Braces to align teeth: types, mechanism of action, indications

Malocclusion occurs in 80% of adults in Ukraine, but only a small part decides to correct it with orthodontic brackets. What are you afraid of others? What is the bracket system, what are they, who shows and how much time you need to make your teeth attractive? The problem says the orthodontist from Kiev Natalia Igorevna Fedorova.

  • WHY IS IT NECESSARY TO ALIGN THE TEETH?
  • WHAT IS THE BRACKET SYSTEM AND HOW IT WORKS?
  • TYPES OF BRACES
  • INDICATIONS AND CONTRAINDICATIONS TO THE BRACES
  • REMOVAL OF TEETH BEFORE INSTALLING BRACES
  • HOW MUCH YOU NEED TO WEAR BRACES?
  • ADAPTATION TO A BRACKET SYSTEM
  • ORAL HYGIENE WHILE WEARING BRACES
  • THE PRICE TO INSTALL BRACES IN KIEV

Why is it necessary to align the teeth?

Most people assume that malocclusion poses no threat to humans, apart from the aesthetic inconvenience , but it is not so.

The effect of correct and incorrect occlusion on the shape of the face.

Often sagopa wrong position of teeth problems with revealingly and food that enters the stomach insufficiently chewed thoroughly, which entails razvijenosti the gastrointestinal tract. Also malocclusion leads to deformation of the facethat is the cause of many complexes and significantly affects the diction. In addition, people with malocclusion with primenimosti dental disease: they are loose, their roots laid bare, and formed cracks occur carious lesions. However, modern advances in dentistry can prevent the development of such problems. Currently orthodontics (the branch of dentistry about the bite) has effective therapeutic methods. In most cases the most optimal among them is the bracket system.

What can happen if not to correct the pathological bite? Effects very much, and they depend entirely on pathology. In case of severe crowding of the teeth often may experience dental caries in a remote place, the disease of periodontal tissues. In the pathology of occlusion, the chewing load on the teeth is distributed unevenly, which can lead to recession of the gums (exposed tooth roots), wedge-shaped defects. Also at increased risk of injury to incisors with severe protrusion ( when the teeth are bent forward). Patients with open bite may be difficulty biting and chewing food. In addition, may develop pathological abrasion of the teeth with deep incisal overlap. Ultimately, this may affect the eruption of the teeth, the functions of the TMJ (temporomandibular joint) and cause deterioration of the psychological condition of the child because of defects in appearance of the teeth.

What is the bracket system and how it works?

Braces special orthodontic alignment structure consisting of several elements including:

  • brackets (braces with rings, locks),
  • the orthodontic arch,
  • metal coil spring,
  • elastic chains and bands.

The scheme of a full set of braces.

Each bracket is attached to the tooth using a special dental cement.

The principle of operation of all braces are the same. The doctor makes the plan of the trajectory of the teeth and, according to the scheme of treatment and clinical case puts design on each tooth. Further, in the groove of the bracket, he inserts the arc with the shape memory effect. Teeth that are in an incorrect position shift due to not strong, but prolonged pressure of the orthodontic arch, which puts the teeth into the required position under the influence of heat in the mouth. Such pressure can affect the jaw in different ways:

  • tilt the tooth in the required direction,
  • to expand a tooth
  • submerge the tooth into the bone with his nomination of several jaw forward gums
  • pull out a tooth in its retracted position closer to the sky.

To align the teeth can be therapeutic or orthopedic ways: restorations, teeth – filing the teeth and changing their position in the dental arch. But the damage may be more than braces.

Types of braces

Braces differ in materials, strength and cost. Each of them has a number of advantages and disadvantages. Consider the most popular types.

  • Metal braces the classic version. They are durable and excellent in its job, easy to care for and affordable from a financial point of view. The only drawback braces are visible when smiling, and this does not suit many patients.
  • Ceramic braces are almost invisible on the teeth. They are aesthetically beautiful, but much less strong, need-specific care, are expensive, and the wear time higher than that of metal.

  • Plastic braces match the color of the teeth, are cheaper than ceramic, but are quite fragile, need special care, are stained from coffee, tea and other products.
  • Sapphire braces are a modern orthodontic development. Their strength, transparency, gloss and easy maintenance. The disadvantages include high cost and increased friction between the tooth and an arc.
  • Lingual braces are the dream of every patient, experiencing the beauty of a smile. They are attached to the inner side of the teeth and comfortable to wear. However, this is the most expensive method of teeth straightening, and caring for them more complex. Also the first time the treatment in humans may be disrupted diction.

You may be interested in: How to form a proper bite from a baby

Indications and contraindications to the braces

The main indications:

  • anomalies of individual teeth and dentition
  • the removal of impacted teeth in the dental arch,
  • corpus displacement of the teeth,
  • preparation for prosthetics
  • the profile correction and improvement of facial aesthetics, broken malocclusion.

Readers ‘ questions Is it possible to install the RDX system during pregnancy? During lactation 18 October 2013, 17:25 Is it possible to install the RDX system during pregnancy? During lactation? There would be nothing wrong if I will install the briquettes, and in a month get pregnant? There’s nothing will affect or is it better to do it after birth? View answer

However, there are several contraindications to the installation of braces:

  • caries,
  • pulpitis,
  • periodontitis,
  • gingivitis
  • other acute and chronic diseases of the teeth and gums.

Braces are not a panacea. Different age groups of patients has its own indications to the methods of orthodontic treatment. There are different removable equipment such as: plates, apparatus, thrust out of the mouth, facial mask, mouthguard. In adult patients the choice of orthodontic treatment often falls on non-removable equipment that can be fixed appliances or braces. It all depends on the type of pathology.

Removal of teeth before installing braces

Removal of teeth is one of the measures which are necessary for complex jaw anomalies in adolescents and adults who have had a fully formed jaw apparatus. They are characterized by a strong jaw distortions due to underdevelopment of one or both jaws. This is the reason that some teeth can leave the home row or on the contrary to recede back for the other teeth. In milder cases the patient may develop dental crowding, often in the front. Also the removal is carried out in the presence of extra teeth (more than 32) or when they are too big size.

Most often, when crowding of the teeth are subject to removal wisdom teeth (1st, 16th – upper, 17-th, 32-th – lower tooth) and first premolars (5-th, 12-th – upper,21st,28th – lower tooth).

How much you need to wear braces?

Duration and effectiveness of wearing braces often depends on the age of the patient in which he started wearing braces and pathology which had to face. It is best to install a bracket system in the period of active growth of the permanent teeth, however, and adults will get positive results. But the older the patient, the longer the period of wearing the Braces can be installed with 9-10 years, however, the optimal age of 12-13 years. Also braces you can use and older age, but the treatment will be longer. After 18 years, the duration of wearing braces is 2 to 3.5 years. At a younger age (under 18) to wear braces need from 8 months to 2.5 years, with regular inspection of the orthodontist.

An alternative to braces there is. Is the removable device plate, mouth guards, trainers, etc. (mostly used during the formation of the dentition).

At this time you need to fulfill a number of requirements that are designed to protect the braces and the teeth from accidental damage. Among the recommendations in the first place, it is prohibited:

  • there is a solid, very hot or cold food
  • do not eat chewing gum or stretching products and sweets (nougat, caramel,etc.)
  • to use coloring products and sweets, increasing the risk of tooth decay.

Also attention will be paid to the oral hygiene and prevention of stomatitis.

After removing the braces, the teeth are polished to remove residual glue and install the retainers. This wire for some time to hold the teeth in position, not allowing them to return to the starting position. The retainers are completely transparent to the patient and others.

Adaptation to a bracket system

The bracket system is the alien structure located in the oral cavity. So it takes some time to get used to it. A period of adjustment (adaptation) is largely dependent on the psychosomatic type of person. For example, some people adapt to the braces for two to three days, while others tend to be more emotional, need more period one or two weeks. The average adaptation period after the installation of braces is seven days.

Adaptation to a bracket system depends on the individual sensitivity of each patient. Someone is 3-4 days someone week. The younger the patient, the adaptation is faster and accordingly, the older the addictive longer. We need to adapt as the pressure on the teeth, a thorn against the buccal mucosa and lips, and to the nature of power, or rather to his limits. I often spend comparison to their patients braces it’s like new leather shoes, you get used to it: where it will RUB, press, but as soon as you carry shoes, all the negative feelings will pass.

You may be interested in:toothbrush for braces: why is it necessary?

In the first days after the placement of braces patients usually feel a slight pressure on the teeth. Also some may face the problem of rubbing of the mucous membrane of the oral cavity structure. In this case, it applies a special wax, which insulates the traumatic part of the braces. However, the pain persists until until it heals damaged mucous membrane. To relieve pain and to accelerate healing of the mucosa can be applied various light types of pain relievers or rinse your mouth with antiseptic solutions.

The main thing for those who are going to install the braces is the desire and motivation to correct the bite. Patients are often guided by aesthetics of the teeth. And the orthodontist. Therefore, there are absolute and relative orthodontics. If the function is not broken, there is no above negative factors of influence of occlusion on the teeth, but there are no significant crowding is a relative orthodontic and treatment may be waived.

Oral hygiene while wearing braces

In the presence of the braces to clean the teeth twice a day. In addition, every two days, to conduct a comprehensive cleaning braces and teeth using superfloss (dental floss with a stiff tip), special brush and mouthwash. Superfloss consists of 3 parts which help to effectively clean the braces and the tooth row behind them of accumulated plaque:

  • The first part of the thread as a solid tip which slips easily between all the elements of orthodontic appliance.
  • The middle part consists of spongy fibers that swell under the action of saliva and absorb the residue in hard to reach areas (e.g. between teeth).
  • The third part is a traditional thread that cleans those spaces that are not occupied by any orthodontic designs.

Diagram of bevel floss for braces (superfloss).

Rinse while wearing braces should be antibacterial effect. Toothpaste , you can use any. However, if the toothpaste contains an antibacterial component, the use of rinse aid is not required. You should also alternate the different toothpaste with calcium, fluoride, phosphorus and other.

Video instruction on proper tooth brushing with a thread during nolinebreak.

The price to install braces in Kiev

The cost of braces varies depending on several factors:

  • the severity of dental pathology,
  • the selected braces,
  • the reputation of the clinic and the doctors-orthodontist, who conducts the installation and further monitoring of the patient.

In state hospitals the dental metal braces can cost from 600 to 3000 UAH, excluding monthly care and additional costs for preliminary propecianeo teeth, and removal (if necessary). Below is a list of public and private clinics, where they can apply for the installation of the braces in Kiev.

Public hospitals

The name of the institution

Address

Phone

Kyiv city dental clinic

Pimonenko str., 10-A

(044)484-01-58

(044)502-30-81

Children’s dental clinic in Obolon district of Kyiv

Obolonskiy Ave., 34-D

(044)411-02-19

Children’s dental clinic №2 of Shevchenkivsky district

Melnikova str., 69-A

(044)486-07-59

Kyiv center for new dental technologies

the Field lane, 7

(044)456-80-17

KP Dental Dniprovskiy district of Kyiv

Gasheka St., 16

(044)292-22-44

Dental clinic of Dniprovskyi district of Kyiv

Ave Alisher Navoi 1

(044)512-16-47

Private clinics

The name of the institution

Name of service

The cost

Address

Phone

Dental clinic Healthy Dent

Braces metal (o/h)

7000 UAH

Yevhen Konovalets St. 23, of. 1

(044)299-54-18

Braces Clarity Advanced o/h

13 900 UAH

Braces Damon Q self-ligating metal on/h

14 400 UAH

Braces Damon Clear self-ligating o/h

19 200 UAH

Clinic Astra Dent

Correction of teeth with metal braces

From 10865 UAH

PR-t Geroev Stalingrada, 12-G

PR-t Mira, 3, Darnitskiy area

St. E. sverstyuk, 3-G

street, 28-30

Svyatoshinskaya str., 3-A

(044)2223333

(066)2223333

(073)2223333

Correction of teeth with ceramic braces

From 18940 UAH

Teeth correction by using self-regulating braces

From 27945 UAH

Clinic MED-DEO

Correction of teeth with sapphire braces

From 27945 UAH

Irpenskaya str, 78-And

St. G. Dnepra, 32-A

Pushkinskaya str. 9-B

St. Peter Grigorenko, 5A

(044) 394-90-94 (095) 394-90-94

(068) 394-90-94 (063) 394-90-94

Mouth. of metal braces (1 jaw)

from 4950 UAH

Mouth. the metal self-ligating bracket (1 PCs)

9900 UAH

Mouth. the ceramic bracket (1 PCs)

9900 UAH

Mouth. the bracket ceramic self-ligating (1 PCs)

13200 UAH

Mouth. the bracket metal legalnogo (1 PCs)

21450 UAH

Clinic Dent Lumi

Mouth. low-profile bracket system metal

8599 UAH

Ul. Anna Akhmatova 14-A

Heroes of Stalingrad Ave 24-A

(044)383-22-88

(097)765-22-88

(093)765-22-88

(050) 765-22-88

Mouth. hypoallergenic braces metal

9299 UAH

Mouth. samoreguliruemaya (self-ligating) metal

16199 UAH

Mouth. braces ceramic (esthetic, 1 jaw)

15699 UAH

Mouth. self-regulating (self-ligating) ceramic braces

20799 grn

Mouth. sapphire (monocrystalline) bracket system

17799 UAH

Mouth. Damon-3 mx (metal) self-ligating

16199 UAH

Mouth. Damon Q (metal) self-ligating

16199 UAH

Mouth. Damon3 clear (ceramic) self-ligating

21999 UAH

Clinic PRISM

Aesthetic ceramic bracket system on one jaw

21294 UAH

Sagaidachnogo St., 25

(044)425-13-13

(044)462-56-01

Metal bracket system partial (device 2*4)

7878 UAH

Self-ligating braces the Damon-3 system, Ormco

20826 UAH

Self-ligating bracket system Damon Q, Ormco

23400 UAH

Self-ligating bracket system, Damon CLEAR, Ormco

25584 UAH

SEE ALSO:

  • Malocclusion in children
  • What is dangerous malocclusion
  • Malocclusion