Metal Braces

Patients who are appropriate candidates for orthodontic treatment with metal braces include:

• Children with developing malocclusions.
• Teenagers with moderate to severe malocclusions.
• Adults with longstanding orthodontic challenges.
• Patients who have complex bite issues that cannot be solved with clear aligners.

Patients with healthy gums, bone and non-complex issues can be treated, while patients with uncontrolled gum disease or extensive bone loss might require periodontal treatment for periodontally-related issues before starting orthodontics.

There are a few types of "metal braces," and they are usually referred to very generally.

• Traditional Metal Braces: Made of stainless steel brackets and bumpers (the wire).
• Self-ligating Braces: A small device slides over the wire instead of using elastic bands to secure the wire.
• Lingual Braces: A less visible appliance placed behind the teeth.
• Mini Braces: Much smaller brackets which are less noticeable for comfort and aesthetics.

The process for the metal braces treatment is typically done in the following steps:

• Initial consultation - A complete examination consisting of X-rays, photographs and either dental models or digital scans.
• Treatment planning - A treatment plan is individualized using the diagnostic information.
• Bonding - Each bracket is bonded to the teeth with dental adhesive.
• Archwire - A archwire goes through the brackets and is held in place with elastics or self-ligating clips.
• Adjustments - Every month you will return for adjustments of the tighten/replace wire to slowly move your teeth into position.
• Debonding - Once your teeth are aligned the brackets will be removed and you will receive retainers.

• The most efficient option for complex dental problems.
• Because it is fixed, lessening the chance of mistakes; there is enhanced controlover the position of teeth.
• Oral function improves, including chewing and speaking.
• Enhanced aesthetic with symmetry at end of treatment.
• Decreased risk of developing future complications from underlying long-term dental problems created by malocclusion.

Although there have been much newer modalities developed, metal braces in method provide many aspects that cannot be outdone:

• Metal braces provide an outcome that is superior to treat severe or complex orthodontic situations.
• No fear of patient compliance issues with fixed appliances, unlike removable appliances.
• Durable and strong, especially for athletic children and teenagers.
• Cost effective compared to ceramic braces or aligners.

They are often the first choice for orthodontists when the clinical result is the only objective.

The price of braces in India is varied for metal braces:

• Basic metal braces ₹25,000 - ₹50,000.
• Self-ligating metal braces ₹40,000 - ₹70,000.
• Lingual braces ₹80,000 - ₹1,50,000.

Even though metal braces possess a sense of safety and routine associated with them, they do have:

• Initial discomfort or pain.
• Sores or ulcers from the metal rubbing against the cheeks.
• Decalcification of teeth if oral hygiene is less than ideal.
• Gum inflammation.
• Emergency visits to take care of bracket breakage.

With proper treatment and care from an orthodontics professional, these complications can be minimized.

• Aesthetic concerns, especially for adult patients.
• Dietary restrictions such as avoiding hard or sticky food.
• Oral hygiene considerations due to wires and brackets.
• Speech disturbances for the first few days.
• Emergencies concerning broken brackets or poking wires

Some alternatives to metal braces include:

• Clear Aligners (Invisalign), which are removable and very discreet.
• Ceramic Braces, which are less visible but less durable.
• Lingual Braces, which are hidden behind the teeth, and have aesthetic appeal.
• Orthognathic Surgery, which is used for skeletal corrections in adults

These options each have their advantages and disadvantages, and each option is suitable depending on patient specific needs, wants, and treatment plan.

The important step to take care of teeth after treatment is:

• Wear a retainer as instructed by your orthodontist.
• Maintain oral hygiene to prevent cavities and gum disease.
• Avoid eating hard or sticky foods.
• Schedule follow up appointments.
• Continue to wear mouthguards, if suggested during sports.