Loose braces (called active boards) are in practice for orthodontics Berlin Mitte mostly in younger children for use. They are taken out while eating, exercising and oral hygiene. They also require particularly good care with cleaning tablets and toothbrushes. Ideally, the teeth are brushed after each meal so that no food remains between the braces and the teeth, which could lead to tooth decay and gum disease. In addition, loose braces can make speaking a little more difficult. They are suitable as gap holders or to correct minor misalignments.
The loose braces are made after an impression of the teeth and jaw has been made. Popular areas of application for this type of braces are too large anterior tooth spacing, widening of dental arches or the forward displacement of the lower jaw using growth. There are also different variants of loose braces. Below you will find the currently most common:
The classic loose braces
A classic loose brace has the following elements: a plastic part that is attached within the dental arch and attached wires that are placed around the teeth and placed with the help of small screws in such a way that the teeth are brought into the desired position over time. It is popular with patients that the plastic parts of the braces are made in a particularly striking color or in different colors.
The loose braces as a gap holder
At the transition from the deciduous dentition to the permanent teeth, there may be gaps between the teeth, whereby it is necessary to keep this space free for the teeth that follow. Another case is when, for example, a baby tooth is lost too early due to a sports accident. Even then, the space must be kept free for the subsequent, permanent tooth. Loose braces can then be used as gap holders until the permanent teeth have grown. In this way, there is no unfavorable tooth migration.
Transparent aligners are most popular with children and adolescents . That is obvious, because these transparent plastic rails are practically invisible. The splints are changed every two weeks at a check-up in our orthodontic practice in Berlin Mitte and the patient receives a whole set of new splints that differ slightly in shape from the previous models – to match the development of the jaw. The patient inserts these splints himself. In this way, the teeth will also be pushed into the correct position over time.
Aligners are worn practically around the clock, namely 22 hours a day, and are only removed when exercising, eating and during oral hygiene. They are visually much more attractive than classic loose braces, but they are also much more expensive. Aligners are suitable for mild to moderate misalignments. They too require regular, thorough cleaning and careful oral hygiene. However, the plastic from which they are made provides a poorer breeding ground for bacteria, so tooth decay and inflammation of the gums are less likely to occur.
After the teeth regulation, it is necessary to stabilize the teeth in the desired position, otherwise they will tend to move back into the old position. To achieve this, so-called retainers are used for around two years . These can be removable or fixed. Depending on the individual case, it will be decided which variant is to be preferred.