Braces are oral appliances that straighten your teeth by bringing them into proper alignment in order to improve your bite, the appearance of your smile, and most importantly, your oral health. Although traditional metal braces are the most popular and widely known type of braces, their clear and lingual counterparts have started to increase in popularity in recent days.
Misalignments in your teeth and jaw give rise to a variety of issues, such as tooth decay, oral tissue loss, damage to tooth enamel, and jaw pain. As such, it is important that such misalignments are addressed as soon as possible to improve the health and function of your oral cavity, which is what braces aim to do.
Patients between the ages of 8 and 14 tend to have obvious bite and misalignment issues noticed by their dentist right away. While age doesn’t matter when it comes to getting braces placed, your teeth should be healthy in order for treatment to be viable.
You may need braces if your teeth are crooked, gapped, overcrowded, inadequately spaced, or if you have overlapping teeth resulting in an overbite or underbite. Issues such as speech impediments and “buck” teeth may also require you to get braces placed to have these problems solved.
Dental restorations such as crowns won’t hinder treatment as a special adhesive will be applied to ensure the brackets stay in place. However, if your teeth aren’t particularly healthy and have cracks or cavities, your dentist will have to get these resolved first prior to treatment.
Average Cost
$1,800
Price Range
$1,100 to $2,500
Traditional braces are composed of metal brackets bonded onto your teeth to keep an adjustment wire in place, which is the active component that applies the pressure needed to bring your teeth into proper alignment. In order to ensure pressure is continuously applied throughout treatment, these wires will need to be adjusted every four to eight weeks.
Tooth extractions may be required prior to treatment, with the removal of one to four teeth, in order to make sufficient space for repositioning to take place.
It may take up to two hours to get braces placed, during which your teeth will be cleaned and dried so that the metal brackets adhere well. You may be able to get braces done on the same day if it is deemed that your teeth are in sufficiently good health.
Although treatment time varies on a case by case basis, it usually takes between 18 to 22 months for completion, but may take longer (three years or more) if you have complex misalignment issues.
If you have any known allergies, it is important that you inform your provider beforehand as some braces may trigger metal sensitivities. Latex allergies should also be brought up so that your dentist will know not to use any latex materials, such as gloves, during treatment.
Patients with ankylosis (a rare condition in which the tooth root is fused to the bone) will not benefit from braces as much as teeth repositioning is unlikely to take place, which may result in a different alignment. Digital X-ray imaging may be necessary to detect this condition.
While it may be a bit difficult to brush and floss after getting braces placed, it is essential to regularly maintain good dental hygiene practices throughout your treatment. Swish some water around in your mouth to loosen any food particles before brushing the gum line at a 45-degree angle. Angle your toothbrush down at the top of each bracket to clean it, repeating the same on the bottom of the bracket except this time you angle upward.
Use an orthodontic floss threader to floss between the upper teeth, making sure to clean the area between the top of the wire and the gum line, repeating the same for the lower teeth. You may be able to undergo teeth whitening (whether it be in-office or at-home) while undergoing treatment, but this depends on the type of braces placed.
Lingual braces and removable aligners make it easier for whitening to be carried out, but the same cannot be said for traditional metal braces as your teeth are partially concealed by the brackets. Oxidation reactions may also occur with metal braces, resulting in a change in color.
We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.
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Braces are known to be safe to wear, but you should make the effort to properly clean your teeth by regularly brushing and flossing daily in order to reduce the risk of tooth decay and gum disease. A Waterpik may also be used to clean the spaces between your teeth.
Teeth may become less stable due to the pressure and tension applied by the braces, causing roots to become shorter. A relapse may occur after your braces are removed if you don’t regularly wear a retainer to maintain the results. As such, your teeth may move back to the original positions they were in pre-treatment, causing you to have misalignment issues once more.
Follow any instructions provided to you by your dentist to ensure optimum care for your braces, and attend dental visits for regular cleanings twice a year.
Do braces hurt?
It’s normal to feel some soreness or pain during the first few days after getting braces placed as your oral cavity adjusts to them. This soreness will be felt more intensely as your teeth start to reposition, but it will become gradually bearable over time. To help alleviate discomfort, over-the-counter pain-relieving medications can be taken.
If you experience a poking sensation from the wires or brackets, you can apply dental wax over the area which will be provided by your dentist. Place a ball of wax over the areas where irritation is felt to cover and protect your oral tissues from jabs due to sharp edges.
When do you start wearing rubber bands for braces?
Rubber/elastic bands connect the top brackets to those at the bottom in order to bring about changes in your bite or alignment. You may start using them after a few appointments or by the end of the initial year of your treatment. Although you may experience some tightness initially, these bands are an essential component of your treatment that should be worn as instructed, which is usually 24/7, even while eating and sleeping. The only times you can take them off is when you are brushing, flossing, or replacing the elastics with new ones (usually 3 to 4 times a day, or every 12 hours).
Your dentist will instruct you as to how and where to insert these elastic bands as the location varies for each person. Do not attempt to double up on the bands as this would just slow down teeth repositioning. If you wear the bands for less than the length of time you are required to, your teeth may become resistant to the forces which aid in straightening and soreness will be felt at a much intense level.
What happens when braces are removed?
It will take about an hour to completely remove your braces, during which your orthodontist uses special equipment to detach the brackets from each tooth. Doing so will leave a residue that will be removed through dental polishing. Pain is not usually felt during this procedure, but some patients report of slimy teeth and inflamed gums, which will subside after a week of regular brushing and flossing.
Do not attempt to have the braces removed by yourself or at home, as your teeth may become damaged and they may break, which can be very painful.
You will be given a retainer after your braces are removed in order to help maintain your results, which will usually need to be worn 24/7 for six months up to a year, after which you would need to wear them only in the evenings. You will then only need to wear your retainer a few times per week while sleeping.
You may also have a permanent retainer (sometimes called a bonded or lingual bonded retainer) placed, which is composed of a metal wire attached to the back of the six front teeth to prevent them from moving. Despite the name, it isn’t actually permanent as you may need to have it replaced due to wear and tear.
To guarantee that all teeth are secure, you may need to have both the removable and permanent retainers worn in some cases.
How will I look like in braces?
Improvements in dental technology have resulted in more comfortable and less apparent braces which are much smaller and have fewer brackets and less noticeable wires. Gold, silver, ceramic, or clear plastic are some of the variations available for brackets, with the price varying for each option.
You can ask your dentist to install different colored brackets, depending on whether you want a color that matches your wardrobe or complements your complexion. If you had some teeth removed before getting braces placed, you may later on notice less volume in your cheeks.
Also, due to the braces pushing against your lips, you may notice that they look bigger; however, this isn’t permanent and will go back to normal after getting your braces removed.