TERMS USED IN FIXED ORTHODONTIC TREATMENT
BRACKET: Brackets are common pieces used in fixed orthodontic treatments that are bonded directly to teeth surfaces. They are one of the two main instruments that help the teeth move. They have various types such as esthetic, metal, self-ligating and lingual.


Conventional Metal Brackets: Most used bracket type in fixed orthodontic treatments. The wire passing through the brackets needs to be tied with either wire or an elastic ligature.

 

 


Esthetic (Porcelain) Brackets: Ceramic braces have been designed to improve esthetics, especially for the adult patients. As nearly invisible, porcelain brackets are much more esthetic compared to conventional metal brackets. Porcelain brackets still need a wire or an elastic ligature to tie the wire to brackets.


Self-Ligating Brackets: Self-ligating brackets can either be metal or esthetic. Wires do not need to be tied with a wire or elastic ligature. Chair time is decreased and appointments are shorter. Due to less friction, teeth tend to move faster and duration time is couple of months less than conventional orthodontic treatment.

 


Lingual Brackets: Brackets that are bonded to the lingual surfaces of teeth are called lingual brackets. They can either be self-ligating or conventional. This type of brackets are more expensive comparitively because they are produced individually for the patient.


ELASTICS: Elastics are round shaped rubber bands used to correct jaw relations and teeth interdigitation. Elastics can be at various diameters and can apply different amount of forces to teeth. It’s very common to use elastics in fixed orthodontic treatments. Orthodontist instructs the patient how to wear elastics and patient is expected to wear them as instructed.


WAX: Wax is used to cover the poking wire, or a rubbing bracket to avoid irritation at the soft tissue, temporarily. Patients are instructed to call the clinic to discuss the irritation problem.

 

 

 


LIGATURES: Ligatures can either be wire or elastic, and are used to tie the orthodontic wire to brackets. Elastic ligatures can be in different colors and used according to patients’ preference.

 

 

 


CARRIERE DISTALIZER: Carriere Distalizer is an appliance designed to correct jaw relations before fixed orthodontic treatment starts. Appliance is bonded to first molar and cuspid/bicuspid tooth. In lower jaw, teeth become one unit with brackets or aligner. Patients use elastics in addition. In 6-8 months, jaw relations come back to normal.


REMOVABLE APPLIANCES: Removable appliances can easily be taken out by the patient. However,they should be worn as prescribed. Removable appliance’s body is made of acrylic, and also consists of wires which are either passive or active.

 

 

 


ORTHODONTIC IMPLANTS: Orthodontic implants are used mostly for adult patients to achieve difficult tooth movements.


EXTRAORAL APPLIANCES: Extraoral appliances can either slow down or enhance upper and lower jaw growth. There are various types called headgear, chincup or facemask and each serves for a different purpose.

 

 

 


RETENTION PHASE: After each orthodontic treatment, the bone,muscles and teeth must now adapt to their corrected new positions. Changes in tooth positions may be lifelong and therefore retention appliances should be worn as prescribed. There are many types and designs of both upper and lower retainers.


Fixed Retainer: Is a thin wire bonded at the back of four or six anterior teeth in upper and lower jaw. Fixed retainers are the most common method we use in our clinic.

 

 

 


Removable Retainer: Is removable and therefore we do not recommend this retainer for our patients.

 

 

 

 


Essix Retainer: An invisible aligner to keep teeth from moving back. This is also a removable appliance. After bonding the fixed retainer, we give essix retainers to our patients to use as a subsitute if their fixed retainer loosens.