Dental braces are orthodontic devices used to correct misaligned teeth and jaws. They consist of brackets, wires, and bands that work together to gradually shift teeth into the desired position.
Metal Braces
The most common type, made of stainless steel. They are durable and effective for all types of alignment issues.
Ceramic Braces
Similar to metal braces but made from clear or tooth-colored materials, making them less noticeable.
Lingual Braces
Attached to the back of the teeth, making them invisible from the front. They require specialized skills for placement.
Clear Aligners
Custom-made, removable trays (like Invisalign) that gradually shift teeth without the need for brackets and wires.
Improved Alignment
Straightening teeth can enhance both function and aesthetics.
Enhanced Oral Health
Properly aligned teeth are easier to clean, reducing the risk of cavities and gum disease.
Better Bite
Correcting bite issues can alleviate jaw pain and improve chewing.
Boosted Confidence
A straighter smile can significantly enhance self-esteem.
Initial Consultation and Examination
The first step for dental braces is for a patient to be referred to an orthodontist due to concerns about the positioning of the teeth in the jaw. In the first orthodontist appointment, the teeth should be examined manually and with X-rays images. It is also important to discuss the dental history with the patient, which will help to guide the treatment decisions.
Fitting of Dental Braces
A cheek retractor is used to make sure that the teeth remain dry and visible throughout the procedure to place dental braces. The teeth should be polished well, conditioned, air-dried and primed before the brackets are placed to help the bonds to form properly.
Dental cement is used to hold the brackets in place on the teeth, in the exact position that was determined during the initial examinations. Any excess dental cement can then be removed, and the bonding of the brackets to the teeth is strengthened with a high-intensity light.
Once the dental braces are in place as desired, the cheek retractor can be removed and dental arch wires can be put in place. The complete placement process is relatively fast and typically takes less than 20 minutes.
Adjustment of Dental Braces
Regular appointments to adjust the dental wires are needed to ensure that the repositioning of the teeth continues throughout the process. These appointments are necessary because elastic ties that hold the wires in place stretch and become weaker with time so that the pressure is reduced.
During each adjustment appointment, the movement of teeth and progress so far with the dental braces should be evaluated, which helps to make ongoing decisions. The elastic ties that hold the braces in place and arch wires are removed, and new ties and wires are then placed.
Removal of Dental Braces
At the conclusion of treatment with dental braces when the teeth have been repositioned as desired, it is time to remove the braces. This process is relatively simple and not painful.
Firstly, the ties and wires should be removed, the same process that occurs during each adjustment appointment. Then the bond between the brackets and the teeth formed with dental cement should be gently broken by applying pressure to the base of the brackets to squeeze them, which releases the adhesive bonds. The adhesive dental remains on the teeth so that the teeth and enamel are not damaged in the removal process. The remaining cement can consequently be removed with a dental hand piece, similar to that used for the repair of a dental cavity.
Many patients notice some inflammation of the gums following the procedure to remove dental braces, but this typically subsides within a few days with adequate oral care.
Follow up appointments with the orthodontist are necessary to have a retainer made, which helps to support the new position of the teeth and improve the retention period of the treatment.