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What is fixed orthodontics and what are its advantages and features?

Mehr 28, 1404
1:30 p.m
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Fixed orthodontics teeth is a valid method in dentistry to treat all kinds of severe abnormalities of individual teeth such as the distance between teeth, crooked teeth and irregular teeth in one jaw. By using this orthodontic model, you can have neat, smooth, and uniform teeth and avoid problems and complications such as tooth decay, maintaining oral and dental hygiene more easily.

What is fixed orthodontics

One of the methods of dental orthodontics is fixed orthodontics, in which the components of the orthodontic device must be fixed on the person's teeth until the treatment is finished, and the person cannot remove them from his mouth. This orthodontic model is mostly used for all kinds of problems and abnormalities of the teeth and to eliminate the interdental space. In this method, the brackets are attached to the teeth with a special glue and the orthodontic elastic is installed on the bracket and the orthodontic wire is passed through these components. Also, you should consult an orthodontist to adjust or remove the orthodontic appliance.

Types of fixed orthodontic brackets

In this orthodontic model, two metal and ceramic brackets are used, each of which has its own advantages and disadvantages, which we will mention below.

Fixed orthodontics with metal bracket

This orthodontic model uses metal brackets and metal wires, which are relatively traditional methods of orthodontics. In this case, the brackets and wires are metal and are attached to the teeth using a special glue. The advantages of this model include high durability, lower cost, suitable for complex anomalies, and the possibility of precise control of dental movements, and its disadvantages include visible metallic appearance, possibility of gum irritation, difficulty in cleaning and oral hygiene.

Fixed orthodontics with ceramic brackets

The only difference between this model and the metal bracket is the color and material of its wires and brackets. In this model, the brackets and wires are made of ceramic, the same color as the teeth, and are partially invisible to people, unless someone looks at your teeth very carefully. This model is very suitable for those who are afraid of spoiling the beauty of their smile. The advantages of this method include more beauty, suitable for adults, and a function similar to metal brackets, and its disadvantages include being more fragile, higher cost, and the possibility of color change due to colored food.

Types of fixed orthodontics

This orthodontic model, like the mobile method, has different types, of which the following can be mentioned among its 4 main models.

Sectional fixed orthodontics

This model is only used for one or more teeth. In this method, brackets and wires are placed on one or more teeth to fix the distance between these teeth and their crookedness. The advantages of this method include the smallness of the device, easier hygiene, more beauty and the possibility of applying pressure and better results on the teeth, and the main application of this method is for the local movement of teeth in the early stages of orthodontic treatment.

Invisible fixed orthodontics

As we said before, in the fixed invisible orthodontic method, ceramic brackets and wires that are the same color and similar to the teeth are used. This orthodontic model is transparent and invisible, which makes it invisible. The advantages of this method include more beauty and better and stable performance like the metal type, and its disadvantages include fragility, higher cost, and the possibility of discoloration.

Fixed back dental or lingual orthodontics

In this method, the brackets and wires of the orthodontic device are placed behind the teeth, and this method is considered invisible. The only advantage of this method is its invisibility, and its disadvantages are interference or irritation of the tongue, difficulty in cleaning and oral hygiene, and higher cost and longer treatment time.

Damon Fixed Orthodontics

In this case, the only main difference with the traditional method is that a self-opening system is used in this orthodontics. In such a way that the orthodontic wire in this case is placed in the brackets in a sliding manner and without the need to use orthodontic elastic bands. The advantages of this method include faster and shorter treatment duration, less pain, easier hygiene and fewer visits.

Steps of how to perform fixed orthodontics

In order to solve the problems of abnormality of your teeth with this orthodontic method, certain steps must be taken, which are as follows.

consultation and initial examination by an orthodontist
imaging and primary molding of teeth
Preparing teeth and solving problems such as caries or gum diseases and scaling
Cleaning and cleaning the tooth surface and preparing to install the device
Gluing the brackets using special glue on the teeth
Placing the orthodontic wire in the brackets and adjusting and fixing it
Regular visit to an orthodontist for control during treatment
Removing brackets and cleaning teeth
Using an orthodontic retainer to fix the position of the teeth
Care and maintenance of teeth

Use of fixed orthodontics

This orthodontic method is used for all kinds of problems and abnormalities of the teeth, which are explained below about the types of teeth that are treated with this method.

Correcting disordered, crowded and too many teeth
straightening and correcting crooked teeth
Closing the gap between teeth and pulled teeth
Correction of byte abnormalities such as overbite, underbite, crossbite, overjet and mismatch of the middle line
Teeth and jaw preparation for jaw surgery
Space creation for dental implant or dental prosthesis
Correcting chewing and biting food
reducing the possibility of tooth decay
Increasing self-confidence by straightening and arranging teeth

Advantages and disadvantages of fixed orthodontics

Benefits of fixed orthodontics Disadvantages of fixed orthodontics Accurate and complete correction of severe dental and jaw abnormalities The need to observe strict hygiene, because plaque accumulation increases The possibility of simultaneous movement of several teeth with precise control The appearance of brackets may be aesthetically unpleasant for some people Long lasting and sustainable results in many cases Possible discomfort or mild pain in the first days after adjusting the wires Suitable for all ages (especially adults) Certain foods (hard or sticky) are restricted Reducing the need for subsequent ancillary treatments in complex cases Usually more expensive than removable orthodontics The possibility of precise control of the pressure and the direction of the movement of the teeth It may cause gum irritation or temporary sores inside the mouth Predictable treatment with careful planning The need to visit the orthodontist regularly to adjust the wires

Complications of fixed orthodontics

Although this method has many advantages and applications; But there are also a series of complications that you should be fully familiar with before performing this method, the most important of which are the following.

teeth decay and teeth scaling
Inflammation and gum diseases
Temporary pain and discomfort
Injury of the mouth and gums
Problems chewing and eating
Tooth root and pulp analysis
Damage of tooth enamel when removing the device
Possibility of returning the teeth to their pre-treatment state
Difficulty of oral and dental hygiene and teeth cleaning
Irregular movement of teeth to the wrong position
The need for additional treatments such as tooth extraction

Fixed orthodontic components

Of the most important components and parts that are used during the treatment of dental problems with fixed orthodontics, the following can be mentioned.

Orthodontic brackets that are metal or ceramic
Orthodontic wire or arch wire that passes over the brackets
Elastics or licachors, which are rings for connecting the wire to the brackets
Orthodontic bands that are closed around the molars and keep the wires fixed
Elastic bands to correct the position of the upper and lower jaw
springs to create space between teeth
Headgear to control the growth of the jaw
Retainers to fix the position of the tooth after completing orthodontics

Care after fixed orthodontics

In order to stabilize the position of the teeth after performing this procedure and prevent the teeth from returning to their previous state, important precautions and recommendations must be followed, the most important of which are the following.

brushing after every meal
Using dental floss for orthodontics
Washing the mouth with special orthodontic mouthwash
Not eating sticky, rigid foods and all kinds of sweets
Using painkillers to treat pain and discomfort after installing the device
Using orthodontic wax to reduce gum and lip irritation
Regular visits to the orthodontist for regular adjustment of the device
Avoid putting too much pressure on the teeth or biting and opening the knot with the teeth
Avoid manipulation of any orthodontic components and removing them

Fixed orthodontics of one jaw or two jaws

This procedure can be done on one jaw (upper or lower) or both jaws. In the double-jaw method, brackets are installed on the teeth of both jaws, and using orthodontic wires and special elastics, a controlled force is applied to the teeth to gradually move them into the correct position. Choosing one jaw or two jaws depends on the type of abnormality and the severity of the patient's dental and jaw problem.

Maxillary fixed orthodontics

In maxillary fixed orthodontics, brackets are attached to the upper jaw teeth and orthodontic wires are passed through them. These wires move the teeth to the desired position with gentle and gradual pressure. This method is usually used to correct misalignment of upper jaw teeth, interdental space, or minor bite problems.

Fixed lower jaw orthodontics

In mandibular fixed orthodontics, brackets are attached to the lower jaw teeth and orthodontic wires pass through them. These wires gently move the teeth with precise adjustment by the orthodontist. This method is mostly used to correct the misalignment of the lower teeth, align the bite and prevent uneven wear of the teeth.

The difference between fixed and mobile orthodontics

Feature Fixed orthodontics Movable orthodontics Type of device Braces and wires that are attached to the teeth Plaques or retainers that the patient can remove Ability to remove by the patient no yes Duration of treatment Usually longer and more detailed May be shorter or longer depending on the type of problem Teth control Precise control and extensive modifications are possible Limited control, suitable for minor corrections and slight displacement Care and health More difficult, the need for strict hygiene and the use of assistive devices More convenient, because the patient can remove the plaque while eating or brushing convenience May cause sores or temporary discomfort in the mouth Easier because it is removable and less damaging Cost Usually higher Usually less Application Suitable for more complex problems such as severe disorganization, overbite and underbite Suitable for minor problems or as a maintenance step after fixed orthodontics

Fixed orthodontic cost and price

The fixed orthodontic cost usually ranges between 30 to 120 million Tomans, but this range can vary depending on several important factors. Among the factors that affect the price are the severity and complexity of the dental problem, the number of teeth to be treated, the type of brackets (metal, ceramic or lingual), the experience and skill of the orthodontist, and the location of the office or clinic. Also, the length of treatment and the need for additional treatments such as tooth extraction or the use of assistive devices can also increase the cost.

Duration and duration of fixed orthodontic treatment

The duration of fixed orthodontic treatment depends on the degree of deformity of the teeth and jaw and usually lasts between 18 and 36 months. In some simpler cases, the treatment may be less than 18 months, and in more complex cases that require extensive tooth replacement or jaw correction, the duration may last up to 4 years. Regular follow-up by the orthodontist and strict adherence to care instructions play an important role in shortening the duration of treatment.

Orthodontic fixed plate
Fixed orthodontic plate refers to small metal pieces that are attached to the teeth and connected with orthodontic wire. These plaques cannot be removed by the patient and all steps of teeth movement are done by wires and brackets. The fixed plate makes the teeth move in a controlled and precise manner, and the treatment results are more stable and accurate.

Fixed orthodontic molding

Molding is a step that is done before starting orthodontic treatment. At this stage, the teeth are covered with a special molding material to prepare an accurate model of the jaw and teeth. This model helps the orthodontist to design and install the brackets and wires exactly according to the shape of the teeth, and it is also used to plan the movement of the teeth during the treatment.

Special fixed orthodontic toothbrush
Orthodontic toothbrushes have special brushes that are able to clean around brackets and wires. Using a normal toothbrush is not enough for orthodontic teeth, because food and plaque left between the brackets cause decay and inflammation of the gums. In addition to a special toothbrush, it is recommended to use orthodontic dental floss and disinfectant mouthwash to maintain good oral hygiene.

The best time and age for fixed orthodontics

The appropriate age for this orthodontic model is usually after the growth of permanent teeth, that is, between 12 and 14 years old. At this age, the jaw is still growing and the teeth are moving easily. Of course, fixed orthodontics is also possible in adults, but the treatment may be longer and require more care. The best time to visit an orthodontist is before serious jaw problems or severe misalignment of teeth occur, so that the treatment can be done more easily and quickly.

Forbidden and recommended foods during fixed orthodontics

During the treatment of problems with abnormal teeth with this method, you must have a proper diet and you must follow it so that you do not have problems such as decay or scaling and discoloration of the orthodontic device.
Forbidden foods

Hard: Nuts, Ice, Hard Pot, Hard Candy

Sticky: chewing gum, caramel, dates, dried figs

Crispy/brittle: thick chips, popcorn, dry biscuits

requires direct biting: raw apples and carrots, hard bread

Recommended foods

Soft: soup, soup, puree, yogurt, soft cheese, eggs

soft fruits and vegetables: bananas, watermelon, cooked or steamed vegetables

Soft protein: chicken and soft meat, fish, hamburger

Bread and soft cereals: Soft bread, pasta, rice

For whom is fixed orthodontics suitable?

People who have severe dental or jaw abnormalities

People who need accurate teeth movement

People who can observe oral and dental hygiene regularly

Adults and adolescents whose jaw growth is complete

For whom fixed orthodontics is not suitable?

People who do not observe oral and dental hygiene

People who have severe gum disease

People who use certain drugs

People who are under 18 years old or their jaw growth is not complete

Does fixed orthodontics require tooth extraction?

No naturally, but you may feel pain and discomfort when adjusting the orthodontic device. Also, in the first week, the orthodontic device in your mouth is a bit annoying for you; But you will gradually get used to it.
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