Installation of brackets. Stages, types, costs, care after dental procedures

In dentistry, braces are used to eliminate the problems of the oral cavity. Thanks to them, you can fix even complex pathology bite. Before installing the brackets need to visit the orthodontist, who will select the desired system.

What are braces

Braces - Dental is a special design that helps to correct the problem of occlusion and dentition. It consists of the arc and metal clips, twisted together. Correction takes place by the design pressure on the teeth, and the impact strength - of the arc thickness.

Indications for installation

Installation of brackets in dentistry is necessary to solve such problems:

• malocclusion;
• the uneven development of the jaws;
• deformation of the dentition during formation
• anomaly individual teeth;
• violation of chewing;
• not erupted teeth;
• large gaps between the teeth.

Contraindications

Installation of brackets in dentistry has a number of contraindications, which can be divided into absolute and conditional. The first implies a ban on a permanent basis, but they are rare. Relative contraindications are temporary health problems or external factors that can be changed.

Absolute contraindications include:

• lack of a large number of teeth;
• some cancers;
• blood diseases;
• problems with the endocrine system;
• a weakened immune system;
• tuberculosis;
• disease of the skeletal system;
• mental disorders;
• HIV and sexually transmitted diseases.

For relative contraindications include:

• periodontal disease, periodontitis;
• insufficient oral care;
• caries;
• wounds in the oral cavity;
• pathology of the temporomandibular joint;
• metal implants in the oral cavity and other organs;
• an allergy to the material of which the braces.

Materials and models. Advantages and disadvantages

In dentistry before installing braces need to choose the model and the material from which they are made.

lingual braces

Lingual braces - a system of alignment of the teeth, which is attached to the inner side of the jaw, making it invisible to others.

Pros:

• metal, of which the braces, durable and efficient;
• are not visible to others, it does not cause psychological discomfort.

Minuses:

• high price;
• difficult adaptation for 2-3 weeks, during which the patient has impaired articulation, and there are problems with the chewing of food.
• not every expert is able to establish lingual system.

metal braces

Metal brackets are mounted on the outer surface of the teeth and are visible to others. Adult patients establish vestibular or external braces.

Pros:

• immediate effect;
• affordable;
• cope with most tasks.

Minuses:

• visible to others;
• hinder oral hygiene;
• rub the mucosa in the early wearing;
• impose limitations in food;
• creates psychological discomfort.

ceramic braces

Ceramic braces are unobtrusive to others and have a more comfortable design than metal.

Pros:

• merge with color enamel;
• affordable;
• do not damage the mucosa of the oral cavity;
• do not lose their color over time;
• easy maintenance.

Minuses:

• cause discomfort for the first time after installation;
• some elements over time, stained from food;
• It consists of a brittle material;
• longer lasting correction than the metal braces.

sapphire braces

Sapphire brackets are made of transparent material is completely synthesized. They are used for correcting minor problems and complex anomalies.

Pros:

• transparent material, making them virtually invisible to others;
• do not change color over time;
• effective.

Minuses:

• It consists of a brittle material ;;
• have a high cost.

Incognito braces

Incognito braces are made individually for each customer based on the 3D model of the jaw of the individual. It allows you to them as comfortable and effective.

Pros:

• uniqueness - are made based on the individual characteristics of the client in a special laboratory in Germany;
• individual treatment - correction developed by a group of German experts of a corresponding profile;
• ZD-modeling - Allows you to see the result before the correction;
• inert materials - at the base braces material contained gold which does not oxidize, it has high strength and does not cause allergy.
• mobility - braces are able to control separately each tooth. This makes it possible to fix each jaw separately or correct a specific group of teeth;
• density - the small size of the bracket system, minimizes the negative symptoms of adaptation.

Minuses:

• the lack of qualified professionals who are able to install braces Incognito;
• high price.

Damon braces

Braces Damon - it bezligaturnaya new generation system that allows you to perform a correction in the shortest possible period of time.

Pros:

• small locks, allowing the design of braces almost imperceptibly;
• opportunity to brush their teeth normal brush and floss;
• the material is not oxidized and does not change color;
• minimum number of visits to the orthodontist, once at 10 weeks and not once a month, when a metal structure;
• no need to remove the teeth even under heavy congestion;
• You can set the age of 12;
• a short period of adaptation - about a month;
• minimal irritation of the soft tissues;
• arc are changed only when a mechanical failure.

Minuses:

• high price;
• severe pain in the first few weeks of adaptation;
• enhanced oral hygiene due to rare dental visits.

Preparing to Install

Installation of brackets in dentistry involves a series of preparatory procedures. Initially orthodontist develops a plan of correction. The doctor diagnoses the condition of joints and teeth in the oral cavity.

This will require a panoramic picture of the teeth or X-rays, as well as a plaster model of the jaw. Before installing braces orthodontist advises the patient about treatment options and preparatory activities.

The main ones are:

• Extractions - with not enough space.
• Therapeutic and prophylactic - before treatment is required to cure the sick teeth, even with small signs of tooth decay. If necessary, remove tartar and strengthen the enamel.

How many made individual bracket system?

Production of individual braces takes a longer time, unlike the conventional design made from a template. The process of manufacturing individual braces lasts from 1 to 2 months. To do this, make a photo of the face and ortopantomogrammu, which helps to determine the degree of malocclusion.

All the necessary data is transmitted to a manufacturer company that creates them a virtual model of the jaw. Special program determines the location of each individual tooth and developing a plan to correct possible defects, which sent orthodontist.

When necessary, he adjusts the treatment program. After consultation with the attending physician specialists made arc and staples. Ready braces goes to dentistry.

mounting options

Depending on the type of mounting brackets are:

• ligature braces - is a classic design of the bracket system, which consists of ligatures and elastics that hold the arc each bracket lock. After their installation the patient should see a dentist once a month 1. During the reception, the doctor changes the gum and the arc on the new, tightens the ligature. Treatment with braces allows even eliminate complex anomalies, averaging 1.5 years.
• Bezligaturnye or self-ligating braces - a more advanced dental correction system. Braces lock it has a special clip and offline ligature. This system reduces the pressure on the teeth, which reduces the period of adaptation. Teeth can be cleaned with ordinary brush, making the oral care simple. A visit to the treating orthodontist less often than with ligature system. the total duration of treatment is also reduced.

installation Steps

mounting brackets procedure is painless. Installing bezligaturnyh vestibular braces takes 40-60 minutes, and lingual -. 1.5-2 hours.

Installation of brackets in dentistry takes place in several stages:

1. First orthodontist polish enamel, causing the reducing composition and leaves 30 seconds, then rinse and dry teeth.
2. On the prepared surface is applied a special glue and it does not mesh structure braces.
3. Each clasp coated orthodontic cement which was dried under a UV lamp.
4. Remove any excess material.

Wearing braces (write many different types of wear, whether it is possible to remove, etc.)

Depending on the type of system installed braces have different lifetime:

• Ceramic and sapphire - set for a period of 1 to 3 years.
• Metal braces - 2-3 years;
• Plastic - to 2.5 years.

Other factors:

• type of system - vestibular braces are 12-16 months and lingual - up to 3 years, but they are not visible to others.
• The regenerative capacity of the body - each person individually, so wearing braces can vary within 3-6 months.
• Age of the patient - adults need more time than the child.
• Break in treatment - if for any reason starred bracket system, the duration of treatment increases.
• The complexity of the correction - heavier than an anomaly, the longer undergoing treatment.

Care braces and oral during operation

After installing braces dental care is becoming more complicated than ever before. Their construction forms a hard to reach places in which plaque accumulates. It is important to pay great attention to oral hygiene, to avoid having to treat the teeth after the removal of braces.

For the care of braces used:

• brush with a recess;
• brush;
• dental floss;
• irrigator.

Teeth should be cleaned after every meal for about 10-15 minutes. At first, use a special toothbrush with a recess or electricity, then a brush clean the space around the bracket. The smallest particles of food are cleaned with dental floss, and finally apply the irrigator - a device that with the help of water, removes the most inaccessible places.

Restrictions on food:

• Sticky foods - sweets and chewing gum difficult to clean with fine detail braces.
• Foods high in sugar and acids - can cause tooth decay.
• Solid foods - may damage the mechanism braces.
• Drinks with a high content of dyes - coffee, tea, carbonated drinks can stain orthodontic system. Particularly susceptible to this sapphire, ceramic and plastic construction.

A good toothbrush

Brace system requires more care because of a large number of small details which restrict access to the enamel. This can lead to the development of caries and gum disease in the future.

In this case it is necessary to interrupt the correction to solve problems. It is therefore necessary to select a special toothbrush that will not only get through all the difficult places, but do not damage the structure of braces.

Types of toothbrushes:

• electric toothbrush - used in the presence of special nozzles for braces. They have a more soft bristles and a smaller size than a conventional toothbrush.
• V-shaped toothbrush - ability to clean plaque, along with food particles or damage itself with the structure braces thanks to a special recess in the middle of the brush of locks.

  

• ultrasonic toothbrush - cleans teeth using ultrasound and does not require movement up and down the surface of the teeth. Thus, the bristles are not erased from the constant exposure to the design of braces and does not damage it. Ultrasound disrupts plaque, tartar, and deeply cleanses the gums and eliminates bacteria in periodontal pockets.

dental floss

Wearing braces obligation to conduct thorough oral hygiene. But the use of thread can cause some difficulties, so it is best to use waxed floss.

The teeth are cleaned as follows:

1. The thread threaded under the braces, so that it rests on the fine design details.
2. Stretch yarn into the gap between the teeth.
3. Smooth movements in all directions moving from the gum to the place of the jam. The inner surface carefully wiped at a slight incline.
4. Gently pull the thread, pulling the one end, while trying not to catch braces.

brushes

Brushes are used for cleaning spaces between fine detail Braces structure. They are used as a supplement to the basic hygiene facilities. They can be long, short or a forked tip.

The teeth are cleaned as follows:

1. Brush your teeth a conventional toothbrush.
2. Brush is placed into the space between the teeth and brackets.
3. Purify enamel rotational circular motion.

conditioner

Rinse aid used as an additional absorbent article.

They come in such species:

• antibacterial - reduce the formation of plaque,
• refreshing - give fresh breath, is used to prevent;
• Mineralize - strengthen teeth, used for orthodontic purposes.

alternative to braces

With minor anomalies of bite correction is possible without installation bracket system.

Dentists have developed such tools:

• Aligners, or caps - transparent overlay in the form of the human jaw. Composed of silicone and polyurethane, and are made to order. Capa are continuously removed only when brushing teeth or during meals. Help to eliminate overcrowding of teeth, slots and a distal cross-bite. One cap is from 100 up to 150 000 rubles.
• trainers - is used for correction of malocclusion and muscular system in children. Adults may correct small defects bite. Trainers are removable, they are put on the night and a few hours in the afternoon. They are from 5 to 10 000 rubles.
• Veneers and Lumineers - the ceramic plates, which are glued on top of the teeth. They mask the defects, but do not eliminate them. The plates used in small crevices in the teeth, irregularities, cracks, chips. Price per 1 veneer from 10 to 50 thousand rubles. And Lumineers starts from 60 000 rubles.

Prices for installation brackets

Cost bracket system depends on the type of material from which they are made.

kinds	price, rub.
plastic	6 000 — 9 000
metal	6 000 — 10 000
Damon braces	16 000 — 19 000
ceramic	21 000 — 26 000
sapphire	27 000 — 50 000
Incognito braces	200 000 — 300 000

Installation of brackets creates a lot of difficulties for the patient: dental visits, complicated hygiene, food restrictions. But the result will please many years.

Author: Svetlana Karetnikova

Registration of the article: Vladimir the Great

Video about the installation of braces

How does the installation of braces: