Orthodontics involves different
types of techniques and brackets which we would be discussing in brief here
.
Types Of Braces:
It mainly depends on the
following factors:
1. Case diagnosis and
preference of the working dentist along with the treatment time needed.
2. The aesthetic requirement of
the patient mainly if the patient is OK with the braces being visible or not.
3. The total expenditure and
cost involved.
4. Secondary factors such as
whether extractions are needed or not, any jaw surgeries needed and extra oral
appliances such as headgear if required.
Metal Braces:
This includes the use of metal
brackets which are actually made of stainless steel and are bonded onto the
front surface of the tooth. This kind of treatment is the most economical form
and conventional though newer techniques are being applied to it. It involves
the use of wires, springs, and elastic wherein elastic too can be coloured
especially for teenagers for a better appearance.
Ceramic Braces (Tooth colored
braces):
As the name suggests, these are
perfectly matching the tooth colour and are individually bonded to the front
tooth surface. They are mainly fabricated of composite and except the wires,
even the brackets are not seen from far. Small rubber bands also known as tooth
coloured ligatures are used to hold the metal wire onto position of the
brackets.
Advantages:
1. The biggest advantage is
that these braces are not seen in from a distance and their colour blends in
perfectly fine.
2. They have a good strength
and are comparable to metal braces.
Disadvantages:
1. The major disadvantage is
the cost of ceramic braces along with the size which is in fact more bigger
than the metal brackets thereby giving it a bulky look
2. These braces cannot be used
in patients with a certain bite thereby restricting its use
3. These brackets are ligated
to the tooth with help of small rubber bands which do stain over a period of
time. However the introduction of self ligating brackets has really helped to
overcome the staining problem
Invisalign:
These are invisible,
custom-made, computer generated and fabricated aligners, which are changed
every 2 weeks to cause movement of teeth. It involves the use of the latest
advances in 3 D computer generated technology by which these aligners are
manufactured.Your orthodontist is the best person to evaluate whether your case
can be treated by Invisalign or not in order to avoid any failures. These
aligners have to be worn throughout the day except when you eat, brush or floss
your teeth.
Advantages:
1. They are invisible and don't
stain at all.
2. They are easy to clean as
compared to conventional braces
3. A new set of aligners are
given every 2 weeks hence the total treatment time of the patient can be
assessed before hand.
4. They do not irritate the
soft tissues like other braces.
Disadvantages:
1. Not everyone is a candidate
for Invisalign. They give good results mainly for non-extraction cases where
minimal correction is required.
2. Pain is associated with Invisalign
due to tooth movement.
3. They cost the same as
regular or even lingual braces and the treatment time may also be the same.
4. In a few cases, they need to
be followed up with your conventional braces depending upon the amount of
correction required.
Lingual Braces:
Lingual braces have brackets
placed virtually on the inner side of the tooth (lingually) and hence are
practically invisible. No one except the patient knows that they are wearing
braces. They are indicated for all types of bite correction, however the
treatment time may vary depending on the severity. They are especially useful
for teens and adult professional who can avoid the embarrassment of metal
brackets in the mouth, but are indicated for all age groups. Your orthodontist
needs to have special training in order to do lingual braces.
Procedure:
The Orthodontist takes an
impression of your teeth in the first appointment which ids then sent to a
laboratory. The laboratory using computer-generated technology makes metal
brackets, which are customized to your tooth size. These metal brackets are
then bonded to the inner surface of the tooth and arch wires are placed. In
terms of maintenance routine monthly follow-ups for changing of wires is
required along with your dentist updating you with the treatment plan. In
certain cases, lingual braces for the upper arch and ceramic braces (tooth
colored) in the lower arch can be used.
Advantages:
They are invisible thereby
increasing the self confidence of the patient.
Disadvantages:
1. They tend to hurt the tongue
making it difficult to talk in the initial days.
2. They are more expensive than
metal or ceramic braces.
3. The treatment time required
for lingual braces is slightly more than the regular braces.
4. They cannot be used for
certain cases where there is a severe alteration of bite.
Precautions to be taken while
wearing lingual braces:
1. During the initial days,
these brackets will hurt the tongue. Hence the person should practice talking
with these.
2. Avoid extremely hard foods
as they can break the wires or the bracket may come out.
3. Dental wax can be placed on
the bracket to avoid irritation to the soft tissues.
4. Avoid stringy foods as they
can get caught between the wires.
5. Maintain good oral hygiene.
way of explanations is nice to read again more.These kind of braces are nice to know more.
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