HOW AN ORTHODONTIC APPLIANCE MOVES YOUR TEETH
With all types of braces, the same process happens at the cellular level as your teeth move into their new position. Specialized cells called osteoclasts and osteoblasts respond to the pressure your appliance puts on the periodontal membrane (the pocket of gum tissue connecting the tooth’s root to the jaw bone). Osteoclasts break down the bone tissue so that the tooth can move, while osteoblasts gradually form new bone tissue behind it. So braces aren’t just your teeth moving into position; your jawbones are reshaping themselves too!
Traditional Metal Braces
Traditional metal braces are the most common type of braces and are more comfortable today than ever before. Made of high-grade stainless steel, metal braces straighten your teeth using metal brackets and archwires. With metal braces, you have the option of adding colored elastics (rubber bands) for a more unique and colorful smile.
COMMON APPLIANCES USED WITH WIRE BRACES
Sometimes, we need one or two other appliances in addition to the braces themselves in order to have the correct bite and palate shape as well as straight teeth, and sometimes we need these appliances to get our teeth ready for braces in the first place.
In order to put braces on, you might need spacers between your back teeth for a while. Spacers are small elastic rings that move your molars apart just enough to fit bands onto them to anchor your braces. This process can take from 3-10 days. Not all patients with wire braces will need spacers first.
Palatal expanders correct narrow palates by bracing against the teeth and the roof of the mouth and exerting gradual pressure outwards to encourage the palate to widen to the proper shape. These are important appliances for correcting crossbites and crowding. Palatal expanders often go in before braces to make room for the teeth to go where they’re supposed to go.
A holding arch may be used when a child loses baby teeth too early. It holds the permanent front teeth and molars in place so they don’t shift and crowd the teeth that haven’t had a chance to grow in yet. A holding arch for the upper jaw is sometimes called the “Nance button,” and lower jaw holding arches are called “lower lingual holding arches.
Bite plates are acrylic, retainer-like appliances that correct “deep” bites. A deep bite occurs when the upper teeth overlap the lower teeth so much that the lower incisors touch the gum tissue behind the upper incisors, leading to many complications. A bite plate creates a barrier between the lower incisors and the upper gum tissue and helps shift the teeth to decrease the overlap.
Self-ligating braces are made from the same materials as traditional braces. However, self-ligating braces do not require the use of elastics, meaning fewer appointments and less friction being placed on the tooth. Self-ligating braces come with traditional metal, ceramic, or clear brackets. They are the same size as metal braces, but use a specialized clip in place of elastics to help the archwire guide teeth into place. The clip helps reduce the amount of pressure being placed on the tooth, and requires fewer adjustments because there are no elastics to replace.
Clear (Ceramic) Braces
Ceramic braces are made of clear materials and are therefore less visible on your teeth than metal braces. For this reason, ceramic braces are used mainly on older teenagers and adult patients who have cosmetic concerns. While they are visually less prominent, they do require more attention to oral hygiene as ceramic braces are larger and are more brittle than their metal counterparts. For these reasons, ceramic braces tend to be used more on upper front teeth than on lower teeth.
Clear aligners are a series of invisible, removable, and comfortable acrylic trays that straighten your teeth like braces. Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment, plus brushing and flossing are less of a hassle. The aligners are comfortable and have no metal to cause mouth abrasions during treatment. Clear aligners aren’t able to correct as many types of orthodontic problems as other types of braces, but they are an excellent low-profile option.
Lingual braces are hidden behind the teeth and are therefore “invisible” when you smile. Lingual braces are 100% customized to match the shape of your teeth; the metal appliances are created uniquely for you. Lingual braces are a very reasonable option for athletes, models, actors/actresses, musicians who play wind instruments, and adult professionals.
What Can Dr. Bruno Do for Your Smile?
If you want to feel great about your smile and would like a consultation, please give us a quick call at (718) 565-7242 or send us an email. We would love to listen to your concerns and find a treatment plan that is perfect for you at our dental office in Woodside, NY. You can also learn more about us through our business page, and don’t forget to get directions before you head our way!