Fixed orthodontic treatment consists of brackets bonded to teeth and a wire going through the brackets. Fixed orthodontic treatment can be applied to almost any kind of discrepancy as long as patient has healthy teeth and gingiva. As the treatment proceeds, patient may be instructed to use elastics or removable appliances.

There are metal and porcelain (esthetic) brackets for patients choice. Brackets may also be self-ligating, or conventional. Each has its own advantage and disadvantages and you’ll be introduced to different options before you start the treatment.

Metal Brackets: Most commonly used bracket type in orthodontics. Less esthetic compared to porcelain brackets but also less prone to breakage. Conventional metal brackets need a wire or elastic ligature to tie the wire to the bracket.

Porcelain (Esthetic) Brackets: A more esthetic bracket compared to conventional metal brackets. Duration of the treatment may extend for a couple of months compared to conventional metal brackets. Conventional estethic brackets also need a metal or an elastic ligature to tie the wire to the brackets.

Self-Ligating Brackets: Self-ligating brackets cancels the need of a metal or elastic ligature. Due to the low friction forces, treatment time may be a few months shorter. Chair time for patients is decreased drastically. Self-ligating brackets may either be metal or esthetic brackets.

WHAT ARE ELASTICS?Elastics or rubber bands are often an important part of orthodontic treatment. They supply the pressure needed to move teeth and jaws into their correct position. Elastics can be in different diameters and the forces applied can vary depending on the treatment type. Elastics are placed on and removed out by the patient, therefore the success of orthodontic treatment depends on the patients’ ccoperation. Elastics give constant light forces to teeth. In the first days of elastics, patient may feel some tenderness and discomfort. This is normal because the teeth are moving and patients are advised to carry on using elastics during this process because the tenderness will end in a few days.