For whom is braces from the inside a possibility? | Braces

For whom is braces from the inside a possibility?

Internal fixed braces are the alternative to a fixed appliance that is attached to the outside of the teeth. Therefore, any indication for fixed braces such as gap closure can be achieved by the so-called lingual technique. The advantage is that the orthodontic treatment is invisible to outsiders, which is why lingual technology is very popular with adults.

Furthermore, the tongue, which lies directly on the braces, also offers a natural cleaning function, which makes oral hygiene easier. However, lingual technique is unsuitable for bite forms where the braces hinder or interfere with biting or chewing. In these cases, fixed braces must be used on the outside of the teeth.

The new form of lingual technology, which is still new up to now, requires more co-payment than an appliance on the outside of the teeth. This is due to the fact that in lingual technology the brackets have to be made individually for the patient to fit optimally, which makes them unique. For fixed braces on the outside, universal, standardized brackets are used. The greater effort therefore justifies the higher costs.

Duration of the treatment

The duration of orthodontic therapy varies depending on the case and the severity of the dentition disorder.In the teenage years, the average duration of treatment is one to three years. In severe cases, which are treated orthodontically and surgically, a treatment period of more than five years is often common. In the case of severe malformations, loose braces are used as early as the milk teeth to prepare the jaw for a fixed appliance and to move it.

In these cases, treatment can begin at around 5 years and be continued from the age of 9, so that a total of almost 10 years of treatment is required. The longest duration of therapy is necessary for the clinical picture of a cleft lip and palate. The newborn baby is then provided with a drinking plate made of plastic immediately after birth, so that feeding can be made possible at all.

Until adulthood, operations and orthodontic appliances are performed to counteract the malformation and restore normal function and aesthetics. In adults who have orthodontic treatment, the duration of treatment is comparable to the standard duration. It ranges from six months to 3 years.