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What braces are there?

Here you will find a description of the orthodontic appliances used in our practice. You will require a consultation before Dr Selwyn-Barnett or Dr Pourghadiri can advise you about the best treatment option for your specific case.

Fixed Braces
These are the most common type of orthodontic brace. Most patients require the use of fixed orthodontic appliances ('train tracks') to have really straight teeth, and achieve the best possible improvement of their smile. Small precisely designed buttons called brackets are stuck/bonded to each tooth. Sometimes rings called bands are also fitted around the back/molar teeth. The brackets are then connected to each other using a thin wire, called an archwire. The wire is held in place with small elastic rings called modules, or with very thin wires called ligatures. The wires are adjusted at regular intervals to straighten the teeth and correct the bite.

 

 
 

With fixed braces, there is no plastic in the roof of the mouth. This means speech is unaffected and the flavour of food can be enjoyed fully. As the appliance cannot be removed, it acts full-time, and so it is very effective.

Fixed braces are very good at achieving fine detail, and making the smile look really perfect!

Fixed appliances, by definition, cannot be removed by the patient. The simplest way to think of each bracket is as a handle with which it is possible to control each tooth individually and precisely. The brackets are highly sophisticated as every tooth has its own bracket design engineered to achieve correct position and angle of axis.

As we have already mentioned, in the early part of treatment, a thin archwire is fitted to link up all the brackets. Because the teeth are irregular, the wire has to bend up and down or in and out between the teeth.

 
 

This is the clever bit: the wire, a bi-product of NASA research, has perfect shape memory and will gradually return to its original shape, bringing the teeth with it. As treatment progresses, stiffer wires are fitted and these act as a monorail. At this time, tiny springs and elastics guide the teeth.

There are different types of fixed brace, and subject to the right clinical indications Dr Selwyn-Barnett and Dr Pourghadiri are pleased to offer them all in our practice.

Stainless Steel Fixed Braces
The brackets in these fixed braces are made of metal. Modern brackets are quite small, and they cover a relatively smaller area of each tooth, making braces more attractive than they used to be. These conventional braces are very practical, reliable and relatively fast-acting.

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London Orthodontic Practice - London Orthodontist