When choosing brackets and considering the future orthodontic treatment plan, the following factors should be taken into account:
The first factor: when the doctor used to work with certain brackets
...... Or learned to work on ligature brackets, then he becomes a supporter of the classical brackets system. It happens that an orthodontist began his activity at the department as an intern, where everyone worked with a certain bracket system, and he practically grew on it. It is difficult for a doctor to refuse such preferences. But a professional and experienced orthodontist does not focus on one method of treatment, but knows and uses different techniques.
The second factor: cost
If the choice of brackets is determined not by the doctor, but by the clinic, then the clinic can save money. Where it is more profitable to buy cheap brackets, and how to work with them is a question of the orthodontist. More efficient and technologically advanced bracket systems are already slightly higher in cost due to the fact that they have invested scientific research, a huge amount of research and articles. And the bracket becomes a tiny orthodontic mechanism, which has a large technological base. The cost of such a product can not be cheap. You can draw an analogy with untested dietary supplements and drugs that have passed many certifications. Therefore, at Konfidencia Clinic of Aesthetic Orthodontics, we work with brackets made by Ormco and 3M Unitek - these are truly first-class and proven products. They carry two categories of benefits - for the doctor and for the patient.
Benefits for the patient: the treatment time is reduced, it can be treated without removal, in cases that previously could not be treated in this way, these brackets are small, comfortable, and due to self-ligation the patient can be less likely to go to the doctor.
Pros for an orthodontist: you can cure more complex cases, faster, more comfortable, this is a stunning compromise of quality, time and finance. The most perfect compromise.
Selection of brackets on the mechanics of orthodontic treatment
There are such cases when the patient requests increased requirements for aesthetics and wants lingual brackets. We, as orthodontists who can work with lingual brackets, understand that a particular case is not optimal for treatment with internal brackets, it will be more difficult and longer in time, because the mechanics of the lingual technique is different.
The patient will always have a choice in this situation, but he will have to accept that, in his case, the quality of the treatment on the lingual technique will affect the duration of the treatment and will be 6-10 months longer, because specifically in his individual case the mechanic on the outer brackets will be faster .
The same situation occurs when the patient selects lingual brackets when working with active speech. The orthodontist is always obliged to warn that the first time work may suffer, because the lingual technique strongly influences diction.
It happens that in adolescents with a high level of demineralization, the lingual technique is even recommended, because there will not be such a risk of stains and caries on the inner surface of the teeth after removing the brackets.
There are cases when there is no difference for an orthodontist on which bracket system to treat a patient.
Therefore, the choice of brackets depends not only on the patient, but also somewhat on the doctor, how he can work, what he is used to, what the patient has. The best option for both parties is to find a compromise.
What are the hidden factors when choosing brackets?
In the Confidentiality Clinic, all orthodontists are proficient in any technique and work equally well with any kind of brackets. But if we offer 15 options for brackets, then it is worse for the patient. The most comfortable offer conditionally 3-4 options, starting from key queries and restrictions.
As a rule, an orthodontist is well aware of the technical nuances of each bracket system, for example, for cheap brackets, locks may open, they may not hold the archwire. For the doctor, the convenience is that the lock works after two years of treatment, opens, closes. Very many brackets open well-close the first six months, and then the problems begin. The lid got loose or jammed. For a month, the treatment simply will not progress. Orthodontist will have to re-install, close the locks.
High-quality brackets are the reliability of their work, when for the patient the treatment process goes as planned, and not as it turns out, depending on the nuances that arise.
For example, Clarity brackets are quite decent and pleasant to work with. To say that Inspire Ice is better or worse is impossible. Both brackets have good ligature wings, they also work well and are about the same in cost. A good product, it does not matter - brackets are products or cosmetics, there is no cheap. There are other brackets not worse, but they will not cost less. On the other hand, there are brackets that are actually sold by weight, they are often used to attract patients to cheap promotions. There is another steel and deformation after removal, but working with such brackets, it is difficult for the doctor to solve complex clinical problems, sometimes it turns out to achieve only the alignment of the teeth.
In this aspect there is a cardinal difference between cheaper and more expensive brackets. And a good orthodontist will naturally take care of the patient’s health and his reputation. The reliability of the Damon's bracket-system design is time-tested, they are really convenient for the doctor and for the patient.
Sometimes in the economy segment clinics one can come across the blatant imposition of certain brackets. Why is this happening? Not every such clinic can afford a large supply of brackets available - this is both additional storage space and large frozen amounts. Then the doctor seeks not to let go of the patient without installing brackets from those that are in stock.
If any brackets are suitable for the patient?
In this case, we recommend the patient to choose according to aesthetics. The cost will be proportional to it. The more invisible brackets – the more expensive they are. Therefore, the patient can choose transparent sapphire brackets, where activation occurs once a month, or transparent Clear ceramic brackets with activations once every 2 months. The most invisible brackets - lingual - are placed on the inner side of the teeth, they are activated once a month, and they are not visible at all. Their specificity is a slightly longer period of adaptation. But the patient chooses, including himself determines the financial part comfortable for him.
The duration of treatment also depends on aesthetics – it is slightly longer with transparent systems. The fastest orthodontic treatment takes place with external metal brackets.
To a patient who does not care about aesthetics, the orthodontist places the bracket system that works the fastest. Optimally - use Damon self-ligating brackets.
They are recommended for complex work, with large movements and extractions. This is the most reliable option if you have to work hard, and not just a small correction. Ceramic brackets during this time are still at risk of chipping. Therefore, the patient needs a durable, reliable brace that will withstand this great difficult job. With sapphire and ceramic brackets it is possible, but it will be more difficult and longer. It is preferable in such situations to choose not ligature metal brackets, but Damon self-ligating or even Insignia Damon Q, individually made using digital orthodontics technology. This is the best that an orthodontist can offer his patient.
When can a patient save on brackets and put Orthos metal ligature brackets?
For simple cases or for teenagers with a light crowding of teeth, this is a really good option, but for more complex cases, Damon Q brackets, which are not significantly more expensive, are much better.
What are the disadvantages of ligature brackets?
The main disadvantage is more frequent meetings with the orthodontist. Rubber ligatures on brackets require constant replacement. They swell, sometimes change color, can fly off, over time they control the arc less. For the patient, this is not as important as for the doctor, except that for the patient the activation takes longer. Technically, working with ligature brackets is more difficult, and they have less control over the process. And for the patient it is a matter of more difficult hygiene, frequent visits and the duration of treatment in principle. Modern orthodontics is increasingly moving towards self-ligating systems.
What is the difference between Inspire Ice transparent sapphire and Damon Clear ceramic brackets?
These brackets work with different biomechanics. Sapphire is ligature brackets, and ceramic is a system of passive self-ligation. Therefore, the principle is completely different. With ceramic brackets, the patient visits the orthodontist once every 2 months in the initial stages, and with sapphire once a month.
In what situations are lingual and vestibular brackets combined?
Basically, when the patient wants to make the process of orthodontic treatment imperceptible to others. Also, sometimes the placement of the bracket system on the lingual, internal surface is caused by the immaturity of enamel in adolescents or the presence of demineralization spots on the outer surface, where the risk of caries is higher.
What kind of brackets do men choose and what kind of brackets do women prefer?
Lingual brackets are most often chosen by men in leadership positions, and women who are sensitive to the aesthetics and invisibility of brackets. Men are better at Incognito internal brackets, because they are willing to invest in their health and smile, but by keeping orthodontic treatment secret. In addition, men are impressed with German technology and reliability.
If invisibility does not play a role, then men are more likely to choose advanced digital Insignia technologists and brackets, which, like a good suit, are made individually. Women, for whom the aesthetics and invisibility of the treatment process are particularly important, often choose for themselves transparent brackets such as Inspire Ice (sapphire) or Clear (ceramic). In general, in Konfidencia, we always try to find a compromise between aesthetics and functionality.