Treatments // Braces

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Braces – Fixed appliance

Before placing braces on your teeth you will need a check-up to ensure that you have no active dental disease and your oral hygiene is good.

Braces can be fixed or removable

Fixed braces consist of brackets and bands bonded or cemented to your teeth and very thin metal wires that gently move your teeth into their right positions. Brackets are generally made of metal although tooth-coloured ceramic or plastic ones can be used but mostly only on upper teeth. The wire is tied into the brackets generally with a coloured plastic ring. Removable braces are sometimes used when you are still growing or if you still have baby teeth left. Functional removable braces are used to change jaw growth to normalise your bite.

Steps in fixed braces treatment

First Visit:
X-rays, photos and impressions for plaster study models of your teeth are taken. We will plan your treatment using these records, frequently teeth need to be removed so that a space can be crated to allow the alignment of the teeth. The extractions are usually done just before the fitting of your braces.

Second Visit:
We will bond the brackets and place the wires.

Subsequent Visits:
(Every 4 to 8 weeks) Adjustments are made to the braces by way of wire-changes, adding springs, elastics or other accessories.

When treatment is completed:

Your fixed braces will be removed at a debanding appointment, followed by removal of cement and the polishing of your teeth. Moulds of your teeth in their new positions are taken to make retainers. After your braces are removed, you will need retainers to hold your teeth in their new positions for the next few years.

How long does treatment take?

The normal period of treatment with fixed braces is between 12 and 24 months although the exact time scale cannot be known at the outset. You will need to make time every 3-6 weeks to visit if you wish your treatment to finish well and on time.

How will braces affect my daily life?

Speech: With regular fixed braces, speech is normally not affected at all, however if your condition requires a palatal expander appliance to be fitted at the roof of your mouth, this may interfere with your speech for the first couple of days..

Playing musical instruments: If you play a musical instrument with a mouthpiece, it will take you one to two weeks before you become as skillful as before.

Brushing with braces: With braces on, your teeth are more difficult to clean.. Brushing your teeth properly after every snack and meal will reduce the risk of decay and gum disease. In addition, five minutes of brushing is needed every morning and night. Have your toothbrush available to brush after meals as well as at your orthodontic visits. You can use disclosing solution to check if your teeth are clean. You will need to replace your toothbrush more often as it will wear out faster.

Eating and diet restrictions: Eating hard food may dislodge the brackets or bands and damage the wires. Avoid eating nuts and biting on nails or pencils. Do cut hard fruits into small and thin pieces before eating them. Avoid food and drinks with high sugar content such as sweets and soft drinks.