The two main types of braces available are removable and fixed devices. As the names suggest, removable devices can be moved into and out of the mouth at any time, while fixed devices are both applied and removed by the orthodontist. Though fixed dental braces are often used to correct severe alignment issues, removable devices are popular because they afford the wearer more control over their treatment.

Traditional Fixed Braces

Traditional braces are often more affordable and expedient than any other kind of braces – particularly in the case of a severe malocclusion (bad bite). During application of fixed braces, individual brackets are glued to each tooth on the arch and a thin wire connects the brackets. Traditional fixed braces work on the premise that consistent pressure is applied to the teeth. The appliances must modified by an orthodontist at routine appointments to continue exerting appropriate pressure.

There are several different types of brackets available, including metal, ceramic and clear. The metal brackets tend to be the least problematic structurally, but they are also the most visible. Ceramic brackets are equally effective and less visible, but they have a tendency to stain if not cared for properly. Clear brackets are the least visible, but generally cost more and are prone to damage.
The following treatment options are available for patients who choose fixed orthodontics:

Lingual Braces

Lingual braces are almost invisible, as they are bonded to the back of the teeth, but the initial affixation is slightly more complex. Lingual braces are comprised of special custom-made brackets, which are connected by a wire. Many wearers prefer the reduced aesthetic impact with these braces, but some report an initial impairment in speech.

Damon System

The Damon System is a more discreet alternative to traditional fixed braces. Light wires are initially used to align the teeth, and are replaced with heavier wires as the teeth become straighter. Traditional braces use elastic rings to hold the wires in place, whereas the creators of the Damon System have replaced these rings with tiny sliding doors.

The biggest advantage of this replacement is the reduction of friction and discomfort. A reduced amount of friction allows this system of self-ligating braces to correct malocclusions quickly, and the lighter wires cause less stress to the periodontal ligaments. The Damon System is less noticeable and quicker, but can be costlier than traditional fixed systems.

SureSmile

SureSmile is a hi-tech system that claims to straighten teeth in a far shorter time than traditional braces. To determine the precise position and angle of each tooth, an OraScanner and/or Cone Beam Computed Tomography (CBCT) is used to take a three dimensional picture of the teeth. The archwire for the braces is created by a computer system and used to link the orthodontic brackets. The archwire is activated by body heat. The result is quicker treatment and more precise alignment. The SureSmile system is technologically advanced and effective, but can be among the more expensive forms of fixed braces.

Six Month Smiles

Six Month Smiles is designed to greatly impact aesthetics, as opposed to function. Instead of moving every tooth into alignment, this system focuses mainly on the teeth that are visible when smiling and speaking. Six Month Smiles utilizes small archwires and tooth-colored brackets to make the braces as unobtrusive as possible. Contrary to popular belief, more pressure is not added to move the teeth quickly. These cosmetic braces are popular, effective and can cost less than other technologically advanced systems.

Removable Devices

Invisalign® Clear Braces

The Invisalign system is a series of removable aligning trays, which gradually reposition the teeth into the correct alignment. Generally, aligning trays are worn for two weeks before they are discarded for trays which fit the new positioning of the teeth. Invisalign trays can be easily removed for eating and social functions, but must be worn as much as possible for expedient results. Invisalign is a convenient type of orthodontics, but requires commitment from the wearer.

Clear, removable braces are generally recommended for minor to moderate alignment problems. Other popular brands of removable orthodontics include ClearCorrect and MTM® Clear Aligner.

If you have questions or concerns about any type of braces, please contact your dental care provider.