What is Fixed Orthodontics? (Orthodontic Treatment with Braces)
Fixed orthodontics is a classic orthodontic treatment method that uses brackets bonded to the tooth surface and wires connecting these brackets to bring the teeth to their ideal position. This system allows for controlled, three-dimensional movement of the teeth.
Fixed orthodontic treatment is still considered one of the most common and effective orthodontic methods today. It offers strong control, especially in the treatment of moderate and severe malocclusion.
Why is Fixed Orthodontic Treatment Preferred?
Fixed orthodontic treatment is commonly used to solve various orthodontic problems in both children and adults.
Reasons for choosing this treatment:
- It is effective across a wide range of cases.
- Controlled tooth movement
- It offers long-term and stable results.
- The ability to regulate jaw and tooth relationships together.
Fixed orthodontics is one of the most powerful treatment tools an orthodontist can use, especially in complex cases.
What problems does fixed orthodontics treat?
Fixed orthodontic treatment has a very wide range of indications:
Dental Malocclusions
It effectively aligns teeth when they are irregular and crowded.
Spaces Between Teeth
It is used to close gaps between teeth.
Closure Disorders
- Open closing
- Deep closing
- Cross closing
Jaw Alignment Problems
It plays a supportive role in mild to moderate jaw positioning disorders.
How is Fixed Orthodontics Applied?
Fixed orthodontic treatment is a planned and phased process:
1. Inspection and Planning
Intraoral evaluation is performed with radiographs and photographs for a detailed analysis.
2. Attaching the Brackets
Brackets are fixed to the tooth surface with special adhesives.
3. Wire Activations
The wires are switched or activated at specific intervals.
4. Control Process
Tooth movement is monitored regularly.
5. Reinforcement Phase
After the treatment is complete, a retainer is used to preserve the results.
Types of Fixed Orthodontics
Today, there are various aesthetic and technical options available:
Metal Brackets
It is the most commonly used system. It is a durable and effective option.
Ceramic Brackets
Because it’s tooth-colored, it offers a more aesthetically pleasing look.
Lingual Orthodontics
This is a system where brackets are placed on the inner surface of the teeth, invisible from the outside.
Advantages of Fixed Orthodontics
- It provides high control and precision.
- It is effective in a wide variety of cases.
- Provides continuous active treatment (less dependent on patient compliance)
- It can offer lasting and stable results.
Comparison of Fixed Orthodontics and Clear Aligners (Invisalign)
Control and Effectiveness
- Fixed orthodontics: Stronger control in complex cases.
- Clear aligners: A comfortable solution for mild to moderate cases.
Visibility
- Fixed orthodontics: May be visible.
- Transparent plate: Almost invisible.
Patient Compliance
- Fixed orthodontics: The fixed system is less dependent on patient compliance.
- Clear plate: Requires regular use.
In complex cases, fixed orthodontics are often a more reliable option.
Fixed Orthodontic Treatment Duration
Treatment duration typically ranges from 12 to 24 months. However:
- Severity of the case
- Patient age
- Speed of tooth movement
This can affect the timeframe.
Is Fixed Orthodontics Painful?
You may experience slight pressure at the beginning of treatment and during wire changes. This usually subsides quickly and is manageable.
Who is suitable for fixed orthodontics?
- Those with crooked teeth
- Those experiencing occlusion disorders
- Patients who need support for jaw relationship
- Cases unsuitable for clear aligner treatment
Post-Fixed Orthodontic Process (Reinforcement)
To maintain the new position of the teeth after treatment is complete:
- Night records
- Fixed retainer wires
can be used.
This stage is critical for ensuring the lasting success of the treatment.
Fixed Orthodontic Treatment
Fixed orthodontic treatment is carried out with detailed planning and regular follow-up. A personalized treatment plan is created for each patient, and progress is closely monitored throughout the process.
Frequently Asked Questions (Fixed Orthodontics)
1. How long does orthodontic treatment take?
It usually ranges from 12 to 24 months.
2. Are braces very visible aesthetically?
Metal brackets are visible, but ceramic and lingual options are more aesthetically pleasing.
3. Is it difficult to eat during treatment?
Some hard and sticky foods should be avoided.
4. Do braces cause pain?
There may be a slight feeling of pressure at first.
5. Will the teeth become misaligned again after treatment?
If the reinforcement process is applied correctly, the results can be maintained.
