Is it normal for braces wires to remain unchanged during follow up appointments?

Doctor's Answers 1

Thank you for your question and it is indeed a valid one. Braces wires are not changed every visit due to two main reasons namely:

1) The teeth have not fully aligned to the shape of the current wire and more time is needed for the desired tooth movement to be achieved. Tooth movement is a biological process, hence it does not happen equally for everyone or every tooth. Some teeth are more crooked then others hence more time is needed to allow those teeth to straighten out. Changing the wire prematurely may mean that some teeth have not been fully straightened and would lag behind in the overall planned movement.

2) The current wire is the "working" wire. The term "working" wire can be likened to a workhorse, it is the wire where your orthodontist will accomplish key treatment goals. Space closure and finishing are 2 of the key treatment goals in braces treatment that is often accomplished on the "working" wire and hence this wire is not changed.

It is quite normal that the braces wire is not changed every visit and I hope this helps to clarify.

All the best,

Dr Priscilla Lu

Orthodontist

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What are the benefits of Damon braces as compared to traditional braces?

The purported "benefits" of Damon braces include shorter treatment time, less pain and eliminating the need for extractions. Dentists may like Damon brackets because it is less time-consuming to change wires. The purported benefits are mostly marketing claims that have no real impact on the biomechanics of how teeth move and how an orthodontic case is planned. Your teeth ultimately cannot sense if you are wearing regular brackets or Damon brackets! The UK Advertising Standards Authority passed a ruling on claims by Damon (Ormco) which you can read here.

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What areas of oral health do I need to take note of before and after removing my braces?

Thank you for your excellent question. Braces are stuck onto your teeth and with the braces wire in place, food gets stuck more easily around the teeth. Hence good oral health is imperative for a healthy mouth during the period of braces treatment which typically takes 1- 2 years. Good oral health care has 2 arms, excellent oral hygiene and a healthy diet. During braces treatment, it is important to clean all the corners of the braces and under the braces wire with either interproximal brushes or interspace brushes. Brushing twice a day and flossing at least once a day is recommended.

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Answered By

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