Orthodontic treatment using fixed appliances is a common process for straightening teeth and correcting bite issues. In short, fixed appliances are brackets and wires attached to the teeth that allow for precise movement and alignment of teeth. This treatment is often recommended for those with more severe dental problems that cannot be corrected with removable aligners alone.
Fixed appliances work by applying gentle pressure to the teeth over a prolonged period. The brackets are carefully placed on each tooth and are connected by wires that are adjusted regularly to move the teeth into the desired position. Though the process can be lengthy, the end result is a beautiful, confident smile that will last a lifetime. While there are ups and downs during treatment, the payoff is worth it in the end.
Definition of Fixed Orthodontic Treatment
Fixed orthodontic treatment, also known as braces, is a dental procedure used to correct various dental abnormalities such as crooked teeth, overcrowded teeth, and bite problems. This treatment involves attaching brackets and wires to the teeth, which work together to gradually shift the teeth into their desired positions.
- Brackets: Small, square-shaped attachments that are affixed to the surface of each tooth using a special adhesive. These brackets serve as anchors for the orthodontic wires.
- Wires: Thin, flexible wires that are attached to the brackets and apply gentle pressure to the teeth, guiding them into their proper positions.
- Elastics: Small rubber bands that are attached to the brackets to help with certain tooth movements.
Fixed orthodontic treatment is typically recommended for children and teenagers, but adults can benefit from this option as well. The length of treatment varies depending on the severity of the dental problems, and can range from several months to a few years. It is important to maintain good oral hygiene, including regular brushing and flossing, throughout the treatment process to prevent any issues or complications.
How fixed appliances work
Fixed appliances, also known as braces, use brackets and wires to gradually move teeth into their proper positions. The brackets are attached to each tooth with a special adhesive and the wires are then threaded through the brackets and tightened regularly by an orthodontist.
- The brackets: Brackets can be made from traditional metal, ceramic, or clear materials. They are placed on the front surface of the teeth and coordinate with the archwire to apply pressure to the teeth and move them into proper alignment. Some orthodontists also use self-ligating brackets, which do not require elastic bands to hold the wire in place, making them more comfortable and easier to maintain.
- The archwire: The archwire is responsible for exerting constant gentle force on the teeth to move them to the desired position. The wire is changed throughout the treatment period to ensure consistent pressure is being applied. Orthodontists use various types of archwires, including super-elastic wires that can return to their original shape, shape-memory wires that gradually shift over time, and heat-activated wires that respond to the temperature in the mouth to apply the right amount of pressure.
- The elastics: Elastic bands are often used to connect the brackets to the archwire and create additional tension on the teeth. Elastics come in different colors and can be customized to fit the patient’s unique treatment needs. They are replaced every few weeks during check-up appointments.
As the teeth move, new bone grows in the space that is created, helping to provide support for the tooth in its new position. The entire orthodontic treatment process can take anywhere from several months to a few years, depending on the patient’s individual needs and goals.
Fixed appliances are effective in treating a wide range of dental issues, including overcrowding, gaps between teeth, overbites, underbites, and crossbites. They are a tried and true solution for straightening teeth and can result in a beautiful, healthy smile that lasts a lifetime.
| Pros | Cons |
|---|---|
| Effective in treating a wide range of dental issues | May cause discomfort or soreness after adjustments |
| Fixed appliances provide continuous pressure and treatment, meaning they are constantly working to achieve the desired result | Require careful maintenance and regular check-ups with an orthodontist to ensure proper progress |
| Can be customized with different bracket and wire materials to fit the patient’s individual needs and aesthetic preferences | May be more visible than other orthodontic treatment options, making some people self-conscious |
Overall, fixed appliances are a proven and effective way to correct dental issues and improve the appearance and function of teeth. With proper care and maintenance, the ultimate result can be a healthy, beautiful smile that lasts a lifetime.
Types of Fixed Appliances Used in Orthodontic Treatment
Orthodontic treatment with fixed appliances is a commonly used method to correct misaligned teeth and jaws. They are called fixed appliances because they are attached to the teeth and cannot be removed by the patient. There are several types of fixed appliances used in orthodontic treatment, depending on the specific needs of the patient.
- Braces: Traditional braces consist of metal or ceramic brackets that are attached to the teeth and connected with a wire. The wire puts pressure on the teeth to move them into the desired position. Braces are versatile and can be used for a wide variety of orthodontic issues.
- Lingual braces: These are similar to traditional braces, but the brackets are attached to the back of the teeth, making them virtually invisible. They can be used for many types of orthodontic problems, but they can be difficult to clean and may cause more discomfort than traditional braces.
- Self-ligating braces: These are similar to traditional braces, but they use a special clip or bracket that eliminates the need for elastic bands. This reduces friction and may make tooth movement more efficient.
Lingual braces and self-ligating braces are both more expensive than traditional braces and may not be covered by insurance.
In addition to these fixed appliances, there are other devices that may be used in conjunction with braces or alone, depending on the patient’s needs. These include:
- Headgear: This device consists of a strap that goes around the patient’s head and a wire that attaches to the braces. It is used to correct overbites or underbites by pulling the teeth and jaws into proper alignment.
- Palatal expanders: These are used to widen the upper jaw to correct issues such as overcrowding or a crossbite. They attach to the roof of the mouth and are adjusted over time to gradually widen the jaw.
- Retainers: These are worn after orthodontic treatment is complete to hold the teeth in their new position. There are different types of retainers, including traditional wire retainers and clear plastic retainers.
Each patient’s orthodontic needs are unique, so the type of fixed appliance used will depend on several factors, including the severity of the problem, the age of the patient, and the patient’s preference.
| Appliance type | Advantages | Disadvantages |
|---|---|---|
| Traditional braces | Effective for many orthodontic issues | Visible, may cause discomfort |
| Lingual braces | Almost invisible | Difficult to clean, may cause more discomfort than traditional braces |
| Self-ligating braces | May be more efficient than traditional braces | More expensive than traditional braces |
Whatever type of fixed appliance is used, it is important to follow all instructions carefully to ensure the best possible outcome. This includes keeping the teeth and appliance clean, avoiding certain foods that could damage the appliance, and attending all scheduled appointments with the orthodontist.
Candidates for Fixed Orthodontic Treatment
Orthodontic treatment with fixed appliances, also known as traditional braces, is a common method of correcting misaligned teeth and jaws. While there are other options such as clear aligners, fixed appliances are more suitable for certain patients. Let’s explore who is a suitable candidate for fixed orthodontic treatment:
- Patients with complex dental issues: Fixed appliances have the ability to address complex orthodontic cases such as severe crowding, crossbite, and open bite.
- Patients with compliance issues: Clear aligners require strict adherence to a wearing schedule and good oral hygiene practices. Patients who are unable or unwilling to maintain these habits may not be good candidates for clear aligners and would be better suited for fixed appliances.
- Young patients with developing jaws: Fixed appliances can be more effective at guiding the growth of a developing jaw in children and adolescents. This is especially important in cases where orthodontic treatment is necessary to avoid future dental issues.
Fixed orthodontic treatment is suitable for a wide range of patients, but it’s important to consult with an orthodontist to determine if it is the best option for your specific case.
Types of Fixed Orthodontic Appliances
Fixed appliances come in various forms, with different materials and mechanisms designed to treat different types of dental issues. Here is a breakdown of the most common types of fixed orthodontic appliances:
- Metal braces: The traditional type of braces, made of metal brackets and wires. They are the most durable and cost-effective option, but are also the most noticeable.
- Ceramic braces: Similar to metal braces, but with tooth-colored or clear brackets to make them less noticeable. They are slightly more expensive than metal braces and may require more maintenance.
- Lingual braces: Fixed appliances that attach to the back of the teeth, making them invisible from the front. They are the most expensive option and may require a longer treatment time due to their complexity.
Risks and Benefits of Fixed Orthodontic Treatment
Like any orthodontic treatment, fixed appliances come with their own set of risks and benefits. Here are a few to consider:
Benefits:
- Effective at correcting complex orthodontic issues
- Durable and long-lasting
- Can be more effective at guiding jaw growth in young patients
Risks:
| Risk | Description |
|---|---|
| Tooth decay | Fixed appliances can make it harder to clean teeth, increasing the risk of decay and gum disease. |
| Mouth sores or discomfort | The metal brackets and wires can cause irritation, sores, and discomfort in the mouth. |
| Bite issues | Fixed appliances have the potential to change the way the teeth come together, leading to bite issues such as overbite or underbite. |
Overall, fixed orthodontic treatment can be a highly effective solution for many patients with misaligned teeth or jaws. The risks and benefits should be carefully considered with the help of an orthodontist to determine if it is the right choice for you.
The pros and cons of fixed orthodontic treatment
Fixed orthodontic treatment refers to braces and other appliances that are attached to the teeth and remain in place throughout treatment. While this type of treatment can effectively straighten teeth and correct bite issues, there are also pros and cons to consider.
- Pros:
- Effective: Fixed appliances are highly effective at correcting a wide range of orthodontic issues, including crowded teeth, gaps, and bite problems.
- Customizable: Brackets and wires can be customized to fit the unique needs of each patient, ensuring the best possible results.
- Non-removable: Unlike removable aligners, fixed appliances cannot be removed, which ensures that treatment is consistent and effective.
- Shorter treatment time: In many cases, fixed orthodontic treatment can achieve results faster than other types of treatment.
- Cons:
- Visibility: Fixed appliances are highly visible, which can be a concern for patients who want a more discreet treatment option.
- Discomfort: Braces and other appliances can cause discomfort and soreness, particularly immediately after they are placed or adjusted.
- Oral hygiene: Fixed appliances can make it more difficult to clean teeth and gums, leading to an increased risk of decay and gum disease if proper oral hygiene is not maintained.
- Diet restrictions: Patients undergoing fixed orthodontic treatment may need to avoid certain foods that can damage or dislodge brackets and wires.
- Cost: Fixed orthodontic treatment can be more expensive than other types of treatment, which can be a concern for some patients.
When considering fixed orthodontic treatment, it is important to weigh the pros and cons carefully. While the benefits can be significant, it is important to be aware of the potential drawbacks as well in making the right choice for your individual needs.
How to care for fixed appliances during treatment
Wearing braces can be a significant change to your daily routine. We understand that adjusting to a new oral care routine can be difficult at first but taking care of your braces is essential to ensure the success of your orthodontic treatment. Here are some tips to make sure that your braces stay clean and in good condition during treatment:
- Brush your teeth after every meal – food particles can get stuck in the brackets and wires, which can cause tooth decay and bad breath. Brushing your teeth after every meal can eliminate food particles and keep your mouth bacteria-free. Use a soft-bristled toothbrush and fluoride toothpaste. Make sure to take your time and brush every surface of your teeth and braces.
- Floss daily – flossing is critical to get rid of plaque and food debris that are left behind after brushing. Failing to floss can lead to gum disease and other serious oral problems. Flossing with fixed appliances can be slightly challenging. But, with a floss threader or special orthodontic floss, you can effectively remove food particles and plaque from between your braces and teeth.
- Avoid hard, sticky, and chewy foods – foods such as popcorn, hard candy, chewing gum, and nuts are notorious for damaging braces. They can cause bracket breakage and wire damage, which can prolong your treatment time. Stick with soft foods that are easy on your braces and teeth.
In addition to proper oral hygiene, you will also need to take extra precautions to ensure your braces stay in excellent condition. Here are some additional care tips to keep in mind:
First, avoid accidental damage to your braces, which can occur during sports or other physical activities. That means you will need to wear a mouthguard when participating in contact sports. Additionally, you should avoid using your teeth to open packages or cut things as this can cause wire damage or breakage.
Lastly, it’s essential to attend regular check-ups with your orthodontist to ensure that the treatment is on track and that your braces are in good condition. They will be able to detect any issues and recommend any necessary changes or repairs.
| Food Group | Recommended Foods | Foods to Avoid |
|---|---|---|
| Grains | Soft bread, tortillas, pancakes, waffles | Crunchy cereals, hard taco shells |
| Fruits & Vegetables | Soft fruits (bananas, berries), steamed vegetables | Raw carrots, apples, corn on the cob |
| Dairy | Soft cheese, yogurt | Hard cheeses (cheddar), ice cream |
| Protein | Soft cooked chicken, meatballs, seafood | Beef jerky, hard nuts, chewy meats (steak) |
Keeping your braces clean and in good condition is essential to ensure that your orthodontic treatment is successful and completed on time. By following these care tips and consulting your orthodontist regularly, you can achieve a healthy and beautiful smile.
Average duration of fixed orthodontic treatment
Fixed orthodontic treatment refers to the use of braces or other appliances that are attached to the teeth and cannot be removed by the patient. This type of treatment is usually required in cases where the teeth need to be moved significantly or where there is a more complex orthodontic problem that cannot be corrected with removable appliances alone.
One of the most frequently asked questions about fixed orthodontic treatment is how long it will take. While the exact length of treatment will depend on the individual patient’s needs and the complexity of the case, there are some general guidelines that can be helpful.
- The average duration of fixed orthodontic treatment is between 18 and 24 months.
- Some cases may require more or less time, depending on the severity of the problem and the patient’s compliance with treatment recommendations.
- Minor adjustments or touch-ups may require only a few months of treatment, while more complex cases involving jaw surgery or other interventions may take longer than two years to complete.
It is important to note that the length of treatment time is only one factor to consider when deciding whether to undergo orthodontic treatment. The benefits of treatment can last a lifetime and include improved oral health, better function and comfort when eating and speaking, and a more attractive smile.
Overall, although orthodontic treatment can be a significant investment of time and resources, it is often well worth the effort and the results can be truly life-changing.
Here is a table showing the average duration of fixed orthodontic treatment based on different factors:
| Factor | Average Duration |
|---|---|
| Mild to moderate crowding or spacing | 12 to 18 months |
| Severe crowding or spacing | 18 to 24 months |
| Mild to moderate malocclusion (bite problems) | 18 to 24 months |
| Severe malocclusion requiring surgery | 24 to 36+ months |
Again, it is important to keep in mind that these are general guidelines and each patient’s case is unique. The best way to get an accurate estimate of treatment time is to schedule a consultation with an experienced orthodontist who can assess your needs and make treatment recommendations tailored to your specific situation.
What is orthodontic treatment with fixed appliances?
1. What are fixed appliances?
Fixed appliances are orthodontic devices that are attached to the teeth and cannot be removed by the patient. They include braces, brackets, bands, and wires.
2. How do fixed appliances work?
Fixed appliances gently apply pressure to the teeth to align them to the desired position over a specific period of time.
3. Will fixed appliances hurt?
Fixed appliances can cause some discomfort and soreness initially after they are attached. However, any pain or discomfort can be relieved with over-the-counter painkillers.
4. How long do I have to wear fixed appliances?
The duration of orthodontic treatment with fixed appliances varies depending on the severity of the misalignment and the individual. Typically, patients wear fixed appliances for 18-24 months.
5. Do I need to adjust my diet while wearing fixed appliances?
Patients with fixed appliances should avoid hard, sticky, or chewy foods that can damage the appliances or loosen the brackets and wires.
6. How often do I need to visit my orthodontist while wearing fixed appliances?
Patients with fixed appliances should visit their orthodontist every 4-6 weeks for adjustments and checkups.
7. What happens after the fixed appliances are removed?
After the fixed appliances are removed, patients will be given a retainer to wear. This helps to keep their teeth in their new position and prevent relapse.
Closing Thoughts
Thank you for taking the time to learn about orthodontic treatment with fixed appliances. If you are considering orthodontic treatment, it is important to consult with an experienced orthodontist to determine the best treatment option for your individual needs. Don’t hesitate to contact us if you have further questions or to schedule an appointment. We look forward to seeing you soon!