Treatment with orthodontic braces is gaining popularity in Russia.
Braces - Specialized Dental Designs for correction of malocclusion or malposition.
Pathology of the bite is common, so many think about the timing of wearing braces.
Duration of wearing, depending on the pathology
It is worth noting that the duration of wearing braces depends on the pathology, and the teeth do not move fast, only 1 mm per month.
So, minor defects that can be considered cosmetic are corrected. from several months to a year.
When correcting serious defects, it will be required as at least two years and some surgical intervention.
It is customary to divide pathologies into classes that determine how much time you need to walk with braces.
A common classification of pathologies is division of Engel.
How long do they go with the device for pathology of the first class
- Physiological. The system has the correct ratio of dentition, but there are minor defects of individual teeth. For example, the gap between the incisors, a similar defect should disappear on its own to five yearsbut sometimes remains in adults. The defect is considered cosmetic, and it does not take much time to fix it.
- Front incisors, crowded incisors. Due to the mismatch of the arc and the number of teeth, crowding is obtained, in which case the incisors are removed, and the remaining teeth install braces. Treatment of the problem takes not less than a year.
- Gaps between the teeth. The duration of treatment depends on the number of gaps and the distance between the teeth. When the deciduous teeth are replaced by molars, the intervals are normal, but subsequently, if the distance remains, then this is considered a pathology.
Photo 1. Correction of the gaps between the teeth with the help of braces. There is a contraction of the dentition.
- Teeth erupt in place. The tooth buds were not distributed correctly, for example, if the mother was ill in the first trimester of pregnancy or the baby was injured while taking birth. Then the tooth, erupted out of place, is removed, and the bite is corrected with braces. The wearing time depends on the number of extracted teeth and the resulting gaps.
Second and third grade
- Mesial type of bite - underdeveloped upper jaw.
- Deep bite - the lower rows of teeth overlap the upper.
- Distal type of bite - underdevelopment of the lower jaw.
- Open bite form - dentitions cannot close in the lateral and anterior parts.
- Cross type of bite - during the closing of the teeth, the incisors intersect.
Attention! Pathology second and third grade talk about the real problem, which significantly increases the period of wearing braces and observation by a specialist. In this case, one should speak not only about the pathology of the teeth, but also anomalies in the development of the jaw.
How long does it take to walk with braces for an adult
If bite correction occurs from 18 to 23 years oldwhen the dentition is not fully formed, the treatment will be faster than in an adult with a mature system.
The average recovery time is from one and a half to two years, the maximum wearing period is three years, after which the system is removed or changed to retainers.
How much to wear to level the teeth of adolescents
Under 18 years oldwhen the formation of the dentofacial system is still in the process, it takes much less time to restore and correct the bite. In this case, you can only put the first braces after 13-14 yearswhen the second molars appeared.
The minimum wearing period is six monthsmaximum - two and a half years.
How many braces of different designs and materials wear
- Lingual. The main difference between these braces is the installation on the inside of the teeth. Thus, they are completely invisible to those around them. The main disadvantage is that more time is needed to correct the bite. Therefore, the minimum wearing period 1-1.5 years even with simple cosmetic flaws.
Photo 2. Lingual braces. Products are installed on the inside of the teeth, which is why they remain invisible.
- Metal. The classic bracket system. The main minus is the appearance of the braces, so many refuse them. The duration of treatment depends on the clinical case, the average period of wearing from 1.5 to 2 yearsmaximum - 3 years.
- Plastic Made of special plastic, the cheapest and easiest to maintain. For teenagers, the option of multi-colored braces is possible. The maximum wearing period is three years, the minimum from six months to a year.
- Ceramic. They are made of ceramics and are practically invisible on the teeth; therefore, they are in demand by patients. At the same time, it is worth remembering that ceramics are painted under the influence of wine, tea and coffee and require additional care while wearing, it is also worth giving up smoking. For minor defects enough years to wearbut no more than three years constant wear.
- Sapphire. It is worth installing sapphire braces only on white teeth, because single-crystal sapphire will only emphasize the existing yellowness of the teeth. Sapphire braces need special care, wear terms coincide with the terms of wear of ceramic systems.
How long does it take to get used to leveling systems
At first, wearing bracket systems is quite inconvenient. Foreign objects in the mouth rub cheeks and gums. The teeth begin to move, and this is a rather painful process.
But the discomfort passes during the first week. Unpleasant sensations pass over time. It’s better to get used to braces with arcs right away than to stretch the system installation process.
Ways to ease addiction:
- Do not move your lips actively. You should not explore new objects on the lips, this will lead to rubbing and aggravate the pain.
- Use wax. Wax all parts of the system that rub the most. The orthodontist will supply you with the necessary amount, which will help you survive the adaptation period.
- Continue to live actively. Continuous activity will distract from the problem. Do not leave your child at home, it is better to send him to school, where time will fly by much faster.
- Eat only soft foods.
- Do not touch the braces with your hands.. The faster you get used to it, the faster and more painless the treatment will go.
Wearing a retainer after braces
Retainer - a design that helps to consolidate the result obtained when wearing bracket systems. Refusing to wear retainers is undesirable because, otherwise, the teeth will grind to their old places.
Photo 3. Retainer, which is installed on the teeth after wearing braces. The product is a metal arc.
Socks vary from six months to several years, depending on the pathology. At the stage of wearing retainers, gums are restored and the result obtained during treatment is consolidated.
At the first stages of recovery, retainers wear for twenty four hours, then after examining the doctor, they can be set only for the night.
With the right approach to wearing braces and the professional determination of pathology by the attending physician, system wearing times will be reduced to the minimum possible. With cosmetic defects that do not require serious intervention, the period will be from several months to a year. With serious pathologies, you will have to wear the system for two to three years and restore the condition of the teeth with the help of a retainer.
Since popular systems are created from metal parts, they will certainly have an effect on the internal cavity. Braces are the part that sticks to your teeth. They can be of several varieties and affect the mucous membrane and cheeks in different ways:
The usual ones are small flat parts with a groove for the arc and recesses for securing the ligatures. As a rule, all corners are rounded and when in contact with the skin do not cause injuries or discomfort,
With levers - components that have bulging grips, on which ligatures, springs will then be attached. These grips are made in the form of hooks with rounded heads. They can cause irritation of the mucosa and cheeks on contact,
Fixing - braces with a frame for putting on the root teeth. The main units for fixing the arc, metal or rubber ligatures are also located there. According to the installation experience, it is near the root teeth that surface injuries most often occur,
Leveling arc - most in contact with the inner surfaces of the lips and cheeks. It can cause irritation and even wounds. At the first sign of discomfort, it is about 3-4 days after installation, you need to contact your dentist for help.
The solution to the problem is that in the first stages after installation, you need to use a special orthodontic wax. It reliably closes all protruding and interfering parts, creating a smooth rounded surface. If possible, metal parts can be cut. It will take literally five minutes to the doctor, and the patient will not suffer from unpleasant sensations. Especially if it’s a dentist and bracket specialist.
Bracket breakage and peeling
The question is often asked about the possibility of damaging the tooth with braces or breaking the bracket itself. The doctor usually finds it difficult respond to such a maxim, since in the practice of work it is impossible to inadvertently damage a metal structure. The only exception is plastic and ceramic. But here you need to try very hard to chop off the structure or damage the tooth under it. Usually, this is achieved by physical and mechanical stress, shock, picking, or other processes.
On the other hand, a lot is not necessary for the bracket to peel off. A special cementitious compound with particles of fluorine and calcium is used for fastening. He firmly attaches the structure to the teeth. Peeling braces is a very common problem. It is associated with a violation of the basic rules of use. The reasons for this may be a targeted effect on the elements of the system, the use of hard foods, mechanical actions, such as fights or falls.
Many are afraid to swallow a bracket when it falls off. Although this situation is possible in rare cases. After all, they are attached by ligatures to the arc and, when falling off, remain hanging on it.
Diet and weight loss with braces
Many people believe that orthodontic systems contribute to weight loss. It's true. There are a lot of dietary restrictions and all of them are designed to protect the structure and not harm the teeth, gums and health in general. When wearing braces, you must not:
Eat malleable foods - muffin, jam, chewing gum, candy. As a rule, these are sweet products. They get stuck between parts of braces and arcs. Scrubbing them out is pretty hard
Solid food - gnaw apples, crackers, fruits and vegetables with a dense structure. All this must be consumed in chopped or grated form. Biting off is not advisable for several reasons. Firstly, incisors with glued brackets cannot perform their functions and simply miss the peel. Secondly, contact with solid food will cause the fasteners to fall off,
Drink coffee, wine, juices, smoke. This is especially true for plastic and ceramic systems. They may stain and lose their attractive appearance. In addition, it is likely that poor-quality and caustic dyes can change the color of cement. Few people will like it if the bracket is glued to the white tooth with red or brown material.
The basic principle of the diet when wearing braces can be formulated simply. Anything that can harm the integrity of the system, its reliability and fastening in the oral cavity - this is not allowed to eat and drink. On the other hand, everything described above fits into the norms of a healthy diet and helps to improve the patient’s condition.
Does age affect how much braces wear?
Orthodontic treatment is indicated for patients who have certain defects in occlusion and tooth position. The time of wearing braces is determined by many factors: how old the person is, what the problem is, what kind of system is chosen, how experienced the orthodontist is, and so on. If we are talking only about crowding of teeth, the period of wearing braces will be short-lived, and if the task is to correct incorrect occlusion, then the treatment will be delayed.
More or less accurately you can determine the minimum period for wearing braces - from about six months to a year. This is enough, for example, if the incisors protrude a little. However, when it comes to serious deviations from the norm, the minimum period for wearing braces grows to 1.5 years.
Now let's look at how many braces on the teeth adults and children wear. During the formation of the dentofacial system, the treatment is an order of magnitude faster, so up to 18 - 23 years you will not have to spend too much time correcting the bite. How much braces to wear for a teenager depends on the clinical case, but the duration of treatment will be about six months less than that of an adult. This begs the logical question: how much to wear braces for an adult? On average, you can focus on the number of 1.5 - 2 years, and the maximum period for wearing braces is about 3 years.
As a rule, parents are interested not only in the duration of therapy, but also at what age children wear braces. It should be borne in mind that staples can only be placed after the appearance of the second molars, when the growth of the jaw system slows down. This occurs at the age of 11 to 13 years.
The positive effect will be noticeable literally after a month of wearing braces! This is a great motivation for those who are just starting treatment.
How many years have braces been worn depending on the type?
Orthodontic appliances differ from each other by their location (vestibular and lingual), the presence of ligatures, as well as the material of manufacture (metal, ceramics, sapphire, plastic, and combinations thereof). To a large extent, the amount of braces you need to wear to even your teeth depends on the type you choose.
Orthodontists say that wearing classic ligature designs takes a little longer than self-ligating ones. “Bites” the correction of the bite and the choice of internal lingual braces, but aesthetics do not suffer with them.
The fastest are ligature-free metal braces: how much to wear depends on the clinical case, but on average the treatment period starts from a year. With the same degree of anomaly, ceramic, sapphire and plastic systems will have to be used within 1.5 - 2 years, since they are less durable. These numbers show how much adult braces are on. In children, the process, as a rule, is faster.
Stages of wearing braces from installation to removal
Brace bite treatment consists of several stages:
- Bracket system selection
- Installation of braces in the oral cavity,
- Treatment and correction,
- Braces removal,
- Retention period.
The patient begins to wear braces after installing the system on the teeth and until removal. The main steps when wearing the orthodontic apparatus are regular visits to the orthodontist's doctor and correction of the system. You need to visit a doctor once every 1-1.5 months, depending on the type of bracket system. When treating with self-ligating braces, the correction of the apparatus occurs less frequently.
Why do you need elastic bands and traction for braces (elastic)
When treating a malocclusion with braces, the main elements of the system and additional (auxiliary) elements are installed on the teeth. The main ones include: braces (locks), orthodontic arch, ligatures and elastic bands, if necessary. Additional elements include: elastic bands, elastic, rings, ligatures, traction, fastenings.
Additional elements are used in the presence of pathologies of individual teeth, as an aid to treatment. For example, pulling, moving, turning, tilting a tooth. Traction or elasticity is a necessary element for creating additional pressure on the teeth or jaw areas, as well as for directing the teeth in a certain direction. Elastics create a pulling force to guide the teeth. The main functions of elastics are:
- acceleration of the treatment process,
- creating additional pressure
- tooth extension
- direction of teeth.
The rods are rubber rings made of special elastic material. Elastics are hypoallergenic, healthy and suitable for everyone. They can be of different colors, thicknesses, diameters and shapes. With the help of rods, the doctor connects the necessary braces in various combinations to achieve the desired result. The disadvantage of elasticity is the loss of elasticity after a certain period of time. At the doctor’s appointment, rubber rods are replaced and the system is corrected.
What happens to teeth when worn
When wearing braces, the teeth gradually move to the correct position.This effect occurs due to the constant targeted dosage pressure on the teeth of the medical device. During the movement of teeth in the jaw there is a constant resorption and the formation of bone tissue around the roots of the teeth that move.
Does it hurt to wear braces
The treatment process can be painful immediately after installing the system on the teeth and after correction by an orthodontist. Pain is caused by pressure on the teeth. The first days after the installation of braces, the dentition must get used to the effects of additional orthodontic force.
Unpleasant sensations also depend on individual sensitivity, someone will get used to it in a day and will not feel pain while wearing braces. For others, this process may be more painful. After installing the system on the teeth, as well as after each appointment with the doctor, you can take painkillers.
How much braces you need to wear to even your teeth
The treatment period during which it is necessary to wear individual braces for each person. The duration of treatment depends on the degree of curvature of the teeth, pathology of the bite, the presence of additional abnormalities of individual teeth. The minimum period of treatment with braces lasts 5-6 months, and the maximum 3-4 years. On average, malocclusion can be corrected in 1.5-2 years.
Review (Anton, 19 years old): “I have been treating an open bite with sapphire braces for 7 months already. I recommend such braces to everyone, they do not change color and my teeth practically did not hurt after installation. The treatment result is already visible, I hope to remove the braces in half a year. "
In the presence of severe malocclusion after injuries due to birth defects or heredity, the duration of treatment will be longer than with curvature of the teeth. In difficult cases, teeth are moved to the dental arch and braces are removed, and small flaws are eliminated with the help of dental procedures (restorations, veneers, crowns).
Factors that affect the length of the treatment period:
- Type of bite pathology, degree of curvature of the teeth,
- Experience and skill of the attending physician (braces must be installed accurately, timely correction, correct calculations and treatment forecasts),
- Type of bracket system
- Hygiene and care for braces and teeth,
- Age of the patient (at a young age, treatment is faster).
Can I remove braces ahead of time
Only the attending physician should remove the orthodontic structure from the teeth, it is strictly forbidden to carry out this procedure yourself. Rarely, but there are times when braces can be removed ahead of schedule. The fact is that before planning treatment, the orthodontist calculates and calculates the period of time for which the pathology can be eliminated by the average physiological indicators.
Review (Dmitry, 16 years old): “My front teeth were facing each other and I decided to install braces. I chose metal and I do not regret it. For 8 months I have never broken or chopped a bracket. My sister installed they’re ceramic and every month they go to repair them. For 8 months I have completely aligned my teeth, now I wear a retainer. "
If a person undergoes biological processes in the body accelerated, the teeth move quickly and without complications, then there is a likelihood of faster completion of treatment. It should be noted that the duration of treatment is individual and it is not worth planning ahead to remove braces. Treatment should be complete and completely eliminate abnormalities of the teeth and jaws.
Nutrition and oral hygiene
Adhering to a diet is one of the rules in the treatment of braces. In order not to break or damage the structure, it is recommended not to use harsh, solid, sticky foods. They can linger on the teeth and provoke the occurrence of dental diseases. When treating with transparent bracket systems, coloring foods should not be used so that the briquettes do not change color. But this does not apply to sapphire braces, they are resistant to pigments.
When wearing braces, you must strictly adhere to the rules for oral care and the doctor's recommendations. To maintain health, the main thing is the correct and comprehensive care of the orthodontic system and teeth.
A lot of hygiene products have been developed for the care of braces: special toothbrushes, single-beam brushes, pastes, dental floss, brushes and brushes for cleaning braces, rinse aid, irrigator for the oral cavity and interdental spaces. These funds should be used daily in the morning and evening. It is recommended to clean the braces after each meal with a brush or rinse.
Performing exercises while wearing braces will help speed up treatment and make it more effective. Exercise is recommended for children, adolescents and young people, for people in adulthood and older age exercises may not be effective.
Myogymnastics is an exercise for the muscles of the face and maxillofacial region, is an independent or additional method of treatment in orthodontics. Special exercises have been developed for each type of malocclusion, which can only be prescribed by an orthodontist.
Review (Julia, 26 years old): “I have braces on the inside of both jaws. I want to inform you that they interfere and you need to get used to them for two weeks. At first I could not talk or eat, sometimes I scratched my tongue. I closed it at night. braces with wax, but then got used to it. After 4 months, the results of treatment are already visible. "
Exercises are also prescribed for impaired diction, treatment is carried out by a speech therapist. And the first days after the installation of braces, discomfort and impaired speech function may occur, this is the norm and disappears after adaptation to the design. But if the problems with diction were even before the installation of the briquettes, and after they only got worse, it is recommended to undergo a course of treatment with exercises by a specialist.
Orthodontic wax is a specially made pure medical wax that is used in orthodontics while wearing braces. The bracket system has a rather complex structure, includes many elements and can injure the mucous membrane and organs of the oral cavity.
Such disorders occur in the initial period of treatment and after addiction are not observed. But, to protect the mucous membrane from injuries, scratches and irritations, orthodontic wax is used. It is superimposed on problem areas of briquettes and prevents damage to the mucous membrane of the lips, cheeks, and tongue.
Efficiency: First Results
Wearing braces and correcting a bite is an individual process and takes place in different ways. The first results of treatment will be noticeable in a few months, but the changes will be in 2-4 weeks after the installation of the system. Results will depend on the complexity of the anomaly and the degree of curvature. It is worth noting that the results of treatment are not always noticeable to patients, but the orthodontist sees even small changes.
Stages of wearing braces - from consultation to removal
How many braces should be worn, the doctor will determine, but the stages of wearing the system for all patients remain the same.
- First visit to the orthodontist and diagnosis. The patient undergoes an initial examination, a panoramic x-ray of both jaws and the skull is taken from the side. If necessary, take dental impressions and take photos in different projections.
- Treatment planning. Having received all the necessary information, the specialist determines which type of system is best suited and how much braces need to be worn in order to correct the defect.
- Remediation. Before fixing the device, caries, gingivitis, periodontitis and other diseases of the oral cavity are necessarily treated. It is also necessary to remove plaque and hard deposits. With severe crowding, canines or fours are often removed.
- Installation of braces. The procedure itself takes no more than one and a half hours and is carried out in one visit to the clinic.
- The process of wearing braces. During the entire period of treatment, the patient will need to regularly come for correction. When using the classic ligature system, visits to the doctor will have to be planned approximately once a month, and with a self-ligating system, once every 6 weeks.
- Consolidation of results. When the braces are removed, the doctor sets the retainers so that the teeth are fixed in a new position.
Why is tooth extraction necessary while wearing braces?
Sometimes the jaws of a person develop incorrectly, as a result of which malocclusion and crowding of the teeth occur. For example, because the jaw is too small, teeth simply cannot fit on it. And sometimes a person is born with super-complete teeth. Extraction helps to free up the space needed to normalize the bite, so that after an orthodontic intervention the smile becomes truly beautiful.
Separation of teeth when wearing braces
Separation is considered a more gentle alternative to extraction - a procedure for separation of adjacent teeth, which allows you to free up the missing space for alignment. It is carried out using a temporary spacer, or a small (less than a millimeter) layer of enamel is removed on the sides. Sawing teeth while wearing braces is absolutely safe and painless.
Why do you need elastic when wearing braces?
Elastics or elastic traction connect braces in certain areas. They are needed in order to guide the teeth and create the necessary tension force. Traction is used mainly with pronounced malocclusion, to make treatment more effective and faster. How much to wear elastic bands on braces, the doctor will determine: the timing can vary from several weeks to several months.
Bracket System Wear Rules
Orthodontic treatment requires lifestyle adjustments, and this primarily concerns the food consumed. Braces should be reviewed to exclude foods that could damage the system. So, what can not be eaten when you wear braces?
- Too hard food: nuts, hard meat, raw vegetables and fruits (for example, bite an apple or gnaw carrots). It is worth giving preference to mashed soups, stewed or grated vegetables, minced dishes.
- Products that may be stuck in the elements of the bracket system: chocolate, sweets (especially toffee), chewing gum, berries with small bones, fiber meat.
- Coloring products (typical for ceramic and sapphire braces): tea, coffee, red wine, sweets and drinks with food colors.
Also, the rules for the care of braces include scrupulous care of the system. To prevent accumulation of food debris and plaque, cleaning should be done after each meal. In addition to the orthogonal brush, it is necessary to use an irrigator and brushes, which the doctor will describe in detail. In addition, it is worth arming with dental floss with a hard end. Hygiene when wearing braces plays a crucial role, and it cannot be neglected.
The correct use of the bracket system implies compliance with the terms of treatment. Can I wear braces less than the doctor recommended and stop treatment ahead of schedule? It is possible, but the results will be far from ideal. Indications for premature removal of the orthodontic apparatus are not so many. For example, it is quite possible to wear braces during pregnancy.
Can teeth stagger when wearing braces?
The action of the bracket system is aimed at a constant change in the position of the teeth, which is associated with their mobility. Therefore, if teeth are loose when wearing braces, there is nothing to worry about: this is absolutely normal. However, the degree of loosening must be controlled, because it can be caused not only by the orthodontic design, but also by the development of diseases such as periodontitis and gingivitis. If in doubt, consult a doctor.
What to wear after braces?
Patients are interested in what they wear after removing braces and whether it is necessary to wear something. The fact is that with the end of orthodontic treatment, the teeth will tend to return to their previous position: this is an inevitable physiological process. To prevent this, after braces you must wear a special design that secures the result of correction of the bite.
Most often, after braces put a retainer, and how much to wear it depends on individual readings. Usually, the retention period in adults takes twice as much time as the treatment itself, in children and adolescents it is much less. A retainer is a fixed wire structure that attaches to the back of the teeth, keeping them in a new position. An alternative to the retailer is removable mouth guards. How long to wear mouth guards after braces also depends on the testimony. The first time they need to be worn constantly, and then only at night.
How to restore teeth after wearing braces?
The consequence of wearing braces is often damage to the enamel during the removal of locks, as well as increased sensitivity of the teeth. Marked scratches or whitish areas on the tooth surface are a consequence of demineralization, which is often found in orthodontist patients. In case of serious damage, experts recommend the installation of ceramic veneers or restoration with composite materials. Whitening is possible only in the absence of such problems.
Do I need to wear braces? This question is asked by most patients. The result of wearing braces is always impressive: it is a brilliant smile that adds self-confidence, makes a person's appearance pleasant and inviting. This is also proved by the stars who wore braces: Tom Cruise, Cindy Crawford, Britney Spears, Gwen Stefani and many others. However, beauty is not the only reason braces are worn. It is also a matter of health, because the right bite is the key to the normal functioning of the digestive system and, as a result, of the whole organism. Therefore, to the question “Should I wear braces” we answer: “Yes!”.