Braces

Introduction

In a time when more and more importance is attached to the outward appearance, most people want their teeth to be perfect and straight. Those who do not have this by nature can take advantage of orthodontic treatment. Braces are available in different variations, we speak of fixed, loose and even “invisible” braces.

Until the age of eighteen, orthodontic treatment is covered by statutory and/or private health insurance, but in certain cases it is also possible for the insurance companies to cover at least part of the costs even after the patient has reached the age of eighteen. This is possible if a surgical therapy has to be performed in addition to the actual treatment. Braces are appliances used in dentistry to correct malpositioned teeth and jaws and thus improve the aesthetics and functionality of the jaw.

Time of treatment

In principle, braces can be used at any age, but since the dentist or orthodontist can take advantage of the natural growth spurts of their young patients between the ages of nine and fourteen, this is the ideal time for orthodontic treatment. On average, this type of straightening of teeth and jaws with braces takes about two to three years, but the duration of treatment depends strongly on various factors. On the one hand, the initial condition of the teeth plays a major role, and on the other hand, the patient’s cooperation can greatly extend or shorten the time the braces are worn.

A very early presentation to an orthodontist is recommended. In children who have a so-called cross bite, in these cases treatment can be useful from the age of four. The severity of the malocclusion is determined by the orthodontic indication groups.

Risks

In general, there are relatively few risks associated with orthodontic treatment, but in exceptional cases problems may occur. Some patients react allergic to the materials used, a change of material can help in this context. Especially when using fixed braces there is an increased risk of developing caries and/or gum inflammation (gingivitis).

A conscientious and thorough oral hygiene is absolutely necessary in order to avoid lasting damage to the tooth substance, the gums and the jawbone. It is recommended to use dental floss and/or interdental brushes in addition to the toothbrush and to clean the edges of the glued-on brackets particularly carefully. Furthermore, incorrectly attached brackets can lead to incorrect tooth movements, but these can be corrected by repositioning the brackets correctly. Patients also report from time to time pain caused by the braces. In principle, this is not a cause for concern, as the complaints usually subside on their own within a few days.