Features of bite correction using combined braces

Correcting malocclusion is an important component of maintaining the health and integrity of the dentition. The best way to cope with this task is with an orthodontic device such as braces.

Manufacturers of dental structures have developed many models from various materials - metal, ceramics, sapphire.

Each of the varieties has both obvious advantages and some disadvantages, to eliminate which specialists have released combined-type orthodontic braces, which can reduce treatment time and increase its effectiveness.

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1 Combined system from medical and economic points of view

2 Combined bracket system - types and application

3 Quick bite correction is not a fantasy

4 If you save, then only through combined systems

5 Prices for combined braces

6 Enikeeva Anna Stanislavovna

Terms of wearing. Efficiency

The experience of dentists shows that the duration of the process of correcting a bite using combined braces depends on the complexity of the initial situation.

Most often, it takes from 6 to 12 months to completely restore the correct position of all elements of the row. In case of complex occlusion pathologies, this process can take up to one and a half to two years, since the movement of molars occurs quite slowly.

Patients note that the first time after installing braces, inflammation of the oral mucosa, redness and bleeding of the gums may be observed.

In some cases, tooth pain occurs as a result of pressure on them. When installing a lingual system, diction may be impaired.

Combined system from a medical and economic point of view

Why do doctors often advise using combined straightener options to correct a bite? It would be much more profitable for them to insist on purchasing more expensive braces - sapphire, for example, (as is what happens in a number of clinics and private offices). However, real specialists in the field will never use additional tricks just to attract more funds to their account or the account of the company for which they work. They will always be based on the wishes of the patient and the real picture of his health.

When an orthodontist suggests a combined type of bite corrector, he is usually guided by the following criteria:

• It is this system that best matches the client’s teeth type, i.e. with its help it is expected to obtain the most effective result and in the shortest possible time;
• combined braces, metal and ceramics or another productive combination will be able to cope with complex curvatures and will look aesthetically attractive;
• This option is convenient for the patient in terms of material expenses.

If we compare various possible combinations and the sapphire system, for example, it is often the braces proposed by the doctor that win, in which ceramic or other devices are used along with metal brackets.

Options

There are several ways to combine components of bracket systems. The most commonly used options are:

1. Combination of vestibular and lingual systems. Since the upper row of teeth is more visible during communication, dentists suggest installing a lingual appliance on it. The lower jaw row can be equipped with a low-cost vestibular system.
2. Different materials for jaw rows. In situations where one of the teeth is more crooked than the other, dentists recommend the following treatment option.
   Strong metal braces are installed on teeth that require more tension. Plastic or sapphire plates are attached to the second jaw, usually the upper jaw, which look more aesthetically pleasing and do not cause excessive pressure.
3. Combination of materials in one design. In the jaw row, varying degrees of curvature of the teeth can be observed, the correction of which requires different loads.
   For this purpose, a system is manufactured in which several materials are combined. Most often, sapphire plates are fixed on the incisors included in the smile zone, and metal braces are fixed on the remaining units.

   This approach to treatment guarantees not only high efficiency, but also an aesthetic appearance of the oral cavity.

4. Reinforcement of the structure with metal. To reduce the duration of treatment, conventional plastic or ceramic braces can be further strengthened.
   For this purpose, the grooves in which the power arc is fixed are reinforced with special medical steel. The aesthetics of the entire structure are somewhat reduced, but the effectiveness and speed of therapy increase.

The use of a specific combined design depends not only on the wishes of the patient, but also on the complexity and degree of neglect of the occlusion pathology.

Our team of doctors

Maxillofacial surgeon, Implantologist

Bocharov Maxim Viktorovich

Experience: 11 years

Orthopedist, Neuromuscular dentist

Stepanov Andrey Vasilievich

Experience: 22 years

Orthopedic dentist

Tsoi Sergey Konstantinovich

Experience: 19 years

Endodontist, Therapist

Skalet Yana Alexandrovna

Experience: 22 years

Endodontist, Therapist, Orthopedist

Varvyanskaya Anastasia Andreevna

Experience: 6 years

Dentist-orthodontist

Enikeeva Anna Stanislavovna

Experience: 3 years

Indications for treatment and contraindications

Indications for the correction course:

• Deviations from the norms of physiological occlusion
• Incorrect position of individual teeth (tilting, twisting)
• Wide interdental spaces
• Crowded growth of dental elements

Contraindications:

• Problems of osteogenesis
• Blood disorders (such as bleeding disorders)
• Endocrine diseases
• AIDS, HIV
• Tuberculosis
• Oncology
• Mental disorders
• Severe forms of cardiovascular diseases
• Childhood

Important: indications and contraindications for occlusion correction are identified by the orthodontist at the preparatory stage. At your consultation, you should tell your doctor about all the health problems you currently have. This will help the specialist make the right conclusions regarding the possibility of treatment.

Combined braces system - types and applications

Today, the variety of different combinations of teeth straighteners is divided into four main groups:

• a system designed to quickly correct malocclusion;
• braces that solve the problem of moderate dental deficiencies;
• braces aimed primarily at eliminating malocclusions of the lower teeth;
• a combined system, which is ordered purely from the point of view of economic benefit.

All of these groups carry their own meaning, but a qualified orthodontist can advise on the most suitable material and brackets, based on several possible options. Next, the choice is up to the patient.

What are Biomim braces: design and features

A brace system is an orthodontic structure designed to correct congenital or acquired malocclusions.
Consists of several elements:

• brackets fixed to the teeth;
• an arc that exerts constant mechanical pressure on the teeth. It is attached to the bracket pads using small clip-locks or ligatures (plastic rings, metal wires). The Biomim design uses ligatures.

The braces of this brand are produced by the world famous American company OC Orthodontics (Ortho Classic).
Used by orthodontists around the world. The products of this corporation are officially approved for use in Russia. Features of Biomim braces:

• the product is fixed to the outer side of the dentition, i.e. it is vestibular;
• The bracket platforms and the arch are made of a metal alloy of iron, chromium, copper, cobalt, silicon, and nickel. The manufacturer offers two options: with low nickel content (less than 30%) - Nickel-Light and without nickel - Nickel-Free. Consequently, these braces can be used for treatment by people who have allergic reactions to nickel (this body response is quite common);
• optimal profile configuration. Can be standard or low profile;
• high quality workmanship. The bases of the braces and their protruding part are made of a single structural element using the casting method. This guarantees reliability and resistance to fracture loads;
• the base of the platforms is sandblasted, which significantly increases the coefficient of adhesion of braces to the surface of the teeth;
• the expanded underwing space allows the use of ligatures of any type;
• The rounded edges and corners of the design make wearing the devices more comfortable without causing injury to the tongue, lips and cheeks.

Expert opinion: Biomim is a reliable and effective orthodontic design. Patients leave positive reviews after the correction course.

Quick bite correction is not a fantasy

There is the most attractive system of combined braces from the point of view of significantly reducing treatment time. For many teenagers and young adults, it is the most successful option. After all, any intervention and every device on the teeth is always stressful. Especially when it is not possible to order expensive, invisible braces. Therefore, this option is a brilliant opportunity to correct dental defects quickly and inexpensively. The price of combined braces in this case depends on the material chosen.

As a rule, a combination of ceramics and plastic inserts is selected for such a system. The color can be chosen so that the staples are practically invisible when smiling or talking. Metal will be used only as fasteners or for the most problematic areas.

Advantages

Dentists note that the use of combined braces gives the patient three main advantages:

1. High aesthetics. Combined brace systems suggest the possibility of installing clasps made of plastic, ceramic or sapphire on the front teeth.
   These materials are practically invisible to others during communication, thanks to which a person does not feel embarrassed and has a more positive attitude towards the process of bite correction with braces.
2. Increased effectiveness of therapy .
   With complex malocclusion pathologies, a person may require pressure of varying intensity on certain areas of the jaw row. In this case, the use of combined braces allows you to install a harder or more plastic material on the corresponding teeth. The duration of treatment is reduced, and teeth that are more straight do not experience excessive pressure.
3. Saving money. Installing medical sapphire locks is an expensive procedure.
   If it is necessary to make the braces system less noticeable in the mouth, the orthodontist may recommend installing transparent overlays only on the teeth included in the smile zone. The rest of the product can be made of medical steel, which will significantly reduce the cost of the structure without reducing its effectiveness.

Patients who have used combined braces to correct various malocclusion pathologies note several more advantages of this design:

• greater variability in the choice of materials;
• individual approach to the manufacture of structures in each case;
• reliability of fixing the onlays on the corresponding teeth.

What are gold braces, the pros and cons of the systems.

Read reviews about Damon Q braces here.

At this address https://orto-info.ru/sistemyi-vyiravnivaniya-zubov/breketyi/po-tipu-materiala/metallicheskie/orthos-ispravlenie-slozhnyih-defektov.html we will talk about the design of Orthos metal braces.

If you save, then only through combined systems

Not all clients have the same ability to pay, but everyone wants to look beautiful. In this case, a transparent material or one that blends with the enamel is selected for the front part of the upper and lower jaw, and ordinary metal brackets are used for the hidden areas of the teeth; two goals are pursued at once:

1. cost savings;
2. aesthetic appeal.

Such combined braces look simply wonderful in the photo, just as they do in real life. In addition to their main purpose, therapeutic, they also reduce the negative impact on the patient’s psyche. Because they look quite decent.

Installation

The procedure for installing combined braces is preceded by sanitation of the patient’s oral cavity, during which the dentist assesses the condition of the teeth and gums and identifies points that impede orthodontic treatment.

At this stage, professional teeth cleaning, caries treatment, and elimination of gum inflammation are performed.

Further fixation of braces can occur in one of two possible ways:

1. Direct attachment method. Each lock is individually attached to the tooth surface using a special glue - bond. This method of fixation requires high precision from the orthodontist, since if mistakes are made, it becomes necessary to reinstall the components of the structure.
2. Indirect fixation method. It involves attaching braces to a plaster prototype of the jaw row, transferring them to a mouthguard and then simultaneously placing all the clasps on the teeth, after which a power arch is installed.
   This method of attaching a bracket system is more common in dentistry, since it allows the position of the locks to be adjusted during installation.

Prices for combined braces

The approximate price for installing a brace system is indicated in the price list, but for more information, please contact the clinic.

Consultation with an orthodontist

• X-ray panoramic image
• Oral examination
• Drawing up a treatment plan with costs

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Features of caring for combined braces

Anyone who decides to get braces should be prepared for regular visits to the orthodontist and review their habits and diet. Any braces system, including combined ones, requires strict adherence to hygiene rules. To care for your oral cavity during orthodontic treatment you will need:

• toothbrush (orthodontic, mono-beam);
• dental floss (orthodontic);
• brushes for interdental spaces;
• special toothpaste and mouthwash;
• remineralizing gel;
• Oral irrigator.

At first, the process of brushing your teeth will not be quick, but after getting used to it, no difficulties should arise during hygiene procedures. It is necessary to brush your teeth after every meal and it is recommended to do this for at least 5 - 7 minutes.

With combined systems, it is especially important to monitor the products you consume, because both durable metal braces and more fragile ceramic ones are installed. Unsuitable food can get stuck in the structure and cause the braces to warp or come off. The difficulty is that if the ceramic elements come off, they cannot be reinstalled; you will have to order new ones. In addition, some foods can stain the ceramic and its aesthetic properties will deteriorate. It is necessary to exclude:

• hard, crunchy and sticky foods (such as nuts, crackers, chewing gum, toffee);
• coffee, brightly colored drinks, etc.;
• smoking.

Classification of braces

When choosing orthodontic braces, you need to consider the following parameters:

• Material. Braces are made of metal, ceramics, plastic, sapphire, etc. They differ in functionality, durability and service life.
• Aesthetics. Metal braces are visible on the teeth, while plastic and ceramic braces can be transparent or match the color of the enamel.
• Medical indications. Complex orthodontic problems are difficult to correct with plastic or ceramic restorations. In such cases, it is better to install metal ones.
• Duration of orthodontic treatment. It goes faster if you install metal structures.

Braces are divided not only into metal and ceramic, there are other varieties, but these two types are the most common. Orthodontic structures are also classified on other grounds, for example, the method of fixation: ligature, non-ligature, removable, self-adjusting, etc.

The choice of design is determined by medical indications, but often the dentist invites the patient to choose the material from which the orthodontic brackets will be made. To make it easier for you to decide, we will tell you which braces are better - ceramic or metal, and what advantages and disadvantages they have.