Braces Treatment

Braces are devices used to correct crooked teeth or incorrectly closed jaws known as malocclusions.

Braces are made of metal or ceramic, wires and the adhesive material that attaches them to your teeth. An orthodontist is a doctor who specializes in this type of appliance and the treatment of misaligned teeth.

Does Braces Hurt?

One of the most frequently asked questions about braces is whether braces cause any pain or discomfort. You will not feel pain during the application of braces to the mouth. After braces are placed on newly placed brackets, there will be mild pain or discomfort that can last from a few days to a week. Most patients experience some discomfort between the first 4 days and a week after their wires, expanders, and/or wires are placed, and after a wire adjustment and/or an activation appointment. It may take one to two weeks for your lips and cheeks to get used to the braces on your teeth. However, sometimes mild and rarely moderate pain can be expected. Normally used painkillers can be used in the first days.

The placement of braces will not cause the slightest pain. It may take longer to eat in the first few hours after braces are fitted, but this is largely because it takes some time to get used to wearing braces and learn to chew with them. In some cases, the teeth may be more sensitive than normal. A softer, more liquid-based diet (soups, yogurt, mashed potatoes, etc.) should be followed for the first few days after braces are placed. Hard, hard-to-chew foods should be avoided. As the day progresses, you may begin to experience mild discomfort as the teeth begin to move.

The first few days after braces are placed can be a little uncomfortable. This is because the teeth have started the realignment process and are not used to the pressure of the braces and elastic ligaments. You will be shown how to use orthodontic wax to apply over braces as needed. Wax creates a smooth surface and reduces irritation on inner cheeks and lips.

After five days to a week, any initial discomfort with the braces should go away or get much better. The teeth will gradually get used to the braces and it will be much easier to eat. Some hard foods may still be a challenge for the user, but normal eating can be resumed at this point.

orthodontic appointments

Regular orthodontic appointments are necessary to change braces, change elastic (color) or metal bonds around braces, make adjustments to braces, and monitor the progress of orthodontic treatment. Braces work by gradually bringing the teeth into a new and proper alignment, so your appointments are activated. The first few days after the appointment or when you get a new brace can be a little uncomfortable, but remember that this discomfort will go away.

Types of braces

The type of braces your orthodontist recommends can vary depending on a number of factors, including crooked teeth, your age, and whether you have an overbite. Braces are specific to the person and their needs. The classic braces that come to mind for most people are made of metal brackets that are attached to each of your teeth individually. The archwire puts pressure on your teeth and jawline, and elastic ligatures attach the archwire to the brackets. As your teeth slowly move to the desired location, the archwire is adjusted periodically and elastic bands are replaced at orthodontist appointments.

Other types of braces include:

  • Less visible ceramic “clear” braces

  • Lingual wires placed completely behind your teeth

  • Invisible braces, also called clear aligners (invisalign), can be removed and reinserted throughout the day.

How do braces move teeth?

Braces move your teeth by applying constant pressure for a long time. The jawbone shape to which your teeth are attached gradually adapts to this pressure.

We tend to think that our teeth are directly attached to our jawbone, which makes it hard to imagine how they might be moved. But under your gums is a membrane surrounded by your bones that connects your teeth to your jaw. This membrane controls the position of your teeth and responds to the pressure exerted on your teeth by the braces.

The process of installing braces at the time of appointment is painless and takes one to two hours to fit. You may feel pain during the first week of wearing braces while adjusting. Every time your braces are adjusted during sessions, you may have a few days of pain.

Attaching the brackets

After your teeth are cleaned and dried, ceramic, plastic or stainless steel brackets are adhered to your teeth with adhesive. Wearing the braces may be uncomfortable but not painful. These brackets will ensure that even pressure is applied to your teeth. It is connected and surrounded by wires made of stainless steel, nickel titanium or copper titanium.


O-rings or elastic bands called ligatures are placed around the brackets after they come over your teeth. It increases the pressure on your jaw and is routinely used in most traditional braces treatments.

arch wires

Archwires attach the brackets to your teeth. They are pressure mechanisms applied to keep your teeth in place. Arch wires can be made of stainless steel as well as nickel titanium or copper titanium.

buccal tube

Buccal tubes are metal pieces that can be attached to one of your molars. The buccal tube attaches the other parts of the braces together at the back of your mouth. Your orthodontist can then tighten and release different parts of your braces.


Coil springs are sometimes inserted into the archwire. They apply pressure between your two teeth, separating them and adding space.

How long does braces treatment take?

Treatment times vary from person to person, but generally, braces can be completed in one to three years. By carefully following your orthodontist’s instructions, you can complete your braces treatment as soon as possible.

Can braces be worn at any age?

It may surprise you to learn that you are never too old to wear braces.

As an adolescent, your jawline and underlying tissue are still moving until you’re well into adulthood. At this stage, your teeth may be more sensitive to movement as your bones are more flexible.

If your teeth respond more quickly to your braces, the treatment may not take as long. When your teeth and jaw stop growing, there are some disorders that braces can’t fix.

In general, adults go through the same process as children when they get braces. Besides the length of treatment, there are other things to consider when you become an adult who wants braces.

If you are pregnant or considering becoming pregnant, you should talk to your obstetrician about how braces may affect your pregnancy.

Also, if you have underlying health problems that you think may be affected, you may still want to talk to your doctor.

Care of braces

After wearing braces, you should also avoid certain foods that can get stuck between the braces and gums. These foods include:

  • hard candies

  • Popcorn

  • Chewing gum

Braces are more likely to build up on foods that can cause tooth decay on your teeth. You should pay attention to how often you consume sugary drinks and starchy foods that decay tooth enamel.

While you have braces, you will need to go to the orthodontist for an adjustment every 4-8 weeks. Your orthodontist will check to make sure you maintain your oral health and take good care of your braces. Your orthodontist will also replace the O-rings as needed.

Teeth cleaning with braces

Cleaning and flossing your teeth while you have braces is vital to your smile and health. It’s important to be extra careful with your oral care while you have braces. Brushing your teeth after meals will prevent food from getting caught between your braces and teeth. The orthodontist’s special floss will make it possible to floss around the braces twice a day.

Flossing, which can easily get around your braces and helps you reach hard-to-clean areas, is beneficial. Flossing or using wax-coated floss to clean between teeth allows cleaning hard-to-reach places that are easily overlooked by brushes. Don’t skip flossing, even if it takes more time with your braces. These flossing techniques can make the process faster and easier. Whichever method you choose, it’s important to floss regularly to prevent gum disease and tooth decay as the braces work to align you. Floss between each tooth once a day and use a small interproximal brush to clean around the brackets and under the wires.

How to use dental floss with braces?

A waxed dental floss is recommended for use with braces. Cut a piece of floss about 40cm long in front of a mirror. Thread the floss between the wire and your teeth. Wrap the ends of the floss around your index fingers to make it easier to hold the floss.

Gently press the floss between the two teeth and slide the floss up and down along the sides of both teeth. If you’re doing the upper teeth, make an upside-down U shape: Go from the side of one tooth to the gumline and then to the side of the other tooth.

Remove the floss and gently unwind from the back of the wire. Be careful not to pull the floss out of the tooth. You could accidentally hit the wire and pop it out of the bracket.

Move on to the next pair of teeth and repeat the process.

While you have braces, you should continue to make an appointment with your dentist for a cleaning every six months to once a year.

Braces treatment in adultsI

traditional braces

Transparent plaques

Clear aligners (invisalign aligners) are clear aligning devices that are replaced every two weeks. They stay in the mouth for 20 to 22 hours a day, removed for meals and cleaning your teeth.

Aligners are less conspicuous and almost invisible. Plaque treatment does not adversely affect the use of dental floss and brushes. You can remove your plaque and brush your teeth and floss comfortably.

Self-ligating braces (self ligating brackets or capped brackets)

For self-tie wires, the wire passes through a small metal clip on the bracket.

lingual braces

Lingual braces are similar to conventional braces, except that the braces are attached to the back of the tooth.

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