Braces for Teeth

Braces are devices which are used to restrict and align the dental arcade so that proper positioning of the teeth can be achieved to help the patient in proper mastication and apprehension of food. These are placed to remove the flaws in the alignment among opposing teeth. Malocclusion abnormalities such as cross bite, under bite and overbite are repaired by the placement of these devices. These are most commonly used in the growing age because the prognosis is great in growing individuals but adults can also take limited advantages from these.

Norman W. Kingsley; considered as the father of Orthodontics; was resident of New Jersey and he wrote “Treatise on Oral Deformities”. His writings influenced many dentists to work further in Orthodontics. Edward Angle introduced many modern equipments and techniques in the field of Orthodontics which were foundations to such type of dental procedures. He wrote many books which are widely referenced and studied in many dentistry institutes.

How do Braces work?

The principle behind the application of braces is that applying regular force and stress can result in bone remodeling. Osteoclastic and osteoblastic activities can result in remodeling of the root area of the teeth. Ligaments present in the dental areas play very important role in this remodeling. Movement of the teeth is highly dependent on the amount of stress applied and health status of the individual. Normally, a tooth moves about an mm in a month after this procedure but the movement is highly variable among individuals. Two phenomenon are working side by side I-e bone resorption and bone deposition and normal and continuous working of these two processes result in teeth alignment and approximation.

Types of Dental Braces

There are several varieties of braces available in the dental market. Traditional braces are most commonly applied which are made of stainless steel material and nickel titanium is also used in its manufacturing. Another cosmetic option is clear braces which camouflage in the oral cavity and are not much visible from the outside. These clear braces are made from plastic or ceramic material. Ties used with these braces are also clear or you can choose white wires. Frictional components are far greater in clear braces as compared to the metal braces. Moreover, removal of clear braces is comparatively difficult at the termination of this treatment. For those patients who have sensitivity to nickel can use gold or silver plated braces. Braces can also be placed from the lingual side of the oral cavity which needs high professional expertise. These braces may irritate for a bit but they are obviously not visible from the outside. These braces are called lingual braces.
There are certain aligners which can also be used despite of these fixed stainless steel braces such as invisalign which track the tooth finally to its desired position but application of these aligners are advised only when interacting with simple problems. Speed of movement is greater as compared to the traditional braces. Similarly, spring aligners are very helpful in the alignment of upper and lower incisors. Smart bracket is a new concept in this field in which a device can track the amount of force being applied to all teeth. This device claims to minimize the time of therapy in such sort of dental problems.

Specialists of these procedures are called orthodontics; they have to spend extra three years as post doctoral training after completing their basic dental education. The process of placement of braces is very complex and it may involve several dentist visits. First of all, dentist decides either the option of braces is suitable to the patient or not after complete physical examination of the patient. Then many other procedures such as X-rays and impressions are being conducted to plan the case. Complete analysis of all the records, examinations and diagnostics are evaluated very carefully. Braces may be placed for 4 to 6 months and it can even cross one year. Time depends on the individuality of the case and dentist decides for its removal.

Many complications are involved in these procedures such as teeth can revert back to the previous position. In such cases retainers are used to keep them placed to the designated area. Again, Orthodontics decides which retainer is suitable. Individuals who refuse to accept the retainers can use the option of pre-finishers which are rubber appliances and aimed to fix the gap between the teeth. Major complication after the placement of braces is accumulation of plaque in the dental arcade and the places around braces. Only, detailed and regular cleaning and flossing can help in this regard. Metal braces don’t suit to some individuals because of the sensitivities and in them it can lead to allergic reaction. Non allergic alternative metals can be tried in such individuals. Tongue may hurt and lingual ulcers may develop if proper hygiene is not considered. Braces are not delicate but they also can’t bear strong traumatic events so in case of any sport events or any physical activities guards should be used to save your teeth from direct trauma.

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