The removable braces / loose braces / loose braces can be used effectively for the treatment of crooked teeth, provided the patient is working very well. It is particularly useful for children during growth, i.e. before all permanent teeth break. But even after growth has ended, some misaligned teeth can still be corrected using removable braces (ideal start of treatment).
Loose braces – manufacture
In order to be able to produce removable braces, an impression of the teeth must first be made. To do this, the patient bites into a soft chewing gum mass (alginate) that hardens in the mouth. The tooth impression is then cast in plaster in the laboratory. The working model emerges. The working model is not identical to the diagnostic model that is measured for planning. The removable braces are individually manufactured on the working model in the dental laboratory.
Loose braces – construction
The loose braces have a base Plastic plate. The plastic plate is secured by individually bent wires (clinch) attached to the teeth. Some of these clips are used to hold the clip so that it does not fall out of the mouth. Other brackets put pressure directly on the teeth to move them in position. In most cases, additional screws (expansion screws) are incorporated into the clips. By turning these screws, pressure is exerted on the jawbone. This pressure promotes the growth of the jaw.
Loose braces – material
The plastic plate is usually made of polymethyl methacrylate (PMMA, Forestacryl®, Forestadent, Pforzheim, Dtl.). The brackets and expansion screws are made of stainless steel (Stainless Steel, Forestanit®, Forestadent, Pforzheim, Dtl.). You will find the exact material composition after the click. In practice, the braces are then adjusted to the situation in the mouth. The patient is shown how to insert and remove the brace. At Suhl Orthodontics you can put together your braces individually by choosing from over 5 different colors, 2 metallic options and 20 different images.
Loose braces and allergy
According to the German Society for Dentistry, Oral and Maxillofacial Surgery (DGZMK), allergic reactions in connection with all dental alloys are known, but relatively rare, considering the large number of patients treated with dental alloys. Since the oral mucosa is about 6 to 10 times more resistant to allergic stimuli than the skin, dental alloys are easily tolerated in many cases with existing sensitization to one of its components. Please inform us at the beginning of treatment about any skin problems related to costume jewelry or coins. A general allergy test before treatment is not recommended. For allergy sufferers, a nickel-free treatment with special materials can be considered. You can also find more information on the DGZMK homepage.
Loose braces – costs
If a medical need for treatment can be determined, your statutory health insurance will cover the treatment costs in full up to the age of 18. After the age of 18 and for purely aesthetic treatments, the costs are not covered by the SHI. More information can also be found here.
Loose braces – how long must they be in your mouth?
In our practice, treatment with loose braces usually lasts for a period of one year. During this time, checks are necessary every 3 months. During this time, the patient can remove the brace himself at any time and put it back in the mouth. To achieve a good result, the clip should be worn in the mouth for 14 hours. The success of the treatment depends primarily on the patient’s cooperation.
Removable braces / loose braces in the patient’s mouth.
Loose brace – pain
Pain and minor tooth loosening may occur in the first few days after the orthodontist activates loose braces. Pain and loosening are a sign that the teeth are moving. Of course, everyone feels this pain differently. Many don’t even notice them. However, if there is too much pain, please report to the practice immediately.
Loose clasp – clean
A hard manual toothbrush and toothpaste without abrasive substances are recommended for cleaning loose braces. Toothbrush and toothpaste should be cleaned twice a day (morning and evening). In addition, it is advisable to place the clip in a glass of water twice a week with a cleaning tablet for approx. 10 min.
Loose braces – alternatives
In some cases, loose braces can be extremely difficult for patients with severe hay fever, frequent upper respiratory tract infections or chronic nasal breathing problems. In these cases, plastic splints are an alternative to conventional braces for certain tooth positions. Fixed braces are often a good alternative here.
We would be happy to advise you personally about treatment with removable braces directly in our practice (orthodontics Suhl – Lauwetter 33 – 98527 Suhl) or by email. Just leave us a message using the contact form below.
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