[Orthodontics Q&A] What are the options for braces? What should I pay attention to before, during, and after braces? (Part 2)
Braces are a common method of orthodontic treatment. Before undergoing braces, patients need to understand the different types of braces available. In addition, what precautions should be taken before, during, and after braces treatment? Let the doctor answer your common questions about braces.
What are the options for braces?
Braces can be categorized into two main types: fixed braces and removable braces.
(1): Fixed orthodontic appliance
The most traditional and common method of teeth straightening involves attaching braces to the teeth and then using wires, archwires, and elastics to move the teeth. Traditional braces come in three types: metal braces, ceramic braces, and self-ligating braces, which are further subdivided into "outer braces" and "inner braces." "Outer braces" are fixed to the outer side of the teeth and are visible when the mouth is open; while "inner braces" are fixed to the inner side and are less noticeable. Neither type can be removed by the user.
(2): Removable orthodontic appliance
These are functional braces and invisible braces.
Functional orthodontic appliances are mainly used when children's oral cartilage tissue has not fully developed. They are used to correct the dental arch and adjust the position of the jawbone, and help bone growth. They are mostly used in special circumstances.
Invisible braces are custom-made to fit the user's teeth shape, and users need to change them approximately every two weeks depending on the progress of the treatment. The treatment process is more comfortable and easier to clean than traditional braces. They are also more aesthetically pleasing. However, users need to be disciplined and wear them for 20-22 hours daily.
What factors should be considered and what precautions should be taken before getting braces?
Those considering braces should research the price of orthodontic treatment and the requirements for different types of braces before making a decision. Metal braces are generally cheaper than clear aligners, but they may cause difficulty eating. Clear aligners, on the other hand, require removal before eating and replacement afterward.
In addition, it is recommended to have a comprehensive oral examination before getting braces to understand the health of your teeth. If you have cavities, periodontal disease, or other dental problems, these should be treated beforehand. Failure to have a proper examination or address any pre-existing dental issues will significantly increase the risk of developing dental diseases during braces treatment, harming your dental health. Individuals with missing teeth should note that they should undergo orthodontic treatment before considering dental implants. This allows the teeth to be adjusted to the appropriate position, ensuring optimal placement for the subsequent implant procedure.
What should you pay attention to when getting braces?
During orthodontic treatment, it is even more important to pay attention to oral hygiene and keep teeth, braces, and fixation devices clean. In particular, when wearing wire braces, there are many hidden cracks and corners that may not be thoroughly cleaned, which makes it easier for plaque to form and increases the risk of tooth decay.
To reduce plaque formation and cavities, in addition to brushing their teeth correctly morning and night, braces users are advised to use fluoride toothpaste. If necessary, a prescription fluoride toothpaste with a concentration as high as 5,000 ppm can be used. Braces users can also use fluoride mouthwash twice daily to help prevent cavities. Furthermore, it is recommended that braces users reduce their sugar intake to minimize prolonged exposure to bacterial and acidic substances, and avoid eating colored foods and foods that easily leave food residue. Remember to rinse your mouth after eating to remove food debris and reduce the risk of cavities.
What precautions should be taken after completing braces?
Thinking your job is done once your teeth are straightened? Not at all! Retainers need to be worn for life. However, unlike braces, the duration of wear on retainers is adjusted according to the condition of your teeth.
Initially, it's recommended to wear retainers for at least 20 hours a day for a year, after which the daily hours can be reduced. If, after wearing retainers for 16 hours, the teeth feel tight or slightly shifted the next day, then you should continue wearing retainers for 16 hours a day. However, if the teeth haven't shifted after 16 hours, you can further shorten the time to wearing retainers only at night. Even if you wear retainers at night, it's still recommended to wear them continuously for 4 to 6 hours during the day.
Author: Dr. Chen Haoxian
