Types of metal braces. Metal braces - characteristics and recommendations for care

Metal braces were the first among orthodontic means for correcting an overbite. They are the most durable and cheapest among other designs. Exist different types metal braces, depending on the method of fastening the locks and fixing on the jaws. The variety will allow you to choose a system, taking into account the many nuances of the location of the teeth for any patient. Regardless of the type of bracket system, its main elements (locks and arch) are made of a metal alloy.

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Types and differences

According to the method of attachment to the dentition, metal braces can be:

vestibular. They are fixed on the outer surface, so they are noticeable when talking and smiling;
Lingual. They are located along inside row, which makes the bracket system invisible to prying eyes, but causing inconvenience to the owner.

The method of fastening brackets with an arc divides designs into ligature and self-ligating.

Video

Ligature metal braces

The ligature is the fixing elements of the bracket system. Their purpose is to fasten the grooves of the metal locks of the arc that passes through the dentition. The bracket itself is planted on the surface of the organ treated with a special glue.

There are 2 types of ligature:

Elastic. These are very small rubber rings. Their property to weaken over time makes it necessary to replace the ligature with each tightening of the arc;
Metal. Wire elements are less extensible and tightly fix brackets with an arch, so it is not used at the first stage of teeth straightening. This type does not require as frequent replacement as elastic.

Metal braces with additional fixing elements, it is sometimes more expedient to use than others, due to the following advantages of such systems:

They are less painful to use, especially with an elastic ligature;
Sometimes it is easier to persuade a child to put just such braces because of giving an original look to a smile, thanks to colored rubber bands;
They cope with such violations of the position of the teeth, which cannot be eliminated with the help of non-ligature structures;
They can be used by more people due to their low cost compared to non-ligature systems.

Among the shortcomings of such structures are noticed:

Rapid loss of elasticity of the rubber ligature. Related to this is the need for frequent replacement to restore the functioning of the entire system;
Slower teeth alignment process. This quality is due to the high friction force that the arc has to experience when they move to a more correct position;
Tight fixation of the metal ligature can provoke pain in the patient;
Difficulty cleaning procedures for the oral cavity, the risk of hard plaque and caries.

Self-ligating metal braces

This is a more advanced design. The locks are connected to the straightening base without the use of rubber bands and metal rings. The braces have grooves through which they seem to be strung on an arc. To prevent them from hanging on it, each element has a snap lock and a lid that closes using a tool.

Self-ligation happens:

Other benefits of self-ligating metal braces include:

Ability to save all teeth. Their soft, natural movement, even with a metal structure, makes it possible to expand the dentition, due to which there is also a place for the “extra” organ;
Simplified Care oral cavity. There is no need to pick out the remnants of food from under the ligature;
Faster adjustment to braces. This is due to the comfort of wearing them. The absence of protruding parts keeps intact soft tissues oral cavity. Reduced arc pressure will eliminate noticeable pain at the beginning of treatment and its replacement.

Metal braces from different manufacturers

The choice is quite wide due to the age of use of metal orthodontic structures.

Among them there are both ligature and self-ligating braces:

Damon. There are 2 types of metal structures: damon q and damon 3 mx. The common advantages of each are the easy-to-snap lock on Sprin Tek brackets, passive self-ligation and a smooth, rounded surface of the parts. Damon q, in addition, have a very small size, which significantly improves appearance teeth. Price - from 45,000 rubles;
master. The locks have about flowing, facilitating cleaning the surface treated with a laser. There is also a Mini-Master design option with smaller brackets, which allows you to give your teeth more aesthetics. Cost - from 40,000 rubles. MiniMaster is slightly more expensive;
Alexander. Made from non-oxidizing alloy. They have wings that control the rotation of the tooth around its axis, providing it with a more correct position. Price - from 40,000 rubles;
Sprint. The alloy from which they are made does not contain nickel, which makes them suitable for allergy sufferers. Braces have no seams, so they are less prone to breakage and corrosion. There is a Mini-Sprint variant with tiny locks. Cost - from 35,000 rubles;
marquis. Ligature, very strong, with wings. Molar braces have a wider base for a snug fit and effective straightening. Price - from 35,000 rubles;
Victory. Colored ligature structures consist of locks with an anatomically correct surface, which ensures high-quality fixation on the teeth and precise positioning at the end of treatment. The cost of Victory is from 35,000 rubles;
smart clip. Self-ligating system with nitilon clips that firmly hold the wire. Each bracket has 4 slots, one of which is horizontal. This makes it possible different options fixation depending on the location of the teeth. The price starts from 40,000 rubles;
In-Ovation. Ligature-free design, the feature of which is an arc with “shape memory”, smoothly but steadily moving teeth. It costs from 40,000 rubles;
Empower. The self-ligating bracket system offers 3 options for influencing the teeth: active, passive and combined. In the latter case, there is the possibility of directing pressure of varying force on the anterior teeth and molars. The price starts from 40,000 rubles;
Prodigy S.L. Like the previous design, it has several types of influence on the dentition. Self-ligating braces are equipped with a Sprin Tek lock made of titanium-nickel alloy. Cost from 40,000 rubles;
Roth. Miniature braces made of medical steel. Located in the most hidden from prying eyes zone of the teeth, which makes them more aesthetically pleasing. Effective in correcting crooked teeth. Price - from 40,000 rubles;
Orthos. They are installed closer to the edge of the gums, which makes it possible to straighten teeth that have not completely erupted. Therefore, their use in children is especially effective. Braces for molars have a wider base, and for the front teeth - a smaller thickness. The cost starts from 40,000 rubles.

The process of installing metal braces

It all starts with the choice of a bracket system model that is suitable for the price, bite characteristics and structure of the patient's jaws. Sometimes it may be necessary to remove 1-2 teeth, but this happens infrequently. Pre-treatment includes treatment carious cavities and gums cleaning surfaces from plaque and stone. Then they are covered fluorine-containing composition to avoid tissue destruction.

Direct installation of a metal structure consists of:

Fixing the bracket to the surface using glue. The element is positioned so that the pressure on the tooth is directed towards its straightening. Glue is applied to the teeth, each has its own bracket, they should not be confused;
Fixing the arc. If this is a ligature system, it is attached with rubber bands or metal brackets. The design without additional fasteners is assembled by threading the arc into the grooves of the braces and snapping the clip or lock.

The installation of the lingual bracket system begins with the removal of casts from the jaws. The design is then modeled using a computer to achieve maximum accuracy, since the back of the teeth is more difficult to work with. Then metal locks are fixed on the inside of the organs. An arc is attached to them.

The next visit to the orthodontist should be in a month. The doctor will monitor the course of treatment and correct the position of the arc or replace it. The patient all this time should carefully monitor the oral cavity, use for brushing teeth special brushes, exclude nuts, seeds, chewing gum, toffee from the diet.

In addition to the mentioned hygiene products, toothpicks, preferably plastic, irrigators are also needed. It is quite difficult to use flosses, arcs prevent this.

Wearing a metal bracket system makes teeth straighter in a shorter time than constructions made from other materials. The treatment time is from 6 months to 1.5 years. Then, so that the teeth do not return again to their previous incorrect position, it may be necessary to wear retainers, followed by special orthodontic plates.

Almost anyone can acquire a beautiful, even smile, which is considered the norm in Hollywood, even if nature has not awarded good data. Bracket systems, which have become widespread in recent years, come to the rescue. In the article, we will get acquainted in detail with metal braces, find out the advantages and disadvantages, the secrets of installation and the rules of care.

To date, there are various systems of orthodontic brackets, which differ in the material from which they are made, the principles and mechanisms of action, installation methods.

Metal braces are considered the most popular, they became the first assistants of orthodontists in solving complex problems, among which the following stand out:

malocclusion, including complex cases;
irregularities of the dentition, arising for various reasons.

Bracket systems made of metal are still used much more often than "colleagues" - plastic, polymer, sapphire brackets. There are many reasons for this, but the most important are the following:

strength, reliability, “iron” braces are almost impossible to break;
affordable price (for many patients, the factor is decisive).

The first models were quite large, bulky, on the one hand, they created discomfort for the patient, on the other hand, they were clearly visible. Today, braces have significantly decreased in size, become lighter, which has increased their rating in the eyes of potential customers.

Braces are a complex device consisting of different elements; in traditional vestibular apparatuses there are:

braces or locks glued to the teeth;
wire arches installed in the grooves and responsible for moving the teeth in the right direction;
ligatures, rings made of metal or other material used to attach the arc to the braces.

There are other devices that are used in the installation of orthodontic systems.

Types of metal braces

Metal bracket systems come in various types, knowledge of models, specifics will help the patient to make right choice. There are several classifications, including the place of attachment and the mechanism of action.

Depending on which side of the dentition the braces are attached, there are:

vestibular;

The first are attached to the outside of the teeth, can be made of different materials, of the representatives of the species, metal braces are the most noticeable. Experts try to solve the problem in two ways:

Reduce the size and weight of the bracket so that it is less visible.
Contrary method: metal braces are stained in different tones, are made in the form of hearts, geometric, plant shapes, allowing a person to stand out from the crowd.

A feature of lingual systems is that they are attached to the inner surface of the teeth, they are absolutely invisible, they are suitable even for shy and insecure people.

Although lingual braces also have disadvantages: the addiction process takes much longer, problems with diction occur, special oral care is required, more discomfort when wearing, and the chances of injury to soft tissues increase.

According to the mechanism of action, the following types are distinguished:

ligature braces, which are most widely used;
non-ligature braces, which are still gaining momentum.

Metal ligature braces consist of locks, wire arches and ligatures. On the 6th and 7th teeth, orthodontic rings and cheek locks are installed on each side, serve as a support for the arc.

Recently appeared non-ligature metal systems, are also called self-ligating. The main feature is the absence of a ligature, which affects the installation speed, simplification of care, and reduction of wearing time.

The cost of metal braces

The main advantage of metal braces is the relatively low cost. But you can observe a fairly strong difference in prices. The difference depends on the type of system: vestibular braces will be the most budgetary, lingual braces are expensive.

Also, the cost of braces is affected by the metal from which they are made, braces made of stainless steel are the least expensive, followed by devices made of alloys. The most expensive are gold items, status, wealthy people can afford their installation.

Estimated prices for the jaw, excluding installation and treatment, have a minimum threshold of 15 thousand rubles, the maximum cost is 50 thousand rubles. When choosing a system, you need to consider how much the process will cost, including braces, installation, monitoring process and care. For example, the same ones will cost about twice as much as metal ones.

Stages of installing metal brackets

Many potential patients turn to Internet resources to learn more about what metal braces look like, there are plenty of photos and videos on the World Wide Web. You can visually get acquainted with the installation process, but some of the preparatory work remains behind the scenes.

Conventionally, the process is divided into several stages:

diagnostics;
preparatory stage;
installation process;
adaptation;
observation at the orthodontist, activation, correction;
removal of braces.

The decision to install braces will be made after a professional examination, diagnosis and consultation with a specialist, an appointment for x-rays. Self-diagnosis does not pass, not all cases can be corrected, or a number of dental measures are required first, including the removal of some healthy teeth.

The duration of the preparatory stage depends on the condition of the teeth and gums. The treatment of carious teeth and periodontitis is mandatory in order to avoid problems in the future.

A special place at this stage is occupied by professional cleaning, braces must be installed on perfectly clean teeth, it is impossible to achieve this at home.

Therefore, this procedure is carried out by dentists using ultrasound or fluorine-containing agents. A few days after cleaning, installation should begin.

The process of installing metal braces is a responsible matter that takes time, so there is no need to rush the orthodontist. The more accurately the braces are fitted, the shorter the wearing period and the better the end result. In order to see all the teeth, a special mouth expander is used, the orthodontist can start working.

The surface of the enamel is polished, a special composition is applied to it, then it is removed and the teeth are dried. The next step is to attach the braces, each attached to the tooth with a powerful adhesive. The installation of structures always begins with the upper jaw, and then proceeds to the lower. Outside, the locks are covered with orthodontic cement, the material hardens under the action of ultraviolet radiation, and the excess is removed.

In terms of time, the vestibular non-ligature systems have the fastest installation process - about an hour. There are special locks in the braces, with their help the arc is attached. The process of installing lingual braces takes the most time - up to 2 hours. The procedure is tedious, but without much discomfort, which is important - painless.

Then the adaptation period begins, after a certain time there will be slight pain in the jaw, which means that the position of the muscle tissue is changing, the process of moving the teeth has begun. The condition may last for several days.

The second problem that braces wearers may face is irritation of mucous surfaces, injury, to avoid this, a special wax is used, which is applied to the protruding parts.

The third problem is a violation of diction, the device needs to get used to the appearance of foreign objects in the oral cavity that affect articulation. The most difficult thing is for patients with lingual braces.

Next, you need to regularly come to the orthodontist to activate, adjust, change the arch. The specialist will set the dates for the next meeting with the patient, based on individual features the course of the process. Traditionally - once a month, deviations to the sides are possible. The type of system can also affect the frequency of visits, there is a ligature - visits more often, non-ligature braces - less often.

Proper care of metal braces

Regardless of which iron braces are installed, their care is the same. After each meal, it is recommended to brush your teeth and braces, and for this you need to use special toothbrushes, electric and orthodontic, brushes, and an irrigator. Regular (once every few months) teeth cleaning by a periodontist is also indicated.

There are restrictions regarding nutrition, soft, liquid food is shown in the first few weeks. In the future, you can use any products, with the exception of hard, stretchy ones that can get stuck in braces. The easiest care for non-ligature braces, the most difficult, serious - for lingual braces.

How braces work

The standard bracket system consists of 3 main components –

braces (special plates that are glued to the teeth),
metal arc (with its help the braces are interconnected),
the mechanism for fixing the arc in the bracket groove (with the help of ligatures or locking fasteners).

Braces work by applying constant, slight pressure to the teeth. Pressure is generated by a metal wire that passes through each bracket and connects them to each other. During the treatment, the orthodontist will use metal arcs different forms and thickness, will weaken or tighten the ligatures more - all this allows you to change the degree of pressure on the teeth, achieving their desired position.

It must be said that not only the teeth themselves experience pressure, but most importantly, the bone tissue around them. Under the pressure experienced in the bone tissue, the processes of bone remodeling are launched (parallel bone resorption in the direction of tooth movement, and its formation behind the direction of tooth movement). This process is very slow and therefore the treatment takes a long time.

Types of braces -

All types of braces can be classified according to several parameters, for example, according to the type of material and design features. The pros and cons of each type are detailed below.

Bracket system: types (table 1)

Braces: photo

In the photo you can see different types braces listed in Table 1

How to choose the right braces

We offer you a model for choosing braces based on several points:

firstly, to determine the acceptable level of aesthetics,
secondly, with the level of comfort, reliability and speed of treatment,
thirdly - with a design (ligature or non-ligature),
the fourth criterion is the cost of braces.

1. Evaluate the acceptable level of aesthetics first

To choose the right braces, first you need to decide on the level of aesthetics that you expect from them (website). If you are not at all embarrassed by the fact that people will see them, feel free to choose metal braces that are fixed on the front surface of the teeth. Such braces are the most reliable and effective.

If you would like braces to be less visible, then you will have to choose between sapphire and ceramic braces on the one hand, and lingual braces on the other. Braces that are fixed from the inside of the dentition are called lingual braces (these braces are not visible at all).

There is practically no difference between sapphire and ceramic braces. The former are made from monocrystalline alumina, the latter from polycrystalline alumina. They differ from each other only in the degree of transparency. Ceramic - white opaque (they are suitable for people with a darker shade of teeth). Sapphire - translucent (they are more suitable for light-colored teeth).

2. Compare different types of braces with each other in terms of comfort, reliability and speed of treatment -

table 2

		Ceramic/sapphire braces
Aesthetics	low	high	perfect
Reliability	very high	high	low
Healing speed	high	high	low
Frequency of visits to the orthodontist	1 time in 2 months	1 time in 2 months	as needed
Convenience for patients	fast adaptation	fast adaptation	heavy adaptation
Price of treatment	medium to high	high	extremely high

To learn more about each type of braces (their advantages and disadvantages), to find out which manufacturers produce this type of braces, and which manufacturer's braces are better to choose - you can read in the detailed reviews ...

3. Ligature braces and non-ligature braces - which are better?

Ligature braces - they have special elastic bands or thin orthodontic wire as a mechanism for fixing the arc in the bracket groove (Fig. 1-5,11,13). Non-ligating braces are also called self-ligating braces; on their surface there is a special snap lock that securely holds the metal arc in the bracket groove (Fig. 12,14, gif).

Non-ligature braces: photo

Non-ligature braces can be made of metal, ceramic, or a combination of materials (for example, the body of the bracket is made of ceramic, and the bracket groove or lock is made of metal, as in Figure 9).

Types of non-ligature braces –

"Victory", "SmartClip" and "Clarity SL" (Germany),
"In-Ovation- R", "In-Ovation- FROM", "In-Ovation- L"(USA),
"Damon clear" (Fig. 14), "Damon Q", "Damon 3-MX" (USA).

If your doctor says that only non-ligature braces are suitable for yours, then he is clearly disingenuous. The fact is that they usually cost 2-3 times more to correct an overbite with such braces. And such a price appears not so much because of a slightly increased cost, but primarily due to the fact that self-ligating braces are positioned in advertising as the most modern and most effective.

Comparison of ligature and non-ligature braces -

Ease of changing the type of ligation(universality) –
there is active and passive fixation of the metal arc in the bracket slot (ligation type). Active fixation means that the archwire will be tightly clamped in the bracket groove and will not be able to slide freely in it (Fig. 15). With passive fixation, there will be no tight contact between the wire and the bracket slot, and the wire will slide freely in the slot (Fig. 16).
The only disadvantage of metal braces is that they are clearly visible on the teeth. But you can give them personality and make them colorful by using multi-colored rubber ligatures. And for the most fashionable, it is possible to install braces in the form of hearts, flowers, soccer balls or stars. See table 2 for all the advantages and disadvantages of metal braces.
How much do braces cost: price in Moscow 2020
1) Consultation with an orthodontist - usually free of charge,
2) Diagnosis (taking and making casts, analysis of control diagnostic models, calculation of TRG, analysis of OPTG, preparation of a treatment plan) - 1,600 rubles.
The cost of braces with installation and retainer −
Braces - the cost is indicated on average in Moscow for 2 jaws. The price also includes: wire retainer + braces installation + braces removal. Accuracy ±10 000 rub.:
3) Ligature metal braces - price from 35,000 to 45,000 rubles.
4) Non-ligating (self-ligating) metal braces −
- braces "Victory" - 110,000 rubles.
- braces "Smart Clip" - 120,000 rubles.
- braces "Damon Q" - 115,000 rubles.
- braces "Damon 3 MX" - 160,000 rubles.
5) Ceramic braces −
- ligature - price from 40,000 to 50,000 rubles.
- non-ligature (self-ligating) - price from 130,000 to 175,000 rubles.
6) Artificial sapphire braces −
- ligature "Inspire-ICE" - price 150,000 rubles.
- non-ligature "Damon clear" - the price is 160,000 rubles.
- braces Stb - price from 190,000 to 230,000 rubles.
- braces In-Ovation-L - the price is about 250,000 rubles.
- braces brand "Incognito" - price from 300,000 to 400,000 rubles.
8) Braces correction session (performed once a month) - about 2-2.5 thousand rubles.
Bracket info: frequently asked questions
How safe are braces for teeth?
In general, wearing braces is a safe procedure. However, wearing them complicates oral hygiene, which can lead to the accumulation of plaque and hard tartar. If plaque and stone are not removed in time, this is hello to the development of caries and inflammation of the gums.
Secondly, the process of moving the teeth leads to the fact that the roots of the teeth become a little shorter (the tops of the roots are partially dissolved). Loss of root length can lead to less tooth stability, especially in people who initially have short physiological root lengths.
What are the benefits of early treatment?
When correcting an overbite, in most cases the patient will go through a stage where his upper incisors will (temporarily) protrude forward. Such protruding teeth, especially in children, are most susceptible to injury from falls and bruises; besides, it's not very aesthetically pleasing. Early Treatment avoids such a situation.
Also, early bite correction allows the orthodontist to positively influence the growth of the jaw, the width of the dental arches, improve the aesthetics and self-esteem of the child, eradicate bad habits. The process of eruption of permanent teeth is also improved by creating a place for eruption (with its lack), it is reduced total time orthodontic treatment and its cost, diction improves. We hope that our article on the topic: Braces reviews of patients and doctors turned out to be useful to you!
Sources:
1. “Orthodontics. Textbook for dentists "(Kutsevlyak V.I.),
2. American Association of Orthodontists (USA),
3. National Library of Medicine (USA),
4. "Conceptual Orthodontics" (Stefan Williams),
5. "Fixed orthodontic equipment" (Gerasimov S.N.),
6. https://www.realself.com/.

Bite correction using orthodontic systems is a rather long and expensive procedure. Now dentists can offer different kinds structures differing in material of manufacture and treatment time.

by the most the best option, combining an acceptable cost and high quality impact, are metal braces.

Type of systems

To correct the dentition, the dentist can offer two types of metal braces that have a different attachment point:

Vestibular. This type of braces is installed on the outer surface of the crowns facing the lips.
Despite the fact that most manufacturers are constantly working to improve the elements of the system, making them less noticeable, the design is still not very aesthetically pleasing. Even the smallest models visible during conversation and smile.
Lingual. The fixation of the elements of this design is made on the inner side of the teeth facing the tongue. This setting allows you to adjust the bite imperceptibly to others.
Unlike the first option, this system has a long period of getting used to and able to influence diction.

The minimum cost of a vestibular structure with installation is approximately 25 thousand rubles which is much cheaper than lingual. Its installation costs on average 50 thousand rubles.

Such a difference in cost is explained not only by high aesthetic characteristics, but also by the rapid receipt of a positive effect.

Already after one month of wearing lingual braces, you can see a noticeable result.

The production of vestibular braces is carried out using classical techniques, while lingual braces are produced using high-precision technologies, which affects the cost of each individual element of the system.

Installing lingual braces also requires a more detailed approach and painstaking work.

Mount type

Metal braces differ not only in place, but also in the method of attachment. According to the method of fixation, braces are distinguished:

Classic(ligature). The connection of the elements of this type of system occurs due to the metal arc and ligatures, which are attached to the lock of each bracket.
As ligatures, rubber bands or metal wire can be used here. The average cost of braces with a classic type of fixation is 7-15 thousand rubles.
Non-ligature. A more aesthetic type of fastening, in which corrective wires are inserted directly into the bracket locks. The absence of additional fastening elements makes the design more inconspicuous.
In addition, this type of fixation requires less time and money to adjust during treatment. The price for correction with non-ligature braces is in the range 15-30 thousand rubles.

The difference in cost is based on the fact that the non-ligature fixation system is much more comfortable and effective than the classic one. It virtually eliminates the possibility of additional unplanned correction and replacement of constituent elements.

Specialist manipulations

The cost of the bite correction service with metal braces depends not only on the types of systems used. The final price is compiled taking into account all the actions of the doctor.

This service includes the following stages:

Initial consultation. In most clinics, the first appointment is free of charge. But in some dentistry, it is paid, costing from 100 to 300 rubles. When concluding a contract for the provision of a service, the payment for the consultation is included in its total cost.
Diagnostics will also incur costs. Their value will depend on the equipment and material used. On average, training costs 4 thousand rubles.
At this stage, the doctor conducts a detailed diagnosis using X-ray equipment, the targeted image of which will cost 500 rubles. The use of an orthopantomogram and CT will add more to the price 3 thousand rubles.
Training includes a complete sanitation of the oral cavity with the elimination of carious lesions, hard and soft deposits and the replacement of old unstable fillings. Depending on the manipulations performed, the amount of this stage may vary. from 3 to 15 thousand rubles.
Taking impressions. For individual manufacturing of braces, the dentist needs to take impressions from both jaws.
With the use of dental plaster or wax, the procedure will cost about 600 rubles. When using a silicone impression mass, the cost will increase by 2 times.
System fabrication. In this case, the cost of each individual bracket is considered. It mostly depends on the manufacturer. Making one bracket costs approximately 800 rubles per piece. The average price of a set of braces for one jaw is 8000 rubles.
Installation. As a rule, the cost of installation is almost equal to the amount of manufacturing a set of braces, only slightly differing from it in a smaller direction. If we consider the price of fixing one bracket, then it is 700 rubles. The type of fixation technique also affects the installation cost. When using the classical method with the alternate installation of elements on each tooth, you will separately have to pay approximately 7 thousand rubles.
If an indirect method was used for fixation using a special cap, then the cost of this service may increase by 5 thousand rubles and more.
Correction. The majority of clinics adjust structures for a fee. Average price for this service 1500 rubles.
Replacement of deformed elements. Repair of broken structural elements will be made free of charge only if the breakdown occurred due to poor quality of the product or installation. In other cases, the patient of the clinic will have to pay for everything.
Removing a deformed lingual bracket costs 800 rubles, and vestibular 400 rub. Reattaching them using standard dental adhesive will cost 700 rubles.

If a special material with improved adhesion was used during installation, then the price may increase to 1500 rubles. Replacing and fixing the arc costs from 600 to 1000 rubles for one tooth.

Separately, the replacement of ligatures and the lock is calculated here, which will cost about 500 rubles.

Withdrawal at the end of treatment. At this stage, the dentist detaches the brackets from the surface of the crowns, and then completely cleans and polishes their surface.
The price of the last stage varies from 2 to 7 thousand rubles, since enamel remineralization service can also be included here.

The cost of the system itself

The final cost of the service depends on the system of which manufacturer was chosen for the treatment of bite. Now in dentistry they offer braces from different companies, which differ not only in cost, but also in the quality of products that affect the comfort and effectiveness of their use.

Damon

Damon orthodontic designs are ligature-free. Their braces are small and rectangular in shape. The surface of the bracket has semicircular smoothed edges, which exclude injury to the mucous membranes.

The design of the system can significantly reduce the period of correction of abnormal occlusion. Damon products are of high quality, which affects the cost. The price of a set with installation on one jaw - 60 thousand rubles.

This video shows how Damon braces work:

Victory

Company Victory is one of the few manufacturers producing low profile braces. This property allows you to reduce the discomfort that occurs when the jaws are closed, and facilitate hygiene procedures.

The braces of this company are distinguished by an unusual diamond-shaped shape and a base that completely repeats anatomical features tooth surface.

The design is equipped with extended castle wings and vertical axis, which greatly facilitate the installation of the corrective arc and the positioning of the bracket. To improve aesthetics, the company suggests using colored ligatures instead of classic ligatures.

Installing a bracket system from Victory will cost 40 thousand rubles.

STB

SystemSTB These are new generation braces. This lingual system was developed jointly by Japanese and Italian specialists, taking into account all the negative manifestations during the wearing of the structure.

This system has a minimum thickness of the locks, which increases the aesthetic properties of the elements and the comfort of use. An arc with a small cross section is used here as an activator, which reduces friction.

Due to this, the adaptation period is reduced to 3 days. Brackets are equipped with limiters that prevent full contact of the archwire and the bottom of the groove.

The cost of treatment using this system - from 60 to 130 thousand rubles.

Economy

In addition to expensive systems, almost every clinic can offer an economical option, which does not always differ in quality from well-known brands. At the moment, budget metal braces of the following companies have proven themselves well:

marquis. All metal elements are made without the use of welding, which increases the strength of the product. In addition, the base of the brackets has a rough surface, which increases its adhesion to the crown.
Sprint. According to the characteristics, this system is as close as possible to the first option. Its main difference is hypoallergenicity, which allows allergy sufferers to use the design. Also, the features include the solidity of the braces, which are not subject to deformation.
"Pilot". The product has a classic design and standard features. But it has one drawback - low aesthetic properties.

Of all the options listed, the Pilot is the cheapest. The cost of treatment with braces of this company starts from 25 thousand rubles. Bite treatment using systems from other manufacturers will cost approximately 35 thousand rubles.

Outcome

The final cost of the service will depend on the actions and materials that will be applied throughout the entire period of treatment.

The lowest price will be for a service that includes a standard examination, professional cleaning of corrective crowns and the use of the cheapest bracket system.

Its approximate cost is 25 thousand rubles. Full refurbishment, detailed examination and the use of the most expensive design can increase the price. up to 150 thousand rubles.

Metal braces are classic in orthodontics, they are the most famous and reliable. Metal locks for teeth were invented by several specialists, but they were brought to life by the American Edward Angle. He worked with a group of orthodontists in the late 19th and early 20th century. Over the years, orthodontists around the world have improved the bracket system. Today, there are many types and variations of metal braces.

Features and varieties of metal systems

Metal systems are the most durable, reliable and effective in the treatment of any dental anomalies. With their help, you can align the incorrect position of the teeth, dentition and jaws, eliminate the gaps between the teeth, expand and move any teeth. The design of metal braces consists of metal brackets (brackets or locks), a metal power arc, metal ligatures or rubber bands and, if necessary, additional elements: rubber traction, springs, rings for teeth.

According to the method of installation, braces are vestibular and lingual. Vestibular ones are installed on the front surface of the tooth, this arrangement gives good access to the system during care and correction. But it has a big minus - it is very noticeable on the teeth for others. Lingual braces are placed on the lingual (inner) surface of the teeth.

Feedback (Inna Ivanovna, practicing orthodontist): "Metal braces are the most reliable method of treatment for those who are not complex and are not embarrassed by their appearance. They are simple, durable, inexpensive and bring excellent treatment results."

This arrangement has a great advantage - the system is not visible to others. But in order to install brackets from the inside, some conditions are necessary: no crowding, high crowns of the teeth, enough space for the bracket. The disadvantages of the method are difficulties in caring for, brushing teeth, and correcting the bracket system. And also there may be problems with diction, the addiction period is longer compared to others.

Metal braces are ligature and non-ligature (self-ligating). Ligature is a system when the orthodontic arch is attached to the locks using small metal wires or elastic bands. Wires (ligatures) make the design more visible on the teeth, but when using multi-colored rubber bands, the treatment is much more fun.

Review (Alina, 18 years old): "I treated malocclusion with metal braces for 1.5 years. At first I wanted to put transparent ones, but the orthodontist dissuaded me. The braces are noticeable on the teeth, but you get used to it. The main thing is that the teeth become even."

In non-ligature systems, the arc is fixed to the brackets without the help of special devices. The advantages of such a fixation system are easier hygiene care, reduction in the number and duration of visits to the orthodontist, and a more aesthetic structure. The dental market has a large number of such systems. Companies are constantly working to improve the design.

Firms

The most popular metal bracket systems:

Damon is a state-of-the-art self-ligating tooth alignment system. During the treatment, small forces are used, so there is no friction of the structure. Braces provide soft healing effect and gentle movement of teeth. The manufacturer Ormco produces braces in several versions: Damon Q, Damon Clear, Damon 3MX and Damon 3.

The company produces metal and ceramic staples, ligature and self-ligating. Damon Q is the newest and most advanced version. They have many advantages: strength, reliability, excellent treatment results, small size, comfortable wearing, quick adaptation period, ease of care and correction.

Roth is a system of miniature braces. This is the main feature and advantage. Due to their size, they are not very noticeable on the teeth, do not cause discomfort when used, do not injure the mucous membrane of the lips and cheeks, the addiction process takes place in a few days. Steel braces are very durable, withstand the load, securely attached to the surface of the teeth and perform their main function of straightening the teeth with high quality.

Victory is manufactured by the American company 3M Unitek. Such metal braces are traditional classics. Orthodontists around the world have been using this system for decades. The process of making braces is precisely worked out. The braces have a smooth polished surface, which makes them imperceptible on the teeth. The special structure ensures easy replacement of ligatures and easy hygienic care of the brackets.

The design is very durable and resistant to various damages. With the help of this system, you can qualitatively and quickly align your teeth and correct your bite. They are easy to use and have a low cost. The disadvantages include the visibility of the system when talking, smiling and opening the mouth.

Review (Konstantin, 34 years old): "I now have Victory braces from an American manufacturer. The first week I had to get used to it, the locks interfered and rubbed. But then I got used to it and everything went away. Now my teeth are almost even, I have 3 months left to wear braces. About my choice I don't regret it."

Mth - made with high-strength stainless steel. They are designed for both the convenience of the doctor and the patient. For the doctor, they have a lot of devices for proper fixation, treatment control, replacement and correction of the orthodontic arch.

For the patient, they have a convenient design, rounded edges, simple design, do not irritate soft tissues. The bracket system is indicated for people who are allergic to nickel, as they do not contain it. The special base of the bracket provides strong fixation and easy removal of the structure.

Orthos are developed by Ormco. It is a comprehensively programmed and coordinated system to achieve the best result in the treatment of any malocclusion and teeth. Staples are made from a special high-quality titanium alloy. If necessary, braces can be layered precious metal- gold or platinum.

They have a small thickness, which makes them very comfortable for the patient. The system is universal for the treatment of various diseases, it allows you to install braces on teeth that have not yet fully grown. After the treatment, the patient gets an excellent result - beautiful straight teeth.

Alexander is a self-healing classic system of metal braces. It is made from alloys of several metals (copper, iron, chromium, aluminum) and combines their good properties. Sufficiently strong, able to withstand loads and resistant to deformation. The system provides excellent treatment results and has a low cost.

Before fixing the bracket system on the teeth, a stage of diagnosis and preparation for treatment is carried out. Before installing the structure, it is necessary to sanitize the oral cavity, treat all obvious dental diseases. Since after the installation of braces, access to some parts of the teeth will be impossible. After the treatment, a professional cleaning of the teeth is carried out. The installation process lasts about two hours. A mouth expander is applied to the patient and the necessary manipulations are carried out. All procedures are painless.

Feedback (Sergey Petrovich, a practicing orthodontist): "Metal braces have many advantages. Of the minuses, only the aesthetic appearance can be noted. In the treatment of severe pathologies dental system I use only such constructions.

For an orthodontist, the installation of braces is a complex and time-consuming process that requires concentration. The doctor needs to install a bracket on each tooth in the correct specific position so that after exposure to force, the teeth move in the right direction.

When fixing the bracket, the tooth is cleaned, dried and treated with a special material. Then the lock is fixed and illuminated with a photopolymer lamp. After fixation, the remaining material is removed from the tooth. At the next stage, an arc is fixed to the staples with or without ligatures. The patient is advised and warned about unpleasant sensations during the first time of treatment.

Advantages of metal braces:

high structural strength, the metal is able to withstand heavy chewing loads, does not deform or move. Also, this material does not change in color and does not oxidize;
versatility. They are suitable for almost everyone, they can be used at any age and for any malocclusion;
convenient to use. Modern manufacturers have developed a special shape and size, which makes the design very comfortable to use;
short treatment time compared to other bracket systems;
excellent treatment results;
lack of allergy and biocompatibility with body tissues;
interesting appearance when using multi-colored rubber bands;
low cost.

Feedback (Ekaterina, 29 years old): "I treated the lower teeth with self-ligating metal braces. I got used to the system very quickly and they did not interfere. The braces are almost invisible on the lower teeth. I had to brush my teeth very carefully. Now my teeth are aligned and I am satisfied with the result."

unaesthetic design noticeable on the teeth;
necessary adaptation process;
in the presence of metal ligatures, damage to the mucous membrane is possible.

Comparison of metal braces

When comparing bracket systems, it can be noted that they have more common properties than differences. All of them are durable, reliable and provide excellent treatment results. The downside is the aesthetics.

	damon	roth	victory	orthos	alexander	mth
According to the mechanism of action	self-ligating	self-ligating	ligature	ligature	self-ligating	ligature
By location	vestibular and lingual	vestibular	vestibular	vestibular	vestibular	vestibular
To size	medium	less than average	medium	Medium but thin	medium	medium
Manufacturer	Ormco	SIA Orthodontic	3M Unitek	Ormco	SIA Orthodontic	DynaFlex

Caring for this type of braces

After the installation of the bracket system, regular hygienic care of the oral cavity organs is required. This is due to the presence of additional space between the teeth and braces, where food debris and microorganisms can accumulate. Even more care is required for metal braces with ligatures.

To keep your teeth and structure clean, you need to rinse your mouth after each meal. You need to brush your teeth in the morning and in the evening with a braces brush and toothpaste. It is recommended to visit the dentist for professional hygiene once a month.