A dentist usually recommends braces to improve a patient’s “orofacial” appearance. Through orthodontic treatment, problems like crooked or crowded teeth, overbites or underbites, incorrect jaw position and disorders of the jaw joints are corrected. If left untreated, these problems can result in tooth decay, gum disease, headaches and earaches, as well as speaking, biting or chewing problems.

Types of Braces

Your dentist will know what appliance is best for your particular problem, but you often have a choice. Braces generally come in three varieties:

Traditional Braces

Traditional braces have progressed since the early days and are now lighter in weight and structure than they used to be. They are made from a high-grade stainless steel and have metal brackets that are attached to each tooth using a type of cement. The brackets are linked to each other with a thin archwire, which puts pressure on the teeth to cause them to move slowly into the correct position.


The archwires are connected to the brackets using tiny elastics known as ligatures or o-rings, which your orthodontist will change each time he tightens the braces. Some types of braces have brackets that don’t need o-rings, and these are called self-ligating braces.

Ceramic Braces

These work in the same way as traditional braces, but the brackets are made from a clear, transparent ceramic material. The braces are less visible to others, which makes them a popular choice for adults who need orthodontic treatment.

Damon Braces

This type of braces is currently enjoying a wave of popularity with orthodontists because it provides gentler treatment and requires fewer dental visits. Damon braces are self-ligating and use a slide mechanism instead of elastics to connect the archwires.


These braces produce faster results because the teeth can move on their own without needing to be adjusted. This causes less friction and pressure on the teeth, so movement is less painful. The braces are also easier to keep clean. Having to make fewer trips to your dental professional means that the process costs less time and money, too.


This involves a range of clear plastic aligners that resemble mouth guards, which are custom-made for you. They are removable for eating and cleaning, and you change them out for a newly made aligner every two weeks. Each new aligner takes the adjustment of your teeth one step further.

The Procedure

The first step is an appointment for orthodontic records. The records are a vitally important part of the treatment process. They will provide the orthodontist with much needed information about the patient to make an accurate diagnosis and develop an appropriate treatment plan. Orthodontic records are usually comprised of the following: A clinical exam, Diagnostic pictures, Panoramic X-ray, Cephalometric X-ray, and Impressions (models) of the teeth.

Panoramic X-ray

A panoramic x-ray is crucial to fully visualize the entire upper and lower teeth and jaws. The x-ray gives the orthodontist information about the jaw bone, roots, jaw joint, as well as evaluating for the presence of extra teeth, impacted teeth, or missing teeth.

Cephalometric X-ray

A cephalometric x-ray is another x-ray taken during the records appointment. This x-ray provides important information regarding the position of the jaws and front teeth, as well as providing a baseline starting point to monitor growth in younger patients.

Braces Installation

After the teeth are cleaned and polished, a cheek retractor is placed to provide a dry field and make it easier to visualize the teeth. The bonding cement is placed onto the back sides of the brackets, which are then placed onto the teeth.The brackets are placed in a very precise position onto the teeth, and excess bonding cement is removed. To cure the cements, the laser light machine is used to harden the bonding and cements. The entire bonding procedure can take anywhere between 1 hour to 2 hours.


Many orthodontists will still place bands (rings) on the back molars. Despite the advances in the bonding materials and effectiveness, many find there are still advantages to using bands on the molar teeth.

Braces Adjustment

The monthly appointments give the orthodontist an opportunity to evaluate the tooth movement and make the necessary recommendations in treatment. Usually the original treatment plan predicts the process throughout the whole treatment time. A normal adjustment appointment may include the following: Remove the colored ties that hold the wire into the braces, Remove the wires, The orthodontist will check the patient and recommend treatment (i.e. new wires, rubber bands and Replace the new colors onto the braces.


Since the changes in tooth movement require a minimum of 3 weeks to take effect, most adjustment appointments are made in the 3-8 week range.

It is not unusual for a patient to feel tightness during and immediately after the adjustment appointment. The tightness tends to progress into soreness about 4-6 hours after the adjustment. The tightness and soreness is usually a result of wire changes or adjustments in the wires that eventually result in additional tooth movement. The recommendations for managing the pain are the same as when braces are first placed. The pain will usually decrease over the next 3-5 days.

Braces Removal

The process of removing braces and the adhesive is relatively painless. It is possible that some of the teeth, especially the lower front teeth, may be sensitive to pressure. When the bracket is lightly squeezed, there may be temporary discomfort.

After the braces have been removed, adhesive remaining on the teeth must also be removed. This is usually done with a slow or high-speed dental hand piece.

The Orthodontist will recommend Retainers that comes in 2 choice

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