Braces on teeth - what are they for, is it worth it, before and after photos, types

Braces are the most reliable and effective way to correct a malocclusion. You will have to wear the structure for more than one month. It is important that it does not cause physical and psychological discomfort. Patients often ask which braces are best for an adult, how long they will have to be worn, and what the cost of the design is. At the Propricus dental clinic, the orthodontist performs comprehensive diagnostics. The duration and price of treatment depend on its results.

The choice is influenced by:

ease of wearing, adaptation time to the design, quick adaptation to braces means that the treatment will be easier;
price and efficiency - standard ligature braces not only cost less, but also straighten teeth faster;
appearance - for some patients it is important that the arches are invisible.

Difficulties in choosing an orthopedic design are not uncommon. Especially if patients are suitable for all corrective systems. For example, when an orthodontist prefers to work with only one type of braces. For those who have been accustomed to working with classical systems for many years, it is difficult to abandon the standard correction option. You will not encounter such a problem at the Propricus clinic. Our professional orthodontists use different techniques in their work. The doctor, together with the patient, selects the correction method. In the clinic we use first-class and proven materials from foreign partners. We have metal, ceramic, sapphire braces.

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What are braces?

Braces, or rather brace systems, are dental structures for eliminating malocclusions and problems with incorrect position of teeth.
Alignment with orthodontic braces began to be practiced back in 1776 in France, but the heavy structures used then interfered with speech and extended beyond the mouth. More than a hundred years later, the device was radically improved in America. Today, the classic system looks different and consists of three main elements: ➢
braces - clasps that are attached to the teeth
➢
orthodontic arch
➢
fastenings (ligatures) for coupling the arch with the clasps

Main types of braces

Previously, when it was necessary to straighten with braces, for many patients the stopping factor was the aesthetic side of the issue - the structures were made exclusively of metal and were fixed on the outside of the teeth. Now there are many types of orthodontic systems to suit every taste. The main differences between braces are the installation methods and materials of manufacture.

External and internal braces

A frequent question from patients is whether it is possible to place braces on crooked teeth without others noticing. Internal, or lingual, braces allow you not to worry about the aesthetic aspect. Unlike external ones, lingual systems are fixed on the back of the teeth and are completely invisible to others. True, the patient takes longer to get used to the lingual system. But it is not always suitable for people with allergies, since it is made of metal, which can provoke an allergic reaction.

Ligature and non-ligature braces

Ligature and non-ligature systems differ in the method of attachment to the arch. The first ones are attached using clamps (ligatures), while the second ones are devices of a more advanced level that do not require additional fastenings. Ligature-free braces allow you to adjust the position of the arch once every 2-3 months. However, many specialists prefer monthly treatment monitoring. Despite their more advanced structure, it is difficult to say that non-ligature dental braces are more effective than traditional ones.

If any system is suitable for the patient according to indications

In such a situation, we recommend relying on the appearance of the system. The more invisible the braces, the higher their price. The patient can choose lingual designs, sapphire with activation once a month, or ceramics from Clear. If aesthetics are not your top priority, Damon Q is your best bet. This self-ligating mechanism will give you a perfect smile faster than others. They are also suitable for complex work.

Types of bracket systems

Some people don’t attach importance to the presence of a metal device in the mouth - back in the 90s, Cindy Crawford not only wore dental braces, but even starred in them in an advertising campaign for Pepsi Cola. For those who have chosen external orthodontic braces, but prefer not to advertise the treatment, there are other options.

Types of braces depending on material

Plastic: the most budget braces - from 20,000 rubles. It is the plastic design that has become not just a device for dental treatment, but also an accessory that complements the image. Unfortunately, it also has many disadvantages: plastic is not the most durable material, in addition, such dental braces change color under the influence of coloring products.
Metal: The most durable of all braces for straightening teeth, but they are not suitable for people with metal allergies. A steel system will cost 60,000 - 80,000 rubles, a titanium system - from 80,000 to 100,000 rubles. In terms of aesthetics, this is not the most advantageous design.

Ceramic: highly aesthetic, matched to the color of the enamel, does not cause allergies, but is less durable than metal. In Moscow, the cost of ceramic braces is 40,000 - 70,000 rubles.

Sapphire: the most aesthetic of all options. They look very impressive in the light, but if the patient’s teeth have a yellowish tint, you should carefully consider whether sapphire braces are needed, as they will stand out strongly. Also quite fragile. The cost of sapphire structures is 100,000 - 150,000 rubles.

Stage 4: Fixation of the bracket system using the indirect fixation method

To install braces, there is a basic standard protocol for direct fixation of oral braces, which is very common in Russia - braces are glued “by eye” without carefully checking its position, which is easier and faster for a specialist.

The expert group of orthodontists at the Confidence clinic uses a progressive protocol for fixing braces based on the best techniques of recognized Italian and French specialists in orthodontics. The key feature of this protocol is indirect fixation, which has obvious advantages in terms of accuracy and patient comfort.

Indirect fixation is the most progressive method now, which is already actively used by European orthodontists. When the doctor has a model of the patient’s teeth in his hands, and before his eyes are his pictures and photographs, the doctor has the opportunity to impeccably accurately outline each tooth, mark all the axes on it and place the bracket in the most correct position. This can only be done accurately on a model, and not in the oral cavity, where soft tissues may interfere. In addition, the patient does not need to spend several hours in the doctor’s chair.

The second advantage for the patient is that the braces are not glued individually. If this is done carefully, then even an experienced doctor will take a lot of time not even to fix the bracket on the tooth, but to check its position from all sides. With indirect fixation, the speed and comfort of installing braces is reduced by 2-3 times. Patients often ask how long does installation take? For one jaw - about 1 hour, for both jaws - an average of 1.5 hours. This does not mean that the procedure itself lasts that long - most of the time is spent talking with the patient and detailed recommendations.
How is braces fixed technically?
1. The tooth is treated with gel, then a special varnish is applied. In this case, the tooth is never treated with bur and the enamel is not sanded off.
2. Braces are fixed on the tooth surface with orthodontic filling material.
Between the bracket and the enamel, adhesion occurs - gluing.
On the last teeth in the row there are locks into which the arch is inserted.
Next, an arch is inserted into each bracket, if it is Damon or Insignia, by pressing on the groove and the lid is closed in turn from the center to the sides.
If these are ligature braces, then the arch to each bracket is a metal or elastic ligature. This is the main disadvantage of ligature braces, because the ligature, especially elastic, loses its properties over time, stretches and ceases to adequately hold the arch in the bracket, and it is the arch that is the driving force.
After closing the braces, it is also necessary to install special stoppers on the front braces.
The procedure is absolutely painless. To eliminate possible discomfort from dry lips, always apply a moisturizer first.
How are lingual braces fixed?
Lingual and any other braces with digital technologies (Insignia, Win, Incognito) come to the clinic ready-made in a tray. They are already located in the position in which the computer program positioned them. This is the same indirect fixation technology that is used to install all brace systems at the Confidence clinic.
Why do you need an orthodontic arch?
If you simply glue braces to all your teeth, there will be no tooth movement.
A brace does nothing to the tooth. A brace is a small computer that contains information about how the tooth should stand. He can't do this without an arc.

The bracket contains information that is not realized in any way on its own. How well the embedded information is implemented depends on how tightly the arch is placed in the bracket. If these are ligature braces, then with a greater degree of probability, a week or two after installation, the ligatures will stretch, which is not very good for treatment.

Why do you need stoppers on braces and what can their absence lead to?

Often patients come to us from other doctors whose stoppers are not tight. If the bracket system does not have ligatures, but only bracket covers, then the arch can easily slide in the grooves and, despite the fact that the covers are closed, will move to the right and left. Shifting, the sharp end of the arc can rest against the cheek. To prevent this from happening, you need a stopper - a metal cap on the arc. It is tightly fixed in such a way that it rests on the braces on both sides and prevents them from moving. This is guaranteed protection against unpleasant sensations on the mucous membrane.

How do we protect our patients from discomfort when getting braces?

When installing the first arch, our orthodontists do not attach the orthodontic arch to the very last bracket on the seventh tooth. The fact is that usually the first arch is very thin and does not have enough strength to move a powerful tooth with large roots. And the distance between this and the neighboring, sixth, tooth is usually quite large, in which case a thin arch can jump out and scratch the soft tissue of the cheek.

In addition, after closing the last bracket, the orthodontist bends the arch with a loop 90 degrees. This is another factor in protecting the patient from mucosal injuries. By bending the arch into a rounded loop, the orthodontist minimizes discomfort and the risk of injury to the patient’s mucosa, even if the arch begins to protrude.

When are bends applied to the bracket system archwire?

Curves are applied to a rigid arch, closer to the middle or end of treatment, when the dentition is already more or less even. Most often this happens 8 months after the start of treatment. It is very rare that bends are applied to soft arches, but such manipulations are aerobatics; not all orthodontists are proficient in this technique.

Why are bends on an orthodontic arch needed?

Despite the fact that we use indirect fixation of the bracket system, which ensures maximum accuracy of the position of each bracket on the tooth, even indirect fixation has some error. The first stage at which we begin to solve the problem of this inaccuracy is the plywood stage. After about 4-6 months, when the teeth are almost aligned, we take an orthopantomogram in order to evaluate the alignment of the roots of the teeth as well. We remove some braces and fix them in a new position, focusing on the image and the evenness of the teeth in the mouth, which is a very important point on the path to ideal evenness of the teeth. The fact is that the parallelism of the roots after teeth alignment is the key to the stability of the result. An unevenly located root can cause crooked teeth after the braces are removed. The most experienced lecturers, including Western ones, say that they re-glue their braces a lot, which is one of the secrets of their success. However, in addition to the inaccuracy of the position of the bracket on the tooth, there is also some loss of information embedded in the bracket. The arch should fit into the bracket as tightly as possible. If the arch completely repeated the dimensions of the space inside the bracket for it, then it would be impossible to insert it there. In order for all the information to be realized and the teeth to become perfectly straight, we apply bends to the arches.

What are the methods for final correction of the position of individual teeth?

There are two options: re-glue the bracket to a new position or use arc bends to bring the teeth to the ideal position.

Can a brace be crooked?

Sometimes patients say that the bracket is crooked and not in the center of the tooth. In principle, braces are not placed in the center of the tooth; they are placed at special points and parallel axes. This may look like a strong shift to the edge of the tooth - to the right, to the left, a little higher, a little lower. This placement is done deliberately according to calculations; this is not an orthodontist’s mistake.

How do braces differ from each other?

Type of braces	Materials	Differences	Price
Metal	metal alloy	reliable and cheap	from 50,000 rubles*
Ceramic	ceramics	the most inexpensive of aesthetic	from 70,000 rubles*
Sapphire	artificial sapphire	beautiful and relatively inexpensive	from 100,000 rubles*
Lingual	gold + metal	completely invisible	From 150,000 rubles*

*Prices are indicative in Moscow and only for the bracket system.

How do braces straighten teeth?

It is designed by nature that our teeth can change position - independently or under the influence of external forces. Thanks to this property, orthodontic treatment with braces becomes possible. Its principle is the following.

Based on the patient’s clinical picture, the doctor plans a trajectory of movement for each tooth; one bracket is responsible for one dental unit.
During the process of fixing the braces, the clasps are connected to each other by an arch with shape memory, which it tends to take over time.
Under the influence of the arc, the dentition begins to take the desired position.
During treatment, the archwire is replaced with a more rigid one to increase the impact.

What is more expensive - braces or aligners?

In some individual cases, expensive branded aligners may be more expensive than cheap braces, especially with long-term treatment involving many stages. But if the comparison is made correctly, comparing cases of the same degree of complexity, then the difference in the price of braces or aligners will either be minimal, or even aligners will be more profitable.

Imported mouthguards from foreign manufacturers are more expensive. Our clinic cooperates with Star Smile, a leading domestic manufacturer of aligners, which, with completely similar quality, have a much lower price. This allows us to offer treatment for malocclusion using aligners at the most affordable prices.

Therefore, to the question: what to choose: braces or aligners? – our doctors answer unequivocally – choose aligners. This will provide greater comfort during treatment, better aesthetics and will be much more profitable.

Indications and contraindications for installation

Problems that alignment with braces can help solve:

crooked teeth due to improper growth
displacement of the dentition as a result of the removal of dental units
jaw development disorder

When there is crowding and gaps between teeth, braces are the optimal solution. In the latter case, it will not be possible to manage with orthodontic treatment alone; complex procedures with the participation of a surgeon will be required.

What are crooked teeth and what is the diagnosis?

Patients call their teeth crooked for different diagnoses. They can often be corrected with braces. What are called curved units in dentistry are divided into groups of anomalies:

Position of individual teeth.
Defects in the shape of the dentition.
Bite problems.

If the position of the front teeth is incorrect, it is immediately noticeable, and the person often turns to the dentist. Teeth may tilt, rotate, or move in different directions. Very often there is a combined malocclusion of the central and lateral groups of teeth simultaneously in the lower and upper jaws.

At what age are braces placed?

The mobility of teeth in the jawbone persists throughout a person’s life, therefore, the answer to the question “Can braces be placed on crooked teeth in adulthood?” - positive. However, correcting a child’s bite with braces is much easier.

You can begin treatment as early as 9 years of age, even if not all baby teeth have been replaced by permanent teeth. The most optimal age for installing braces is 12 - 13 years old, but even at 30, braces will show good results. It will just take more time.

Braces for crowns, veneers, implants

Crowns are not a contraindication to orthodontic treatment. The best option for installing braces on crowns is a metal system. It will provide reliable adhesion to the artificial material of the prosthesis. If you need to install a brace system on the teeth that serve as support for the bridge, the doctor will simply remove the prosthesis and put temporary plastic crowns on the patient for the period of treatment.

As for veneers, if they are already on the teeth, this will not be a contraindication to installing a brace system. However, it is still better not to install veneers before braces, especially taking into account that an incorrect bite is, in principle, a contraindication to veneering.

With an implant, it is already more difficult to correct the bite with braces - the artificial root sits firmly in the bone and is not able to move except upward. If possible, it is better to correct the curvature of the dentition before installing an artificial root. However, if implants are already in place, orthodontic treatment can still be planned and successfully carried out.

Stages of corrective therapy

Correcting anomalies of the dental system is a long and painstaking process consisting of several stages:

visual and hardware diagnostics: computed tomography, teleradiography,
rendering a verdict, making a diagnosis, determining indications and contraindications;
development of a treatment plan;
oral hygiene: treatment of teeth and gums, professional cleaning;
taking individual measurements (casts or scanning), making a model, drawing up an estimate;
production of braces;
installation of a brace system for a patient;
wearing the device with periodic system adjustments. The duration depends on the severity of the specific clinical case and is determined by the orthodontist;
removal of braces and installation of a removable or non-removable retainer. The duration of retention also depends on the individual characteristics of the clinical case.

Specialist comment: the retention stage is very important for consolidating the achieved results. Failure to follow the recommendations of the attending orthodontist may invalidate the results of therapy, and everything will return to its previous position.

Braces for extracted teeth

It is possible to install an orthodontic structure in the absence of one or more teeth, but it depends on the specific clinical picture. For example, it is quite possible to straighten a slight curvature in the frontal zone, even if there are no molars in the row. But is it possible to use braces to close a void when supporting teeth are missing? In this case, installing a system makes sense only if we are talking about 6, 7 and 8 teeth. If the figure eight (wisdom tooth) is missing, movement is impossible, since the chewing teeth will not be enough for full functioning.

Braces for one jaw and several teeth

If the patient is concerned about the curvature of, for example, only the upper teeth, fair questions arise. For example, why do you need braces on two rows of teeth? And do they put braces on one jaw? Installing only upper braces or only lower braces is indeed possible in the absence of global problems. It is important that the treatment gives an effective result without affecting the function of the jaw.

If a patient has several crooked teeth in one area, the doctor may suggest partial dental braces. They are installed on a specific area of the dentition for about six months.

Stages of work on smile aesthetics

The work was carried out in two stages. First we did the top

First, we took impressions and made a photographic record. After 5 days, we trimmed the upper teeth and installed temporary veneers

After another 6 days, we installed veneers on the upper teeth, during the same appointment we ground down the lower teeth and placed temporary veneers on the lower teeth

At the 4th appointment we already fixed the veneers on the lower jaw.

The color of our veneers was OM3

. We chose the color for a very long time and carefully.

It turned out to be a really beautiful color, perfectly matching Maria’s wishes.

Maria became completely different after we fixed the bottom.

We got a fairly serious, smooth job.

Nothing hurts, nothing crunches, nothing bothers her, that is, the joint does not bother her at all. Everything worked out perfectly for our gums.

For the first few days, she took painkillers because her teeth had been sharpened quite seriously.

Contraindications for installing braces

The installation of braces on teeth can be hampered by relative and absolute contraindications.

Relative contraindications to braces can be eliminated. These include:

low level of hygiene
caries
allergy to materials contained in braces
periodontitis, periodontal disease
bruxism

Absolute contraindications are serious health problems that make orthodontic treatment impossible. These include:

oncological diseases
epilepsy
psychiatric disorders
pathology of bone tissue
alcohol and drug addiction
venereal diseases
blood diseases
tuberculosis
diseases of the immune and endocrine systems

Systems for teenagers

Orthodontics in Moscow continues to constantly develop. Anyone can correct their bite, and it is best to do it in childhood or adolescence. And which dental braces to choose, the price of which will be optimal, but at the same time the designs will perfectly perform their functional duties? Here we must be guided by the peculiarities occurring in the body of a teenager.

At this age, a person has a lack of calcium and fluoride. Teenagers often bite their nails, chew gum, and have many other bad habits that lead to a crooked bite. And due to the lack of microelements important for teeth in the body, a person at this age can easily develop an anomaly.

If these indications for treatment exist, the teenager needs to have braces installed on his teeth (the cost of each system varies):

there are gaps between the teeth;
the dentition is crooked;
there is an urgent need for treatment.

Bracket systems are installed, the cost of which depends on their material of manufacture and much more, in several stages. If treatment is required for a child under nine years of age, the doctor performs the procedure and then monitors the child for several years. Then the installation of other braces is carried out during adolescence. The need for this is due to the growth of the jaw.

To make a choice in favor of one or another braces, you need to familiarize yourself with the advantages and disadvantages of each of them. Let's start with metal ones. Such lower and upper braces have the following advantages:

small thickness;
quite comfortable to wear;
the mucous membrane is not injured;
ease of care;
strength;
durability;
low cost.

As you can see, such a brace system has many advantages; the price in this case is one of the main advantages. But there is one drawback - unaesthetic.

Products made from composite material are quite fragile and therefore short-lived. Ceramic, on the contrary, are highly durable. At the same time, they are aesthetically pleasing, as they are invisible to the eye and are firmly attached to the enamel. But the prices for such braces (Moscow) are quite high. It is also worth noting that they are not picky in their care: you need to look after them very carefully.

Lingual braces, as we have already said, have many advantages. But they can only be installed by adults. The fact is that they are attached to the inside of the teeth, which is an undeniable advantage, but they take a long time to get used to, so teenagers should not use them.

Can I wear braces during pregnancy?

During pregnancy, women's dental tissue becomes more fragile, and there is a risk of damage to it by orthodontic construction. Can braces be installed during this period? Yes, but ideally it is better to have orthodontic treatment before or after pregnancy. If you already have braces on your teeth, you should definitely inform the orthodontist about the changes in your body. The doctor will prescribe a detailed diagnosis and decide whether braces and pregnancy are compatible.

If everything is in order, treatment with dental braces can be continued as usual. If the effectiveness of orthodontic treatment is questioned, the specialist will recommend removing the system and using retainers until the process can be resumed.

When can you do without braces?

Is it possible to avoid braces altogether and use transparent removable aligners? Can! But you should understand that mouthguards can correct only slight deviations from the norm. They will not have any effect on serious defects.

Often, mouthguards are prescribed to children to guide their bite or straighten slightly uneven teeth. This is also true for teenagers, but adults are almost never prescribed treatment with mouthguards, as it does not produce results.

An orthodontist prescribes braces only after 13–14 years of age. Trainers and plates may also be helpful at younger ages. These are specific removable structures that the child wears for several hours a day. They have a positive effect on the bite and help the teeth take the correct position.

Often adults, understanding all the responsibility for future risks, still do not turn to the orthodontist. And this choice also takes place. However, we recommend at least getting a consultation - if you are not ready to wear braces, then at least you will know what difficulties may arise in the future.

Result of wearing: before and after photos

The effect of wearing an orthodontic system is noticeable already in the first two months - gross violations are corrected. Next, the position of the teeth and roots is normalized. By about the eighth month, the entire dentition can be corrected with braces; the next stage begins—correction of the bite with braces. During the final stage, the teeth are “worked out” in detail so that they fit together perfectly.

The course of treatment does not end with removing braces. Next, the doctor uses special structures to stabilize teeth after braces - retainers. The device is installed on the inner side of the dentition for 2 - 4 years. The duration depends on the age of the patient (the younger he is, the shorter the period of wearing retainers) and the severity of the anomaly.

In some cases, orthodontic systems have a positive effect on more than just the position of teeth. After braces, the face becomes more toned and the cheekbones become more pronounced. While wearing the structure, other muscles begin to work, emphasizing what was not noticeable before.

Why does your face change after wearing braces?

The principle of operation of the braces system is that it gradually and forcibly moves the teeth in the required direction. Thanks to this process, you can correct the profile, correct the anomaly of an individual tooth or a whole row, and improve facial aesthetics. Already 8 months after wearing braces, the patient can notice how his face changes after braces.

Why do transformations occur?

- increased tension, lengthening of ligaments;
- decrease or increase in muscle tone;
— transformation of bone tissue;
- changes affecting subcutaneous tissue, fascia and the skin itself;
— visual visibility of the bracket system itself.

The maxillofacial region is a single anatomical and functional system. If something changes in the bone structure, it is reflected in a person’s facial features. However, you should not assume that the changes will be as noticeable as after plastic surgery. In some patients, the transformation is practically not expressed, while in others it is too noticeable. Let us repeat that this is due to the nature and extent of the anomaly. At the initial consultation, our orthodontist will tell you about the features that may occur with your face, whether your face changes after wearing braces, and whether this may affect your particular case.

Transformations may also be due to the fact that the patient is forced to comply with certain dietary restrictions. In this regard, the face loses weight and the effect of “sunken” cheeks appears.

Teeth after braces

Many patients fear the negative consequences of braces. It is known that dental braces complicate oral hygiene procedures. However, following the doctor’s instructions for dental care during the treatment period will help avoid exposure to carious bacteria. If caries does appear, in most cases the specialist will be able to carry out treatment without disturbing the braces.

When removing sapphire or ceramic braces, damage to the enamel is possible - during the procedure they can crumble, which significantly complicates the orthodontist’s work. If damage occurs, the defect can be easily corrected with a small restoration.

Preparing to align rows with braces

Before installing braces, the doctor makes sure that the gums and teeth are in satisfactory condition.
If there is caries, pulpitis, gingivitis or any other dental disease, it must be treated. After installing metal arches, it is much more difficult to combat the symptoms of oral diseases. Also during the preparatory stage:

radiography;
taking impressions of both jaws;
articulator examination.

Considering that each clinical case is unique, the patient may be prescribed consultations with a surgeon, orthopedist, or implantologist.

How to fix crooked teeth without braces?

Today, dentistry offers several alternative solutions that allow you to straighten teeth without braces:

Restoration: correction of defects in the dental crown using composite materials. Provides quick results at an affordable price, but will last about five years, and the color of the material will change over time.
Veneering: fixation of plates on teeth that are almost indistinguishable from natural enamel. The method is used instead of braces for small curvatures or large gaps and is not suitable if the patient has complex dental curvature or malocclusion.
Installation of removable braces. Essentially, these are orthodontic structures that do not need to be worn constantly. However, calling them braces is not entirely correct; these are completely different systems.

Design features of ligature braces

All bracket systems have the same design:

bracket plates fixed to the teeth using a special adhesive composition;
a power arc that has “shape memory” (tends to straighten out from a bent position);
fastening elements that attach the arch to the bracket plates.

If the arch is fixed to the teeth using miniature clips, then such braces are called non-ligating or self-ligating braces. If the arch is attached using ligatures, then such orthodontic structures are called ligature. This is, as they say, a “classic of the genre.”

Either small plastic rings or thin metal wire made of medical steel are used as ligatures.

Plastic ligatures can be of various shades: transparent, silver, colored. Teenagers, as a rule, prefer rich colors. While wearing, the ligatures stretch, so the doctor periodically changes or tightens them.

Note: compliance with the prescribed frequency of visits to the clinic during the correction course is the key to the effectiveness of the process. Otherwise, the result may not be achieved.

Ligature braces are effective in treating both adults and adolescents.

Are there removable dental braces?

Removable orthodontic systems are divided into trainers, plates and aligners. However, only the latter can be considered an alternative to braces.

Aligners are special aligners made of plastic material that are invisible to others. They are able to quickly and comfortably correct almost any dental defect. The aligners are removed when eating and brushing your teeth, which is very convenient. The Invisalign® system is considered the best today - it allows you to cope with defects that previously could not be straightened without braces. The design is made individually for each patient, so its cost is quite high and amounts to about 250,000 rubles.

Despite the many positive qualities of removable systems, the patient should make the decision about whether to install braces or use other correction methods only together with the attending physician.

Stage 2: Treatment Plan

After diagnosis, the orthodontist needs about a week to analyze all the material, make calculations and draw up an individual treatment plan.

There can be one or several treatment plans. Each of them may have its own characteristics, pros and cons. The orthodontist most often voices the treatment plan that he is inclined towards and considers the most optimal in this case.

The patient can choose any of the proposed treatment plans, realizing the difference between them and understanding the doctor’s point of view. After the patient and the doctor have agreed on one of the plans, the choice of braces occurs - this is a strategic issue in which the patient and his attending physician must come to a consensus.

Do's and don'ts when straightening teeth with braces

Orthodontic treatment is a long and responsible process. At home, braces require compliance with a number of rules.

Hard and sticky foods should be excluded from your diet to avoid damaging your dental braces or getting food stuck in them.
Sudden changes in temperature in the oral cavity should not be allowed (that is, ice cream should not be washed down with hot tea). This affects the elasticity of the orthodontic arch and can lead to the clasp coming off.
To prevent ceramic or plastic braces on your teeth from staining, you should avoid coffee, jam, wine and drinks with dyes. Smoking also causes the system to change color.
The oral hygiene procedure should be carried out using an irrigator, floss (dental floss) and a special brush with V-shaped bristles. Oral care is necessary after every meal.
If the braces are loose or come off, there is no need to worry - just consult a doctor, and he will easily and quickly correct the situation.

At first, after you start correcting your teeth with braces, all these restrictions may seem quite burdensome and make you think: was it worth getting braces? However, the patient gets used to them very quickly. In addition, the result of the treatment definitely justifies all these not so pleasant nuances.

Important!

Is it possible to do an MRI with braces? If a patient with an orthodontic device is undergoing an MRI of the brain or jaw, the doctor should be informed about the presence of the system. Metal braces can distort diagnostic results. However, undergoing an MRI in braces does not pose any danger to the body.

Features of the adaptation period

The patient should be prepared to experience discomfort for several days or weeks (depending on the threshold of sensitivity):

rubbing of the mucous membranes of the lips and cheeks;
violation of diction;
discomfort when eating.

Expert advice for minimizing discomfort:

to prevent chafing, you can use special wax (sold in pharmacies);
for minor pain, you should rinse your mouth 3-4 times a day with saline solution (1 tsp per glass of warm water). The procedure cannot be performed if there are wounds and abrasions in the mouth. In this case, it is better to use a soda solution in the same concentration;
In case of severe pain, you need to take a tablet of any painkiller. Note: strictly follow the dosage indicated in the instructions for the medicine;
In the first days after installing braces, cancel intense physical training. Yoga exercises will help during this period;
learn to chop food with a knife, exclude excessively hard or sticky foods (dried, dried) from your diet. During the first few days, the products can be ground in a blender.

Attention: if the pain is severe and does not go away within several days, then you should definitely consult your doctor.

Photos before and after

It is impossible to create a truly Hollywood smile without straightening your teeth and correcting your bite. Therefore, if a patient has orthodontic problems, braces are included in the mandatory treatment plan. Incorrect bite and crooked teeth are one of the main contraindications for the installation of aesthetic restorations. If you ignore orthodontic treatment and proceed straight to veneering, the veneers simply will not stick to the teeth. This fact is confirmed by personal example by many celebrities who, for the sake of a perfect smile, put braces on their teeth.

Tom Cruise decided to fix his teeth with braces only after 40 years.

After the breakup of the Spice Girls, Melanie Jane Chisholm had to seriously work on her image, and, above all, straighten her teeth.

Cristiano Ronaldo was not always handsome, as his impeccable smile might lead you to believe. According to rumors, he spent more than a million euros on teeth straightening and other procedures.

Correction of distal bite with braces

Who do we work for?

Who has dental and orthodontic problems
Who has general body problems
Who is tired of going to doctors to no avail?
Whoever is scared by the sentence “operation” - we will try to help without surgery

And one more thing... Literally all the “affected” patients, who were promised to cure their distal bite only with braces, were not diagnosed (or were carried out very superficially) before they were “placed” with those same braces. And diagnostics is precisely the very event with the help of which the cause, mechanism of occurrence, level and scale of any dentofacial anomaly are revealed (see About diagnostics in Orto-Artel). And since it was not done, then, in the end, this is the reason for all the failures and “misunderstandings.”

Diagnostics is the first step in the treatment of distal occlusion Do you want to know why it’s impossible to do without diagnostics?

Therefore, Oto-Artel specialists responsibly declare: in order to avoid failures in correcting distal occlusion, it is necessary to know and understand several fundamentally important things.

1. Distal occlusion is always a combined, multi-level anomaly. This is always a symptom complex.

There is always a skeletal part of the distal bite (and it is the main and priority in terms of elimination). And there is a “dental” part of it (and it is this that serves as the “motive” for contacting an orthodontist). And it is only the “tooth” part that can be eliminated with the help of braces. But do not confuse cause and effect. Main and secondary. This is fraught...

In addition, since distal occlusion is a combination of many problems at different levels (teeth, posture, jaws, etc. - see Distal occlusion), then ideally it should be eliminated in a comprehensive manner. As is customary in “Orto-Artel” (see The treatment concept of “Orto-Artel”)

Treatment in installments

The Orto-Artel clinic offers installments for the entire process of treating any disease. Personal conditions are considered on an individual basis.

Find out more

or call 8 (495) 128-11-74

2. It is impossible to correct malocclusion with only one device. Incl. “only with braces.”

Treatment of distal occlusion is always a multi-step process. And each stage has its own goals and objectives. And your own apparatus (devices) for their implementation.

How we are working

we have two basic operating principles that are logically related to each other

1
etiotropic treatment
we treat not the effect, but the cause
2
systematic and integrated approach
for dental problems, you often need to seek help from an osteopath, and for general problems of the body, you need to seek help from a dentist

IF YOU AGREE WITH THIS, ORTO-ARTEL IS WAITING FOR YOU

3. The use of braces is a mandatory stage in the treatment of distal occlusion. But this is only ONE of the stages... And it is usually final...

Before using braces in the treatment of distal occlusion (at the “dental” stage of treatment), it is always necessary to first eliminate the skeletal causes of this anomaly. In particular, to normalize the position of the lower jaw and the size of the dentition. For this purpose, completely different devices are used...

4. Distal occlusion in 99% of cases is treated without tooth extraction or surgery

This is evidenced by the experience of Orto-Artel specialists. Over the past five years, not a single one of our “distal” patients has gone to surgery. Because a successful “compromise” was found for them. And in only two cases (and this is less than 0.5% of all cases) treatment with the removal of teeth was indicated (but even then, not “fours”, but “sevens”).

In addition, even if the patient falls into the “surgical” one percent, in 100% of cases orthodontic preparation for surgery and rehabilitation after it are necessary.

5. Without diagnosis, planning and treatment of distal occlusion is impossible in principle

Since it is impossible “by eye” to identify the cause, mechanism and level of occurrence of the anomaly. And also its scale.

If you have been offered treatment for distal occlusion simply by “looking” at your photographs and “casts”. Or they even decided to treat you “by eye”. And also, if you were told that the treatment of distal occlusion in your case will involve tooth extraction or surgery. Equally, if you were offered to correct your distal bite simply by “putting braces”...

There is reason to think!!!

The success of treatment depends 100% on correct diagnosis. We guarantee high-quality diagnostics.

Experience shows that such proposals do not come from great “thought.” There is a risk that they simply did not want to “dig deeper”…. They approached it “superficially”... After all, it is always more convenient to treat according to the “standard scheme”. Not taking into account that such treatment does not take into account the individual characteristics of the person (patient).

This does not happen at the Orto-Artel clinic. We always treat distal occlusion individually and comprehensively. Without unnecessary “dental removal” and surgery... Make the right choice!

Prices for correcting distal bite with braces

General:
Initial consultation with a dental specialist (30 min.)	1,500 rub.
Extended consultation with a dentist (over 30 min.)	2,000 rub.
Consultation with a dentist with a description of the CT scan, drawing up a preliminary examination and treatment plan	3,500 rub.
Diagnosis of distal occlusion before treatment with braces:
Primary diagnosis (two visits) First visit: taking impressions, making plaster models, photos. Analysis of jaw models, multisystem analysis of lateral TRG, OPTG analysis, photometry, diagnosis, development of a treatment plan. Second visit: announcing the results to the patient and discussing the treatment plan with him	from 18,000 rub.

The prices shown are indicative only. The volume and cost of treatment is determined by a specialist only after diagnosis and drawing up an individual treatment plan.

Price for braces in Moscow

As a rule, the cost of braces in Moscow is formed from the price of the system itself, as well as the total costs of installation and further treatment. The cheapest braces are, of course, metal. Their price starts from 50,000 rubles. Relatively inexpensive ceramic systems that cost about 75,000 rubles. The cost of a sapphire bracket system starts from 85,000 rubles. You need to be careful here, as ceramics are sometimes passed off as sapphire. The most expensive will be lingual systems, especially if they are made to order, their approximate price starts from 100,000 - 150,000 rubles. When figuring out the cost, be sure to ask what is included and what services will need to be paid additionally. It happens that the initially low price of braces increases significantly during the treatment process. However, when choosing an orthodontist and a braces system, you should not focus solely on cheaper or more expensive; remember that poor-quality orthodontic treatment is fraught with a lack of results and the occurrence of a number of complications.

A country	Manufacturer	Manufacturing materials	Price
USA	3M Unitek	Metal braces	from 25,000 rubles
		Ceramic braces	from 70,000 rubles
		Sapphire braces	from 80,000 rubles
	Ormco	Metal braces	from 20,000 rubles
		Ceramic braces	from 45,000 rubles
		Sapphire braces	from 50,000 rubles
	American Orthodontics	Metal braces	from 40,000 rubles
		Ceramic braces	from 70,000 rubles
		Sapphire braces	from 50,000 rubles
	Ortho Technology	Metal braces	from 15,000 rubles
		Ceramic braces	from 35,000 rubles
		Sapphire braces	from 40,000 rubles
		The Dentsply GAC	Metal braces	from 20,000 rubles
	Ceramic braces	The Dentsply GAC	from 30,000 rubles
	Germany	TOP-Service für Lingualtechnik GmbH	Gold-platinum alloy braces (lingual only)	from 175,000 rubles
Forestadent		Metal braces	from 30,000 rubles
		Ceramic braces	from 60,000 rubles
		Sapphire braces	from 90,000 rubles
Korea	HT Corporation	Metal braces	from 20,000 rubles
Korea	HT Corporation	Sapphire braces	from 30,000 rubles
Italy	SIA Orthodontic	Metal braces	from 20,000 rubles
Italy	SIA Orthodontic	Ceramic braces	from 25,000 rubles

General overview

Within normal limits, the upper dentition has the shape of an ellipse, and the lower one resembles a parabola. Other forms of jaw arches, for example, narrowing of the dentition, are recognized as pathology.

The narrowing of the dentition is characterized by a reduced transverse size of the jaw arch. Pathology can be bilateral or unilateral. As a result of its development, a decrease in the width and deepening of the palate and a violation of closure are observed.

The anomaly is most often diagnosed in the upper jaw. This is due to the structural features and density of bone tissue. Its structure is looser than that of LF.

The flaw leads to the development of problems in the dental system and the occurrence of other malfunctions in the body: