Fixed
Appliance
Q What is my brace
made up of?
A Your
brace is made up of small brackets glued to your teeth. The
brackets are handles used to hold your teeth and straighten
them; the archwire, which runs through the brackets
moves the teeth. We start with the most gentle
archwire and gradually move up through five sizes. The
archwire is held in place by tiny elastic bands, which
come in different colours.
Q Will it hurt?
A It
is usual for the teeth to be uncomfortable for the
first few days after the brace is first fitted - stay
with a soft diet and if necessary take one or two tablets
of paracetamol or ibuprofen.
Q What if bits break
off?
A If
one bracket comes off then leave it until your next
scheduled visit. If several break off then phone
for an appointment to have the brace repaired.
Often as the teeth
move the archwire sticks out at the back. If
this scratches your cheek come in to have the end cut
off (ask reception for a packet of wax in case this
happens).
Q How do I clean
my teeth?
A Since
the brace is fixed you cannot remove it for brushing. It
is extremely important to spend extra
time brushing all around the brace and especially the
gums. If the dirt builds up then your gums will
bleed a lot (gingivitis) and your teeth will decay. Special
brushes and fluoride mouthwashes for daily use can
usually be obtained from the receptionist of your dental
surgery
Q Will there be
marks on my teeth when the brace comes off?
A Poor
cleaning and too many fizzy drinks can cause permanent
decay marks. The importance of thorough
brushing and the use of a fluoride mouthwash cannot
be emphasised enough.
|  |
Q What about sports?
A Contact
sports such as rugby present a problem since it is
difficult to make a gum shield that will fit over the
brace. A reasonable solution is to buy a cheap
gumshield from a sports shop which can be softened
in hot water and moulded over the brace.
Q How long before
the brace is removed?
A It
usually takes about 18 months, occasionally longer,
to straighten your teeth. "Traintrack" braces
are very good at straightening teeth so that they look
better in months. It is important to remember,
however, that if the brace is removed too quickly before
the teeth have settled into their new positions, then
the teeth tend to go crooked again.
Q So how are the
teeth kept straight after the fixed brace is removed?
A Usually
we make a removable brace called a retainer to wear
at nights for at least 12 months. Sometimes a
wire is fixed to the insides of the teeth to hold them
straight.
|