How are Braces Put On?

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HOW ARE BRACES PUT ON?

When the first teeth are lost, it will not be possible to tell if braces are required.  However, within a couple of years of the second set of teeth coming through, the dentist and orthodontist should know if there is going to be a problem with adult teeth. Decisions will never be made by looking at the baby teeth, although problems with the jaws could be a different matter altogether. The good news side of planning to have braces is the anticipation of how much better your smile is going to be in the near future. The downside could be your concerns about what is going to happen, especially, if you have no knowledge of braces and do not know how are braces put on?

As with any medical procedure or intervention, there will be concerns about what will happen and what are the odds of anything going wrong. Fortunately, a well-qualified and conscientious orthodontist will be able to make sure that nothing goes wrong and the procedure is as pain free and as easy to go through as possible. While no one can tell you exactly what will happen and what the exact timescale will be, it is likely that all orthodontists have roughly the same way of doing things. The following details are what you can expect and once you have read them, you should no longer feel concerned about what is going to happen.

ATTENDING A CONSULTATION

As well as discussing what is going to happen, the orthodontist will want to check your mouth and give themselves an idea of what they are going to do. This will allow you both to get to know each other and ask any questions that need to be asked. Now you can ask “how are braces put on?” There are three main conditions that they will be looking for. These are:

  • Gapped teeth
  • Crowded teeth
  • Underbite
  • Overbite
  • Impacted teeth
  • Crooked Jaws
  • Other issues – This will cover everything that is not detailed above.

This is one of the most important stages as you will be able to give a full medical history and make sure that the orthodontist is aware of exactly what is going on. They will need to know what the issue is as they don’t want to make it any worse and as well as what they can see, they need to understand how you feel, especially, if there is any pain.

HAVING X -RAYS TAKEN

It is not only the teeth that need to be x-rayed, but all of the mouth. If there is not a clear picture of the whole area, the orthodontist will be at a disadvantage as they will not know where everything is placed. If they do not know where it is placed, there is no way that they will be able to move it and get it to the position it should be in. They will have to include internal and external x-rays and ensure that every single tooth is included. If anything is missed, it could mean that a lot of time is lost trying to fix it, and sometimes the final outcome will be substandard if the person involved cannot say how are braces put on?

Another thing that can be found is the position of any impacted teeth – if any of them actually exist. If any are found, they will have to be treated and this will give the orthodontist another issue to deal with and another plan that must be set in place. Just because a tooth is set one way above the jaw line, it can be very different underneath, a little like a duck swimming – they glide gently and effortlessly across the water, seemingly the height of calm, but underneath the water, the legs are frantically working as fast as they can. A tooth may be straight and seemingly no problem from what can be seen, yet underneath the roots are in an awful position. It can also work the other way – a tooth that the orthodontist believes there will be problems dealing with, may have roots that are not an issue at all.

TEETH TO BE TAKEN OUT

Very often, the result of the x-rays will be that there has to be extractions. As space is going to be in short supply, extra will have to be provided and taking out a tooth is the ideal way to do it. Although it could be any tooth, most of the time it will be one of the premolars, and once identified, the appointment would be made to carry out the work. Another thing that can be found is that the problem is not so much that the mouth is too small, but that there is an extra tooth in place. This is the one that is going to be removed and if there are more extra teeth, they are the ones to go. An extra one will be taken out before the ones that should be there, unless there are special circumstances regarding the location.

PUTTING IN SPACERS IF NEEDED

There can be the risk of teeth being too close to each other and this is not going to help with the work that is about to be carried out. They can start to damage the enamel and as a result, bacteria can set in. Holes can appear – known as cavities – and this is another issue that must be dealt with before the real work can begin. It is the fact that the molars are too close to each other that cause the problem in the first place. The bite will be affected, and this will have to be settled first. Once in position the spacers will move the teeth gently and ensure that there is always a space left between the molars. Once they have been put in place, they may have to be there for a couple of days, but on occasions it could be that they are left in there for weeks instead.

FIVE-STAR PATIENT TESTIMONIALS

Awesome experience with Dr. Ivanov! He shows great passion in his work, and cares about his patients and their concerns. I had my braces for 1yr 11 months and now I’m wearing my retainers. It amazes me as I look at my before and after pics of how great he is. Very happy and well pleased with my results that I referred a colleague of mine. Special thanks to Dr. Ivanov and his team for the fabulous job done!

I took my son to Dr. Ivanov because he had a severe overbite. The doctor explained everything to me with patience and understanding. I noticed the improvements in no time. I thought my son would be in braces for 3-4 years. My son, under Dr Ivanov’s care, now has the straightest most beautiful teeth (in only 2 years)!. The shape of his face adjusted to the changes as well and he looks ‘Hollywood’ Ready’. I am very satisfied with the doctor’s work. His office staff is great as well. Dr. Ivanov is very professional and I highly recommend!

Amazing experience! I’ve had my braces for 6 month now and I’m impressed of how much my teeth have changed. No pain at all. Dr. Ivanov is such a sweet person and very professional, he knows what he’s doing and always cares for patients personal concerns. Highly recommended!

Dr . Ivanov is in one word AMAZING . I been under his care for a year and I got to say What a change!!! I cannot wait to see the final results . . He always answers all my questions, in every visit he will take the time to understand how my teeth are improving and always makes the right decision. The staff is awesome, I always feel right at home . I made the best choice when I decided to get my braces with Dr . Ivanov. There’s is no doubt he is the best ortho . Thank you Dr. Ivanov for the hard work and for being so amazing and helping me feel awesome with every month visit . Anyone who is looking for a good ortho and the best care , there’s no other , Dr. Ivanov is the man!!!

Dr. Ivanov, Amy, and Helen are great! Dr. Ivanov took his time to get to know me, understand my needs, and come up with a treatment plan within my expectations. He offered various treatment options, and Amy and Helen offered payment options. They answered multiple questions without hesitation and with patience. They are all very friendly and personable. Happy I got my braces with them today. P.S. They all worked very quickly to get my braces on as painless as possible. And it went better than expected.

Dr. Ivanov was amazing. When I first got my braces I was scared it was going to last 4yrs for my teeth to look better but it only lasted 2yrs and the results are beyond amazing. I’m really happy with everything and would absolutely recommend him to anyone. Thank you so much.

Dr. Ivanov was my orthodontist. I had a very difficult case, I had an opening in my front area when I closed my mouth. Most orthodontist that I went to said that this case would be impossible to do without surgical intervention. Dr. Pavel thought outside of the box and was able to straighten my teeth WITHOUT surgical intervention. I felt that I was in safe hands because after careful research I found that he graduated at the very top of his class. He was able to do a complex braces technique called the MEAW technique to straighten my teeth. He has restored my self confidence and smile. I highly recommended Dr. Ivanov, he will go out of his way to make sure that your treatment plan is well thought out and he will spend his time to evaluate your situation. He is the Best Orthodontist in the North Miami\Aventura area.

I’ve been visiting Ivanov since December 2015. I had crossbites, crowded teeth, and just all the works. Together with his professional and amazing staff I was able to slowly over the years fix my smile into something life-changing. I am internally grateful to him as well as his staff, especially his assistant and front desk. If you don’t come here then you’re just passing up a great opportunity to change your life for the better and meeting amazing people who will help every step of the way to getting you a better smile! Thanks again, Mr Ivanov.

Very good experience. The attention was great. The doctor is very punctual and they don’t make you wait, which for my busy schedule is super important. Also, the time the doctor told me I had to wear the braces was the exact time I needed and I was very happy with the results. Definitely recommend him.

Dr. Ivanov and his staff really feels like my second family here and they’re always looking out for the best of me. When I first came into the office, my teeth were quite messed up, but now only after a year, it feels surreal that the braces could fix them so well. I see myself smiling alot more and feeling much more confident to show my teeth than to just smirk like I used to. They give you good advice on how to take care of yourself and take the extra step to make sure you do. When I come here for my checkup, I never feel awkward or uncomfortable because they’ll welcome and talk to you as a friend as well as your dentist, something I feel good about when I think about it walking out and saying “See you next month!”

Dr. Ivanov was amazing. He was very understanding and took the time to explain, every step of the process for my daughters braces. I am proud to say with great care her braces were finally removed and the end result is the beautiful smile she now has. Thank you

Usually, when a professional says that the reason they do what they do is to see the end results and how happy it makes their patients, you have to take it with a grain of salt. However, with Dr. Ivanov, he doesn’t even have to tell you why he does what he does for you to know that it’s out of pure kindness and enjoyment in seeing a (perfect) smile in his patients. From the very first moment I met him for a consultation for orthodontic work, I knew I was in good hands. Dr. Ivanov is one of the most humblest, kindest, and caring individuals I’ve ever met in the professional field and I know that I’ll have that perfect smile in no time.

Ivan and his staff made my experience a smooth and convenient process. I am absolutely delighted and satisfied with the progress and how far my teeth has come. Ivan and his staff works effortlessly to ensure that my teeth are perfected beyond my expectations. If I had any other choice I would still choose Ivanov Orthodontic experts.

Very good service they took great care of me Helen is very very sweet and caring she walk me through everything ivanov was so welcoming and caring he is very passionate to his patients felt very comfortable the STAFF IS AMAZING THE PLACE IS CLEAN IM SO EXCITED TO START THIS JOURNEY WITH THEM ISABEL WAS VERY CARING WITH SHE EXPLAIN EVERYTHING VERY WELL I recommend Anyone to come here if you want fast and friendly service thank for the experience

My family and I are so happy with the results of Dr. Ivanov!!! So knowledgeable, kind and always available to answer questions. I am so happy we found him and his staff. I am looking forward to addressing my dental needs now that the family is on track!!! How many can say that about their dental experts. Way to go Dr. Ivanov!!!

Since day one, i’ve had positive and friendly energy with every staff member including your future orthodontist Dr. Ivanov. Dr. Ivanov have given every patient he’s recieved the optimum care and dedication to receive their dental goal. He will provide you the steps and information you need to make your journey a successful one. You’ll become so confident with your new smile at the end!! With the amount of time and work he has done with you, you’ll never doubt selecting Dr. Ivanov as your orthodontist.

He is awesome. You will start seeing changes quick in your smile. He shows passion in his work, he cares about you and your smiles. The office is very nice and great customer service. You will be in good hands if you choose to go with him.

IMPRESSIONS OF THE NEW POSITIONS

Once the orthodontist is sure that the spacers have worked, and all of the molars are in the correct place, they will take impressions to get the new picture of what is happening. This means that it is getting close to the time that the braces are going to be fitted. The downside is that this can be one of the worst parts of the entire event. Although it is unlikely to take more than half an hour to complete, it will not be pleasant, and some people have found it to be very uncomfortable.

A thick substance will be made up and placed into two containers.  One will be put over the top set of teeth and the other placed over the lower set of teeth. The mouth will be closed over them, and as there are often issues with the jaws, they may have to be covered as well. Once the orthodontist is sure that the substance has set, and the teeth will be easy to view, the containers will be taken out. You will have to clean your mouth out well, as little bits of the substance will be left behind, and it will not be nice having them there.

It is unfortunate that it is a difficult thing to go through as impressions are very important when it comes to designing and fitting braces. It will let the orthodontist make the important decisions such as how long with wires should be as well as the number of brackets and their eventual location.

PUTTING THE BANDS IN PLACE IF NEEDED

Now you are heading into the home run. Although there is other work to do, this is an easy part of the job and should not take long. Metallic bands are taken and placed around the molars that are now in the correct position thanks to the spacers. They have to be put in correctly as they are the anchor for the rest of the brace. Only putting them on some teeth is a fairly recent innovation as at one time there was the need to place bands around every one of the teeth. There are advantages to the bands only going over the back teeth and the main one will be that it will be harder to see them. There have been considerable improvements made to the way the bands are attached.

BONDING

The bonding procedure is going to be a little uncomfortable as the orthodontist will need to be able to see every single part of the mouth. To enable them to do that, they will have to place a cheek retractor in, but they will try to do this as quickly as possible. Once they have seen all that they need to see, they will give the teeth a thorough cleaning with a special blue gel that stay on teeth for around 30 seconds. Unlike with normal brushing, they will then be rinsed and air dried, even though it will have been flavorless toothpaste that has been used. The next step is to add conditioner and leave this in place on the teeth for around 15 seconds. The teeth will be dried with blue light.

Now it is getting serious and the orthodontist puts the bonding substance to the rear side of the brackets. Once they are sure they have used enough, they will put them on the back of the teeth. As there will have been too much bonding material used, the rest of it will be wiped off the teeth. There will then be blue light used to fully bond the teeth and brackets. This is the quickest and most effective way to do it and it will make sure that everything stays in the position that it was placed in.

ATTACHING THE WIRES

The end is close now as this is one of the last things that have to be done. Rubber bands are used to join the brackets and wires. Clear ones can be used if there is the wish that no one is aware that braces are being worn. There can also be the extreme opposite, and colored ones used if ones desire to have fun colors. It won’t stop them having to go through each stage, but by the end, they can have the look that they want. Making that decision will also make them feel that they have some control over what is happening.

WHEN YOU NEED READJUSTMENTS

As you will know from the elastic bands that you use day to day, they are not going to last forever. Over time, the ones on the braces will start to become slack and not have the same amount of elasticity that they used to have. As a result, they will have to be altered to make sure that there is still enough power in them to make the tooth become straighter. This is not something that can be done at home, so will require a visit being made to the orthodontist’s office. Normal readjustment appointments are every 4 to 8 weeks based on your orthodontist recommendation.

REMOVING THE BRACES

Although it may seem a long time away before you know it, the orthodontist will decide that your teeth are in the right place and it is time to take the braces off. Again, it will require a trip to their practice, and should not take more than an hour. They will be as thorough and careful taking them off as they were putting them on. You don’t want to go through all of this only to have them damaged at the final hurdle.

As it is likely that this could have taken around 8 months to 2 years from start to finish, you may not have been able to keep the teeth as clean as you would have like to. For this reason, there will be a full cleaning carried out and once that has been done, you will be sent on your way. There should not be any issues, but if you feel that something is not right, go back to the orthodontist right away. Now you can leave the orthodontic practice for hopefully the last time, proud of your new look and knowing the answer to the question “How are braces put on and removed?”

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