Saturday, August 2, 2008

Ask your Markham and Greater Toronto Orthodontist... How are braces placed on the teeth?

There are two main methods of placing braces on the teeth: direct and indirect bonding.

Teeth are first polished and then prepared with a number of different solutions that are rinsed and dried. The placement of braces requires an extremely clean and dry environment. Therefore, a mouth prop is placed to help keep the tongue and cheeks away from the teeth. A suction tube may also be placed to remove any excess saliva.

In the direct bonding technique, braces are placed one by one, and their positions adjusted in the mouth, prior to being secured to the tooth. This time-consuming process is often completed by dental auxiliaries rather than the orthodontist, as it is usually during busy clinic hours.

Careful preparation around braces placed on model for indirect technique.

Indirect bonding (IB), is an efficient and quick alternative. An impression of the mouth is taken and a model poured. Braces are then placed on the model and a tray is formed around the teeth and braces in the lab. The braces can then be transferred via this tray to the top and bottom teeth all at once.

Completed tray with braces ready for transfer to the mouth.

What are some of the advantages of IB?

-Higher degree of accurate bracket placement than with direct bonding (imagine trying to put a brace accurately on a back tooth inside the mouth compared to putting it on a model where you have a clear, unobstructed view).

-Shorter treatment time and fewer appointments since the brackets are placed more accurately at the first appointment.

-More comfortable and less time spent in the chair for the bonding appointment. Placement of the braces does not hurt, so don't worry!

-Often no need for bands, so there is no need for uncomfortable elastic separators.

-There is a custom base, allowing the bracket to fit more accurately to the conformation of your tooth.

-The orthodontist is the one who determines the location of each bracket prior to your visit.

Tray removal after braces have been placed on the teeth.

At Markham Centre Orthodontics, we recognize the benefits of IB, even though it requires our team more preparation time, lab work, and requires finely trained technical skills. We do the work in our own lab to ensure quality treatment and customized control. We pride ourselves on the fact that, whenever possible, our patients have braces placed with this technique. It is our goal to provide you with the most efficient, accurate, and comfortable experience possible, from the first day the braces are placed.

Your Markham orthodontist and TeamMCO are dedicated to communicating important information regarding this topic or any aspect of orthodontic treatment. Please contact our office via our website if you have any comments or questions!

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