Types of Braces.

Braces options

Ceramic braces? Traditional metal?  Self-ligating brackets? What about Lingual braces? or may be invisible aligners? These days, there are many choices available to adults & children, and it gets confusing! Which type of braces should you choose? Can you choose, or is it strictly up to your Orthodontist ?

The type of braces you get depends on a number of factors:

1. The extent of your treatment ,depending upon severity of your bite or tooth crookedness.

2. If extractions are necessary.

3. If jaw surgery is necessary.

4. The amount of time you will need to wear braces.

5. The preferences of your Orthodontist.

6. How much is your Budget for Braces treatment.

7. What you, yourself desire. Would you feel embarrassed in metal? Do you prefer the look of ceramic or you want completely invisible lingual braces?

………Or you don’t care, as long as the outcome is good?

This section will try to answer some of your basic questions by presenting the pros and cons of each type of braces.
Please remember, your final choice is a combination of your preferences and our orthodontist’s recommendation for your kind of problem!

Metal Braces

Metal braces (stainless steel) are the most popular type of braces used throughout the country. If you choose metal braces for your treatment plan, we utilize the most comfortable, efficient, and technologically advanced metal braces available.

colorful Metal BracesMany patients enjoy having different colors placed on their braces as a means of personal expression and fun. Because it’s so simple to change the colors, feel free to swap them at every visit.

Pros.Cons.

girl wearing metal braces1. Metal brackets tend to be the least expensive of all the types of braces.
2. You can choose a darker ligature, which will not show curry, smoking, or black coffee stains.
3. Self-ligating brackets do not contain rubber ligatures, so staining will never be a problem.
4. They are strong and rarely gets Deformed.( mind you they can come out on chewing hard & sticky stuff)
5. Self-ligating brackets can complete treatment in a shorter time due to less friction.

6.Self ligating braces tend to be a more comfortable and hygienic.

 

1. They are more visible than ceramic
2. Very few individuals may be allergic to metal ( specially nickel)

Ceramic / Crystal Brackets

Ceramic / Crystal Brackets are made of a high tech glass-like composite material. The newer variety in them the ” crystalline ” one are very strong and generally do not stain.

ceramic/ crystal bracesThese are the type of braces many celebrities had worn/wear. Adults like to choose ceramic/ crystal because they “blend in” with the teeth and are less noticeable than metal. Most family and friends will not even notice your braces from a distance. Clear braces move your teeth in exactly the same way as metal braces do. Like metal braces, they are extremely comfortable to wear and very efficient at moving teeth.

Pros.Cons.

Adult wearing ceramic braces1. They blend in with most teeth. They are not very noticeable at a distance or in photos.
2. Some people feel that they are more comfortable than metal and irritate gums less.
3. Contrary to what you may have heard, ceramic brackets do not usually break or come off your teeth. They are very strong, and stay on as well as metal brackets.( mind you although they are strong , they can come out on chewing hard and sticky food stuff)

 

1. Ceramic/ crystal brackets are are usually more expensive than traditional metal brackets.

2.The clear or white ligatures (little elastics that hold the arch wire to the brackets) can stain, which defeats aesthetics of the ceramic braces. But those are changed at your monthly adjustment.

Invisible Braces (Lingual Braces)

Invisible Lingual Braces, the state-of-the-art design that offers an amazing technological advancement in orthodontic treatment, applied behind the teeth allow you to smile with confidence and are the truest Esthetic alternative to create a natural beautiful smile.
Lingual Invisible BracesDr.Naman Vora has received Personal training from Dr. Hee Moon Kyung (South Korea) in 2009, who is the pioneer in Lingual orthodontics in world. 

Dr. Naman Vora is also one of the earliest Lingual orthodontist in India who are Incognito ( USA ) certified.

Some of the points to be taken note of is that …..

1. The adaptation period is 2-3 weeks.
2. Patient may hurt or feel irritation of tongue, initially.
3. Chewing has to be very careful.
4. Initial speech discomfort , which usually gets corrected after few weeks
5. These are expensive in comparison to traditional braces.

The obvious benefit of this type of treatment is that no one will know that you are wearing lingual braces unless they look inside your mouth.

Pros.Cons.
Other people can’t see the brackets unless they look inside your mouth. 

1. They tend to hurt your tongue and make it difficult to speak at first.
2. They tend to be more expensive than traditional metal, because treatment is specialized.
3. Treatment can take a few months longer than traditional braces.( in some situations)
4. If you have severe problems, or need certain types of special appliances, lingual treatment may not be applicable.

Aligners

Clear AlignersClear Aligners
Clear Aligners are an alternative to traditional braces and are designed to help guide teeth into their proper position. Similar to braces, clear aligners use a graudual force to control tooth movement, but without metal wires or brackets. The aligners are made of a strong plastic material and are fabricated to fit each person’s mouth. Series of aligners are made, each aligner moves the teeth a little by little to desired position and new aligner is worn after that .
Each Aligners are worn for at least 20 hours a day to reach the desired maximum effectiveness. Each aligner is worn for 2-3 weeks before changing to the next one. The length of treatment with aligners depends upon the severity of each case. Typically, aligner treatment can be as short as 2-3 months or as long as 10-14 months.

Advantages of orthodontic treatment with aligners

AdvantageClear aligners are a great alternative for patients who want a straighter smile but do not want to wear traditional metal braces or for patients who have had orthodontic treatment in the past and want to make minor corrections to their smile.  There are several advantages to using clear aligners:

  • Clear aligners are removable so it is easier for you to brush and floss after meals
  • With Clear aligners , there are no food ristriction.one can enjoy food while undergoing smile enhancement.
  • Clear aligners are comfortable and less likely to irritate your gums and cheeks.
  • Clear aligners are sutaible for patients , who do lots of travelling and can not come to clinic often.(As in case of traditional braces which require tightening every 4-6 weeks)

 

FAQ Regarding Aligner

1. What is an aligner?
An aligner is a custom made clear plastic tray also called clear aligners ,that fits over your teeth and corrects their malpositioning.

2. How does it work?
Each aligner moves teeth a little bit by exerting pressure on them.

3. Can one aligner straighten my teeth?
No but a series of aligners can. Each new aligner moves your teeth a little bit further and you will/can eventually have straight teeth.

4. How many aligners are required to straighten my teeth?
It depends on the severity of the problem. Our Orthodontist Dr. Naman Vora can tell you approximate number of aligners once he does initial check up

5. Is there any age limit for aligner treatment?
It’s an adult orthodontic treatment hence there is no upper age limit, the minimum age limit is 14 years,
but you need to ask our Orthodontist for suitability

6. Is aligner removable?
Yes aligner is a removable appliance and you can eat, brush and floss your teeth and enjoy your normal life.

7. Is aligner invisible?
Yes aligners are nearly invisible and no body can notice aligners from a distance when you are wearing them.

8. Is aligner treatment painful?
Aligners put precise and light forces on to teeth so it is not painful but a slight discomfort may be experienced at the beginning of treatment, which goes away within 1- 2 days.
Aligners are made in medical grade plastic unlike metal wires braces, which hurt your cheeks and lips.

9. Is aligner a new appliance?
No it’s not a new appliance. Millions of People have already been treated with aligners in developed countries like USA, UK, Middle East and other European countries and their number is increasing everyday.

10. How frequently do I need to visit you while using aligners?
With aligners your visits are reduced significantly ,as it eliminates hefty work of changing / tightening wires . Hence its very popular among adults who do lots of travelling for their business and still wants to get that perfect smile .
It can also work for people who stay abroad and come to India every 6-12 months .

FAQ's

The Cost of treatment?

The cost of treatment depends on many factors such as the type braces you select, complexity of the treatment plan, severity of the malocclusion. Hence once our Orthodontist Dr. Naman Vora does the initial first consultation with you , he can suggest best Braces option available according to your budget and need.

Payment Schedule ?

Generally Braces treatment allows gradual payment of the agreed treatment fee over the duration of treatment in 2-3 installments. We will discuss the terms clearly with you during your first visit.

Extraction of Teeth?

Most patients hold the idea that extractions of teeth are necessary in orthodontic treatment. With proper diagnosis and setting of treatment goals, correct timing and sequencing of treatment, proper application and control of the orthodontic appliances, extractions can be avoided in more than two-thirds of the patients.

For adults, we try to avoid extraction of permanent teeth if possible. Extractions of teeth are recommended only in severe cases. Achieving a natural and harmonious profile of the face and a full smile is the primary objective.

Will it be very painful?

The pain from wearing braces has been exaggerated. The placement of braces is painless but once the pressure from the braces sets in, there may be some discomfort in the first few days. With the use of more “patient friendly” tooth-moving wires such as the titanium wires, the level of discomfort has been significantly reduced in recent times.

Most patients reported the discomfort as mainly due to a mild ache or tenderness of teeth during chewing.we generally prescribe mild analgesics ( painkillers) and ointment ( for rashes), which is sufficient to over come discomfort in first few days

What are lingual (invisible) braces?

Lingual braces are fixed braces bonded on the inside surfaces of the teeth and therefore are not visible to other people when you speak and smile. The procedure of installing the lingual (invisible) braces is painless and does not require any surgical operation. It takes 2 visits (about 3 weeks apart) to have the lingual braces bonded. Now a days you can get Customized lingual braces , in which braces are made according to your teeth size and shape …….hence results are more precise and are more comfortable than standard braces. During the first visit, an impression of your teeth will be taken to create a model of your teeth. A customized set-up of the lingual (invisible) braces on your model teeth is then made in the laboratory and this is then incorporated to a transfer tray. During the second visit, your teeth will be thoroughly cleaned and then the transfer tray will be used to localize and bond the braces onto your teeth.

Therefore, with the recent advances in the lingual techniques, better affordability and the fact that they are totally invisible, lingual or invisible braces are now becoming very popular with adult patients. 

Will they affect tongue or speech through treatment?

NO! Lingual braces are scientifically engineered and designed to be placed on the back of the teeth so that the tongue can easily adapt to these braces.Patients may experience soreness of the tongue and some initial speech impairment such as lisping. However, almost all patients with lingual braces adapt to it within 2-3 weeks.

Options to suit your needs and budget

Treatment with lingual (invisible) braces for the upper teeth and ceramic (clear) braces on the lower teeth is very popular with patients as almost all of them have no problems adapting to the upper lingual braces & the lower teeth are usually not apparent during speech and smiling. This treatment option lowers the initial discomfort level as well as the treatment cost.

For patients who are unwilling to reveal even a trace of braces on the lower teeth, lingual (invisible) braces on both upper and lower teeth will be the option for them. The procedure for this option will be to place the upper braces first to allow the patient to adapt it before placing the lower braces 2 to 4 weeks later. By doing so, most patients will be able to gradually adapt to the lingual (invisible) braces with minimum discomfort and impairment of chewing and speech.

Smile gallary

A healthy set of teeth and a great smile for the rest of your life will more than justify the short period of time invested.

So Go Ahead-Take the first step.

The answer to your individual problems can come only after a consultation with the orthodontist. The most difficult step is the first step in seeking treatment. This first step is to seek a professional opinion about your condition.

you can call on to +91 22 2567 8000 /01 to book an appointment with our Braces Specialist Dr. Naman Vora.

Dr. Vora's Dental Care We Treat We Care, Since 1975

Comments or questions are welcome.

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