Dental braces are the devices that are used in orthodontic treatment that corrects and straighten the teeth which are crowded, crooked, non-aligned or irregular spacing. Braces help to create a more attractive and healthy smile for both children and adults by moving the teeth into its ideal position. This also helps in aiming improving the dental health.
Procedure: The dental braces procedure begins after the cheek retractor is used to keep the teeth visible and dry. The teeth are polished first to ensure that the brackets bond properly after which they are air-dried.
Further for preparing them for bonding the brackets a conditioner is used on the front surfaces of the teeth for 30 seconds. Proceeding further to enhance the bonding process, the brackets are cleaned off, the teeth are dried, and an adhesive primer is placed on the teeth.
Cement is applied to the predetermined positions on the teeth after placing it on the back of the brackets. The excess cement is removed after the brackets are placed in their position and gets hardened into place with high-intensity light. Now the dental arch wires are put into place and the retractor is removed.
Adjustments: After the braces are placed inside your mouth, appointments for regular adjustments are necessary. This is because the elastic ties holding the wires in proper place stretch and weaken over time. These wires would be incapable of creating the proper pressure to correct the dental issues requiring treatment without proper adjustments.
Your movement of teeth and progress made are being evaluated by your orthodontist during your adjustment appointments. This may help dentists for further recommendation to improve the final outcome of the treatment plan.
You can get to feel some tightness, typically progressing to soreness which will last for approximately four to six hours after the adjustment procedure of post fitting of braces into your mouth. This soreness is the direct result of the replacement wires tightening the teeth into position. You will undergo a pain same like when your dental braces were placed initially which can be relieved by using OTC pain relievers.
Living with Braces: Proper oral hygiene should be maintained and some certain types of food need to be avoided for braces wearers. Also it is very important to brush at least three times a day because inadequate brushing may lead to damage of the enamel. It highly suggested carrying a tooth brush by many orthodontists so that you may brush your teeth after lunch while at work or school. Sticky foods diet should be avoided as they can get stuck under your braces and possibly causing detachment. The bond between the brackets and enamel can be break by hard foods and candy; hence they should also be avoided.
Braces removal: Your braces will be removed with a simple and relatively painless process once it is confirmed by your orthodontist that your treatment is complete. The bond between the brackets and your teeth is safely and gently broken. The brackets can be removed when the adhesive bond releases and when the bases of the brackets are removed. The adhesive is left on the teeth to prevent the damage to the enamel and tooth structure during the process.
A dental hand piece is used to remove the remaining bonding cement after all the brackets are removed. The pain will be minimal because no tooth structure is being removed as the hand piece used is typically the same tool that would be used for repairing a cavity. Your gums may be slightly inflamed after all bonding cement has been removed, but this will usually deplete in a few days by brushing regularly and proper flossing.
Recovery and Aftercare: After one or two weeks of your dental braces removal an appointment is made for retainer replacement. Retainers are however can be prepared and placed inside the mouth at braces removal appointment.
Retainers are one of the key devices which is necessary during the “retention period” of orthodontic treatment. These retainers are very much helpful in providing a proper completion of treatment by making the teeth relatively stable and retain to its proper shape after the braces removal. You should meet your regular dentist for a teeth cleaning once your braces are being removed. It is very much important to go through a thorough oral cleaning of your teeth after removal of braces so that your orthodontist can clean any leftover adhesive from the area where braces were there.
Aligners are attractive alternatives to traditional braces and they are designed to guide the teeth into their proper position. Unlike metal braces, aligners are minimally invasive and they do not trap food particles or plaque between the teeth. Aligners are easily removable while eating, brushing and flossing, or any other important events. These are recommended frequently for adults with mild spacing problem and are not recommended to children and adolescents with non-permanent teeth.
Aligners use a gradual force to control the teeth movement but without using metal wires or brackets. These are made of strong plastic material and are customized accordingly to fit into everyone’s mouth. The latest computerized technology is being used to fabricate these devices in a laboratory. The aligners come in sets and the number depends on the orthodontic condition. In order to reach the desired maximum effectiveness the aligners should be worn for at least 20 hours a day. These aligners should also be removed infrequently depending upon various other factors like type and severity of alignment, and the type of aligner (Invisalign, ClearCorrect) used. The treatment time generally ranges from 9 to 24 months and the costs for clear aligners are comparably higher than traditional braces.