5 Braces methods: Learn details and choose appropriately

What are braces?

Braces are a specialized orthodontic technique widely used in modern dentistry. Braces use orthodontic appliances to apply continuous force that moves teeth from misaligned positions to their ideal positions in the dental arch. Through this process, protruding teeth, underbite, crowding, gaps and bite problems are clearly improved, creating a harmonious smile and balanced chewing function. 

The transformation with metal bracket braces at Lac Viet Intech 

Braces bring not only aesthetic value but also major benefits for oral health. When teeth are neatly aligned, cleaning becomes easier and less plaque builds up, reducing the risk of decay, gingivitis and periodontal disease. In addition, a correct bite distributes chewing forces evenly, limiting temporomandibular joint problems. That is why braces are considered a comprehensive, preventive and long-term treatment.

How braces work

How braces work is based on the biological principle of bone remodeling. When orthodontic force is applied steadily and continuously to a tooth, the alveolar bone on the compressed side gradually resorbs (bone resorption), while new bone fills in on the opposite side (bone deposition). Thanks to this simultaneous remodeling, the tooth can move slowly but steadily to the desired position.

See details on: Bone loss during braces: 4 causes and how to prevent it completely

This process only goes smoothly when orthodontic forces are precisely controlled. If the force is too strong, the tissue around the tooth is easily damaged; if it is too weak, the tooth will not move. So designing the appliance and making regular adjustments always require in-depth orthodontic expertise. Orthodontic treatment usually takes 18 to 36 months, depending on the degree of misalignment, the characteristics of the jawbone and each person's biological response. 

The principle of applying force to move teeth has barely changed since orthodontics was introduced into modern dentistry. However, technological progress has added more orthodontic methods, giving patients a wider range of experiences.

5 orthodontic methods available today 

1. Metal bracket braces

Metal bracket braces are considered the traditional and oldest method in orthodontics. The basic appliance consists of stainless steel brackets attached directly to the tooth surface, along with an archwire that applies force. The effectiveness of metal brackets has been proven over many decades, and they can be used for almost any condition, including complex misalignment. In addition, this method is usually the cheapest type of braces, so it suits most patients. 

The structural difference between self-ligating and elastic-tied metal brackets

Among metal brackets, there are two common types: elastic-tied brackets and self-ligating brackets:

• Elastic-tied brackets are the traditional type, in which the archwire is held in place with special elastics. Their advantage is simplicity and low cost, but the elastics can easily loosen or discolor and the force is not maintained steadily for long, so patients need frequent follow-up visits for adjustments.
• Self-ligating brackets use a sliding cap or built-in locking mechanism on the bracket to hold the archwire instead of elastics. This keeps the force more stable, reduces friction, shortens treatment time and limits discomfort. However, self-ligating brackets usually cost more than elastic-tied brackets.

For patients who prioritize treatment effectiveness, need complex orthodontic correction and want to optimize costs, metal bracket braces, whether elastic-tied or self-ligating, remain a suitable and worthwhile choice.

2. Ceramic bracket braces

Ceramic bracket braces have brackets made of medical-grade ceramic in a color close to natural teeth, so they look noticeably better and patients feel less self-conscious when talking to others. 

Ceramic bracket braces

Among ceramic brackets, there are two main types: elastic-tied and self-ligating brackets.

• With elastic-tied ceramic brackets, the archwire is held in place with clear or white elastics so they are less visible. The drawback is that the elastics easily discolor over time, reducing aesthetics, and need to be replaced frequently at follow-up visits.
• Self-ligating ceramic brackets use a built-in sliding cap or automatic lock to hold the archwire. Because no elastics are needed, this design limits discoloration.

Despite their aesthetic advantages, ceramic brackets have some limitations, such as a higher risk of cracking or chipping than metal brackets. In addition, ceramic bracket braces, especially self-ligating ones, usually cost significantly more. So this method suits patients who want a balance between orthodontic effectiveness and appearance and are willing to pay more for a better-looking experience throughout treatment. 

3. Lingual metal bracket braces

This method is also called lingual braces. Unlike traditional brackets, the appliance is attached to the inner surface of the teeth, so almost no one can tell the patient is wearing braces. It is the best aesthetic choice for people who talk to others a lot.

See details: lingual braces 

However, because the appliance is on the inside, patients often find it harder to clean their teeth, their speech may be affected and it can be uncomfortable at first. The technique is also more complex and requires a highly skilled orthodontist, so the treatment cost is also high.

4. Invisalign clear aligners

Invisalign is a major step forward in modern orthodontics. Instead of brackets, this method uses a series of clear plastic aligners custom-designed from dental impressions and 3D simulation of tooth movement. Each set of aligners is replaced about every two weeks so the teeth gradually move according to the planned path.

The Invisalign procedure at Lac Viet Intech

The biggest advantage of Invisalign is that it is almost invisible, so patients feel confident when talking to others. The aligners are easy to remove, making eating and cleaning much easier than with brackets. They also feel gentle, cause little pain and rarely irritate the mucosa. The main drawbacks are the very high cost and the fact that effectiveness depends heavily on wearing the aligners for at least 20 to 22 hours a day.

5. Clear aligners

Vitech Align is a clear aligner solution developed exclusively by Lac Viet Intech Dental to offer a more balanced choice in terms of cost. It works in a similar way to Invisalign: the clear aligners are made with modern AI and CAD/CAM technology, fit snugly over the teeth and apply force to move them gradually. 

Vitech Align clear aligners

This method keeps the aesthetic advantages and convenience of removable aligners while costing less than Invisalign, so it suits more people. However, for very complex orthodontic cases, Vitech Align's ability to correct may be limited and treatment may take longer.

Comparison of orthodontic methods

Which orthodontic method should you choose?

There is no single answer for everyone as to which orthodontic method is best. The right choice depends on the degree of misalignment, the jawbone structure, aesthetic requirements, budget and the patient's level of compliance. Some people may prioritize effectiveness and cost savings and choose metal brackets, while others place more weight on appearance in social situations and are willing to pay more for Invisalign. 

The transformation with metal bracket braces

The most important thing is for patients to be thoroughly examined and advised by a specialist orthodontist. Based on the clinical diagnosis, X-rays and bite analysis, the orthodontist will make the optimal treatment plan based on the X-Matrix solutionand choose the method that best suits each individual.

Factors that determine success beyond the method

Although the orthodontic method is an important factor, the success of orthodontic treatment depends not only on the choice of appliance but also on: 

• The orthodontist's qualifications and experience are key, because they design the treatment protocol, control the forces and handle any problems that arise.
• Supporting technology such as 3D intraoral scanners and simulation software, and auxiliary appliances such as orthodontic mini-screws, also help increase precision and shorten treatment time.
• The patient's cooperation is also extremely important. Attending follow-up visits, keeping the mouth clean and, especially with clear aligners, wearing them for the required time directly determine the final result.

Be a well-informed orthodontic patient when choosing a method and a reputable clinic 

Advice from the dentist

To achieve optimal orthodontic results, patients should go to reputable dental clinics with systematically trained specialist dentists. When choosing a method, consider not only the cost but also safety, durability and the ability to maintain the results for the long term. Throughout treatment, patients should keep their teeth carefully clean and eat sensibly to avoid breaking the appliances and limit unwanted complications.

After the braces come off, wearing a retainer is a step that cannot be skipped, to prevent the teeth from moving back to their old positions. Patience and compliance are the keys to a beautiful, lasting smile and healthy teeth.

If you have any questions about braces, leave a comment and the specialist dentists at Lac Viet Intech Dental will answer in detail. Do not forget to follow our channels for more useful dental knowledge!