Brackets installation

The installation of brackets is one of the instruments of orthodontic treatment, the purpose of which is to correct the bite (improper closing of the teeth).

Brackets no longer seem strange to us. They were worn even by such celebrities as Angelina Jolie, Tom Cruise, Nicolas Cage, Cristiano Ronaldo.

An abnormal bite will not improve on its own and will eventually cause the following problems:

  • Improper bite causes improper growth of teeth, which can lead to excessive stress, loosening and early tooth loss. Improper dental growth impairs hygiene and complicates oral care, leading to caries, problems with gums and loss of teeth. And the result of the alignment of the teeth can not be persistent without correcting the bite.
  • Some dental problems cannot be solved without prior orthodontic treatment. Often the wrong bite does not allow to perform high-quality prosthetics. In some cases, it is impossible to replace the missing tooth with an implant without correcting the bite, in others it is possible, but without a guarantee of a positive result and durability.

At what age can treatment with brackets begin?

Treatment with brackets is possible at any age. However, the method of treatment depends on the tasks set for the orthodontist and the problems to be solved.

Abnormal bite may be due to the following reasons:

  • improper teething;
  • improper jaw formation.

If the teeth are incorrectly cutting, then this can be partially solved at the initial stage, at 6–8 years old, and at adolescence, at 12–14 years old - only to improve the bite with the help of brackets.

In adulthood, it is possible to solve it not less effectively. The only difference is the duration of treatment. In adults, orthodontic treatment will be slightly longer due to the slower movement of the teeth, due to bone mineralization.

The treatment can be made both with the help of bracket systems and aligners, if the specific clinical case allows.

If the problem is associated with an abnormal growth of the jaw, at 6-8 years old, it is likely to become apparent, and during treatment in childhood, it recurs at the age of 12-14 years. Therefore, during adolescence an orthodontist can influence the development of the jaws and thus form the correct bite.

Treatment in childhood and adolescence is made with brackets and removable devices that stimulate or inhibit the growth of the jaws.

Treatment in adulthood, depending on the case, may be possible with brackets or using the technology of maxillofacial surgery.

Types of brackets

By way of fixation:

  • Vestibular - attached to the outer surface of the teeth.
  • Lingual  – attached to the lingual suface of the teeth.
  • Standard with direct fixation – when the orthodontist sets standard factory brackets, practically calculating the angle of inclination, distance, etc., without prior computer simulation.
  • Individual with indirect fixation – сcreated using digital technology. The design of their placement on the teeth is programmed by the orthodontist on the computer. After that, the brackets are made at the factory specifically for a specific case, come to the clinic in special caps, and are installed with it.

For example, lingual systems can be only individual, and vestibular - both individual (Insignia system) and standard.

Vestibular systems can achieve the desired result in a shorter time than the lingual, while the latter are completely not noticeable to others.

Individual systems due to computer simulation have a high accuracy of predicting the result.

By the mechanism of work

  • Ligature – when an archwire is attached to a bracket using ligatures, for example, rubber bands or metal ties.
  • Self-ligating – when brackets have locks in the structure, which effectively keep the archwire.

Self-ligating brackets are more modern, ergonomic for the patient and convenient for the doctor. They are more predictable and allow you to achieve an effective result.

According to the material

    • Metal – the most affordable, reliable and efficient.
    • Ceramic  – more aesthetic than metal, less noticeable on the teeth
    • Sapphire – the most transparent and invisible brackets at the moment.

Alternative treatments

If, nevertheless, it was not possible to choose from the proposed variety what is necessary for you, in some cases the orthodontic problem can be solved with the help of aligners.

Aligners are special caps. Orthodontic treatment by aligners is programmed with the method of computer simulation. The number of caps is calculated, the period of wearing each of them, a cap design is created. Capes are manufactured at the manufacturer’s factory individually for a specific clinical case.

Treatment with the help of aligners implies a high patient discipline, since it is necessary to carry the mouth guards for at least 22 hours a day (they can only be removed during meals and hygiene).

At the moment it is one of the most aesthetic methods of orthodontic treatment, however, it can not cope with all situations. Sometimes the treatment by caps is impossible.

Installation process

Preliminary stage

All cases are individual, so the first step is to visit the consultation of the orthodontist, where the specialist will describe the situation in detail to the patient and outline the possible options for correcting it. It is possible to make a specific treatment plan with the predicted result only after a complete orthodontic diagnosis.

A comprehensive treatment plan is a document containing a complete description of the patient’s case, the number of all the necessary manipulations, all the doctors' recommendations, and the full fixed cost of treatment with a clear calculation.

After the treatment plan accepted and all preparatory measures for the sanitation of the oral cavity conducted, the moment of installing brackets comes.

Orthodontic treatment

The installation process is painless and takes about an hour and a half. While the further process of orthodontic treatment is about two years. However, the terms of treatment, as well as the cost, depend on the specific case and the chosen bracket system. As part of treatment, it is very important to carefully take care of oral hygiene, follow all the recommendations of the orthodontist and timely visit the activation designated by the doctor.

Activations are regular manipulations on archwire correction according to the chosen treatment plan. On these visits, the orthodontist controls the treatment process and gives new instructions for the future period to the patient.

Retention period

After a certain period of time, after reaching the desired result, the brackets are removed. However, the first year after removing the brackets is the most unstable - it is extremely important at this stage to take care to maintain the result obtained with the highest quality possible. That is why orthodontists consider it obligatory nowadays to wear retainers (a special wire that is mounted on the back side of the teeth).

In addition to patient retainers, special night caps are made for the patient.

In the case of a failure of the retainer systems, it is urgent to contact the clinic to correct the situation.

In general, the retention period lasts for two years. However, a retainer is not a temporary method for the period of stabilization of results, it is a constant necessity.


Cooperation with the doctor at all stages is mandatory, the planned results can be achieved only thanks to honest and responsible interaction between the doctor and the patient.

It is believed that orthodontic treatment is painful. But this is only partly true.

At first, after the installation of brackets or activation, the patient may experience tense-aching sensations that last several days and pass. They are very individual and they all express themselves in varying degrees. On average, the teeth ache in the evening for about 3-4 days, as much pain persists when biting. In this case, doctors recommend taking painkillers.

There is a possibility of discomfort from wearing the system, but there is a special wax to protect the soft tissues of the oral cavity from mechanical damage.

All the discomfort soon disappears, and the patient ceases to notice brackets.

Terms and cost of orthodontic treatment

The total cost and terms of orthodontic treatment consist of several factors, and, first of all, they are determined by the difficulty of the case and the chosen bracket system. Metal brackets are cheaper than transparent ones, and lingual ones are more expensive than vestibular ones. At the same time, the difference in the cost of a full course of treatment by an individual vestibular system and a standard one may seem insignificant in view of the reduction in terms in the first case.

In addition to this, there are several important points that make the installation of brackets available:

      1. Orthodontic treatment is divided into stages, and each stage is paid for separately, so you get interest-free installments for the entire period of treatment. First, 50% of the cost of installing brackets is paid, while fixing brackets - the second half. Further, all payments are divided in proportion to the number of activations (on average, they can be from 12 to 18 with an interval of 1-2 months).
      2. The clinic regularly provides patients with discounts that will help save up to 15%.
      3. The state provides the possibility to receive a tax deduction in the amount of 13% of the cost of treatment, including orthodontic.


Orthodontic treatment has recently acquired a wide range of indications from doctors of various specializations. One of the tools in orthodontics is brackets. A variety of brackets and bracket systems is large. Confidencia works with all types of orthodontic appliances.

The timing and cost of treatment depend on the specific case and type of bracket system. In the Confidencia Clinic, they are fixed in the treatment plan remain unchanged during the entire period of treatment.

An important aspect is the choice of the orthodontist and the clinic. Also, the key to effectiveness is a qualitative diagnosis at the beginning of treatment and a retention period at the end, which cannot be neglected. The doctors of the Confidenсia Clinic are recognized experts in orthodontics, work only with international treatment protocols, conduct scientific activities, and are ready to take on any case. The clinic is equipped with modern equipment that allows for the most accurate diagnosis and predict the result at the very beginning of treatment.

The main rule for the patient is to follow the recommendations of the doctor during treatment and to appear at the reception on time. There will be no increase in terms and recurrence if you follow the advice of the orthodontist at the beginning, during and at the end of orthodontic treatment.

Detailed information regarding a specific clinical case can be obtained at the consultation of an orthodontist. Button "Choose a doctor and sign up."

The article was prepared by M. Kulanova


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Цены на брекеты

Orthodontist consultation 1 000  
1 consultation per a day for FREE
Computed tomography 3 200 
Diagnosis and treatment plan 3 500  
Fixing braces on the model 6 000  
Professional oral hygiene 3 500  
Activation (1 level) 3 250  
Orthos braces (1 detention) 12 000  
First payment 50%
Activation (2 level) 3 750  
Damon 3MX braces (1 detention) 27 000  
First payment 50%
Activation (1 level) 3 250  
Damon Q braces (1 detention) 41 000  
First payment 50%
Activation (1 level) 3 250  
Crystal clear ceramic Damon Clear braces (1 detention) 51 000   
First payment 50%
Activation (1 level) 3 250  
Combined braces Damon Clear + Damon Q (2 detentions) 51 000 + 41 000
First payment 50%
Activation (1 level) 3 250  
Lingual WIN braces (1 detention) 130 000  
First payment 50%
Activation (2 level)(Orthos, inspire Ice, Lingual, Damon 3MX) 3 750  
Retention period (retainers and 2 years maintenance), 1 detention 15 000 

Our clients results

Clinical case report #1. Class III malocclusion, crowding treatment and prosthetic preparation.
Clinical case report #1. Class III malocclusion, crowding treatment and prosthetic preparation.

Problem: smile aesthetics and defect in bite function.
Diagnosis: the treatment of upper and lower jaw teeth misalignment and class III malocclusion, caused by increased mandible growth, and prosthetic preparation.
Therapy method chosen: orthodontic treatment using stainless steel self-ligating brackets Damon Q without teeth extraction..
Treatment time: 3 years.


Clinical case 2. Correction of the aesthetics of a smile and severe crowding of the dentition.
Clinical case 2. Correction of the aesthetics of a smile and severe crowding of the dentition.

Problem:  Smile Aesthetics
Diagnosis: treatment of severe crowding of the dentition.
Selected treatment method: orthodontic treatment with brackets without tooth extraction using the Damon Q metal self-ligating bracket system.
Treatment term:  2,5 years.

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