How good is the NITIE for advice

Ceramic brackets - aesthetic and almost invisible

Brackets
We offer fixed braces with brackets made of different materials.


Metal brackets
We glue metal brackets as the "basic model". Functionally, there is almost no difference to tooth-colored brackets.


Titanium brackets can be used by allergy sufferers. However, it must be clarified whether the statutory health insurance will cover the costs for these brackets.
In terms of their function and properties, they are on a par with metal brackets.

Gold brackets
Are similar to the metal brackets, but gold-plated. This is a desired achievement. They can also be used with allergy sufferers.

Ceramic brackets
In the case of treatment from the outside, this is probably the most aesthetic bracket variant, as they are almost invisible. However, the effort involved in gluing, possibly attaching the arches to the bracket with rubber rings (ligating) and mostly removing the brackets is much more difficult and time-consuming than with a metal bracket.



Sheets

Steel arches are offered in different dimensions as round or square wires and also as stranded wires.
Steel arches are easy to bend, but with the same dimensions they usually emit greater forces than thermo- or superelastic arches. The forces can be reduced by twisting stranded arches or by bending in loops and loops.

NiTi arches
(Nickel-Titanium) are wires made from a certain alloy that return to their original shape after a certain amount of deformation. This is an advantage, as they move the teeth into a correct position and gently and continuously release their low forces.

TMA arches (Titanium-Molybdenum-Alloy) consist of an alloy whose elasticity is between that of steel and NiTi. The wires are relatively easy to bend and have a better restoring force than steel arches. The material, however, is very expensive and breaks easily when bent sharply.

State of the artthermo- or super-elastic arches are a further development of the NiTi arches. This is a material that can be thermally reprogrammed. The wires exert a predetermined, constant force on the teeth and move them extremely gently. The cold (e.g. cold drinks, ice cream etc.) can reduce the force exerted by the arches by the patient himself, which can reduce any unpleasant sensations when moving the teeth.

Tooth-colored arches are extremely aesthetic, especially in combination with ceramic brackets. These are mostly Teflon-coated sheets of the above qualities. The disadvantage of these arches is that the coating often loosens in the area of ​​the brackets and the arch becomes a little speckled as a result. Meanwhile there are also satined / rhodium-plated arches, which adapt better to the tooth color and from which no coating can peel off.

Talk to us about the different options.
We are happy to help.
1. Bracket or band loose - Fixed braces loose
For a bracket, you can try removing the small rubber ring that attaches the arch to the bracket to loosen the bracket. Please be sure to bring the bracket or band with you to the next appointment.
-► Make an SOS appointment immediately (with us or during vacation times with our representative)
2. Wire pokes, bow slipped out
You should try re-inserting the arch into the band or bracket with small pliers or tweezers.
If this does not work, you can use pliers to cut the arch off behind the last bracket or band.
If necessary, cover the end of the arch with wax.

Make sure you hold the end of the bow that is no longer attached with a pair of tweezers, as it could jump away and lead to injuries!
Get an oral gel such as Solcoseryl or Dynexan-A Gel from the pharmacy. Or rinse your mouth, e.g. with Kamillosan.
-► If there is no improvement, make an SOS appointment

Bleeding gums
Usually signs of inadequate dental care. Try to brush your teeth and multiband appliances after every meal.
-► If there is no improvement, make an SOS appointment
If your retainer has come off, please make an appointment in the practice immediately, otherwise your teeth may shift again.

Apparatus on the roof of the mouth or in the area of ​​the tongue has come loose
If a band has loosened, clean it and the tooth with a toothbrush and try to push it back onto the tooth. The apparatus should then no longer interfere. When a lock has come off the tape and the device hangs loosely in your mouth
-► Make an SOS appointment!
5. Brace broken - brace lost
-► Make an SOS appointment immediately - we can repair defective braces in many cases
-► Sharp edges can be smoothed e.g. with a nail file. If the equipment still fits, be sure to carry it on until the SOS appointment!
    
Lost the clasp
There is a very high risk that the teeth will move back and the result of the treatment will be undone.
-► Make an SOS appointment immediately
6. Braces no longer fit, disturbs, presses
If the device presses on the gums and has screws, set them back no more than 1-2 times and turn, then after a week again in the direction of the arrow.
-► If there is no improvement, make an SOS appointment

Pain
If the fixed braces or a new arch have been reinserted, initial pain may occur.
-► Possibly take a painkiller
-► If there is no improvement, make an SOS appointment
7. Lost rubber rings, separating rings or wire ligatures
Let us know at the next check-up appointment - you do not need an extra SOS appointment.