Fixed Orthodontic Treatment (Braces)

Every individual has a slightly different occlusion or bite so treatment techniques vary for individual cases. Braces, the most common approach, help to slowly move the teeth by applying precise amounts of pressure over a long and controlled period of time. As the teeth move, the bony tooth socket resorbs and changes shape as pressure is being applied. And at the end of the treatment teeth get adjusted in the new desirable position.

Orthodontic treatment takes place in two phases:

The active treatment phase :
this involves the use of braces or other appliances to move the teeth into proper alignment and coordination

The retention phase:
this involves the use of a retainer to hold the teeth in their new position for the long term.

Active treatment phase :
You can choose between braces made of metal or ceramic. However, orthodontic treatment usually is done using stainless-steel brackets. Ceramic or plastic brackets often are chosen for cosmetic reasons

Braces work by applying continuous pressure to move teeth in a specific direction. Braces are worn on average for one to ane and a half years. As treatment progresses, teeth change position and the braces must be adjusted.

When applying braces, the orthodontist will attach tiny brackets to your teeth with special dental bonding agents. He will then place wires called arch wires through the brackets. The arch wires, which usually are made of a variety of alloys, act as tracks to create the path of movement that guides the teeth. Wires made of clear or tooth-colored materials are less visible than stainless steel wires but are more expensive. Tiny elastic bands, called ligatures, also can be used to hold the arch wires to the brackets.

You can expect to be a little uncomfortable for the first few days after getting braces. Your teeth may be sore, and the wires, brackets and bands may irritate your tongue, cheeks or lips. Most of the discomfort disappears within a week or two, although you may experience moderate pain when wires are changed or adjusted. Any abnormal discomfort may be brought to our notice and can be taken care of.

Retention appliance – purpose and duration

A retainer's purpose is to maintain tooth positions after corrective orthodontic treatment. Once your occlusion (the way your upper and lower teeth fit with each other) is corrected, bone and gums need additional time to stabilize around the teeth. The recommended length of time for wearing a retainer varies for each individual being treated. Minimum period for which the retention appliance is to be worn is one year, but may be a little longer in certain cases.