What braces should be given to an adult, a review of the 7 best options

How are correction systems designed?

Braces are considered the most effective device for straightening teeth. This is a non-removable structure, fixed to the outside or inside of the dentition.

The main part of the system responsible for alignment is a metal arc. This element of the braces system is able to take its original position, regardless of the deformation of its shape.

The arch is inserted into the grooves of the plates (braces), which are attached to each tooth with dental glue. Additional elements of the system include elastic chains, springs and rings.

Despite the apparent simplicity of the products, braces are based on a large scientific base and modern technological solutions.

How much do braces cost for children?

The cost of children's braces does not differ from the price of adult braces. However, if the pediatric dentist recommends treatment with trainers or plates, it will cost much less. Aligners, on the contrary, will cost more.

You can find out the exact cost of treatment during a consultation before making a decision to install braces. A number of preparatory and supporting procedures and additional elements will also be added to the cost of braces. You can save money on correcting your bite by starting treatment as early as possible, when you can get by with removable structures.

Types of structures

There are several classifications of braces. Let's look at each of them.

Regarding their location on the teeth, the following structures are distinguished:

1. Vestibular - attached to the outside of the dentition and clearly visible to others. Such contractions are quite common. It is impossible to say about any advantages regarding the timing of teeth straightening, since the correction time does not depend in any way on the location of the leveling structures on the teeth. The difference is in appearance and the fact that such systems can harm tooth enamel.
2. Lingual - fixed on the back of the teeth, therefore completely invisible. Their difference from external braces is that it takes longer to get used to such structures due to the close contact of the products and the tongue. During this time, the patient may have problems with diction, which will go away over time. Internal braces are more difficult to install and maintain than external braces, which is why they cost more. In addition, not every clinic has a doctor with extensive experience in installing this type of braces.

Regarding the material and appearance, braces are:

1. Made of metal - the first of the braces to appear, clearly visible on the teeth, but at the same time the most durable. Leveling with their help is faster than using other types. In this case, almost every pathology, even the most complex, can be corrected. In addition, metal is the cheapest material for braces. However, they are not suitable for people with metal allergies and can injure and rub the mucous membranes.
2. Made of plastic. Only the plates attached to the teeth are plastic; the leveling arch is also made of metal. They can only be placed on the front part of the dentition. Despite the high quality of the plastic used, the system is very fragile and breakdowns are possible. But in terms of aesthetics, dental products look more attractive than metal ones. Such products are often used for children, applying a design to them or covering them with a glow-in-the-dark composition. They can be used if the patient is allergic to metal and have less impact on tooth enamel. Another disadvantage is that plastic tends to change color, and treatment with such structures will require quite a long time.
3. Ceramic - can be made from ceramics or artificial sapphires. Solid ceramic is opaque, but sapphire brackets are completely transparent. Ceramics can be matched exactly to the color of the patient’s teeth, which makes them invisible on the teeth, and sapphire braces are not visible due to their transparency. That is, both types of structures look very attractive. However, regarding the strength and duration of treatment, these designs are slightly inferior to metal braces. They are quite expensive. At the same time, the size of the braces is not small and the period of adaptation may take a long time.

Regarding the method of fixation, braces can be:

1. Ligature - they use ligatures with which the arch is attached to the braces. These can be rubber bands or wire rings. They make the system quite bulky, which can complicate oral care.
2. Non-ligature (self-regulating) ones are smaller in size compared to ligature ones. They occupy approximately one-fourth of the tooth. The arch is attached to the grooves of the braces without any extraneous devices, thanks to the presence of special locks on their surface. But installing such systems requires more attention and time. Not every doctor can install ligature-free braces.

The best lingual braces

Lingual constructions are considered a novelty in the world of dentistry (the technology is only 15-20 years old). Such a system is manufactured individually for a specific patient and only in Europe or America, so it cannot be cheap.

Its main advantages over vestibular braces are absolute invisibility, minimal negative impact on the gums and a simplified installation procedure.

The main disadvantages are a long period of adaptation (at first they interfere with eating, diction is impaired), and difficult cleaning.

This type of braces is not used on children, patients with low crowns or crowded teeth. And not all clinics have specialists who know how to work correctly with this complex structure.

Win from DW Lingual Systems GmbH

5

★★★★★

editorial assessment

100%

buyers recommend this product

The thinnest and most reliable lingual design was developed by Dr. Vikhman, the inventor of the legendary Incognito.

The device is made from an absolutely hypoallergenic cobalt-chromium alloy based on dental impressions of a specific patient, taking into account his clinical situation.

The system consists of standard locks, cast in a factory, the bases of which are adjusted to the individual relief of the client, and a power arc, bent by a computerized robot.

The ligature-free type allows braces to be adjusted no more than once every 2-3 months. The wide bases of the brackets make the structure very stable, capable of coping with the most complex dental disorders.

Pros:

• Possibility of installation at any age, starting from 11-12 years;
• perfect fit ensures maximum comfort, ease of care and high efficiency;
• short period of adaptation without pain;
• short wearing period;
• the treatment remains a secret to others.

Minuses:

• high price;
• Made in Germany for about 3 months.

Only highly qualified specialists who have undergone special training and are certified by the manufacturer have the right to install this system.

You can find this in several prestigious, and therefore expensive, Moscow or St. Petersburg clinics.

Incognito by 3M Unitek

5

★★★★★

editorial assessment

100%

buyers recommend this product

Completely invisible lingual braces are produced in dental laboratories in Germany.

The system is made individually for the patient for each individual tooth after a full scan of the oral cavity or taking plaster casts.

The unique gold-containing alloy used for the device is absolutely hypoallergenic, high strength and oxidation resistance.

The power arc of the structure, fixed to ligatures, is capable of attracting all dental units to the place predicted by the orthodontist with an accuracy of half a degree.

Pros:

• absolute invisibility;
• anatomically tight fit of the thin bracket to each tooth;
• minimal risk of enamel damage;
• the final result is reliably predicted;
• Individual production minimizes discomfort during adaptation.

Minuses:

• the highest cost among all brace system models;
• extended adaptation period compared to vesicular devices;
• requires highly qualified specialist installing the structure.

Despite the five-zero count, the Incognito system is incredibly popular among wealthy patients. The device effectively corrects small, medium, and in some cases serious dental pathologies.

Unlike similar lingual braces, the therapy does not take longer than treatment with vesicular structures, and sometimes even gives better results.

Breadth of choice

For many patients, braces are associated with a crude and outdated system. Therefore, to straighten teeth, they do not consider braces, but look for their analogues.

But braces don’t have to look unattractive. Regarding the material they are made of and the method of attachment, there are many braces that are either barely noticeable or not noticeable at all on the teeth. In addition, braces are the most reliable method of bite correction. And thanks to their diversity, you can choose the most suitable option, even relative to their cost.

At the same time, the variety of options, the presence of pros and cons for each, and the importance of choosing an attractive and affordable design make choosing braces quite difficult. And you won’t be able to choose a bracket system on your own that will suit you in all respects. Here you need the help of an orthodontist.

Which ones are better?

A specialist will tell you which braces are best to choose. Before choosing, it is important to check with the orthodontist what types of braces are available, how complex your case is (what is the degree of curvature), and how long you will need to wear one or another design. In addition, the choice largely depends on the financial capabilities of the patient.

After choosing a system, you need to contact an orthodontist who has repeatedly installed the type of braces you have chosen and has a good reputation. After all, different clinics can install different types of braces, giving preference to one type or another for different reasons.

Whatever type of braces system you choose, you should ask your doctor not only about its advantages, but also about its disadvantages, because each type has both.

The most effective option

Many doctors consider non-ligature metal systems to be the most effective braces. is the most famous and popular regarding the production of such braces. This manufacturer was the first to produce ligature-free systems.

It gained fame thanks to the introduction of innovations in the treatment of occlusion. Conventional orthodontic braces have been improved.

Even the mixing of incorrectly positioned incisors is quite possible with Damon braces, while many other braces cannot do this. The installation of such braces is painless, and you can get used to them quite quickly.

Preparing to install braces

Even before installing braces, it is necessary to prepare the child for the peculiarities of oral hygiene with the installed structure. He must be prepared for the fact that brushing his teeth and braces will take an unusually long time, because hygiene is required after every meal. The child needs to learn how to use brushes and brushes for teeth.

Before braces are installed, a number of procedures will need to be carried out:

• Thorough diagnosis of the oral cavity and treatment (if necessary) - elimination of carious lesions, inflammation of the gums;
• Professional cleaning is necessary for better adhesion of the system to the surface of the teeth.

Indications

Installation of braces is indicated in the following cases:

1. The presence of malocclusions - deep bite (overlapping the upper teeth with the lower ones and injuring the gums), crossbite (shift of some teeth as a result of their underdevelopment, which causes difficulties when chewing).
2. Crowding of the dental organs, which can provoke injury to the mucous membrane, the occurrence of caries and an increase in enamel abrasion.
3. Disproportions of the upper and lower teeth, caused by prolonged sucking of pacifiers in childhood.
4. Incorrectly positioned teeth (pushing out, turning, etc.).
5. Interdental gaps.

How does leveling occur and how long will it last?

Braces straighten teeth through gentle but prolonged pressure on them. With their help, the tooth can be inserted into or pulled out of the bone, tilted or rotated in the desired direction. It is important that the orthodontic influence is correct, then the teeth will take the right place. For a positive result, it is necessary to have a long-term effect on the dental organs.

Each patient will have to wear braces for a different time. The prescribed duration of treatment depends on the complexity of the pathology, the state of oral health and the age of the patient.

Children can straighten their bite faster than adults. Typically, the period of wearing leveling systems in children is less than a year due to insufficient development of the jaw apparatus.

For adults, a year of treatment with braces is the minimum period, which may be sufficient only for mild curvature. Serious pathologies can be corrected with longer treatment - from 1.5 to 2 years. And in cases where the teeth are so crooked that they adversely affect the functioning of the jaw, it will take 2 to 3 years to straighten them with braces.

Note: It is impossible to shorten the duration of treatment with braces, but it is quite possible to extend it if the patient does not follow the doctor’s recommendations and take good care of the oral cavity.

Bite correction can be carried out in childhood (from 9 years old), as well as in adults and the elderly. But the older the patient, the longer the treatment will be.

Which braces to choose – ligature or non-ligature?

Ligature

In ligature braces, the power arc is attached to the brackets using special elastic fasteners - ligatures. They are made of rubber or wire.

Treatment with braces can be adjusted at any stage

Ligatures allow you to control the strength and type of fastening of the arch - to do this, you just need to tighten or loosen the rubber bands. Thus, with the active fixation method, the power wire is in close contact with the braces: this method is better suited at the final stages of treatment. And with passive, the arc slides freely in the grooves and exerts slight but uniform loads, which are ideal at the beginning of alignment.

The ability to control the tension force and freely change the method of fixing the power arch provides ideal biomechanical loads on the teeth. Treatment can be adjusted at any stage, quickly adapt to force majeure and eliminate them.

In addition, additional elements can be freely installed on ligature structures: elastics, traction, orthodontic mini-implants, etc. They will be needed when correcting complex malocclusion pathologies. Thus, classical systems are the ideal choice for severe anomalies.

But there are also disadvantages to this approach:

• ligatures must be tied manually, which makes the doctor’s work difficult;
• elastic bands have to be changed or tightened every 3-4 weeks;
• fastenings complicate hygiene.

True, against the backdrop of full control of therapy, these shortcomings are insignificant. And experienced orthodontists who are not interested in selling innovative systems will prefer to work with ligature models.

The best models of ligature braces:

• “Victory” from 3M Unitek, America;
• “Orthos” and “Mini Diamond” from Ormco, USA;
• “Master” from American Orthodontics, USA.

Ligature-free models simplify the work of the doctor and the life of the patient

Unligated

Unlike ligature braces, in self-ligating braces the fastening is carried out not with rubber bands, but with a special mechanism. Each bracket is equipped with a special clip lock. After positioning the staples and installing the archwire, the doctor only needs to snap them into place.

On the one hand, ligature-free models simplify the doctor’s work and the patient’s life. They are easy to install, they look more beautiful, and they are easy to care for, since there are no additional elements into which food would get stuck. And there is no longer any need to re-tie the ligatures every month.

But, on the other hand, self-ligating models have a drawback that eliminates all the advantages: the impossibility of changing the type of arch fixation. You have to use only the one that was originally included in the system: passive or active.

Due to the fact that the method of attachment cannot be changed, treatment is carried out with irrational biomechanical loads. This slows down therapy and sometimes worsens the final result. In addition, you have to dodge: use more power arcs and change them often.

But this doesn’t always help. Therefore, some self-ligating dental braces for adults are equipped with special hooks or wings. With their help, you can switch to the desired type of fixation. True, having already secured the power arc to the ligature and, in fact, turning the non-ligature system into a ligature one.

The remaining advantages that manufacturers attribute to self-ligating brace systems are not confirmed in practice. Among them: less pain in teeth straightening, faster treatment, less pressure on the crowns, etc.

Some self-ligating braces are equipped with special hooks.
Most often, the following non-ligating braces are installed:

• “Clarity SL” from 3M Unitek, America;
• “In-Ovation” from Dentsply GAC, USA;
• “Damon” from Ormco, America.

Price

Each type of braces costs differently. The most inexpensive are metal braces. Their average price is 50,000 rubles. That is, this is a high-quality and affordable option. The only drawback is the low aesthetic performance.

Leveling structures made of ceramics cost an average of 70,000 rubles. This is an affordable option for aesthetic braces. But designs made from artificial sapphires will cost more - at least 100,000 rubles. But they look very attractive.

Lingual braces, which are invisible when smiling because they are located on the back of the teeth, are the most expensive. The starting price is 150,000 rubles. This is the best option for those who are very embarrassed about undergoing orthodontic treatment.

Reviews

Evgeniya, 28 years old

I preferred sapphire braces, since it was important that the braces were not too conspicuous (I work in the public sphere) and not stained (I really like coffee). The price is not that high. I was also pleased that they do not cause allergies and there is no metallic taste in the mouth.

Nadezhda, 45 years old

We decided to get braces for our daughter when she was 14 years old. The doctor said that at this age, metal products would be best. They were decorated with blue ligatures to match the color of her eyes. Then he wants to change the ligatures, composing them in the form of a drawing. I didn’t notice any embarrassment on her part. She was probably so tired of walking around with crooked teeth that braces didn’t become something unpleasant.

Ilya, 28 years old

I installed the most expensive ones - lingual braces. I didn't want them to be seen. It's been a month now and I still can't get used to it. The language constantly catches them. There is already damage to it. It is generally inconvenient to clean, as they are difficult to see. In general, I was tired. I will ask the dentist to recommend something that will ease my pain.

Girls with braces are beautiful!

Chic women and beautiful girls with braces not only straighten crooked teeth, but do it gracefully; they know how to turn a flaw into an advantage. Every woman treats braces with care and skillfully selects makeup that matches the system. Cosmetics and their proper use create a harmonious image. When a real woman smiles, no one even notices the glands in her mouth.

Things are much simpler with completely invisible internal braces that are installed on the lingual surface of the tooth enamel. There will be no psychological discomfort or embarrassment with them.

Today, women wearing orthodontic systems is not uncommon. Braces are the only sure way to get rid of crooked teeth and get an amazing smile forever.

Your mark:

(votes: 6 , average: 7.33 out of 10)