FIXED and ESTHETIC APPLIANCES

Always in style, simple or colored, metallic, transparent or ceramic, the fixed dental appliance is most liked by teenagers. Fixed appliances are most efficient when we talk about complex long term treatments which improve not only the dental esthetics, but also the functionality and health of the teeth.

A fixed appliance can not be removed at home. It is made of brackets that are applied on each tooth and bonded with specific adhesives, and then are linked with special springs. Depending on which side of the tooth the brackets are installed, appliances can be classic (installed on the visible – exterior side of the tooth) or invisible (installed on the unseen – interior, lingual side of the tooth).

There is a large variety of fixed dental appliances which the orthodontist can take into consideration when recommending one to his patient. The decision will depend on the type of dental anomaly which has to be treated and the chosen treatment technique.

What is a dental appliance?

A dental appliance corrects dental problems (anomalies) which are frequent among teenagers: crowded or crooked teeth, overlapped teeth, not aligned teeth, interdental spaces. The role of the appliance is to help reposition teeth – this way you can obtain the most attractive smile and the social comfort you have always wished for.

Brackets stay fixed on teeth for a longer period and exert adequate pressure in order to align malpositioned teeth. These factors combined allow a dental appliance to change the position of malpositioned teeth.

Teenagers can wear a fixed dental appliance only after all their milk (temporary) teeth have been replaced with permanent teeth. The recommendation of wearing an appliance will be made by an orthodontist, only after having made a complete examination (consultation, x-rays, pictures, dental impressions and molds).

When is it recommended to wear a dental appliance?

The most frequent anomalies which can be corrected with a dental appliance are:

  • crowded teeth;
  • rotated teeth;
  • teeth positioned too much in the front or to much in the back on the dental arch;
  • diastema / trema (the space between the two front teeth)
  • malocclusion (the upper and lower arches don’t fit when you bite): the upper jaw and teeth severely overlap the bottom jaw and teeth / the lower jaw protrudes or juts forward, causing the lower jaw and teeth to overlap the upper jaw and teeth / there is a space between the upper and lower arch where the tongue comes in during speaking or swallowing, causing phonetic difficulties.
  • post extraction space – needs to be closed, in order to avoid complicated dental procedures such as bridges (where other two healthy teeth need to be milled) or implants.
  • impacted teeth – permanent teeth blocked inside the jawbone which have to be exposed (brought on the dental arch).

Appliances are also used to help the child get rid of unhealthy habits such as: oral breathing, sucking on thumb, biting nails or pushin teeth with their tongue during swallowing.

TYPES OF FIXED and ESTHETIC APPLIANCES

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