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Types of Braces

20 December 2024
A woman with braces smiles brightly, showcasing her teeth and radiating confidence and joy.

Orthodontic treatment plays a vital role in improving oral health and facial aesthetics, and braces stand out as perhaps the most popular and well-known treatment type. By addressing orthodontic issues such as misaligned teeth, overcrowding, or bite problems, braces drastically improve dental hygiene, reduce the risk of oral diseases such as gum disease, and boost self-confidence levels. Perhaps most importantly, braces are suitable for all ages, meaning it’s never too late to pursue a healthier smile! 

Why Receive Orthodontic Treatment?

Orthodontic treatment, such as braces, is essential for correcting issues that have occurred due to genetics, temporomandibular joint (TMJ) disorder, or childhood habits such as thumb sucking. If left untreated, these issues could lead to long-term complications, such as uneven tooth wear, jaw pain, chewing and speech difficulties, and increased risks of disease and infection. 

Some of these common issues that braces can fix include:

Mouth Close Up
Overcrowding of teeth, when there isn’t enough space for all teeth to align properly.
Patient Woman With Dislocated Jaw Malocclusion
Crooked teeth, where teeth are misaligned, twisted, or rotated.
Teeth Gap
Gaps between teeth, which are a result of irregular tooth growth or missing teeth.
Protruding Teeth
Protruding teeth, where teeth stick out more than usual, often known as “buck teeth”.
Patient Woman With Dislocated Jaw Malocclusion
Malocclusions, such as overbites, underbites, or crossbites.

What Are Braces, and How Do They Work?

Braces are common orthodontic devices designed to straighten teeth, correct bite issues, and improve overall dental alignment. They work by applying gentle, continuous pressure to teeth over time, gradually shifting them back into the correct position. This process involves metal or ceramic brackets attached to each tooth, with wires connecting the brackets, which are periodically adjusted to guide the teeth into proper alignment.

The Best Braces for Your Teeth

If you’re requiring the use of braces to correct orthodontic problems, there are several different types to consider, some of which are widely available for NHS patients, and others which are only available at specialist clinics. Let’s take a look at each type of braces:

Metallic Braces

Metallic Braces

One of the most popular types of braces due to their widespread availability, traditional metal braces use metal brackets and wires fitted on the front of teeth, typically straightening them over 18 to 24 months (although this can vary). If you picture stereotypical braces, these will be the ones that come to mind!

Pros:

  • Most affordable and widely available option.
  • Different coloured options are available, allowing for greater personalisation.

Cons: 

  • Visually noticeable, which could be a drawback for self-conscious patients.
  • May require dietary restrictions to avoid damaging brackets and wires. 

Ceramic Braces

Ceramic Braces

Ceramic braces function in the same way as metallic braces, but instead use tooth-coloured or clear brackets to make them slightly more discrete. Ceramic braces require the same treatment length as metallic braces, which is dependent on the severity of the issue being corrected.

Pros:

  • Less noticeable than metallic braces, blending in with teeth more. 
  • Won’t cause any interference with imaging tests, such as MRI. 

Cons:

  • Typically more expensive than traditional metal braces.
  • Can be prone to staining if they’re not cared for properly. 

Lingual “Incognito” Braces

Lingual “Incognito” Braces

Although less commonly used than metallic or ceramic braces, incognito braces are a popular and discrete form of orthodontic treatment that uses a similar method to traditional braces, but instead uses the back (lingual side) of the teeth, making them invisible from the front. 

Pros: 

  • Completely concealed from view, making them perfect for those who are self-conscious.
  • Custom-made to fit teeth and arch their shape perfectly. 

Cons:

  • More expensive than traditional brace options, since they are more specialist. 
  • Less commonly available, and are not offered to NHS patients. 

Invisalign Aligners

Invisalign Aligners

Invisalign is a leading brand of clear aligners, offering a popular alternative to traditional braces. These plastic aligners are custom-fit and removable for meal times and oral hygiene, making them a very popular option if braces are not for you. 

Pros:

  • Virtually invisible, making them a highly aesthetic option.
  • Comfortable, since no wires or brackets are involved (which can irritate the mouth).

Cons: 

  • Only available for adults and teenagers, not for younger children.
  • More expensive than traditional ceramic or metallic braces.

Angel Aligners

Spark Aligners

Angel aligners are clear, removable plastic devices designed to gradually shift teeth into place. Although less commonly used than braces, Angel aligners are just as effective for most routine orthodontic issues, sometimes offering even quicker results than traditional methods.

Pros:

  • Maintains transparency over time, since they are resistant to stains and discolouration.
  • Faster treatment time than many other types of orthodontic treatments. 

Cons:

  • Not suitable for more complex orthodontic issues. 
  • More expensive than traditional braces. 

How Long Do Braces Take to Work?

The typical timeframe for braces, from consultation to removal, usually spans 18 to 24 months, but this largely depends on the complexity of the orthodontic issue being addressed and the age of the person being treated. Here’s how a typical process unfolds: 

1. Consultation: During the initial visit, your Orthodontist will assess your teeth, bite, and jaw alignment, often using X-rays and photographs to create a personalised treatment plan. You will be provided with details about the frequency of your progress appointments.

2. Fitting Treatment Method: Once the plan is finalised, braces or aligners are fitted, and adjustments begin. Regular follow-up appointments will be scheduled every 6 to 8 weeks for tightening or aligner replacements, but this will vary for each individual.

3. Active Treatment: Teeth are gradually moved into their desired positions over the course of 18 to 24 months, or as outlined in your individual plan; the complexity of your case, your compliance with oral hygiene, or the type of treatment you choose will affect this timeframe. 

4. Regular Checkups: Within the active treatment timeframe, you’ll see your Orthodontist every 6 to 8 weeks as outlined at the start of the process. It is important to attend these, so your Orthodontist can assess your progress over the duration of your treatment. 

5. Brace Removal: When the teeth have reached their desired alignment, the braces will be removed or your aligner treatment will conclude, marking the end of the treatment phase. 

After braces are removed, retainers are essential to maintain the results and prevent teeth from shifting back to their original positions (relapse), since they remain “mobile” to begin with. Retainers are usually removable and are typically worn full-time for the first few months, transitioning to nightly use thereafter, depending on your Orthodontist's advice.

Will Braces Hurt?

There are no needles or drills involved when orthodontic treatment is fitted, meaning no pain is involved; the process simply involves having your teeth cleaned, and then the device is fitted. Over the first few days and weeks of having braces fitted, you may experience mild discomfort, but this won’t last long.

If you have any concerns about braces or any other form of orthodontic treatment, don’t hesitate to ask your Orthodontist for the answers, and they’ll do their best to address them promptly. Having orthodontics fitted can be an uncertain time, so your Orthodontist will want to reassure you at every given opportunity. 

How Can I Clean My Teeth With Braces?

To clean your teeth with braces, brush thoroughly after every meal using a soft-bristled toothbrush and fluoride toothpaste, paying extra attention to brushing around brackets and wires. Use an interdental brush or floss threader to clean between teeth and under the wires, and rinse with a fluoride mouthwash to help prevent dental cavities.

If using aligners, you will be able to remove them in order to eat. It is, however, still important to brush after eating before putting the aligners back in.

Contact Our Practice for Effective Orthodontic Treatment

If you require braces or aligners, look no further than Accessible Orthodontics. Our private Oxford-based clinic offers a large range of treatments, such as metal and ceramic braces, incognito braces, Angel aligners, and Invisalign aligners. We offer a FREE initial consultation to discuss your needs, so please contact us today to get started.