What are braces?
Braces, or rather brace systems, are dental structures for eliminating malocclusions and problems with incorrect position of teeth.
Alignment with orthodontic braces began to be practiced back in 1776 in France, but the heavy structures used then interfered with speech and extended beyond the mouth. More than a hundred years later, the device was radically improved in America. Today, the classic system looks different and consists of three main elements: ➢
braces - clasps that are attached to the teeth
➢
orthodontic arch
➢
fastenings (ligatures) for coupling the arch with the clasps
How do braces work?
Naturally, the doctor works with each patient individually. There are many types of braces, as well as many types of malocclusions. Already during the consultation, it becomes clear what problem is relevant and how to solve it.
How do braces work? After choosing a design, the doctor will carefully place the lock in the desired position on each tooth. Here it is important to take into account not only the position of individual teeth, but also the condition of the entire row. After all, even a small change in the position of one element leads to a displacement of all the others. Therefore, it is extremely important to configure everything correctly.
During treatment, the patient must regularly visit the doctor for preventive and corrective examinations. As the correction progresses, the doctor will gradually move the braces, adapting them to the new position of the teeth.
Main types of braces
Previously, when it was necessary to straighten with braces, for many patients the stopping factor was the aesthetic side of the issue - the structures were made exclusively of metal and were fixed on the outside of the teeth. Now there are many types of orthodontic systems to suit every taste. The main differences between braces are the installation methods and materials of manufacture.
External and internal braces
A frequent question from patients is whether it is possible to place braces on crooked teeth without others noticing. Internal, or lingual, braces allow you not to worry about the aesthetic aspect. Unlike external ones, lingual systems are fixed on the back of the teeth and are completely invisible to others. True, the patient takes longer to get used to the lingual system. But it is not always suitable for people with allergies, since it is made of metal, which can provoke an allergic reaction.
Ligature and non-ligature braces
Ligature and non-ligature systems differ in the method of attachment to the arch. The first ones are attached using clamps (ligatures), while the second ones are devices of a more advanced level that do not require additional fastenings. Ligature-free braces allow you to adjust the position of the arch once every 2-3 months. However, many specialists prefer monthly treatment monitoring. Despite their more advanced structure, it is difficult to say that non-ligature dental braces are more effective than traditional ones.
Installation of veneers
Veneers are porcelain or composite plates that replace the outer thin layer of a tooth.
Effectively correct dental discoloration, cover cracks or stains due to enamel hypoplasia. Veneers are an aesthetic solution and do not replace orthodontic treatment. Unlike veneers, braces move teeth. Treatment with braces ensures the formation of an aesthetically correct smile, restoration of the physiological bite and function of the dental system. The material is for informational purposes only and is presented for informational purposes. It does not replace consultation with an orthodontist and is not a guide to correcting dental anomalies.
Types of bracket systems
Some people don’t attach importance to the presence of a metal device in the mouth - back in the 90s, Cindy Crawford not only wore dental braces, but even starred in them in an advertising campaign for Pepsi Cola. For those who have chosen external orthodontic braces, but prefer not to advertise the treatment, there are other options.
Types of braces depending on material
- Plastic: the most budget braces - from 20,000 rubles. It is the plastic design that has become not just a device for dental treatment, but also an accessory that complements the image. Unfortunately, it also has many disadvantages: plastic is not the most durable material, in addition, such dental braces change color under the influence of coloring products.
- Metal: The most durable of all braces for straightening teeth, but they are not suitable for people with metal allergies. A steel system will cost 60,000 - 80,000 rubles, a titanium system - from 80,000 to 100,000 rubles. In terms of aesthetics, this is not the most advantageous design.
- Ceramic: highly aesthetic, matched to the color of the enamel, does not cause allergies, but is less durable than metal. In Moscow, the cost of ceramic braces is 40,000 - 70,000 rubles.
- Sapphire: the most aesthetic of all options. They look very impressive in the light, but if the patient’s teeth have a yellowish tint, you should carefully consider whether sapphire braces are needed, as they will stand out strongly. Also quite fragile. The cost of sapphire structures is 100,000 - 150,000 rubles.
Are lingual braces worth their high cost?
The most expensive lingual brace systems today are much more expensive than expensive sapphire braces; correction costs the patient up to 500 thousand rubles. But progressive doctors have already abandoned this solution, the only advantage of which is invisibility to others due to installation on the inside of the teeth.
This only advantage is greatly diluted by numerous disadvantages: adaptation to such systems is more difficult and longer (up to several months), the likelihood of injury to the tongue is high, the effect on diction is more pronounced, the requirements for caring for them are stricter, and recovery in case of peeling is more difficult.
How do braces differ from each other?
Type of braces | Materials | Differences | Price |
Metal | metal alloy | reliable and cheap | from 50,000 rubles* |
Ceramic | ceramics | the most inexpensive of aesthetic | from 70,000 rubles* |
Sapphire | artificial sapphire | beautiful and relatively inexpensive | from 100,000 rubles* |
Lingual | gold + metal | completely invisible | From 150,000 rubles* |
*Prices are indicative in Moscow and only for the bracket system.
Ligature systems
The name reflects the very principle of operation of the bracket system: the use of auxiliary elements (ligatures) to attach a metal arch to the bracket-lock. There are two types of ligatures:
- made of wire;
- made of elastic.
Rubber ligatures can simultaneously act as a decorative element. They are produced in a variety of colors, and there is no problem in choosing these elements of the braces system to match your eye color or just your favorite shade.
Ligature braces are a classic of orthodontics. Here are the materials they are made from:
- metal - the most budget and common type;
- ceramic - the peculiarity is that you can match the color of your teeth, and they will be almost invisible;
- sapphire - made of artificial sapphire, considered the most aesthetic, it is easier to care for than metal or ceramics, but they are the most expensive.
The peculiarity of ligature braces is that during the correction process, the wire arch or elastic bands gradually stretch, and you need to periodically visit the orthodontist to replace the ligatures.
How do braces straighten teeth?
It is designed by nature that our teeth can change position - independently or under the influence of external forces. Thanks to this property, orthodontic treatment with braces becomes possible. Its principle is the following.
- Based on the patient’s clinical picture, the doctor plans a trajectory of movement for each tooth; one bracket is responsible for one dental unit.
- During the process of fixing the braces, the clasps are connected to each other by an arch with shape memory, which it tends to take over time.
- Under the influence of the arc, the dentition begins to take the desired position.
- During treatment, the archwire is replaced with a more rigid one to increase the impact.
Self-ligating braces
The principle of operation of this type of orthodontic structures is similar - under the pressure of the arc, the teeth take the desired position. But in this case, the arch is attached to a special groove in the bracket, where it is held by a clamp and along which it moves freely.
When using a self-ligating system, the impact is more gentle, the teeth move naturally, without too much pressure, as is the case with the use of ligatures. Such structures are replaced less frequently - once every two to three months.
Indications and contraindications for installation
Problems that alignment with braces can help solve:
- crooked teeth due to improper growth
- displacement of the dentition as a result of the removal of dental units
- jaw development disorder
When there is crowding and gaps between teeth, braces are the optimal solution. In the latter case, it will not be possible to manage with orthodontic treatment alone; complex procedures with the participation of a surgeon will be required.
Indications for using braces
The key indication for the use of braces is a pathological bite that cannot be corrected by other methods. Corrective systems are also indicated in the following cases:
- Dense cluster of teeth. When dental units are highly crowded, pathogenic microorganisms multiply in them. The tooth enamel is also subjected to heavy loads, and the teeth begin to wear out.
- Dystopia. The problem is characterized by the incorrect placement of 1 or more dental units.
- Problems with dental density. It is not uncommon for large gaps to form in the mouth, which can be explained by both genetics and tooth loss. The purpose of braces is to normalize density and combat discomfort and unaesthetic appearance of teeth.
The listed indications appear both in childhood and in adulthood. Due to the specific type of corrective structures, children often do not agree to have braces installed. But modern orthodontists can offer hidden variations of systems that do not spoil the aesthetics of the oral cavity and do not cause complexes.
At what age are braces placed?
The mobility of teeth in the jawbone persists throughout a person’s life, therefore, the answer to the question “Can braces be placed on crooked teeth in adulthood?” - positive. However, correcting a child’s bite with braces is much easier.
You can begin treatment as early as 9 years of age, even if not all baby teeth have been replaced by permanent teeth. The most optimal age for installing braces is 12 - 13 years old, but even at 30, braces will show good results. It will just take more time.
Biomechanics of tooth movement
To understand how braces work, let’s look at the biological and physiological processes that occur during tooth movement. The teeth are located in the alveoli - natural depressions in the jaw bones of the skull. The root of each tooth is surrounded by periodontal fibers that hold the tooth in the socket. The fibers also perform a shock-absorbing function: they allow the tooth to make micro-movements in all directions. After fixing the bracket and installing the arch, force begins to act on the root of the tooth. To move teeth slowly and less painfully, a weak and prolonged force is applied.
Due to the movement of the tooth root, there is a need to free up space in the alveolus. To do this, osteoclasts begin to destroy the bone where the root touches the alveolar wall. Osteoclasts are special cells that remove bone tissue. On the opposite side, osteoblasts produce new bone to fill the vacated space. Under the influence of osteoclasts and osteoblasts, the balance of formation and destruction of bone tissue ensures the progressive movement of teeth.
Braces for crowns, veneers, implants
Crowns are not a contraindication to orthodontic treatment. The best option for installing braces on crowns is a metal system. It will provide reliable adhesion to the artificial material of the prosthesis. If you need to install a brace system on the teeth that serve as support for the bridge, the doctor will simply remove the prosthesis and put temporary plastic crowns on the patient for the period of treatment.
As for veneers, if they are already on the teeth, this will not be a contraindication to installing a brace system. However, it is still better not to install veneers before braces, especially taking into account that an incorrect bite is, in principle, a contraindication to veneering.
With an implant, it is already more difficult to correct the bite with braces - the artificial root sits firmly in the bone and is not able to move except upward. If possible, it is better to correct the curvature of the dentition before installing an artificial root. However, if implants are already in place, orthodontic treatment can still be planned and successfully carried out.
Lingual and vestibular systems
Based on the type of fastening, braces are divided into vestibular and lingual. The principle of their operation is the same - pressure on the teeth, but they are located on opposite sides of the dentition:
Lingual braces are attached to the inside of the teeth. This is more complex and painstaking work, so such systems are more expensive than vestibular (external) ones. As a rule, this type of braces is chosen by public people to preserve the aesthetics of their smile. The disadvantage of the lingual type is possible microtrauma of the tongue in the initial period of wearing braces, while the person is not yet accustomed to them, and some lisp in speech, difficulties with cleaning.
Vestibular braces are attached as standard to the outer side of the dentition. They are more affordable and easier to care for and clean. The choice of the type of orthodontic structure is determined based on the existing pathology and financial capabilities of the person.
Braces for extracted teeth
It is possible to install an orthodontic structure in the absence of one or more teeth, but it depends on the specific clinical picture. For example, it is quite possible to straighten a slight curvature in the frontal zone, even if there are no molars in the row. But is it possible to use braces to close a void when supporting teeth are missing? In this case, installing a system makes sense only if we are talking about 6, 7 and 8 teeth. If the figure eight (wisdom tooth) is missing, movement is impossible, since the chewing teeth will not be enough for full functioning.
What affects the length of time you wear braces?
Correction of dental pathologies can take different periods of time. Orthodontists identify a number of factors that influence the process of wearing braces:
- Type and nature of the defect. Specialists prescribe installation of structures both for minor defects and for complex anomalies. Therefore, treatment periods vary greatly.
- Teeth crowding - high density may require the removal of 1 or more teeth for faster correction.
- Age indicators and surgical operations in the oral cavity.
You can determine the exact period from the specialist who is involved in the treatment.
Braces for one jaw and several teeth
If the patient is concerned about the curvature of, for example, only the upper teeth, fair questions arise. For example, why do you need braces on two rows of teeth? And do they put braces on one jaw? Installing only upper braces or only lower braces is indeed possible in the absence of global problems. It is important that the treatment gives an effective result without affecting the function of the jaw.
If a patient has several crooked teeth in one area, the doctor may suggest partial dental braces. They are installed on a specific area of the dentition for about six months.
When and how are braces removed?
The doctor decides when to remove braces. It depends on the:
- state of the dentition - a small degree of defect (one or two crooked teeth) is restored faster than complex malocclusions;
- the age of the patient - correction is most quickly carried out in adolescence; in adults this is a longer process;
- type of braces - the fastest correction process occurs when using Damon System braces.
On average, for a complete correction of the dentition, an adult will need to wear braces for 2 to 3 years. In adolescence, this period can be reduced to a year or even several months. Only an orthodontist removes braces; removing the system yourself is prohibited.
The procedure for removing braces is painless. Stages:
- application of a special retractor-mouth dilator;
- removal of ligatures and arches with tweezers;
- removing locks from each tooth one by one;
- cleaning crowns from dental glue-cement using a special attachment for a drill;
- application of paste with fluoride and calcium to the crowns of teeth to strengthen the enamel.
The doctor can remove braces from only 1 jaw, or from both at the same time.
What to do after removal
After the braces are removed, the teeth may partially return to their original position after some time. This is especially common in adults. To prevent this from happening, special devices are prescribed to hold the teeth in the correct position:
- non-removable devices – retainers; are metal arches fixed to the inner surface of the teeth; they are invisible to others, do not cause discomfort and the patient quickly gets used to them;
- removable devices - mouthguards; These are transparent plastic caps that can be removed and put on independently; You need to wear it at least 18 hours a day.
The doctor decides how long you need to wear retainers or mouth guards. Sometimes it takes twice as long as wearing braces.
Very often, patients are interested in questions about whether it is possible to whiten their teeth immediately after removing braces. Most dentists believe that it is better to carry out such a procedure no earlier than after 4 months, since the enamel must strengthen after prolonged injury. But everything is individual, and if the defects were small, the time of wearing braces was several months, the orthodontist may allow whitening to be carried out even after a month.
When a patient has been missing one or more teeth for a long time, this leads to bone tissue atrophy and a decrease in the bone cell of the tooth. If the patient wants to have a dental implant, he will first need to expand the bone cell using braces. After removing the braces, implants can be installed immediately, since the implanted titanium root will hold the teeth in the correct position.
Find out more about modern dental implant methods in our blog.
Contraindications for installing braces
The installation of braces on teeth can be hampered by relative and absolute contraindications.
Relative contraindications to braces can be eliminated. These include:
- low level of hygiene
- caries
- allergy to materials contained in braces
- periodontitis, periodontal disease
- bruxism
Absolute contraindications are serious health problems that make orthodontic treatment impossible. These include:
- oncological diseases
- epilepsy
- psychiatric disorders
- pathology of bone tissue
- alcohol and drug addiction
- venereal diseases
- blood diseases
- tuberculosis
- diseases of the immune and endocrine systems
Installing and wearing braces: does it hurt?
When installing braces, the vast majority of patients do not experience any noticeable pain, but discomfort certainly appears, and you will have to get used to the braces - for some faster, for others longer, on average - 1-2 days. The exception is, perhaps, people with a very low pain threshold or with increased impressionability - it is from them that the myths about the pain of installing and wearing braces come.
In fact, sometimes there is irritation of the mucous membranes of the lips and cheeks. To solve this problem, a special wax is used, which the doctor will definitely suggest after installation.
Can I wear braces during pregnancy?
During pregnancy, women's dental tissue becomes more fragile, and there is a risk of damage to it by orthodontic construction. Can braces be installed during this period? Yes, but ideally it is better to have orthodontic treatment before or after pregnancy. If you already have braces on your teeth, you should definitely inform the orthodontist about the changes in your body. The doctor will prescribe a detailed diagnosis and decide whether braces and pregnancy are compatible.
If everything is in order, treatment with dental braces can be continued as usual. If the effectiveness of orthodontic treatment is questioned, the specialist will recommend removing the system and using retainers until the process can be resumed.
When can you do without braces?
Is it possible to avoid braces altogether and use transparent removable aligners? Can! But you should understand that mouthguards can correct only slight deviations from the norm. They will not have any effect on serious defects.
Often, mouthguards are prescribed to children to guide their bite or straighten slightly uneven teeth. This is also true for teenagers, but adults are almost never prescribed treatment with mouthguards, as it does not produce results.
An orthodontist prescribes braces only after 13–14 years of age. Trainers and plates may also be helpful at younger ages. These are specific removable structures that the child wears for several hours a day. They have a positive effect on the bite and help the teeth take the correct position.
Often adults, understanding all the responsibility for future risks, still do not turn to the orthodontist. And this choice also takes place. However, we recommend at least getting a consultation - if you are not ready to wear braces, then at least you will know what difficulties may arise in the future.
Result of wearing: before and after photos
The effect of wearing an orthodontic system is noticeable already in the first two months - gross violations are corrected. Next, the position of the teeth and roots is normalized. By about the eighth month, the entire dentition can be corrected with braces; the next stage begins—correction of the bite with braces. During the final stage, the teeth are “worked out” in detail so that they fit together perfectly.
The course of treatment does not end with removing braces. Next, the doctor uses special structures to stabilize teeth after braces - retainers. The device is installed on the inner side of the dentition for 2 - 4 years. The duration depends on the age of the patient (the younger he is, the shorter the period of wearing retainers) and the severity of the anomaly.
In some cases, orthodontic systems have a positive effect on more than just the position of teeth. After braces, the face becomes more toned and the cheekbones become more pronounced. While wearing the structure, other muscles begin to work, emphasizing what was not noticeable before.
How to brush your teeth with braces?
This is where a traditional toothbrush and toothpaste don't serve their purpose. Therefore, you will need to buy a special orthodontic brush, brushes and floss from the pharmacy. You can also use an oral irrigator if you wish.
This way you can effectively clean your teeth and the area around the locks. Teeth should be thoroughly brushed after each meal, because food debris is deposited on braces, which contributes to the development of caries and does not look aesthetically pleasing. We have repeatedly encountered patients whose teeth are more well-groomed than those of a person without braces.
Teeth after braces
Many patients fear the negative consequences of braces. It is known that dental braces complicate oral hygiene procedures. However, following the doctor’s instructions for dental care during the treatment period will help avoid exposure to carious bacteria. If caries does appear, in most cases the specialist will be able to carry out treatment without disturbing the braces.
When removing sapphire or ceramic braces, damage to the enamel is possible - during the procedure they can crumble, which significantly complicates the orthodontist’s work. If damage occurs, the defect can be easily corrected with a small restoration.
Preparing to align rows with braces
Before installing braces, the doctor makes sure that the gums and teeth are in satisfactory condition.
If there is caries, pulpitis, gingivitis or any other dental disease, it must be treated. After installing metal arches, it is much more difficult to combat the symptoms of oral diseases. Also during the preparatory stage:
- radiography;
- taking impressions of both jaws;
- articulator examination.
Considering that each clinical case is unique, the patient may be prescribed consultations with a surgeon, orthopedist, or implantologist.
How to fix crooked teeth without braces?
Today, dentistry offers several alternative solutions that allow you to straighten teeth without braces:
- Restoration: correction of defects in the dental crown using composite materials. Provides quick results at an affordable price, but will last about five years, and the color of the material will change over time.
- Veneering: fixation of plates on teeth that are almost indistinguishable from natural enamel. The method is used instead of braces for small curvatures or large gaps and is not suitable if the patient has complex dental curvature or malocclusion.
- Installation of removable braces. Essentially, these are orthodontic structures that do not need to be worn constantly. However, calling them braces is not entirely correct; these are completely different systems.
Diagnosis and preparation for treatment
Before starting the correction, the patient must undergo a comprehensive diagnosis and a number of preparatory measures. During the examination, the orthodontist must ask the patient a number of questions, examine the face and oral cavity, and also perform several tests. Additional procedures include examination with an X-ray machine, taking impressions and creating demonstration models of the jaws. Such measures make further treatment easier.
The preparatory stage consists of cleaning the dentition from all kinds of dirt, caries and food debris. The doctor also performs a fluoridation procedure on teeth.
Are there removable dental braces?
Removable orthodontic systems are divided into trainers, plates and aligners. However, only the latter can be considered an alternative to braces.
Aligners are special aligners made of plastic material that are invisible to others. They are able to quickly and comfortably correct almost any dental defect. The aligners are removed when eating and brushing your teeth, which is very convenient. The Invisalign® system is considered the best today - it allows you to cope with defects that previously could not be straightened without braces. The design is made individually for each patient, so its cost is quite high and amounts to about 250,000 rubles.
Despite the many positive qualities of removable systems, the patient should make the decision about whether to install braces or use other correction methods only together with the attending physician.
Advantages and disadvantages of ligature systems
The operating principle of this type of braces makes it possible to achieve high efficiency in the correction process. However, their pros and cons should be considered. Here are the advantages of ligature bracket systems:
- Good results in bite correction.
- A wide range of pathologies that they can correct.
- Possibility to diversify the external design by changing the color of ligatures and locks.
- Budget cost.
The ligature system also has its own features:
- Frequent visits to the orthodontist to replace ligatures.
- Elements that are too hard may cause discomfort when worn.
- Light-colored rubber ligatures may become stained from contact with food.
Despite these disadvantages, ligature braces are used much more often to correct dental pathologies.
Do's and don'ts when straightening teeth with braces
Orthodontic treatment is a long and responsible process. At home, braces require compliance with a number of rules.
- Hard and sticky foods should be excluded from your diet to avoid damaging your dental braces or getting food stuck in them.
- Sudden changes in temperature in the oral cavity should not be allowed (that is, ice cream should not be washed down with hot tea). This affects the elasticity of the orthodontic arch and can lead to the clasp coming off.
- To prevent ceramic or plastic braces on your teeth from staining, you should avoid coffee, jam, wine and drinks with dyes. Smoking also causes the system to change color.
- The oral hygiene procedure should be carried out using an irrigator, floss (dental floss) and a special brush with V-shaped bristles. Oral care is necessary after every meal.
- If the braces are loose or come off, there is no need to worry - just consult a doctor, and he will easily and quickly correct the situation.
At first, after you start correcting your teeth with braces, all these restrictions may seem quite burdensome and make you think: was it worth getting braces? However, the patient gets used to them very quickly. In addition, the result of the treatment definitely justifies all these not so pleasant nuances.
Important!
Is it possible to do an MRI with braces? If a patient with an orthodontic device is undergoing an MRI of the brain or jaw, the doctor should be informed about the presence of the system. Metal braces can distort diagnostic results. However, undergoing an MRI in braces does not pose any danger to the body.
After getting braces, will I have to go on a strict diet?
Undoubtedly, there will be changes in diet, but they are absolutely not worth the fears associated with the myth that braces deprive you of gastronomic joys. You will just need to be more careful and exclude only some of the products (nuts, puffed rice, popcorn, caramel, nougat, seeds, chewing gum, etc.).
First of all, this is necessary in order not to clog the spaces between the grooves of the braces, where bacteria can accumulate and caries can develop. You should also avoid drinks with dyes, hot and cold drinks (temperature changes can cause the braces to come off).
Think for yourself, after all, braces are even a kind of motivation to start a healthy lifestyle, because it is mainly harmful foods that are excluded.
Eating while wearing braces
Photos before and after
It is impossible to create a truly Hollywood smile without straightening your teeth and correcting your bite. Therefore, if a patient has orthodontic problems, braces are included in the mandatory treatment plan. Incorrect bite and crooked teeth are one of the main contraindications for the installation of aesthetic restorations. If you ignore orthodontic treatment and proceed straight to veneering, the veneers simply will not stick to the teeth. This fact is confirmed by personal example by many celebrities who, for the sake of a perfect smile, put braces on their teeth.
Tom Cruise decided to fix his teeth with braces only after 40 years.
After the breakup of the Spice Girls, Melanie Jane Chisholm had to seriously work on her image, and, above all, straighten her teeth.
Cristiano Ronaldo was not always handsome, as his impeccable smile might lead you to believe. According to rumors, he spent more than a million euros on teeth straightening and other procedures.
Is it true that sapphire braces are the best?
Sapphire braces are much more expensive than iron braces, but their advantages do not lie in the effectiveness of treatment. Moreover, in reliability they are inferior to metal ones. But on the teeth, such brace systems look much more aesthetically pleasing, since transparent brace locks are almost invisible.
Let us clarify: the precious natural stone sapphire has nothing to do with the production of such briquettes; we are talking about artificially grown crystals.
By the way, there are also cheaper transparent braces - ceramic (much more expensive than metal ones, but not as expensive as sapphires) and plastic designs. Only the former are too fragile and unstable in relation to food dyes (can lead to yellowing of teeth), and the latter are intended only for short-term use.
Price for braces in Moscow
As a rule, the cost of braces in Moscow is formed from the price of the system itself, as well as the total costs of installation and further treatment. The cheapest braces are, of course, metal. Their price starts from 50,000 rubles. Relatively inexpensive ceramic systems that cost about 75,000 rubles. The cost of a sapphire bracket system starts from 85,000 rubles. You need to be careful here, as ceramics are sometimes passed off as sapphire. The most expensive will be lingual systems, especially if they are made to order, their approximate price starts from 100,000 - 150,000 rubles. When figuring out the cost, be sure to ask what is included and what services will need to be paid additionally. It happens that the initially low price of braces increases significantly during the treatment process. However, when choosing an orthodontist and a braces system, you should not focus solely on cheaper or more expensive; remember that poor-quality orthodontic treatment is fraught with a lack of results and the occurrence of a number of complications.
A country | Manufacturer | Manufacturing materials | Price |
USA | 3M Unitek | Metal braces | from 25,000 rubles |
Ceramic braces | from 70,000 rubles | ||
Sapphire braces | from 80,000 rubles | ||
Ormco | Metal braces | from 20,000 rubles | |
Ceramic braces | from 45,000 rubles | ||
Sapphire braces | from 50,000 rubles | ||
American Orthodontics | Metal braces | from 40,000 rubles | |
Ceramic braces | from 70,000 rubles | ||
Sapphire braces | from 50,000 rubles | ||
Ortho Technology | Metal braces | from 15,000 rubles | |
Ceramic braces | from 35,000 rubles | ||
Sapphire braces | from 40,000 rubles | ||
The Dentsply GAC | Metal braces | from 20,000 rubles | |
Ceramic braces | from 30,000 rubles | ||
Germany | TOP-Service für Lingualtechnik GmbH | Gold-platinum alloy braces (lingual only) | from 175,000 rubles |
Forestadent | Metal braces | from 30,000 rubles | |
Ceramic braces | from 60,000 rubles | ||
Sapphire braces | from 90,000 rubles | ||
Korea | HT Corporation | Metal braces | from 20,000 rubles |
Sapphire braces | from 30,000 rubles | ||
Italy | SIA Orthodontic | Metal braces | from 20,000 rubles |
Ceramic braces | from 25,000 rubles | ||
Additional orthodontic devices
To correct a bite, just a set of arches is not enough - they are not able to cope with complex complex tasks such as inserting an impacted tooth into the dentition or a severe bite problem. During the treatment process, the orthodontist uses additional tools:
- Orthodontic elastics are rubber bands of different sizes that are placed on the hooks of braces and create additional traction on one tooth or group of teeth in the desired direction. Almost all ortho-patients undergo elastics, since it is impossible to set the correct direction of all teeth using an arch alone.
- An orthodontic elastic chain is placed over the braces to move the teeth towards each other using strong traction.
- An orthodontic spring is used to create space between teeth, for example to place an implant. It is installed on adjacent teeth and gradually pushes one of them in the opposite direction.
- An orthodontic microimplant is an absolute support. They are used when it is necessary to move a tooth in a precise direction without changing the position of others. The fact is that when elastic traction is used from tooth to tooth, both the supporting group of teeth and the tooth that needs to be moved are involved in the movement. The supporting teeth also shift and the effectiveness of the traction becomes significantly less than when using an absolute fixed support. Miniscrews are screwed into the bone tissue under local anesthesia and are easily removed after completion of orthodontic treatment.
- The Ballista is a loop-shaped instrument that connects to an archwire and is used to pull out impacted teeth.
- Herbst apparatus - metal beams installed on a brace system or teeth, from one dentition to another. Designed to correct the distal position of the jaws, eliminate the sagittal gap and inhibit the growth of the upper jaw.
All these tools are an addition to the main operating mechanism - the braces system. But some clinical cases cannot be solved without them. The orthodontist calculates the set of instruments and their sequence after collecting diagnostic data.
How quickly does braces treatment take place?
Within 8 weeks from the installation of the corrective system, you can see how braces straighten your teeth. However, it is prohibited to suspend treatment during this period. The patient needs to continue visiting the orthodontist to correct the arch, which affects the dentition and makes changes to its structure.
The speed at which changes occur depends on a variety of factors, including:
- Condition of teeth.
- Staple type.
- Age characteristics of the patient.
You should also take into account the material used to make braces: metal products correct pathologies more quickly than models based on ceramics and sapphire.
In adult patients, the process drags on for up to 3 years, because as they grow older, bone tissue loses its elasticity and becomes dense. This prevents the teeth from moving freely.
Adults also need to wear the correction device longer than children in order to consolidate the positive effect. A longer duration of treatment is associated with a less intense occurrence of biological processes in the body.
Children's systems provide faster results. If you place them on sparse teeth, they will find their correct placement in the mouth within 12 months. This effect is due to the rapid passage of biological processes and good mobility of bone tissue.
If you look at the photographs of the oral cavity before and after therapy, you may not believe that there is only one patient in the photo. Thus, the correction completely changes the position of the jaw and gives the patients’ faces a different look. However, complete correction of pathological processes can take years and requires a lot of patience.
Indications for treatment with braces
Like any treatment, indications for orthodontic therapy must be determined by a doctor. Installation of braces is indicated if the following conditions exist:
- malocclusion when the dentofacial apparatus is formed;
- occlusion defects that appear during the period of mixed dentition;
- deviations from the correct growth vector of individual dental elements;
- in preparation for prosthetics (classical or implantation) if tooth extraction causes the remaining elements to shift to the vacant space;
- crowding or, on the contrary, gaps between teeth (diastemas and trema);
- tilting the dental elements forward or backward;
- micrognathia (reduced jaw size).
Sometimes the disorders are clearly expressed, but often only a specialist can notice the pathology. Contacting an orthodontist is necessary in order to promptly identify an anomaly in the development of the dental system and eliminate it.
Pulling a tooth from the gum using systems
Pulling a tooth out of the gum is a complex process that is accompanied by a lot of time.
The type of corrective systems is chosen by the patient, but presentable models made of ceramics and sapphire are in particular demand. People also prefer translucent locks. After choosing braces, the patient is prescribed surgical intervention with a tomographic examination and determination of the location of the pathological tooth, to which a small lock resembling a button with a chain is attached. The operation is not accompanied by pain, but during the first 10 days you need to monitor the condition of the wound and treat it. The pulling process also does not cause discomfort, but its duration reaches several months or years, depending on the complexity of the case. The doctor's consultation