treatment.
It is enough to always remember the rules of care, adhere to a special diet - this will ensure the preservation of the enamel and the prevention of any diseases, and reduce the negative aspects of using braces to zero.
Ask questions in the comments. I will be happy to answer everyone.
The impact of malocclusion on health
Malocclusion has a negative impact on human health. We don’t think it’s worth talking about the aesthetic component. Of course, there are no life-threatening indicators, but it is still necessary to get rid of the anomaly, otherwise it will lead to disastrous consequences. First of all, the impact falls on the gastrointestinal tract. This happens due to the fact that a person’s chewing function is impaired. Correcting your bite with braces will help you avoid digestive problems. There are just some contraindications for installation:
- infectious diseases of the oral cavity;
- different sizes of teeth;
- allergies (occurs extremely rarely to metal, but in this case it is possible to install, for example, ceramic structures).
Prevention measures
You can reduce the harmful effects of braces on your teeth if you scrupulously follow the recommendations of experienced specialists during the period of bite correction:
- Thorough treatment of tissues and organs of the oral cavity.
It is worth treating infectious and inflammatory diseases of teeth and gums, removing hard deposits, and consulting a hygienist. - Nutrition correction.
When wearing the structure, it is necessary to increase the consumption of calcium-rich foods. This will help maintain the reserves of this important element in the enamel structure at an optimal level. - Carrying out thorough dental hygiene after eating.
The bracket system is a “trap” for food debris. Therefore, regular use of not only toothpaste and brushes, but also floss and irrigator will help eliminate soft bacterial plaque and minimize the risk of decalcification. An effective preventive measure is rinsing the mouth with antibacterial solutions, which reduce the aggressive effect of the acidic environment on the enamel. - Proper dismantling of the structure.
Once the correction is complete, it is very important to carefully remove the staples from the surface of the teeth. Therefore, choosing a qualified and experienced doctor is of great importance. In our clinic, orthodontists remove each brace with the utmost care to avoid damage to the enamel. - Choosing the type of braces.
Doctors more often recommend to their patients the installation of ceramic or sapphire systems from trusted manufacturers. Yes, the price of such products is higher than classic multibonding systems, but after their removal, the teeth remain completely healthy.
| It is difficult to spoil healthy teeth with a braces system, but the risks of adverse effects still remain. In bite correction, the main thing is not temporary problems, but the final result, which allows you to achieve perfectly straight teeth and an attractive smile. Moreover, after removing the structure, cosmetic consequences in the form of stains, chips and other defects can be quickly eliminated through mechanical cleaning, laser whitening, remineralization, composite restoration, veneering and other effective methods of dental restoration. All dental procedures are carried out in our clinic at the highest quality level, so that even the most demanding patient is satisfied. |
Features of ligature bracket systems
The power arc can be fixed on the bracket plates either with ligatures or with special latches.
Ligatures are elastic bands or thin wire made of a metal alloy. Designs in which the arc is attached using such fasteners are called ligature. Ligatures, depending on the wishes of the patient, can be colored or plain.
Rubber bands or wires are attached to the grooves of each bracket plate and fix the corrective arch in a stationary state.
Features of care
Hygienic care of the aligners does not require much effort. It is enough to wash the structure with water 2 times a day, clean it with a brush and treat it with an antiseptic solution. When eating or drinking coloring drinks, the mouth guard is removed and placed in a box. The patient wears one pair of aligners for 2-3 weeks, so the system does not have time to become heavily contaminated.
Hygiene with braces installed is more complex and requires a systematic, careful approach. Additional tools will be required for cleaning:
- Orthodontic, mono-beam brush;
- brush for cleaning hard-to-reach places, the space under the arch;
- irrigator.
You should brush your teeth and rinse your mouth every time after eating. Too hard, viscous and sticky foods should be excluded from the diet.
Restoring enamel after braces
The aesthetic consequences of braces can be successfully eliminated using the following procedures:
- professional cleaning;
- teeth whitening;
- installation of retainers with a special composition that strengthens the enamel;
- polishing and processing of enamel with special solutions.
Pain after removal
People who have completed treatment to correct their bite and are concerned about pain often come to our orthodontic center. Let us immediately reassure you that you will experience discomfort for no longer than two weeks. Why does this happen - what causes teeth pain? The fact is that over many years the teeth have become accustomed to the position in which they were before treatment. And after removing the braces, they try to return to the incorrect original position.
A person may experience discomfort for another reason - due to weakened enamel. To get rid of discomfort, the doctor applies a special varnish, gel and paste to the teeth. These products quickly restore the enamel, so the pain goes away.
Advantages of aligners over braces
- Accuracy and efficiency
- the speed of treatment with aligners is 30% higher than with braces; - Safety
– the risk of damaging tooth enamel or injuring the mucous membrane when wearing corrective aligners is completely absent, which cannot be excluded when treated with a brace system; - Biocompatibility
– hypoallergenic polymer material, the absence of metal components allows the use of aligners for patients with allergies to metals and acrylic; - Predictability
– the patient sees the result even before the correction and production of aligners begins and can voice his wishes; - Aesthetics
– elastic aligners for teeth straightening do not damage the enamel, provide high-quality hygiene and are not visible when worn; - Efficiency
- appointments with the doctor are less frequent, no additional manipulations are needed as in the case of braces.
Which is more effective?
In terms of effectiveness, modern aligners and braces are almost identical, but there are situations when installing aligners is less advisable. This is especially true for complex, combined malocclusions, when corpus movement of the teeth is necessary. In this case, the best option is to install a bracket system. Aligners can cope with almost all anomalies, but severe malocclusion will require a very long time to correct. If you need to correct a crossbite or straighten a segment of teeth, it is more effective to use aligners than braces. The orthodontist will select the optimal correction method after a comprehensive diagnosis and comprehensive assessment of the clinical situation.
In what cases is the installation of braces indicated?
- Profile correction – elimination of aesthetic problems associated with the position of teeth in a row;
- malocclusion;
- anomaly of individual teeth or the entire dentition;
- preparation for implantation or prosthetics;
- crowded teeth;
- disproportionate development of the jaws;
- removal of unerupted teeth.
Treatment with ligature systems takes an average of 2.5-3 years; self-ligating devices are usually worn for 1-2.5 years. The duration of the correction course depends on the model of the brace system and the complexity of the clinical situation.
