Orthodontic treatments have evolved significantly, offering patients multiple options to achieve a perfect smile. Two of the most popular methods are fixed braces and clear aligners. Here’s a brief overview of each:

 

Fixed Braces

Fixed braces, often referred to as traditional metal braces or “train-tracks”, have been a cornerstone of orthodontic treatment for decades. These braces consist of metal brackets glued to each tooth and connected by wires and elastic bands. Adjustments are made periodically to gradually move the teeth into the desired position.

Advantages:

  • Effective for complex cases: Fixed braces are highly effective for treating severe misalignments, overcrowding, and bite issues.
  • Predictable outcomes: Since they are fixed, the progress is continuously controlled by the orthodontist, ensuring precise results.
  • Variety of types: Options include traditional metal braces, ceramic braces (which are less noticeable), and lingual braces (attached to the back of the teeth).

Considerations:

  • Visibility: Fixed braces are more noticeable compared to clear aligners.
  • Comfort: They can cause discomfort, especially after adjustments.
  • Hygiene: They require meticulous oral hygiene to prevent plaque buildup and decay.

Clear Aligners

Clear aligners, such as Invisalign, are a modern alternative to fixed braces. These are custom-made, transparent plastic trays that fit snugly over the teeth. A digital plan is created that will show you how your teeth move from their current to the desired final point. The plan is separated into stages, each stage consisting of one aligner. Each aligner is worn for 7-10 days, depending on the complexity of the movements.

Advantages:

  • Aesthetics: Clear aligners are nearly invisible, making them a popular choice for adults and teens concerned about appearance.
  • Removability: They can be removed for eating, drinking, brushing, and flossing, allowing for better oral hygiene and no dietary restrictions.
  • Comfort: Smooth plastic aligners are generally more comfortable and less likely to cause irritation than metal braces.

Considerations:

  • Discipline required: Patients must wear aligners for 22 hours a day for effective treatment, requiring a high level of compliance.

Summary

Both fixed braces and clear aligners are effective methods for straightening teeth and correcting bite issues. The choice between them depends on the complexity of the case, aesthetic preferences, and lifestyle considerations.

 

– Written by Dr Chris Fowles

 

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