Braces – when, which and how expensive?
If the treatment has to be repeated, it may be due to treatment errors or to the development of new technologies that exceed the benefits of the treatments used at the time, and thus provide even better results.
Origin and history of the braces
The braces is also referred to as plate apparatus, because it fits in the upper jaw like a plate on the palate. One or the other she is also known as Schwarz’sche Platte, because it was first described by a Mr. Schwarz early 20th century. Removable braces are available in Europe for a long time. They were designed based on the devices that were developed for orthodontic treatment.
In the United States, however, the removable braces have never had a lobby, as this is a device that relies on the cooperation of the patient. There it was – and still is today – common that instead of the four small molars are pulled and then followed by a correction with a fixed brace. This also explains the present name as a multiband. The bands are attached to the posterior molars with glued-on brackets. The treatment serves less the development of the jaw than more the achievement of straight teeth.
When does a child need a brace??
Malocclusions constantly increase in the course of the last generations, meanwhile, there are a variety of different malpositions. This is due to evolution, which causes our jaws to shrink, but the number of ingrowing teeth remains the same. That’s why today, just about every teen – with the exception of those who count the one percent with perfectly grown teeth – wears braces in adolescence.
There are several good reasons to straighten your teeth. First, the food is much easier. Furthermore, both jaws can easily bite each other without causing problems. If that was not possible in the long term, it could also cause neck pain or other symptoms. But also the avoidance of the development of a periodontosis serves the tooth correction. Of course, there are also legitimate cosmetic reasons to correct the malocclusion, because straight and healthy teeth convey a more positive impression of a person, as if it opens with heavily malformed teeth mouth. All the way to the career opportunities, the reasons to correct the malposition of the teeth using braces.
Many people are very uncomfortable with open-ended teeth, laughing openly. After the teeth are corrected, they will not be inhibited anymore. The treatment is laborious, but it is ultimately worth it. Today it is socially accepted, when adolescents, but also adults, walk around with braces. It even gives a positive impression, as it shows that these people are concerned with their health as well as with their positive appearance, especially since this treatment costs as well as requires patience.
Which braces are there?
The types of braces are so huge that it is virtually impossible to name all species for all purposes. Basically, a distinction is made between fixed and loose, removable braces. There are outside lying, which are externally visible set on the jaw and inside, which disappear behind the rows of teeth.
There are also brackets and straps that connect an orthodontic arch wire to the teeth. There is a wide range of aids for the treatment of the jaw with a fixed braces available. In particular, they are referred to as Nance, SUS Jusper Jumper, Jones Jig, Pendulum, Hyrax, Quadhelix or Lingualbogen and Wilsonapparat.
The rapidly advancing developments in orthodontics alone are constantly developing new models of braces, and there are many different treatment options available for the misalignment of the teeth. The treating orthodontist then has to decide individually which braces are the ideal model for the individual purpose.
A classic is the fixed braces
The fixed model is the solution of tooth correction, which is almost always associated with the term braces. The key advantage of this tooth correction is that this device acts on the teeth over 24 hours a day and brings them permanently into a new position. Especially in adolescents and adults, the fixed braces is often used in permanent dentition, because here the jawbone are already hardened than in schoolchildren and the effects of tooth correction are harder to achieve.
Both metal and ceramic or plastic brackets are available here. In this type of braces, good oral hygiene is particularly important because otherwise leftovers and thus significant amounts of bacteria can accumulate within the brackets and rails on the tooth surfaces.
In recent years, it has gone over to no longer attach the brackets to the outsides, but instead attach them behind the teeth. So the fixed braces is almost invisible. The physician speaks here of lingual brackets. This method is mainly used in adults.
Removable braces for the teeth in growth
Almost all of today’s adult generation still knows the removable braces. These include plates that are placed in the interior of the oral cavity to correct the upper or lower jaw or both by applying pressure. The removable braces have only a limited potential for correction and rather serve simple corrections, tooth roots can not affect their position. In addition, these braces are more suitable for use in relatively young children with permanent dentition, in which the jaw has not yet hardened too much.
The aligner rail
The permanent dentition is also often corrected with the attachment of so-called Aligner rails. This treatment method is a special variant for patients. In general, this is a custom-made series of transparent plastic rails, which are changed regularly. The biggest advantage of the Aligner splint is the design, which makes the braces often not noticeable.
Further advantages of this corrective action are that the splint can be removed during eating, during sports and also when brushing one’s teeth. Dental care is easier here than with fixed braces. However, to ensure successful treatment, the splints must be worn for at least 23 hours a day.
Furthermore, multiband brackets – also known as snow chains – are lightweight, easy-to-remove braces in use to individually correct the teeth. For the patient, the choice of braces is very important, because a loose braces can be very annoying especially in case of illness, but can be taken out in this case. Fixed braces are more effective in the results, but can prove to be a true path of suffering for the patient. Once inserted, this brace can not be removed without much effort and effort.
Thus, when selecting the right braces, the mental resilience of the patient also plays a part. The more the desire and need for a perfect tooth position exists, the more likely is the decision for the fixed tooth correction.
Also with the removable braces there are two different types
On the one hand, this is the plate apparatus. So the functional orthodontic braces, also called activator or Bionator. On the other hand, there is a newer and more modern version of the removable braces, which are referred to as Aligner. There are the Positioner braces, which implement the fine correction of the teeth when the orthodontic result with the fixed braces has not led to the desired result and the teeth are not yet in the desired position.
Furthermore, there are removable auxiliary devices combined to the fixed braces. This can be the Delaire mask or a headgear called Headgear. However, these methods are now generally rejected, as they bring an enormous psychological burden on the patient through the externally visible in the facial area straps.
The method Headgear has already been applied millions of times. However, in addition to the mental stress associated with wearing this type of dental correction, the effects on the spine, blood flow to the brain and effects on the neck muscles and even breathing have not yet been accomplished, and thus there is no evidence. This is especially surprising against the background that in Germany every innovation is subject to strict control.
However, patients complain of headgear orthodontic treatment with side effects ranging from squeezing the throat to regular and permanent headaches. Therefore, the treatment variant with the headgear is also strongly declining and barely to be found in today’s street scene.
The advantages of a removable braces
Advantages of the removable braces are already that the tooth correction is very gentle and thus largely painless. A new correction only takes place if the screw elements are readjusted by the orthodontist. These braces can be used in children and it can thus be started at a young age already with the required tooth correction. For this, when treating with the removable braces usually no permanent teeth must be drawn.
The disadvantages of the removable braces
A major disadvantage arises from the fact that in this treatment an active and reliable cooperation of the patient is required. Irregularly worn, this treatment brings otherwise no visible success. Also, it is not possible to implement all necessary corrections with a removable braces. For example, the axis-compatible position of the anterior teeth with the removable braces is not feasible and so-called rotated side teeth can not be corrected with this treatment method. In addition to the therapeutic limitation, there is also a restriction as far as patient clientele is concerned. In children, this treatment method can still provide satisfactory results, for the orthodontic treatment of adults, this form of therapy is absolutely unsuitable.
How long must braces be worn??
In general, the necessary wearing period of the orthodontic tooth correction is individually different and depends on the tooth position status and also the desired results with regard to the perfection of the results. The average duration of treatment is about 2.5 to 3 years. This is because the deformation of the tooth position must not be too fast and a re-tensioning of the braces is designed for a period of four to six weeks.
Patients should schedule two to three years of treatment for the dental correction, with delays occasionally leading to four to five years of treatment for some patients, as well as the ability to complete the entire dental correction within two years. These are exceptional cases.
All in all, this question can not be answered. Here are many factors. This is the age, the nature of the malposition, the own claim to the correction, which may well deviate from the medical requirements upwards, so that the patient desires a more extreme correction than the orthodontist medically considered necessary to play with , After a thorough examination, acceptance of model impressions and a conversation about necessities and patient claims, the orthodontist can name individual treatment periods. Two to three years should be planned in about.
How expensive are braces?
Again, no flat rates can be named, since each treatment method has different prices and also the duration of the treatment is included in the pricing.
In general, it can be said that in the case of a 3-year treatment period, there are around 4,500 euros in costs that I incur from the material, laboratory and treatment costs incurred by the orthodontist.
Who bears the costs?
The problem is today, that the statutory health insurance to finance the orthodontic treatment only for medical reasons with. A part of the costs must always be borne by the patient, and in the case of a treatment co-financed by the health insurance, all costs usually fall to the patient in the event of termination or inadequate cooperation.
Even if crooked teeth do not look good optically, the health insurance is only involved in the treatment costs if there are problems with chewing, breathing, speaking or swallowing. These factors are the ones that decide on cost sharing or not the health insurance.
Until the year 2002, the statutory health insurance still bore all the costs resulting from orthodontic treatment, meanwhile medical indications have to be given.
The severity of the malposition also determines the cost sharing
Since 2002 determines the severity of the malposition of the teeth, whether a cost sharing by the health insurance is given. Thus, the statutory health insurance must enter only at a level three, the legislation has fixed a total of five orthodontic indication groups. These consist of ascending from easy to extremely intense. If there is a level one or two malformation, the entire treatment must be funded on its own. The indication group determines the orthodontist at the initial examination and he also usually makes the application for the cost of the health insurance.
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