Dental Braces

Dental Braces

INVISIBLE OR ESTHETIC BRACES

Invisible braces are the recent technique which can involve CAD-CAM technology to offer you an esthetic and barely visible alternative to conventional wire/bracket braces. While invisible braces may not be suitable for certain misalignment cases or the complex bite problems that are better addressed by traditional orthodontics, invisible braces can be used to treat conditions like increased or decreased vertical or horizontal gap between your upper and lower front teeth, crowded or widely spaced teeth or crooked teeth.

Invisible CAD- CAM manufactured braces are designed for adults and older teenagers but are not recommended when milk teeth are still there in mouth. Children and younger teenagers with misaligned teeth will require braces with brackets/wires. However, only your dentist or orthodontist can determine if you are a candidate for invisible CAD-CAM braces. This treatment is usually suited for adults due to the need for absolute and rigid cooperation as the CAD- CAM braces are worn continuously for whole day and should not be forgotten or lost.

VARIETIES AND PROCEDURE OF INVISIBLE OR ESTHETIC BRACES

Common types of invisible braces include ceramic brackets, inside braces and clear aligners.

Ceramic tooth colored braces use tooth-colored brackets (and sometimes tooth-colored wires) rather than metal to straighten teeth. Generally non-staining ceramic "blends" with your teeth, making them less noticeable than metal, but not as "invisible" as inside braces or clear aligners. Inside braces — also called inside invisible braces, lingual braces or "iBraces" — and clear aligners go one step further, making treatment virtually invisible. Each alternative has its advantages and disadvantages.

Ceramic Braces

Ceramic braces are made of materials that are weaker and more brittle than their metal counterpart. Ceramic brackets are larger than metal brackets and require small rubber bands-elastics or ligatures wires (or built in spring clips on "self-ligating" brackets that don’t require retying with wires or elastics) to hold them to the arch wire that can stain. However, staining is not a big problem because ligatures are changed every time you get an adjustment (generally monthly).

ceramic brackets are not removable until treatment is completed, can produce irritation and discomfort, and may complicate regular tooth care, eating and speaking. Ceramic braces may require a longer treatment time, since your orthodontist may need to apply a slower, more gradual force to ensure the ceramic doesn’t get fracture. Ceramic brackets also are usually more expensive than traditional metal brackets. For some patients combination of ceramic and metal braces can be used who have issues with affordability.

Inside braces/ Lingual/ ibraces are attached to the back of the teeth so they are hidden from view. These are usually for the people who are often in public and might feel self-conscious about wearing clear aligners or braces with metal or ceramic brackets/wires on the front of their teeth. Special, CAD-CAM custom made brackets can also be made that are attached to the insides of the upper and sometimes lower teeth. Whereas clear removable aligners can be misplaced or lost, thereby delaying treatment, iBraces are fixed and not removable. Elastics can be used with iBraces to help hasten treatment. iBraces include a higher cost than traditional braces due to the computerized customization required to make the brackets. Speech problems, discomfort, maintaining dental hygiene and removing dental plaque can also be some of  the issues with iBraces.

Lingual Braces
Invisalign Dentist in Gurgaon

Clear aligners are a series of clear, removable aligners custom-fit to your teeth to provide virtually irritation-free treatment with minimal adjustment discomfort and visits. Clear aligners are nearly invisible, minimally invasive and resistant to clouding from wear. With clear aligners, there are no brackets to come off or wires to break and poke. Clear aligners can be removed for eating, drinking and special events, making it easier to brush and floss.

 However, since clear aligners are removable, they may require more motivation and self-discipline to wear consistently, and they are easier to misplace or lose. Lost clear aligners may result in treatment delay and additional replacement costs. While fairly comfortable, clear aligners can cause discomfort or mild pain, particularly at the beginning when new aligners are placed and exert pressure on the teeth to move them. Clear also require special oral cleansers and maintenance.

Braces vs Invisalign
Advantages of clear aligners

Clear aligners are made after your orthodontist takes three-dimensional impressions of your teeth and sends them to a manufacturer-specific laboratory that fabricates your custom-fit clear aligners using CAD-CAM technology. These aligners are then sent to your dentist/orthodontist to be tried on and evaluated for suitability. Clear aligners are provided in sets. The number of aligners will vary and depend on your specific orthodontic problem. You will wear each new aligner set for a specified amount of time, removing them only to eat, drink, brush and floss. With each new aligner set, your teeth slowly adjust and gradually realign to your desired smile. At periodic visits, your dentist/orthodontist will provide the next aligner set and evaluate your progress throughout treatment. Revision aligners are often requested at the end of the first series of aligners to correct any unfinished detailing.

WHAT PRECAUTIONS TO BE TAKEN AFTER THE PROCEDURE?

Although brushing twice a day is the standard oral care recommendation, when you wear braces, you should brush after every time you eat. That's because food particles trapped in the braces can lead to bleeding or swollen or irritation in gums, bad breath, decay etc. Use of soft specially designed orthodontic toothbrush with round bristles, or an electric toothbrush if available is advisable. It's important to brush each tooth at the gum line and both above and below the brackets. Brush your gum line first, holding the toothbrush at a 45-degree angle. Next, clean the brackets by brushing at a downward angle on top of the brackets and brushing at an upward angle at the bottom of the brackets. Rinse again after brushing. Flosser and interdental brushes are other dental cleaning aids which you can use along with mouthwashes.

You should especially avoid sticky and chewy foods, such as dried fruits, caramel, taffy, corn on the cob and chewing gum, all of which can become stuck and be hard to remove from braces.

Hard foods are another no-no. Foods such as nuts, ice, popcorn and meat can break the wires of the braces and loosen the brackets. Even otherwise healthy foods, such as raw apples and carrots, can be problematic because their hard texture can damage the wires. To eat crunchy foods, cut them into small, bite-size pieces.

If you are stuck somewhere without a toothbrush, vigorously rinse your mouth with water (or mouthwash) and brush as soon as possible. Also, if your braces or wires injured or ulcerated the inside of your lips or cheeks, you can place a special wax on them to prevent this from happening. You can get this wax at drug stores, or just ask your dentist or orthodontist.

Dental Braces
Dental Braces

WHAT SHOULD YOU EXPECT DURING & AFTER AN ORTHODONTIC PROCEDURE?

Once treatment plan is finalized as to which kind of braces are best suited for you the procedure of placing braces or clear aligners on your teeth will start.

Initial Placement of Braces

This first appointment of active treatment usually requires one to two hours for placement of the appliance(s) and/or braces with time to review instructions for the care and cleaning of the appliance(s). Due to the length of this appointment, we generally schedule this appointment in the morning or early afternoon. One might feel slight discomfort or tightness or teeth being spread apart kind of feeling after this visit.

Active Treatment

This phase of treatment includes monthly evaluation visits (for patients in Comprehensive Treatment) and appliance adjustment visits (for patients in Phase I Treatment). These visits usually occur every three to six weeks and are approximately 30 minutes long. Periodic progress reports and records will be taken throughout the active period of treatment to ensure a high standard of quality and adherence to the patient’s individualized treatment plan.

Removal of Appliance

The removal of orthodontic appliances usually takes about one hour. Instructions for retention appliances, such as a retainer, will be given at this appointment.

Retention Treatment

Patients will return to our office one month after the retention appliance has been delivered. After that appointment, visits will typically take place every two to four months. During the retention appointments, the retainer is examined, adjusted and corrected to ensure proper function. It is important that the patient follow the doctor’s instructions on wearing the retention appliance and during the whole orthodontic treatment  and immediately report any breakage or lost part of wire, elastics, bracket, trays or retainers etc in order to prevent relapses.

Invisible Braces Price

Invisible Braces in Gurgaon

At Center for Dental Implants & Esthetics - we provide highest quality invisible braces i.e. Invisalign. For a details of cost of braces please check out the list here

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