Which braces are best to choose? Comparison of types of braces systems and their prices

How did conventional metal braces appear? Types of metal braces. Ligature metal braces. Non-ligature metal braces. Vestibular and lingual metal braces. Cost of installing conventional braces. Pros and cons of metal braces. Myths about metal braces. Correction period for metal braces. Caring for conventional braces. How to eat when conventional metal braces are installed.

A healthy and beautiful smile attracts the attention of others and causes admiration. However, not everyone can boast of such a gift from nature. A person’s asymmetry also affects the teeth, which leaves an imprint not only on beauty, but also on health. Therefore, malocclusion must be corrected.

Today, the field of bite correction in dentistry is developing dynamically. New braces systems are appearing that are of high quality, almost invisible and aesthetic. Despite this, many patients still use metal braces for treatment. To understand patient preferences and their choice in favor of classic and more visible designs, it is necessary to understand the pros and cons of the metal system.

A brief excursion into history

Metal braces can easily be called a classic for correcting malocclusion and correcting defects in the dentition. Metal braces were first proposed by the American orthodontist Edward Engel. At that time, they were made of metal; the design itself was bulky and quite uncomfortable to wear, it rubbed the mucous membranes and caused a lot of problems in daily life. For many decades, orthodontists used such massive structures and could not offer an alternative option to their patients. Modern orthodontics offers a variety of systems that differ significantly in size, and some remain completely invisible, but metal braces have still not lost their popularity and are still superior to other options in terms of strength and effectiveness.

Adaptation

The adaptation period is one of the most difficult for the patient. Possible problems with diction, toothaches and a feeling of rubbing of the oral mucosa.

Unpleasant sensations appear when chewing food, as well as when clenching the jaws.

The duration of this stage does not exceed a week. If the pain does not go away within 2 weeks, you should contact an orthodontist.

The problem of injury to the mucous membrane is solved by placing special wax on parts of the structure that have a rubbing effect.

Diction disorders occur more often when installing lingual structures. Speech is restored quite quickly without medical intervention.

While wearing braces, you should refrain from eating foods that can damage the structure.

Types of metal braces

The main feature and difference of a metal orthodontic bracket is the use of a metal alloy for the manufacture of brackets. The budget option uses an alloy of nickel, chromium and cobalt, while a more expensive alternative involves making plates for attachment to teeth from medical steel, titanium, and sometimes even gold.

Iron plates, that is, brackets that are attached to the teeth, are a feature that unites various metal brace systems, but otherwise they differ depending on the type of structure:

• Based on their location in the oral cavity, they are divided into vestibular and lingual;
• according to the method of fastening the power arc in the bracket locks - ligature and self-ligating.

Each subspecies has its own characteristics, positive and negative characteristics.

Reviews from orthodontists

“A proven brace for years that I trust. Working with Damon Q, I know for sure that the work of an orthodontist is an intellectual process, and in implementation I rely on the system, and the technology will definitely not let you down. This is a tool that is easy to work with. The equipment is comfortable for me and for the patient. In the role of the latter, I also know Damon Q.”

“It seemed that Damon Q was perfection, but Damon Q2 appeared and made the possibilities of orthodontists even wider. More accuracy, faster implementation of the information embedded in the bracket. There is a lot of room for imagination: we are happy to combine Damon systems in the oral cavity.”

Dentist-orthodontist, expert on the Insignia system Sigua Nino Valerievna.
The material is for informational purposes only and is presented for informational purposes. It does not replace consultation with an orthodontist and is not a guide to correcting dental anomalies.

Metal ligature braces

This is a classic type of metal braces, characterized by its affordability from a financial point of view and efficiency in comparison with other designs. They are universal and suitable for correcting the most serious complications.

The system got its name due to the presence of ligatures - special elastic bands or wires that fix the power arc on the jaw. This arch is made with shape memory and, after fixing it on a curved dentition, it strives to return to its original position and moves the teeth behind it with force. Thus, ligatures are a kind of intermediary that holds the arch and transfers pressure from it to the bracket, and then to the tooth.

During long-term treatment, the dentition has to be affected with different forces, and ligatures make it possible to fully control the process of correcting a crooked bite, periodically change the type of fixation of the power arch by changing the degree of tension of the rubber bands: from less force with passive fastening at the very beginning of treatment, gradually increasing the degree of influence to active type of fixation at the final stage. This approach provides quick and effective treatment, and to add variety to the drab everyday life, the patient can choose colored and bright rubber bands.

However, one cannot fail to mention the significant disadvantages:

• difficulty maintaining oral hygiene;
• the need for regular correction by an orthodontist (on average once a month);
• ligatures are stained by food products and break;
• complex and time-consuming installation of the system.

How to remove metal braces

Metal braces are removed after complete treatment. The procedure consists of several stages:

• a power arc is released from the locks;
• each bracket is removed individually with special forceps;
• soft polishing of tooth enamel is performed to remove residual orthodontic adhesive;
• teeth are coated with a remineralizing composition;
• Retainers are installed.

The last manipulation is necessary to prevent tooth displacement. Wire structures are fixed on the inner surface of the dentition; they need to be worn for the same amount of time as the correction lasted, or longer. You can replace fixed retainers with a mouthguard worn at night.

Metal non-ligature braces

Metal non-ligating braces are also called self-ligating. Orthodontists often present them to patients as a new model that will make the process of correcting the bite simple and comfortable not only for the doctor himself, but also for patients. Their cost is 2-3 times higher than the price of classic ligature models, but manufacturers explain it by the following factors:

• less pain during treatment and a soft, uniform effect on the dentition;
• the overall treatment period is shorter;
• there is no need to frequently visit a doctor for correction.

In practice, such advantages are categorically disputed by dentists:

• the doctor cannot influence the course of treatment and choose the type of fixation (active or passive). To adjust the force on the jaw, you will need to change the arches;
• Considering the previous fact, the treatment period cannot be shorter. The only exceptions will be minor defects.

Some manufacturers offer ligature-free metal braces, the brackets of which are equipped with wings (hooks) for ligatures. However, by choosing this type of orthodontic system, the patient completely eliminates the basic idea of ​​ligature-free structures - an invisible and lightweight design.

However, self-ligating braces are still in demand among patients, who explain their choice with such advantages as:

• compactness and neatness;
• simplified installation;
• soft and uniform movement of the dentition;
• simplified oral care;
• easy adaptation.

How much are

Prices for metal braces in St. Petersburg vary widely. The final cost of treatment is determined by the type of bracket system, the amount of work required for installation, subsequent maintenance, and removal. Unplanned expenses may arise if the locks become unstuck or the arc breaks. The table shows the current minimum prices for equipment and services.

The price is for one jaw, without installation.

By localization – vestibular and lingual

When it comes to the type of fastening of metal braces to the dentition, there are 2 types: vestibular and lingual.

The vestibular metal brace system is the most common today. This type of fixation is done on the outside of the tooth, making them very noticeable. Dental care and installation of the vestibular system is much simpler. Almost all orthodontic manufacturers produce metal vestibular braces, and their price is the lowest compared to other materials and type of fastening. This fact explains its high prevalence among patients, as well as its almost universal use by orthodontists. That is, the patient has a wide choice of dental clinics and doctors to correct the bite.

The lingual brace system is completely invisible - it is installed on the inside of the tooth. The second name for such braces is invisible. Among the advantages are:

• less fragility during active sports;
• suitable for musicians who play wind instruments, because the locks do not cling to the instrument;
• recommended for the treatment of crowded dentition, micrognathia (small jaw size), as well as low height of the crown of the tooth.

However, lingual systems are not without disadvantages, which often become an obstacle to the patient’s journey:

• low prevalence, which means that not all doctors know how to work with such orthodontic brackets;
• high cost compared to other types;
• a long adaptation period, which takes on average 1-1.5 months;
• increased salivation, changes in diction, possibility of injury to the tongue;
• complexity of manufacturing, often only using individual casts;
• limited viewing angle, which explains the complexity of installation;
• long correction period, which is partly due to the time it takes to manufacture and deliver the system from abroad;
• the need to follow a strict diet and complicated care due to the high risk of structural failure.

Important! While manufacturers are constantly developing new materials and alloys that are less noticeable on the teeth for vestibular systems, only metal is used to make lingual systems. The braces are still invisible and there is no need to use other materials that increase the cost.

It does not matter which system is chosen: vestibular or lingual - the patient will always be able to choose ligature and self-ligating systems. However, ligature braces are still the most common.

Popular models

You can consider the features of brace systems in more detail using the example of popular models.

STB

Lingual, ligature, metal system. Corrects even serious malocclusions. Treatment lasts a little longer than with more expensive devices.

photo: STB bracket system

The braces are only 1.5 mm thick. This size is achieved by reducing the bracket. Fixation occurs at a close distance from the root. Orthodontists do not recommend installing such a system if the teeth are very crowded.

DamonQ

Self-ligating (ligature-free) bract system from Ormco. Represents the latest model of the Damon line. The locks are so small that they look like rhinestones. Each bracket is equipped with a small cap, which, when closed, forms a tube for attaching the arch.

photo: Daimon Q bracket system

The load due to which bone stimulation is carried out is not so great as to disrupt the blood supply to the periodontium. However, it is sufficient to effectively move teeth.

Victory

The peculiarity of the series is that the braces have a high adhesion force to the teeth.

photo: Victory bracket system

The base of the bracket consists of 80 cells that are woven into a network. It follows the anatomical structure of the crown , thereby ensuring the best fit to the enamel. The wings on the premolar are slightly spaced from the tooth and slightly expanded.

Alexander

Wings of such designs allow you to change the level of rotation (displacement). The alloys from which locks are made include chromium, iron, aluminum and copper.

photo: Alexander bracket system

Thanks to this, the orthodontic structure is highly durable and not subject to oxidation . Quick achievement of results is ensured by the peculiarities of load distribution.

In Ovation R

photo: In Ovation R bracket system

Unique metal design. Interactive wire latch reduces brace installation time. The base is made of triple mesh. The special spring properties of the arches speed up the treatment process.

Cost of treatment

The cost of manufacturing and installing metal braces is significantly lower compared to ceramic or sapphire systems, which is one of the most important issues when choosing an orthodontic design. The cost of the simplest braces, including installation, starts from 15-20 thousand rubles. A higher price is possible in the following cases:

• the need for custom manufacturing, as is the case with lingual ones;
• complex metal alloy;
• rare brand and country of manufacture;
• a large number of teeth in need of correction.

In this case, the patient must take into account that additionally regular visits to the orthodontist will be required for correction, and at the final stage, invisible retainers are installed to consolidate the achieved result.

Price of dental braces

The price of dental braces is determined individually, calculated for each jaw and most of all depends on two conditions - material, installation method. If the cost of treatment is critical for you, then give preference to budget metal systems. They are noticeable, but effective, look neat, and are easy to install.

A compromise aesthetic option is ceramics. Zuub constantly runs promotions where you can install systems for literally 20–50% of the average market cost of such structures.

Lingual (invisible) products belong to the “premium” class, but provide exceptional aesthetics of the result. Their cost today varies between 50+ thousand per jaw. The most expensive systems are self-ligating, non-ligating.

Pros and cons of choosing metal braces

Based on the information reviewed, you can weigh all the pros and cons of metal braces. If we talk about positive qualities, we highlight:

• high degree of metal reliability. Such structures are less likely to break and do not bend, provided they are made from high-quality copper alloy. Compared to metal braces, plastic or ceramic braces are more likely to break and the locks to come loose. Metal plates do not wear out, do not stain and retain their desired appearance for the entire period of bite correction;
• the ability to correct complex dental pathologies. A high-quality metal alloy provides maximum pressure on the teeth;
• short period of wearing braces. Due to the high pressure on the dentition, the correction is made faster, which means the patient quickly acquires a beautiful smile, compared, for example, with ceramics;
• low cost;
• easy maintenance and operation. The power arc and locks are not scratched or stained by food, and are resistant to temperature changes;
• the ability to choose the original shape of the locks. Manufacturers strive to make the correction period as comfortable and enjoyable as possible, so they are ready to produce colored rubber bands and locks of various shapes, which will be relevant for teenagers.

Speaking about the advantages, we must not forget about the disadvantages of metal braces, which can become an obstacle:

• metallic color. Such orthodontic structures are noticeable when talking and smiling, which significantly affects the appearance during the correction period;
• the likelihood of an allergic reaction to nickel present in the alloy. In this case, patients are offered the manufacture of titanium or gold-plated plates;
• protruding edges of the plates that rub the lips and mucous membranes of the mouth. However, the problem is easily solved by applying orthodontic wax to the sharp edges.

Examination of the patient before installation

An orthodontist installs braces after a comprehensive diagnosis. In the patient’s office, impressions of the patient’s jaws are taken using alginate mass or using digital scanning, and the doctor takes intraoral and portrait photographs. After the examination, the doctor examines models and x-rays and draws up a treatment plan.

The doctor talks about the advantages of metal and aesthetic models in a specific clinical case, after which the patient and doctor make a joint decision. Metal braces correct malocclusions of varying degrees of complexity. The doctor’s skills and cooperation with the patient have a positive effect on the treatment outcome and speed up the path to irresistible smiles.

Truth or lie? Popular myths

Patients often believe myths that prevent them from achieving a beautiful and healthy smile. It is important to dispel such false statements:

1. “Metal braces look unsightly.” On the one hand, this statement is true. The metallic color and the bracket system itself attract the attention of others when talking. However, the dentist can offer lingual structures that remain completely invisible.

2. “Braces are only relevant for children.” Such beliefs are associated with the high prevalence of various correction methods among adolescents and schoolchildren. This is explained by the fact that the desire to have a beautiful smile is most in demand at a young age, and the treatment itself occurs faster during the period of active growth and mobility of teeth. However, a person should think about his well-being even after 30 years, because healthy and straight teeth are not only a beautiful smile, but also the condition of the entire body as a whole.

3. “The treatment is painful.” Partially, this is true. The patient may experience some discomfort after a power arch tightening. However, the unpleasant sensations last only 1-2 days, after which the jaw adapts to the new conditions. Pain and itching in the gums go away on their own and, in rare cases, require medication.

4. “Fixed metal structures damage the enamel, which means they negatively affect dental health.” Before attaching the locks to the enamel, the patient undergoes complete treatment of carious changes and extensive diagnostics of the strength of the enamel. Based on the data obtained, the dentist assesses the risks of complications. Healthy enamel can withstand the load of the structure without damage, and maintaining oral hygiene and following the doctor’s recommendations on nutrition eliminate the risk of caries in the areas of the tooth around the clasps.

To summarize, we can conclude that metal braces have many advantages. This is one of the most popular systems for correcting malocclusion. Moreover, their demand in the field of orthodontics is explained not only by their low cost, but also by the short treatment time, as well as the ability to correct complex defects.

TOP 10 best systems

1. Damon
2. Alexander
3. In-Ovation
4. Insignia
5. Empower
6. Marquis
7. Master and Mini Master
8. Sprint
9. Orthos
10. Victory

Important! If you have possible allergic reactions to metals, the following designs are definitely suitable for you: titanium Orthos, as well as nickel-free Quick and Sprint.

When compiling this rating, we took into account efficiency, price, prevalence in the Russian market, degree of fixation on the teeth (use of a mesh or porous base to use more adhesive glue), and the presence of low-profile and highly polished plates.

Next, we’ll look at why exactly these bracket systems were included in the rating of the best.

Recommendations for the care and wearing of non-removable metal structures

Despite the fact that metal braces are considered one of the most durable, they require careful care. Due to the presence of a bracket, a power arc and elastic bands on the teeth, oral care is complicated. The patient will have to follow a number of rules:

• teeth are brushed after each meal to avoid pieces of food getting stuck in the structure;
• A toothbrush alone is not enough to maintain oral hygiene. Additionally, you will need a set of specialized brushes, dental floss, and an irrigator;
• Once every 2-3 months, professional teeth cleaning in a dental clinic is recommended to remove plaque in hard-to-reach places;
• You may need orthodontic wax if the edge of the plate protrudes and rubs the mucous membrane.

FAQ

1. Can there be an allergy to the material of the products? Yes, sometimes there is an allergic reaction to steel structures. In this case, they are replaced with titanium, gold, and platinum.

2. If the lock suddenly comes unglued, how quickly do you need to put it back in place? The sooner the better, since defects negatively affect the effectiveness of the structure (in a few days the tooth can return to its original position).

3. What to do if the structure severely injures the mucous membrane? Orthodontists recommend using a special wax that protects soft tissues from damage.

4. What can cause the arc to break?
From eating hard foods, due to injury, from brushing your teeth too vigorously. Moscow metro station Zvezdnaya, Danube Avenue, 23

Nutritional Features

After installation of metal braces, patients are advised to follow a simple diet. Metal braces are securely glued to the tooth, and the metal is not subject to staining, so more foods are allowed in the diet compared to “white” aesthetic braces. However, in a complex design, pieces of food can get stuck, which can be difficult to remove. Patients are advised to avoid viscous foods (taffy and chewy caramel), hard foods (nuts, seeds) due to the risk of the plates coming off or breaking the arc.

In the case of installing a lingual system, there are more restrictions due to the fragility of the structure, complicated repairs and maintenance.

How is treatment with metal braces performed?

Fixed orthodontic appliances apply constant pressure to the teeth, causing them to gradually move into the desired position. The arch plays a significant role in this process: at first it repeats the irregular shape of the teeth, but tends to return to its original position, thanks to which it smoothly corrects the bite. After each correction, the doctor changes the archwire to a thicker one to increase the pressure.

Let's look at why metal braces straighten teeth faster. The main quality of a metal system is its strength, and it does not really matter what metal is used in the braces. Due to the force of pressure, the teeth move faster and the treatment period is reduced. If the patient is faced with a choice between sapphire or metal braces, he must understand: although the sapphire design looks attractive, it will take a little longer to wear due to the fragility of the material.

So how long do you wear metal braces? Orthodontists call the average treatment period 1.5 - 2 years, but everything, of course, depends on the clinical case. The minimum period is 1 year for mild crowding of teeth, the maximum is about 3 years.

Damon (Ormco company)

Braces are very popular among patients. Often this is not very justified - due to advertising and fees for the brand itself, the cost of such systems is quite high. For the same price you can install more efficient devices. Today in clinics you can find the Q model with a low profile and an innovative latch (the systems work using self-ligating technology), as well as the 3MX (but they are of the old generation). When developing Damon systems, computerized technology is used, which ensures high efficiency of the system. The cost of installation on two jaws at once is from 70,000.

Which braces are best to choose?

None of the patients would like to prolong the treatment time. Therefore, we can confidently say: it is better to choose a self-ligating system. If savings are important, then metal, and if you are willing to pay a little more for aesthetics, then ceramic. Of all the vestibular non-removable systems today, these are the most optimal options.

And for those who are not ready to wear a fixed structure, we can recommend aligners. With the development of this technology, it becomes more accessible and is often comparable in price to braces.

Read other articles:

What can aligners do? (Spoiler: almost everything)

Three situations when it is better to choose aligners

Combined systems

There are also systems more complex in design and functionality used in dentistry. We are talking about hybrid or combined orthodontic brackets, for example:

• lingual-vestibular;
• metal-ceramic;
• metal-sapphire;
• ligature-self-regulating, etc.

There can be many such combinations. Braces systems are constantly being modernized and becoming more and more functional. Hybrid designs can combine aesthetics, versatility, reliability, strength, etc. But they require large financial investments from the patient and high professionalism from the dentist.

It is worth remembering that the effectiveness of treatment is determined not only by the type of structure. Much depends on how a person cares for his teeth and braces. To keep them intact and prevent the development of caries, you must adhere to a number of recommendations:

• stop smoking and alcohol;
• buy a special brush and brush for berkets;
• use dental floss and irrigators;
• limit your consumption of sweets;
• give up solid foods;
• Avoid sticky foods and drinks with dyes.

When purchasing toothpastes, mouthwashes and other hygiene products, choose products that are recommended for orthodontic treatment.