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Traditional metal – These can either be directly bonded to your tooth or attached to a band that fits over your tooth like a ring. The archwires fit in to the slot in the bracket to give us a way to move your teeth.
Ceramic / clear - These work the same way as metal brackets, but they are made out of a clear ceramic. You can put clear O-ties on to have them blend in to your teeth, or choose color O-ties to make them really pop!
Clear aligners, like Invisalign, use a series of plastic trays to align your teeth. Each tray moves your teeth a little bit. You have to wear them 22 hours per day - taking them out to eat, drink anything other than water, and brush.
Mandibular Anterior Repositioning Appliance
The MARA is for some patients who have a significant overjet (they have a big space between their top front teeth and bottom front teeth).
It positions your lower jaw (mandible) in a forward position to encourage the lower jaw to grow forward, while pushing back on the upper jaw to slow its forward growth. Over time, this allows your lower jaw to “catch up” to your upper jaw.
When the top jaw is narrower than the bottom jaw, a palatal expander can be used to widen the upper jaw. The expander slowly (1/4 mm at a time) widens the upper jaw by stretching the growth suture along the middle of the palate (roof of the mouth). As your upper jaw widens, you may see a gap open between your front teeth, but don’t worry, it will either quickly close on its own, or braces will close it!
A trans-palatal arch (TPA) includes a band/ring around your upper molars (back teeth) that are connected by a thick wire that runs across the roof of your mouth. A TPA has many possible uses, including: holding molars where they are, expanding the molars, rotating the molars, being a wire to push/pull against
A Nance appliance is similar to a TPA in that it has bands/rings around your upper molars that are connected with a thick wire. But the wire includes an acrylic “button” that rests against the roof of your mouth. This button keeps the back molars from moving forward in to any space that you may have.
Lingual Holding Appliance
A LLHA includes a band/ring around your lower molars (back teeth) that are connected by a thick wire that runs around the back of all the bottom teeth. A LLHA is usually used to hold the lower molars back (preventing them from moving forward). It can also be used to stabilize the arch form or be used to push/pull against to move other teeth.
Lingual Holding Appliance
TADs are mini-screws that can be placed in the bone around your teeth. Traditionally, your orthodontist has to push against one tooth to get another tooth to move. TADs provide a strong, immovable “anchor” that can be pushed/pulled against to move teeth. In some cases, the use of TADs can significantly reduce treatment time.
Often during orthodontic elastics (rubber bands) are used to correct the relationship of the upper jaw and lower jaw, to improve your bite, or to help control how spaces are closing. Elastics can be connected to hooks on your braces or clear aligners.
Springs can be attached to the wires that connect your braces. These springs can be used to correct your bite if your bottom jaw is too far forward or too far back relative to your upper jaw.
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