Fixed and Removable
Depending on the compliance of the patient and treatment needs, the orthodontist selects either fixed or removable appliances.
Fixed appliances are worn all the time and are indicated for treating moderate to severe mal-alignment. Brackets, bands and wires constitute fixed braces. Brackets can be made of metal, ceramic or plastic or combinations of these materials.
Removable appliances are indicated for mild deformities. This appliance can be removed by the patients.
Ceramic brackets are typically clear or tooth-colored. They are used for adult patients who want to minimize the visibility of their braces.
Dentofacial (jaw) growth discrepancies are often corrected using functional appliances.
CLASS II: When the lower jaw growth does not keep up with upper jaw growth, cervical pull or high pull headgear helps in reducing the problem.
CLASS III: Reverse pull headgear, facemasks and chin cups help when upper jaw growth does not keep up with lower jaw growth.
Children who have crowded teeth and narrow arches require palatal expanders. The palatal expander is a device that is either permanently or temporarily placed into the upper arch and will gradually widen it enough to make room for the teeth.
A palatal expander is used for expanding narrow upper arch and normally used for six to eight months. After the device is inserted, either the parent or the orthodontist will expand the palate once or twice a day.
Palatal expanders broaden the upper arch and create a soft rounded “U” shape arch. This helps to make the smile attractive.
Lingual braces are placed behind the teeth in contrast to metal or ceramic braces which are applied to the front of your teeth. They are highly cosmetic alternative to those patients who otherwise would not consider treatment. Initially, the tongue becomes sore but the discomfort reduces as the treatment progresses