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Metal Braces

Metal Braces

Braces are a fundamental component when we talk about dental alignment. These are small therapeutic structures used by the orthodontist, who temporarily attaches them to the teeth.
As the demand for orthodontics has been increasing, multiple variations of brackets have been developed according to the specifications and needs of each individual patient. Each bracket has unique properties and extra advantages. But the orthodontist will always be the one to advise before any procedure what type of bracket best suits the budget and requirements of each patient.
At Amaris Dental Clinic we know the struggle that our patients face, and that is why we offer all kinds of orthodontics and root canal treatments. And what is more important: We accompany, teach and provide the patients with the tools to have healthy and strong teeth at a totally affordable price.

Metal braces: classic orthodontics

Although recent orthodontic techniques may try to take away the podium, metal brackets will always be the most used due to their versatility and affordable price. The placement of this type of bracket helps us to align the teeth in a proper way, and it is something that cannot be expected from all the new generations of dental systems.
This type of orthodontics does not require large metal brackets. The friction of the archwire with the oral cavity is usually minimal, and this is why it is a precursor of dental movement. Therefore the treatment time is quite short.
Usually, these types of brackets are made of stainless steel for biomedical use, thus preventing the appearance of allergies. Unless the patient has any allergies to nickel, titanium or esthetic brackets can be used.

How do metal brackets operate?

The function of metal brackets is to move the teeth into the correct functional and esthetic position. Therefore, one of its uses is to place the teeth in a different position in order to restore the jaw and its chewing process to a better condition. It also helps dental hygiene, as it is less complicated to brush due to its linear characteristic.


After identifying the main goals of the treatment, the technique requires a series of steps or basic elements. These are the archwire, ligature, and brackets.

 

Here are their functions:

 

  • Arch: The mission of the arch on the tooth structure is to place some pressure on the dental line along with the ligatures.

 

  • Ligature: It is used to fix the bracket to the archwire, allowing it to apply the force needed to make it immovable.
    There are two types of ligatures: metal and rubber. The main one, which is the metallic one, is used to apply pressure and the second one is used when the pressure is required to make a lower impact movement.

 

It should be noted that rubber bands can be colorful, so they are a very attractive option for children who need orthodontics.

 

  • Bracket: The bracket is used to fix the path or direction to be given to the dental piece. For this, it is necessary to cement it in the right place. In other words, it should not be placed inside or in the center of the tooth.

Although all these elements are fundamental for orthodontic treatments, intermaxillary elastics can be used. These have the function of correcting the act of chewing, in addition to promoting dental alignment. They are usually placed from top to bottom and their function is also to join the upper arch to the lower arch.

How are they placed?

As mentioned above, these are made of high-quality stainless steel. Although it is the cheapest dental technique, it is usually the least visually pleasing. Therefore it is usually used for children or teenagers, to whom aesthetics is not so necessary or of great importance. This type of bracket has a totally innocuous process, therefore local anesthesia is not necessary.

 

Brackets can be placed following two different techniques:

 

  • Direct cementing: This technique is based on the fixation of the brackets to the dental pieces. It is usually a somewhat extensive and complicated process, making it the most tedious to perform for both the orthodontist and the patient.

 

  • Indirect bonding: The process is carried out in a laboratory on plaster molds, which help to custom-fabricate the brackets from the patient’s mouth thanks to a transfer splint made of thermo-moldable plastic.

 

It is usually much faster and more accurate than direct bonding and even prevents inconvenience from readjusting the brackets earlier in the process. Although it is normal to feel some discomfort at the beginning due to the pressure exerted by the archwires on the teeth, this can be relieved by taking painkillers prescribed by a health specialist.

 

Once the brackets have been placed, patients should have a check-up every 4-6 weeks. At these check-ups, the orthodontist will verify the correct development of the treatment and make the necessary adjustments to achieve the desired movements in the dental arch.

Advantages of metal brackets

  • Metal brackets are considered the cheapest of all: The type of material required facilitates the adaptation between value and functionality.

 

  • They are versatile: When it comes to replacing a bracket or piece when it breaks or falls off, their composition makes it possible to intervene on them without involving the other orthodontic structure that is already attached to the dental piece.

 

  • They are effective: Compared to other orthodontic materials, these have a slightly superior advantage.

 

  • It is the most recommended type of orthodontics among dentists, especially in severe cases.

Disadvantages of metal brackets

  • Harmful to the oral area: The ends and edges of metal brackets in half of the cases tear or damage the outer tissue of the gums and even the cheeks. This also causes sores, ulcers, and annoying chafing.

 

  • Poor esthetics: One of the main reasons for orthodontics is dental esthetics. For this reason, metal brackets are the least chosen for this type of dental esthetic treatment, as they are exposed to the naked eye and promote visual disharmony. Although there are different sizes of metal brackets on the market, people will always dislike the metallic tone of these.

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