Broken braces or aligners. What to do and how to prevent it?

• Pediatric orthodontics - correction of malocclusion in children
• Adult orthodontics - bite correction in adults
• Treatment with removable orthodontic appliances
• Correction of malocclusion without braces using mouthguards in adults.
• What orthodontic devices do our orthodontists use to correct the bite?
• How is braces treatment performed?
• What types of braces are there?
• How and why to choose an orthodontist?
• Reminder to the brace bearer
• What is orthognathy?

Everyone who was not given a beautiful smile and correct bite by nature wants to find them and get rid of insecurities, complexes and health problems forever.
But it is generally accepted that orthodontic treatment is long, painful and causes a lot of inconvenience. Today this is a misconception. Modern orthodontic technologies and bracket systems themselves differ significantly from previous ones. With proper preparation for orthodontic treatment and proper behavior of the patient, they provide sufficient comfort for the patient during the process. Read here about what you need for this.

Do teeth with braces hurt a lot and what can you do about it?

Fixing braces is a painless procedure. But after the orthodontic archwire is installed in the braces, pressure will be placed on the teeth. Therefore, for several days after installation and each new arch replacement, the teeth may ache a little.

How much your teeth will hurt depends on the characteristics of your body and its pain threshold. According to statistics, 10% of patients’ teeth do not hurt at all, more than half report minor pain, and only 5% of brace wearers report severe pain.

In any case, the discomfort goes away after a few days, and the orthodontist will advise which painkiller is best to take if the pain greatly ruins your life.

So putting on braces is not painful, but rather a little unpleasant. But for the sake of the beauty of your smile and your own health, you can endure a little.

Construction of braces: comparison of non-ligating and self-ligating structures

There are ligature and self-ligating devices. The first includes traditional designs: the arc is fixed in the groove using elastic or wire ligatures. Example: Mini Diamond, Inspire Ice, Orthos devices. Ligature systems are characterized by a long treatment period - from one to three years, depending on the complexity of the clinical case, lengthy adaptation and labor-intensive hygienic care. Activate the device: replace arches and ligatures, it is necessary on average once a month, and sometimes more often.

traditional construction with ligatures

ligature Mini Diamond

The design of self-ligating braces has a fundamental difference: the system works without ligatures. Consists of a groove and a closing lid. The orthodontic arch slides in the groove. Ligature-free designs provide a reduction in treatment time compared to ligature devices by an average of 7 months. Less painful during the adaptation stage and easier from the point of view of oral hygiene. They turn out to be the option of choice in many clinical cases. The entire line of Damon System braces are self-ligating.

self-ligating Damon Q2

How does a braces system without ligatures work? The principle of operation of non-ligation devices is divided into passive and active self-ligation. With the passive type of fixation, the arc moves freely in the groove. The cover holds the arc and does not put pressure on it. Example: Damon Q, Damon Clear. With the active type of self-ligation, the clip presses on the arch and moves it to the base of the groove. Activation of self-ligating systems is carried out once every 2-3 months.

system without ligatures

Damon Clear and Q on typodont

Braces are made from various materials. Ligature and self-ligating structures are made of metal, transparent polycrystalline aluminum (ceramics), plastic and artificially grown sapphire. Metal braces, for example, Damon Q and Damon 3 MX, are the most durable. The Damon Clear2 ceramic and sapphire Inspire Ice models have the best aesthetic characteristics.

metal Damon Q2

ceramic Damon Clear

The orthodontist and the patient jointly overcome the path to high aesthetic smiles and a healthy dental system. Regardless of the type of braces and manufacturing material, the combination of the orthodontist’s professionalism with a high degree of patient responsibility allows one to achieve stable results in the treatment of malocclusions.

How to get used to the braces system?

Any braces are a foreign body in the oral cavity. And in the first couple of weeks after their installation, the body will be uncomfortable with them. Then addiction will set in, and the braces system will no longer cause inconvenience.

During the habituation period, you may experience:

• increased salivation,
• impaired speech clarity,
• The braces system can rub the mucous membrane.

To reduce these negative effects to a minimum and quickly get used to braces, we recommend:

1. Rinse your mouth with astringent solutions - decoctions of oak bark, shepherd's purse, drink tea with viburnum, water with lemon - this will help reduce saliva production.
2. Practice pronunciation by speaking tongue twisters or simply reading aloud. This way your speech apparatus will quickly get used to the new working conditions.
3. Use orthodontic wax to cover interfering clasps. Your orthodontist will give out the wax immediately after fixation. If the braces are rubbed and inflammation appears on the mucous membrane, use a healing ointment. In this case, Solcoseryl will work well.
4. Always have a travel hygiene kit with you so you can brush your teeth immediately after eating.

What should you eat during orthodontic treatment with braces?

Hard, hard foods (for example, nuts, crackers, carrots, large pieces of meat, seeds) contribute to increased work of the arch, so immediately after installing the braces system they can cause discomfort as a result of the load. But when eating solid food, there is a risk that the bracket may come off the tooth due to sudden movement. To avoid this, you need to take fruits and vegetables cut into slices, eat nut kernels not whole, but finely crushed, and eat meat in the form of cutlets or cut into small pieces. Categorically exclude crackers and chips from the diet. Do not drink sugary carbonated drinks, as they have a detrimental effect on tooth enamel (they contribute to the dissolution of the protective shell of the tooth, increasing the risk of caries).

Why do braces come off or break?

Braces can come off due to excessive or sudden loading and as a result, the creation of a stress vector that is directed outward from the bracket. A number of reasons may contribute to this:

• Severe crowding of teeth and lack of space at the initial stage of bite correction. Sometimes even a small arch can create significant stress, and in some cases the bracket can come off the tooth.
• If the brush is used carelessly (to clean the spaces between the tooth and the arch), if the brush is abruptly removed from the interdental space, the bracket can come off.
• In case of violation of the diet, consumption of hard foods, which you need to abstain from while wearing braces.

What to do if your braces (one or more) come off?

You need to contact a specialist as quickly as possible who will help you once again fix the bracket that has come unstuck, since the bracket system is a single whole, so the breakdown of even one link slows down the operation of the entire system.

Why can caries occur during treatment with braces?

If tooth brushing is insufficient, soft plaque and food debris accumulate on the enamel around the braces. Because of this, the enamel becomes very vulnerable, and conditions are created that promote the proliferation of microbes that cause caries. The gums can also become inflamed, which is manifested by swelling and bleeding of the gum mucosa when brushing your teeth. The phenomena of inflammation are aggravated by the accumulation of plaque. This makes it difficult to carry out thorough dental hygiene measures and contributes to the development of caries. In the area where food debris and soft plaque accumulate in the greatest quantities, after a few weeks a patch of bright white enamel without shine may appear.

This picture represents the initial reversible form of caries. It can be seen on the front tooth surface around braces and in the cervical area. If measures are not taken to improve oral hygiene, then after a few weeks it will be possible to detect destroyed areas of hard tissue.

What can you eat with braces?

There are no big prohibitions on certain foods during orthodontic treatment, but it is better to adhere to the following rules:

1. In the first days after installation and activation, while your teeth ache, it is better to eat soft and liquid food - porridge, puree soups, smoothies, yoghurts and curds. This will make it easier to get used to your new state.
2. There is no need to eat sticky foods that can get stuck in the braces and damage them. And even if they don’t damage them, it’s difficult to clean them out later. Therefore, toffees, caramels, chewing gum, as well as cookies, baked goods, and other foods that become sticky when chewed are prohibited.
3. Do not eat hard foods - crackers, nuts, pieces of meat, etc. — they can easily damage your braces. For the same reason, cut raw vegetables and fruits into small pieces.
4. Don't forget that products such as tea, coffee, colored drinks, beets, blueberries, etc. may change the color of some types of braces and ligatures on them. And sitting in a cafe with a brace system full of, for example, red beets is not very aesthetically pleasing. So think about it.
5. If your brace system has thermo-active orthodontic wires, then you cannot eat ice cream or drink ice water. The fact is that at ordinary temperatures a thermoactive arc can be given any shape. Then, under the influence of a person’s body temperature, it “remembers” the shape that was put into it during production and begins to work. And here you are with your ice cream...

Why might I experience discomfort or pain after getting braces?

The arches that are used on the bracket system at the beginning of orthodontic treatment have shape memory. Therefore, no matter what bend the arch placed in the groove from the braces makes, it tries to return back to its original position, thereby affecting the position of the teeth and straightening them. Unpleasant sensations that occur immediately after installing braces can most often be associated with the fact that constant tension develops inside the bone due to the work of the arch. Adaptation of the ligaments of teeth in the upper jaw occurs within 3-5 days in adolescents and after 7-10 days in adult patients. The bone tissue on the lower dentition is denser, which is why addiction can last up to 10-12 days in adult patients, and up to 7 days in adolescents.

Another reason for discomfort after installing a brace system is irritation of the mucous membrane of the tongue (if internal lingual braces are used) or lips, cheeks (if external braces are used). In the process of talking, chewing, and swallowing, the cheeks and teeth produce movement, so the protruding parts of the braces system, which are constantly in contact with the mucous membrane, lead to “rubbing.” The human body is a wise system, therefore, in response to regular irritation on the mucous membrane in the place where there is contact with braces or locks, a “protective stratum corneum” is formed, which in open areas of the skin is similar to a callus, so there is a gradual decrease in sensitivity. However, if you remove the irritant - in this case, the braces system - the mucous membrane is restored.

How to properly brush teeth with braces?

To care for your teeth while wearing braces, you will need a whole range of products:

1. A suitable toothpaste should be recommended by your dentist.
2. Special orthodontic toothbrush.
3. Mono-tuft toothbrush.
4. Interdental brushes of different diameters.
5. A special dental floss for caring for braces is superfloss.
6. Mouthwash.
7. And, preferably, an irrigator.

You need to brush your teeth thoroughly twice a day - morning and evening, consistently using all the products from the list above. With toothbrushes you need to make sweeping movements, first on the lateral sections of the dentition - from the outside and from the inside, and then in the front. Using dental brushes and floss, it is necessary to thoroughly clean the interdental spaces, areas under the arch and next to the braces. At the end of hygiene, you need to rinse your mouth with mouthwash or use an irrigator.

During orthodontic treatment, patients need to carry a special travel dental hygiene kit with them in order to always be able to get their teeth in order with braces. After each meal, remove all food debris from the braces system.

In addition to daily home hygiene, once every 4-6 months, patients with braces need to undergo a professional hygiene procedure in the clinic.

Immediately after fixing the braces system, the orthodontist will teach the patient how to properly care for their teeth during treatment.

Remember, it is not braces that spoil your teeth! It is poorly cleaned plaque that causes demineralization and then caries.

Duration of treatment and frequency of revisions

The use of braces is the most effective way to eliminate dental defects. Orthodontic treatment provides a number of benefits:

• Restoration of correct bite;
• Predictability of treatment outcomes;
• Wide selection of corrective designs;
• Aesthetics of the models used;
• No need for additional treatment.

The factor determining the duration of treatment is the specificity of the diagnosed pathology, and in each case the medical prognosis will be based on the clinical picture. However, what is common to all patients is the presence of a schedule of visits to the dental clinic, according to which it will be necessary to check in with the orthodontist.

Wire arches, fixed in brackets attached to the teeth, create the necessary level of pressure, forcing the problem units to move in a given direction. At the first stage of orthodontic treatment, it is recommended to install less rigid elements, the task of which is to gradually prepare the jaw region for upcoming changes. Over time, the stiffness coefficient increases, which helps correct the bite and straighten the teeth.

Each visit during the correction phase involves two procedures: an assessment of the current dynamics of recovery, as well as making changes to the design settings that ensure the greatest effectiveness of the impact. Standard practice involves replacing the arch wire at least three to four times, and in complex cases at intervals determined within the treatment plan.

How to wear orthodontic traction bands - elastics?

Orthodontic rods - elastics - are special latex “rubber bands” that are placed on the hooks of the braces system to tighten the jaws together. They greatly increase the effectiveness of braces treatment. Properly selected and worn elastics do not interfere with speaking. The main rule of wearing pull-ups is regularity.

The time to start wearing elastics, their type and the pattern according to which the rods are put on the brace system is prescribed ONLY by the orthodontist. Wearing elastics on your own can only cause harm. Also, the orthodontist puts orthodontic rods on the patient’s brace system for the first time and teaches him to do it independently. In order not to forget the location of the rods, it is convenient to photograph the diagram and then carefully repeat it - it is not at all difficult.

The principle of operation of braces for correcting malocclusion

1. Based on the treatment plan, the orthodontist sets the orthodontic arch to the correct position of the patient’s dentition.
2. After being fixed in the grooves of the braces, the metal wire tends to return to the specified reference position and pulls the teeth along with it.
3. During the treatment, the power parts are changed and activated, increasing the pressure on the crowns and root system.
4. The gradual movement of dental units forms the patient’s correct bite.

During the correction process, Aza&Buka orthodontists adhere to certain rules:

1. Thin arc elements are installed first. Treatment begins with a weak impact so that the patient adapts to the orthodontic structure and does not experience severe pain.
2. The load is increased gradually, increasing traction and pressure. The arches are changed to stiffer and thicker ones.

What to do if the bracket comes off or the arch in the bracket system breaks?

Every brace wearer has at least once encountered the breakdown of elements of the brace system. You need to take this calmly, but you should return everything to its place as quickly as possible. A broken brace system not only does not correct your bite, it can cause serious harm.

So, in case of any force majeure with your braces system, call your orthodontist and make an appointment for the next few days.

What you can do yourself in various cases of brace system failure:

1. If the bracket comes off.

If the lock has only come off a little and has not completely fallen off the tooth, cover it together with the arch with a piece of orthodontic wax.

If the bracket has come off completely and is “hanging” on the arch, try using tweezers to remove the ligature or open the bracket cover to remove the lock from the orthodontic arch. Don’t forget to bring it to the orthodontist later - perhaps he will not change the lock, but will glue the old one in its place.

2. The orthodontic arch has jumped out of the bracket slot.

You can try to bring it back yourself using eyebrow tweezers. It is convenient to close the cover of a self-ligating bracket with a pencil with an elastic band at the end. If it doesn’t work out, it’s okay, but don’t put off visiting the orthodontist, because... in this situation, one tooth “fell out” of the treatment program, and this is bad.

3. When the orthodontic arch leaves the groove of the last bracket, it can injure the buccal mucosa. Try to carefully insert it back. If this does not work, then trim the free piece with nail clippers. Be careful not to swallow what you cut off! Cover the sharp end of the archwire with orthodontic wax or a cotton ball. This way you won't get hurt while getting to the orthodontist.

What is the danger of mechanical damage to the system?

A loose bracket or a spring that has changed its tension can radically change the planned trajectory of teeth movement. If you promptly contact the orthodontist center, the attending physician will, of course, restore the deformed system. But you will have to pay for his additional work and time spent, as well as for a new brace or other lost structural element. Remember this both when performing mandatory hygiene procedures and during meals, when you want to eat something tasty, but, unfortunately, forbidden for now.

Types of arches for braces

The diameter and cross-sectional shape of the orthodontic arch are selected for each stage of treatment. The thinner the wire, the more gentle the effect. Correction of the bite begins with the installation of thin movable arches. Both parameters are taken into account simultaneously:

• Round cross-section with a diameter of 0.14-0.18 inches. Wires with low rigidity, increased elasticity and good mobility. Suitable for starting treatment - painless adaptation and getting used to the metal brace system.
• Arcs with a rectangular cross-section of 0.14-0.25 inches. Installed during the main period of correction - they provide an intense impact, are responsible for changing the shape of the dentition and moving individual units.
• Square cut arc with dimensions of 0.16-0.175 inches. The wire has maximum resistance - it does an excellent job of final alignment of the bite and creating correct occlusal contacts.

Orthodontic arches for braces are divided into:

• By purpose - for upper and lower teeth (Ulilier / Lower), for vestibular and lingual braces, universal.
• By size, taking into account the size of the teeth - large, medium, small.