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“Advancements in braces make the old style ‘train tracks’ a thing of the past”

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An example of In-Ovation C

These are the most common type of orthodontic brace. Most patients require the use of fixed orthodontic appliances to straighten their teeth, and achieve the best possible improvement of their smile. As there are a few stages we go through to put your braces on this will mean you may need to have more than one appointment. They can be used either after or at the same time as removable braces or functional braces.  We tend to find that a fair number of patients benefit form more then one type of brace although most will have fixed braces.

With fixed braces, there is no plastic in the roof of the mouth. This means speech is unaffected and the flavour of food can be enjoyed fully. As the appliance cannot be removed, it acts full-time, and so it is very effective. Fixed braces are very good at achieving fine detail, and making your smile look really perfect!

Fixed appliances, by definition, cannot be removed by the patient. The simplest way to think of each bracket is as a handle with which it is possible to control each tooth individually and precisely. The brackets are highly sophisticated as every tooth has its own bracket design engineered to achieve correct position and angle of axis.

A thin archwire is fitted to link up all the brackets. Because the teeth are irregular, the wire has to bend up and down or in and out between the teeth. This is the clever bit: the wire, a bi-product of NASA research, has perfect shape memory and will gradually return to its original shape, bringing the teeth with it. As treatment progresses, larger size wires and other wire materials are used. At this time, tiny springs and elastics guide the teeth.

To make it easier for you, before placing your fixed brace, we may need to make space between your back teeth to allow the bands to go into place. Slowly over a day or two, they gently move certain teeth slightly apart to allow us to accurately place bands on your next appointment.  This can cause a temporary mild discomfort, but will improve after a few hours.  Rinsing with warm salt water can help relieve any discomfort.  It is important that if you lose one of the separators you contact the surgery, as you may need to come in and have it replaced.

These are thin bands of metal, carefully fitted to the tooth and then cemented in place.  They have either a tube or hook attached so that the wires can be held into place.

These are small square shapes that are bonded directly onto each tooth, the arch wire is then placed through the brackets.  Metal, gold and ceramic brackets all function in a similar way, but the ceramic brackets are the least visible and very aesthetic.

These act as a guide or track along which the teeth are to be moved.  They are changed throughout the treatment.  Each change brings us closer to the proposed, programmed or ideal positions for your teeth.

Not every patient needs to wear elastics.  These small rubber bands are attached to a hook on some of your brackets at the back or to a hook on the arch-wire.  Elastics are used to provide gentle but continuous force to help individual tooth movement or to align one arch to the other.  Teeth will only respond when elastics are worn consistently as directed.  In most, though not all orthodontic treatment, the elastics are used towards the end of your treatment.  If worn as directed they can help speed up the process.

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Fixed Braces with Ceramic / Tooth-coloured Brackets

The brackets are made of ceramic; they are translucent or the same colour as the teeth, making them much less noticeable than metal brackets.

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Lingual Braces/Hidden Braces (on the Inside of the Teeth)

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Lingual braces are placed behind your teeth, and are therefore virtually invisible to other people. These are made of metal, but they are bonded to the surface of the teeth facing the inside of the mouth, so they are concealed and almost invisible to the observer. They are suitable only in specific orthodontic cases.

Lingual braces can irritate the tongue and for a few weeks have significant impact on the patient's speech and eating. This will vary with each patient's dental arch and tongue position. Lingual appliances are more expensive than conventional braces, because they are specifically made to each patient's teeth; require special instruments, and special orthodontist and staff training. Treatment can sometimes take a little longer than traditional braces. If you have severe problems, or need certain types of appliances, lingual treatment may not be suitable.

Self-Ligating Brackets - Damon System and Innovation C

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Self-Ligating brackets they have a self-locking attachment, which makes the brackets friction and ligature free. This holds the wire in place and has a great effect on the movement of the teeth, shortening length of treatment time significantly and reducing the number of visits.

 The Damon system allows for treatment in certain cases to be treated without extraction. Conventional braces tied in with elastics, which cause friction and pressure, making treatment slower and less comfortable. Damon braces use a slide mechanism to hold the wire, which allows teeth to move more freely, quickly and comfortably. Damon braces are designed to be discreet, comfortable and easy to keep clean. Without the elastic ties, which attract and collect plaque, Damon braces make dental hygiene easy during treatment.


Innovation C is our aesthetic self-ligating bracket option. : It combines all  the benefits of self ligation ( low friction, shorter treatment time, fewer visits, increased comfort and ease of cleaning) with the high aesthetics of white/tooth coloured ceramic brackets which blend in with your teeth.


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Colourful Braces

This option consists of the normal metal brace, but the modules used to hold the archwire in place come in a multitude of colours to make the wearing of braces more fun. These colours can be changed at every appointment.



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1 a Freshford Street
SW18 3 TG

Tel/Fax: 0208 944 5545/1515

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