What is band braces? Is attaching the band painful? BS answers

Braces band 

Structure: 

Band or “orthodontic suture” is a small metal ring sized to fit the size of each patient's teeth, usually placed at the position of tooth number 6 or 7. Their specific structure includes:

• Hook is a hook facing the far outside of the band, with the function of storing elastics and springs 
• Tube on the cheek (possibly a 1,2 or 3) to route the main arch wire and secondary arch wires
• Tube or hook on the lingual side to store other appliances such as helix rings, intermaxillary elastics. 

Indications for orthodontic bands:

Not all cases have indications for orthodontic bands, this appliance is indicated in the following cases:

• Patients are indicated for jaw expansion with fixed appliances (quadhelix, hydrax expander, transforce expander)
• Patients are indicated to wear a TPA lingual arch to maintain jaw expansion results and support molar subsidence.
• Deep teeth, large broken crowns enough capacity to retain orthodontic brackets.
• Patients who lose their brackets many times causing treatment interruptions (Bands have better retention ability, limiting the rate of detachment. 
• Children patients with short clinical crowns cannot afford to retain brackets. 

Uses of orthodontic bands

Orthodontic bands have the same effect as brackets - an indirect device to transmit force to the teeth from the wire and elastics pull. 

However, the band has much better retention ability because it is made of a metal ring that hugs the entire tooth crown instead of just being attached to one outer/inner surface like braces. Therefore, they are used when patients have poorly maintained tooth crowns (deep, broken, short) and are prescribed other fixed appliances such as expander jaws, TPA arches, etc.

Orthodontic band attachment process

Step 1: Examination and treatment planning

First, the doctor will examine and analyze the clinical case to plan treatment. Treatment of general dental problems before braces (treatment of cavities, gingivitis, periodontal disease, wisdom tooth extraction, etc.)

Step 2: Oral hygiene

Clean tartar and plaque before placing interdental elastics. 

Step 3: Place the elastic apart and take a mark

Interdental elastics include circular rubber pieces placed between teeth number 5, 6 or 7. They are about 1mm in size and have a certain hardness. When placed between teeth, under the elasticity of the elastic, the teeth will separate to the desired space and the elastic will fall out on its own. The time for placing interstitial elastics ranges from 4 to 6 days.

During this appointment, the doctor will take an impression of the jaw with teeth that need to be banded to choose the appropriate band size and type for each case (1 tube/ 2 tubes or 3 tubes). 

Step 4: Try bands 

The doctor tested the band on the mouth, checked the fit and adjusted the height of the band. 

Step 5: Attach the band 

When the band has achieved a tight fit and the patient does not feel any discomfort, the doctor will proceed to attach the band to the tooth with a specialized dental adhesive (usually using GIC - FUJI I) 

Step 6: Attach other appliances

After attaching the braces band, the doctor can attach other appliances such as: TPA arch, hydrax/quadhelix jaw 

Is it painful to attach the band? ?

Surely there will be many customers worried about pain when applying the band. In fact, the feeling of pain will depend on the condition of each patient because it mainly comes from the procedure of placing interdental elastic bands:  

• If the patient has existing gaps in the area of teeth 6 and 7 (teeth often indicated for band placement), then there is no need to place separating elastic bands, you will not have any painful feeling when applying the band.
• On the contrary, with tight teeth, when placing interdental elastic bands, you will have pain within 1 to 2 days. head. This feeling will increase if you have poor oral hygiene and there is a buildup of tartar and plaque in the interdental area.  

Hope the above article has helped you better understand orthodontic bands. If you have any questions, please leave a comment below this article or contact directly the Hotline number of Lac Viet Intech Dentistry for answers.  In addition, if you are in need of dental implants let Lac Viet Intech be with you!