February 20, 2023

Braces & Aligners

  • Why are dental braces or alignersrequired?

Dental braces are often recommended by dentists and orthodontists to correct misaligned teeth and jaws. They work by applying continuous, gentle pressure to teeth over time, gradually shifting them into their proper positions. Some common reasons why someone might need braces include:

  1. Crowded or overlapped teeth: When there is not enough space in the mouth for all the teeth, they can become crowded, causing pain and making it difficult to clean and floss.
  2. Bite problems (overbite, underbite, crossbite): These are issues with the way the upper and lower jaws line up and can cause problems with biting and chewing.
  3. Improper jaw growth: Sometimes, the upper and lower jaws can grow at different rates, leading to misaligned teeth and jaw problems.
  4. Spacing problems: Wide gaps between teeth can be caused by missing or smaller-than-normal teeth, or can simply be a naturally occurring issue.
  5. Speech difficulties: Some people may have trouble speaking clearly because of the positioning of their teeth and jaws.

Braces are typically effective in correcting these problems and improving a person’s oral health and appearance. However, the length of treatment and the specific type of braces needed can vary based on the individual’s specific needs.

  • What is the difference between dental braces and aligners?

Braces and aligners are two common orthodontic treatments used to straighten teeth and improve bites. While they both achieve similar goals, they work differently and have some key differences:

Braces:

  • Braces are made up of metal brackets and wires that are attached to the teeth and held in place by elastic bands.
  • They apply continuous pressure to the teeth, gradually shifting them into their proper position over time.
  • Braces are typically more noticeable than aligners and are often considered a traditional form of orthodontic treatment.
  • Braces require regular adjustments by an orthodontist to maintain and adjust the pressure being applied to the teeth.

Aligners:

  • Aligners are custom-made, clear plastic trays that fit snugly over the teeth.
  • They use gentle pressure to move teeth into place, and each aligner in the series is designed to gradually shift teeth over time.
  • Aligners are virtually invisible, making them a more discreet option for straightening teeth.
  • Aligners are removable, allowing for easier brushing and flossing, and for eating certain foods that would otherwise be restricted with braces.
  • Aligners typically require fewer office visits than braces, but they need to be worn for at least 22 hours a day to be effective.

Ultimately, the choice between braces and aligners will depend on the specific needs and preferences of the patient, as well as the severity and complexity of their orthodontic issue. An orthodontist can help determine the best option for each individual patient.

  • What are different types of braces?

There are several types of braces available for orthodontic treatment, each with its own unique features and benefits. Here are some of the most common types:

  1. Metal braces: Metal braces are the most traditional type of braces and consist of metal brackets and wires that are attached to the teeth and held in place by elastic bands. They are typically the most noticeable type of braces but are also the most durable and effective.
  2. Ceramic braces: Ceramic braces are similar to metal braces, but the brackets are made of a tooth-colored material, making them less noticeable. They are typically more fragile than metal braces and may require more careful oral hygiene to avoid staining.
  3. Lingual braces: Lingual braces are similar to metal braces, but the brackets and wires are placed on the inside (tongue-side) of the teeth, making them virtually invisible. They are the most discreet type of braces but can be more difficult to clean and may cause more discomfort than other types of braces.
  4. Clear aligners: Clear aligners are a type of orthodontic treatment that uses a series of custom-made, clear plastic trays to gradually shift teeth into their proper position. They are virtually invisible and removable, but may not be as effective for severe orthodontic cases as traditional braces.
  5. Self-ligating braces: Self-ligating braces are a type of metal or ceramic braces that use a specialized clip instead of elastic bands to hold the wire in place. They tend to be more comfortable and require fewer adjustment appointments than traditional braces.
  6. Damon braces: Damon braces are a type of self-ligating braces that use a passive sliding mechanism instead of elastic bands to hold the wire in place. They are typically more comfortable and require fewer adjustment appointments than traditional braces, and can also lead to faster treatment times.

Your orthodontist can help determine the best type of braces for your individual needs and preferences, based on the severity and complexity of your orthodontic issue.

  • What is the procedure for applying braces?

The process of getting braces typically involves several appointments with an orthodontist, including a consultation, an evaluation, and several adjustment appointments. Here is an overview of the typical procedure:

  1. Consultation: The first step in getting braces is to schedule a consultation with an orthodontist. During this appointment, the orthodontist will examine your teeth, discuss your treatment goals and options, and determine if braces are the right choice for you.
  2. Evaluation: If you and your orthodontist decide that braces are the best course of treatment, the next step is to have a comprehensive evaluation. This may involve taking x-rays, photos, and dental impressions to create a detailed treatment plan.
  3. Placement: Once a treatment plan has been established, your orthodontist will schedule an appointment to place your braces. For metal or ceramic braces, this involves attaching brackets to the front of each tooth and connecting them with a wire. For clear aligners, this involves taking impressions of your teeth to create custom-fit trays.
  4. Adjustments: After your braces or aligners have been placed, you will need to schedule regular adjustment appointments to monitor progress and make any necessary adjustments to the braces or aligners. The frequency of these appointments will vary depending on the type of braces and the severity of your orthodontic issue, but typically occur every 4-8 weeks.
  5. Removal: Once your teeth have been properly aligned, your orthodontist will schedule an appointment to remove the braces or aligners. For metal or ceramic braces, this involves removing the brackets and wires, and for clear aligners, this involves simply stopping the use of the trays. In some cases, you may need to wear a retainer to maintain the proper alignment of your teeth.

The entire process of getting braces can take anywhere from several months to a few years, depending on the severity of your orthodontic issue and the type of braces you choose. Your orthodontist will provide you with a more detailed timeline and information about what to expect during each step of the process.

  • What is the procedure for fixing aligners?

The procedure for fixing clear aligners can vary depending on the specific issue, but here are some common scenarios:

  1. Loose or ill-fitting aligners: If your aligners are loose or not fitting properly, it is important to have them adjusted as soon as possible to prevent any damage to your teeth or gums. You can visit your orthodontist to have the aligners refitted or have new ones made to ensure a proper fit.
  2. Aligners that have been damaged or broken: If your aligners have become damaged or broken, it is important to have them replaced as soon as possible to ensure that your treatment remains on track. You can visit your orthodontist to have new aligners made to replace the damaged ones.
  3. Aligners that have become discolored or stained: If your aligners have become discolored or stained, you can usually clean them with a mild soap and water solution. Avoid using hot water or harsh chemicals, as these can damage the plastic.
  4. Aligners that have become lost or misplaced: If you have lost or misplaced one or more of your aligners, you can contact your orthodontist to have a new set made. It is important to replace missing aligners as soon as possible to prevent any delays in your treatment.

It is important to follow your orthodontist’s instructions and care instructions for your clear aligners, and to visit them regularly for check-ups and adjustments. If you have any concerns about the fit or condition of your aligners, be sure to contact your orthodontist as soon as possible.

  • How much time does the orthodontic treatment take?

The length of time required for orthodontic treatment can vary greatly depending on the specific needs and treatment plan of each patient. However, some general guidelines are:

  • Traditional metal braces: Treatment time with metal braces can range from 18 months to 3 years or longer, depending on the complexity of the issue being treated.
  • Ceramic braces: Ceramic braces are similar to metal braces, but the brackets are made of a tooth-colored material, making them less noticeable. Treatment time with ceramic braces can range from 18 months to 2 years or longer.
  • Lingual braces: Lingual braces are similar to metal braces, but the brackets and wires are placed on the inside (tongue-side) of the teeth, making them virtually invisible. Treatment time with lingual braces can range from 18 months to 2 years or longer.
  • Clear aligners: Clear aligners are a type of orthodontic treatment that uses a series of custom-made, clear plastic trays to gradually shift teeth into their proper position. Treatment time with clear aligners can range from 6 months to 2 years or longer, depending on the complexity of the issue being treated.

It’s important to note that the length of treatment can also depend on the patient’s cooperation and adherence to the treatment plan. For example, if the patient consistently wears their aligners or attends their adjustment appointments, they are more likely to reach their desired results in a timely manner.

  • Common problems associated with braces

Braces can cause a variety of issues and discomforts, some of which are temporary and some of which are long-term. Here are some of the most common problems associated with braces:

  1. Pain or discomfort: After getting braces, it is common to experience some pain or discomfort, especially during the first few days. The pressure of the braces on your teeth can cause soreness and aching, but this typically subsides within a few days.
  2. Mouth sores: The brackets and wires of braces can sometimes irritate the soft tissues of your mouth, leading to the formation of sores. These sores can be painful, but they usually heal on their own within a few days.
  3. Difficulty eating: Braces can make eating certain foods difficult, especially in the first few days after they are applied. Soft foods and liquids are usually recommended during this time.
  4. Decalcification: Braces can sometimes cause small white spots to form on the teeth, called decalcification. This occurs when the braces make it difficult to clean the teeth properly, leading to a buildup of plaque and bacteria.
  5. Loose or broken brackets: Brackets can sometimes become loose or broken during the course of treatment, and if this happens, it is important to visit your orthodontist as soon as possible to have them fixed.
  6. Lengthy treatment time: Orthodontic treatment with braces can take several months to a few years, and it is important to be patient and stick with the treatment plan to achieve the best results.
  7. Speech difficulties: Some people may experience difficulty speaking or articulating certain words after getting braces, but this usually improves with time as they become more accustomed to the braces.
  8. Discomfort during adjustments: Adjustments to your braces can sometimes cause discomfort, especially in the first few days after the appointment.

It is important to maintain good oral hygiene and to follow your orthodontist’s instructions to minimize any issues or discomforts associated with braces. If you experience any persistent discomfort or have any concerns, be sure to contact your orthodontist for advice.

  • Problems associated with aligners

Clear aligners, like any orthodontic treatment, can come with some potential problems. Here are some of the most common issues associated with clear aligners:

  1. Poor fit: If the aligners do not fit properly, they may cause discomfort, irritation, or even damage to the teeth and gums. Poorly fitting aligners can also impede treatment progress, so it is important to have them adjusted or replaced if necessary.
  2. Difficulty eating: Aligners must be removed when eating or drinking anything other than water, which can be inconvenient and may also lead to issues with oral hygiene.
  3. Speech difficulties: Some people may experience difficulty speaking or articulating certain words while wearing aligners, but this usually improves with time as they become more accustomed to wearing them.
  4. Lost or damaged aligners: Aligners can be lost or damaged easily, and if this happens, it is important to have them replaced as soon as possible to prevent any delays in your treatment.
  5. Staining or discoloration: Aligners can become discolored or stained if they are not cleaned properly, which can impact their appearance and overall effectiveness.
  6. Compliance issues: To achieve the best results, aligners must be worn for the recommended amount of time each day. If this is not done, treatment progress can be impacted.
  7. Cost: Clear aligners can be more expensive than other orthodontic treatments, such as traditional braces.

It is important to follow your orthodontist’s instructions and care instructions for your clear aligners, and to visit them regularly for check-ups and adjustments. If you have any concerns about the fit or condition of your aligners, be sure to contact your orthodontist as soon as possible.

  • Special care to be taken while having braces and aligners

Here are some tips for taking care of your braces or aligners:

Braces:

  1. Brush and floss regularly: Braces can make it difficult to clean your teeth properly, so it is important to brush and floss regularly to maintain good oral hygiene. Your orthodontist can provide you with specific instructions for how to care for your teeth and braces.
  2. Avoid hard, sticky, or sugary foods: These types of foods can damage your braces or cause tooth decay, so it is important to avoid them as much as possible.
  3. Wear a mouthguard when playing sports: If you play sports, it is important to wear a mouthguard to protect your braces and teeth from damage.
  4. Visit your orthodontist regularly: Regular visits to your orthodontist are important to ensure that your treatment is progressing as planned and to address any issues or concerns.

Aligners:

  1. Wear them as directed: To achieve the best results, it is important to wear your aligners for the recommended amount of time each day.
  2. Clean them regularly: Clear aligners should be cleaned regularly to prevent staining and to maintain their effectiveness. Your orthodontist can provide you with specific instructions for how to care for your aligners.
  3. Avoid eating or drinking with them in: Aligners must be removed when eating or drinking anything other than water, to prevent damage to the aligners and to maintain good oral hygiene.
  4. Store them properly: When not in use, aligners should be stored in their protective case to prevent them from becoming lost or damaged.
  5. Visit your orthodontist regularly: Regular visits to your orthodontist are important to ensure that your treatment is progressing as planned and to address any issues or concerns.

By following these tips and taking good care of your braces or aligners, you can ensure that your treatment is effective and that your teeth and gums stay healthy and strong. If you have any concerns or questions about the care of your braces or aligners, be sure to contact your orthodontist for advice.

  • Pros and cons of braces and aligners

Braces:

Pros:

  1. Effective: Braces have a long history of success in correcting a wide range of orthodontic issues, making them one of the most effective treatments available.
  2. Versatile: Braces can be used to treat a variety of orthodontic problems, from simple misalignments to more complex issues like overbites, underbites, and crossbites.
  3. Customizable: Braces can be customized to meet the specific needs of each patient, with different types of brackets, wires, and elastics available to suit different needs.
  4. Durable: Braces are made to last, and with proper care, they can remain in place for the duration of treatment without the need for frequent repairs or replacements.

Cons:

  1. Visible: Braces are noticeable and can be seen when you smile or speak, which may be a concern for some people.
  2. Uncomfortable: Some people may find braces uncomfortable or irritating, especially in the first few weeks after they are first applied.
  3. Restrictions on food: People with braces need to avoid certain foods that can damage their braces, such as hard, crunchy, or sticky foods.
  4. Length of treatment: Orthodontic treatment with braces can take a significant amount of time, typically ranging from one to three years, depending on the severity of the problem.

Aligners:

Pros:

  1. Clear and discreet: Aligners are virtually invisible, which makes them a popular choice for people who want to straighten their teeth without drawing attention to their orthodontic treatment.
  2. Comfortable: Aligners are made of a smooth, flexible material that is gentle on the teeth and gums, making them more comfortable than traditional braces for many people.
  3. No food restrictions: Unlike braces, aligners do not require any restrictions on the types of foods you can eat, making them a more convenient option for many people.
  4. Easier to clean: Aligners can be easily removed for cleaning, which makes it easier to maintain good oral hygiene and prevent staining.

Cons:

  1. Cost: Aligners can be more expensive than other orthodontic treatments, such as traditional braces.
  2. Poor fit: If the aligners do not fit properly, they may cause discomfort, irritation, or even damage to the teeth and gums.
  3. Difficulty speaking: Some people may experience difficulty speaking or articulating certain words while wearing aligners, but this usually improves with time as they become more accustomed to wearing them.
  4. Compliance: To achieve the best results, aligners must be worn for the recommended amount of time each day. If this is not done, treatment progress can be impacted.

Ultimately, the choice between braces and aligners will depend on a number of factors, including the severity of your orthodontic problem, your personal preferences, and your budget. It is important to discuss your options with your orthodontist, who can help you choose the treatment that is right for you.