Doctronic

Braces: Everything You Need to Know About Straightening Your Teeth

Oghenefejiro Okifo | MD

Medically reviewed by Oghenefejiro Okifo | MD, Harvard Medical School | Henry Ford Hospital - Detroit, MI on November 22nd, 2023.

Key Takeaways

  • Orthodontic appliances apply 20-26 grams of force per tooth to gradually shift position through bone remodeling, with most treatments lasting 18-24 months for adults and 12-18 months for children.
  • Ceramic brackets cost 20-50% more than metal but are nearly invisible, while lingual systems placed behind teeth can add 6-12 months to treatment time due to technical complexity.
  • Plaque accumulation increases 3-5 times with fixed appliances, requiring interdental brushes, water flossers, and fluoride rinses to prevent white spot lesions that affect 50% of patients.
  • Clear aligner systems like Invisalign require 20-22 hours daily wear and work best for mild to moderate crowding, with compliance rates dropping below 80% leading to treatment failure.
  • Post-treatment relapse occurs in 70% of cases without proper retention—fixed retainers on lower incisors reduce this to 10%, while removable retainers need nightly wear indefinitely after the initial 6-month full-time period.

If you have crooked teeth, crowded teeth, or a misaligned bite, braces may be the solution you need for a healthier, more attractive smile. Braces are dental appliances that apply gentle pressure to your teeth over time, gradually moving them into the desired position. In this article, we'll cover everything you need to know about braces, from the different types available to what you can expect during treatment.

Types of Braces

There are several types of braces to choose from, depending on your needs and preferences:

  • Metal/Traditional Braces: These are the most common type of braces, made of stainless steel brackets and wires. They are the most noticeable but also the most effective.

  • Ceramic Braces: Also called clear braces, these work just like metal braces but are made of tooth-colored ceramic, making them less noticeable.

  • Lingual Braces: These braces attach to the backs of your teeth, keeping them hidden from view. They can be more difficult to clean and adjust to than other types of braces.

  • Self-Ligating Braces: These braces use clips instead of rubber bands to hold the wire in place, which can mean fewer adjustments and less friction.

  • Clear Aligners (Invisalign): A popular alternative to traditional braces, clear aligners are removable plastic trays that fit over your teeth. They are nearly invisible and can be removed for eating and cleaning.

How Braces Work

Braces consist of brackets that are attached to your teeth, and wires that connect the brackets. The wires are tightened over time, putting pressure on your teeth and gradually moving them into the correct position. You may also have rubber bands, springs, or other appliances to help with the process.

Treatment with braces typically takes 1-3 years, depending on the severity of your case. You will need to visit your orthodontist every 4-8 weeks for adjustments and progress checks.

Braces: Everything You Need to Know About Straightening Your Teeth

Caring for Your Braces

Proper oral hygiene is especially important when you have braces. Food can easily get stuck in the brackets and wires, leading to plaque buildup and tooth decay. To keep your teeth and gums healthy:

  • Brush your teeth after every meal with a soft-bristled toothbrush and fluoride toothpaste.

  • Use a Proxabrush or "Christmas tree" brush to clean between the braces.

  • Floss daily using a floss threader or orthodontic flosser.

  • Avoid hard, sticky, and chewy foods that can damage your braces.

  • Visit your dentist regularly for cleanings and checkups.

If a bracket or wire breaks, contact your orthodontist right away to schedule a repair. In the meantime, you can use orthodontic wax to cover any sharp edges and relieve irritation.

After Braces: Wearing a Retainer

Once your braces come off, your teeth will be straight, but they won't stay that way on their own. You'll need to wear a retainer to keep them in their new position. Retainers can be removable or fixed, and you'll typically wear them full-time for 4-6 months, then only at night after that.

To keep your retainer clean, brush it daily with a soft toothbrush and soak it in a denture cleanser once a week. Avoid exposing it to heat, which can warp the plastic.

Getting Started with Braces

If you're considering braces for yourself or your child, the first step is to schedule a consultation with an orthodontist. They will examine your teeth, take X-rays and impressions, and recommend the best course of treatment for your individual needs.

The cost of braces varies depending on the type of braces and the length of treatment, but you can expect to pay several thousand dollars. Many orthodontists offer payment plans and accept insurance to help make treatment more affordable.

Remember, a straight, healthy smile is an investment that can last a lifetime. With proper care and maintenance, your braces will give you the confidence to show off your smile for years to come.

For more information on braces and orthodontic treatment, visit:

The Bottom Line

Successful orthodontic treatment depends on choosing the right system for your specific bite issues and maintaining excellent oral hygiene throughout the 1-3 year process. The biggest factor in long-term success is committing to lifelong retainer wear, as teeth naturally tend to shift back toward their original positions. If you're considering orthodontic treatment, Doctronic can help you understand which option might work best for your situation.

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