Why put plates for teeth. For children it may be necessary

The uneven position of the teeth at the current level of development of dentistry is not a problem. At the moment, there are many techniques that make your smile perfectly even.

Some methods of correcting the dentition are designed for use from a very young age. One such method is the installation of leveling plates.

Description of design features

Plates (braces) are a type of retainers designed to equalize single pathologies of a row of teeth in the early stages of the development of malocclusion or to strengthen the effect after using braces.

Despite the fact that some models have a slight difference in structure, their main elements are the same. This orthodontic design consists of a plate, an arc (wire) and fasteners.

Photo: tooth alignment plate

The plate is made of soft or medium hard plastic of any color. Shaped exactly to the patient's palate and designed to hold a leveling metal archwire. The arc is made of an alloy of nickel and titanium, which has a "memory" effect.

Its essence is that under any load, the metal wire takes the shape originally given to it. That's why when placed on the teeth, it does not deform and at the same time exerts continuous pressure on the crowns.

It is the absence of deformation of the arc that contributes to the displacement of the teeth and their adoption of the desired position.

Due to the small impact force of the arc, damage to the root system of the tooth is excluded. For each situation, the wire can have a different thickness. Fasteners in the form of hooks are also made from it, which are installed on the incisors.

Some designs of this type are equipped with activators built into the plate. They allow you to use one design throughout the treatment. To do this, it is necessary to regularly tighten the system with a special key to tighten it tightly.

The principle of operation of such structures can be seen in the following video:

Kinds

Leveling plates according to the method of their installation can be divided into two types: fixed and removable.

Fixed

Non-removable plates are designed to form the correct position of a whole group of teeth without removal throughout the course of treatment. They represent standard design, but with the addition of locks that are attached to the teeth.

The arc is passed through the locks and periodically tightened to give the necessary pressure on the crowns. This method allows you to correct the dentition even with a permanent bite with severe deformity.

The duration of treatment depends on the individual case and can last from 1 year to several years. Such a straightening system has a higher cost than its removable counterpart. This is due to the complexity of the design and the choice of material locks.

Removable

The removable plate option is lightweight construction, in which there is no locking part. Fastening on the teeth occurs due to special loop-shaped hooks.

In some cases, the system includes elements that contribute to a more rigid fixing. This design is designed for daily wear, with the possibility of temporary removal. Differs in the low price and convenience of application.

But there is one negative point - the removable plate is designed to correct one tooth and only in case of its slight deformation. The period of use of such a system lasts about 2 years.

Removable type plates are divided into several subspecies, which differ in structure and purpose:

• single-jawed- designed to eliminate the deformation of free-standing crowns and restore standard size dentition with its narrowing or shortening. The equalizing wire pressure is adjusted by tightening the screws built into the system. Used in both children and adults;
• with a hand-shaped process, which is located on the arc. It is used to correct the position of one tooth. When tensioned, the process presses only on the deformed tooth, correcting its position;
• with retraction archwire. It is used to restore the protrusive position of the anterior crowns of any jaw. The recovery result is due to the spring properties of the arc;
• with active pusher, which consists of one or two spring elements. Only suitable for restoring anterior teeth upper jaw;
• Brückl's apparatus. It is used to correct defects in the location of the anterior dentition only in the movable jaw;
• Andresen-Goipl activator. Designed to restore the deformation of the teeth at the same time on the lower and upper jaws. Has a couple of components;
• Frenkel apparatus. Corrects not only the irregularities of the dentition, but also the bite in general. The most complex type of plates in its structure, where there are lip pads and cheek shields, which are installed on a metal base.

Indications

Despite the simplicity and some primitiveness of the design, the brackets have a wide range of indications. Insertion of plates is recommended in several cases:

• abnormal development of the bones of the jaw arches;
• adjustment of the position of one or more teeth;
• correction of the width of the sky, in case of its narrowness;
• activating or slowing down the process of jaw growth;
• elimination of separation of crowns, in case of their rare location;
• prevention of tooth displacement, with fixing the result after other straightening orthodontic systems.

As a tool for fixing the result, the plates are assigned even to adults.

Bite correction

Alignment of teeth with a plate is usually indicated for children with milk or mixed dentition. This is quite justified, since the position of the teeth in this case can be easily corrected without unnecessary load.

But in the case of correcting the bite in children on early stage The development of temporary teeth requires careful monitoring by the dentist. This is due to the unformed fit of the root part, which can lead to irreversible tooth loss.

The appointment of treatment with plates and their manufacture is carried out strictly on an individual basis.. To do this, you need to visit an orthodontist. At the initial appointment, the doctor conducts a visual examination of the problematic dentition and a detailed examination using X-ray equipment.

After that, the type of apparatus is determined and an explanatory conversation is held about its principles of operation.

Next, a wax cast of the teeth is taken from the patient, according to which a plaster model of removable brackets is formed. The plaster model serves as the basis for the precise manufacture of the plate, in compliance with the contour features of the crowns and a clear gingival relief.

During the second visit, the dentist installs and adjusts the finished structure. This procedure takes about 10 minutes. In conclusion, the doctor explains how to correctly perform the tension of the wire, when adjusting at home.

The orthodontist determines the period of use of the brace until the first visible result, as a result of which the approximate time for the entire course of recovery will emerge.

The effectiveness of systems of this type directly depends on careful adherence to the instructions of the doctor. If the patient constantly forgets to wear the plates, then the correction of the bite will not be quick. On average, wearing braces of a removable type takes about 2 years..

To obtain the result, the plates must be worn for at least 21 hours a day. It is permissible to remove them only for eating or hygienic brushing your teeth. During sleep, you can use the two-jaw type of plates.

Braces, like other orthodontic constructions, take time to adapt. In the first days, discomfort, impaired diction, increased salivation, and even pain from the constant pressure of the arc are possible. But after 3-7 days they pass.

Although the plates are made of flexible plastic and hardened metal, if not properly cared for, they can break. They can also be quickly disabled by insufficient hygiene care.

In order for the staples to last as long as possible, you should follow some care rules:

1. At least once a day, it is necessary to carry out hygienic cleaning with a soft brush using a special gel or regular toothpaste.
2. Once every 7 days, you need to treat the orthodontic system with a deep disinfection solution. To do this, it is placed in an aseptic liquid for the whole night.
3. Before use, the plate must be washed with warm boiled water.
4. Store the device in a container specially designed for this purpose.
5. In the event of a breakdown, the structure must be handed over to a specialist. It is strictly forbidden to use a defective device.
6. To prevent the pivot screw from stagnating, it is recommended to apply a drop of oil to it.
7. Try to remove the plate during meals.
8. Make sure you wear it around the clock.
9. Remove the device before swimming and contact sports.
10. Regular visits to the dentist throughout the treatment will eliminate the associated problems.
11. Use a fluoride rinse daily.

And in the next video we will be shown how to properly adjust the pressure force of the plate with a key:

Contraindications

Even such a simple straightening system as a plate has a number of some contraindications:

• diseases of periodontal tissue;
• allergic manifestations on the constituent components of parts;
• pathology of the respiratory system;
• caries lesions.

Price

The cost of straightening plates depends on the design features, selected materials and the level of the clinic. On average, the price of an ordinary plate of a standard color, made of medium-hard plastic without additional elements, is no more than 10,000 rubles.

Models with the same characteristics, but made using colored material or plastic with increased softness, will cost from 12,000 rubles or more.

Apparatus complex type, supplemented by one screw, have an average cost of 9000 rubles. Installation of each additional screw will cost 1000–2000 rubles, and equipping the orthodontic system with a special flap for the tongue will cost 500–1500 rubles.

The average cost of the apparatus for straightening premolars and molars is 14,000 rubles.

Reviews

In modern dentistry, dental aligners occupy one of the first places in popularity among patients. As with any design of this type, records have their pros and cons, so some are satisfied with the result of their use, while others are not.

You can also express your opinion about the use of straightening plates in the comments to this article.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

• Nastya

  December 11, 2015 at 0:41 am

  My daughter has been wearing a fixed plate on her lower jaw for 2 months. The orthodontist said that the results are already visible. It is necessary to visit the dentist every 1.5 months for an examination. Soon we will prepare for the installation of the plate on the upper jaw. The plate does not interfere with the girl at all, at first there were slight speech defects, but, after about a week, everything was restored. I twist the device 1 time in 6-7 days. The only unpleasant moment is the accumulation on the plate bad smell to get rid of it, my daughter cleans the plate very carefully (sometimes 10 minutes). I am sure that soon my child will have a Hollywood smile.

• Svetlana

  January 22, 2016 at 0:35 am

  For three years she wore a removable plate on the upper jaw. There are bad memories. Firstly, speech was really distorted, and secondly, the plate had to be constantly removed from the mouth before eating. It was very inconvenient to do this, especially at a party (the storage container was not always at hand). Every time there were these inconveniences. As a result of all my torment, only one canine fell into place. On the other hand, the tooth never thought to move (maybe because it was turned inside the jaw). In general, it is better to wear braces. By the way, my sister after braces has perfectly straight teeth and wore them for only a year, and the curvature of her teeth was much worse.

• Anna

  November 27, 2016 at 10:45 am

  I had to go through a year with this plate. My parents decided that I had crooked teeth and that my bite was not correct. They leveled everything at once. It was very uncomfortable. My gums hurt from this plate. She rubbed in one place. And the smell from it was terrible in the mouth. I still can't forget that taste. I had to wash it many times a day. But we were advised good way how to slightly delay the accumulation of odor: after washing the plate, you need to rub it a little with lemon. And I needed to sleep in it at night to correct the bite. Braces are probably better.

• Anastasia

  December 7, 2016 at 12:32 pm

  My daughter is 8 years old. 8 milk teeth fell out, and the permanent ones began to grow large, they do not have enough space on the gum. We turned to the orthodontist, and he immediately recommended the plates, since while the child is growing, it is easier to enlarge the jaw. We have been wearing two plates for three months now. Of course, there are inconveniences - at first they influenced pronunciation, sometimes rubbed the gums, at school you have to take it off while eating. But the child quickly got used to it, she understands that this is necessary for her further good. The main thing is to work closely with the orthodontist, go to all appointments, ask questions of interest. Good luck to all!

), Candidate of Medical Sciences, Associate Professor of the Department of Maxillofacial Surgery and Surgical Dentistry of the KSMA, Assistant Head. department for academic work. Awarded with the medal "Excellence in Dentistry" in 2016.

The process of straightening teeth in children and adults is slightly different. The fact is that the correction is faster and easier, since the bone tissue is more malleable and more plastic. Therapy may involve more gentle methods of teeth alignment, such as correcting an overbite with plates.

Orthodontic plate for correction of bite in children and adults requires the presence of a palatal plate with staples. Also, the design is equipped with a screw lock. The installation of the plastic part is carried out on the palate and not completely on the lingual gum area. Thanks to the braces, the product is attached to the teeth. Some models have a lock. It should be scrolled at some intervals, while increasing the area of ​​\u200b\u200bthe plastic surface. She begins to gradually move away and straighten the bite. But using a plate to correct more complex anomalies is not rational, since it will not work to achieve the desired result.

Classification

The bite correction plate can be of a removable or non-removable type. Each of them has its own effect.

Fixed

This type of product is characterized by fasteners on the outer surface of the teeth. The plate is presented in the form of numerous locks. An arc of metal passes through them. It serves to time correction in the right direction. When using such an orthodontic system, it is possible to align the teeth in children and adults. The duration of therapy is 2 years, but only a dentist can determine the exact period.

Removable

The design of this type is much simpler than the one presented above. For the manufacture of removable plates, high-quality plastic is used. It has a safe composition. The system is fastened with metal hooks. Removable structures are actively used to solve the problem with bite in adolescents and children. They may have auxiliary springs, screws.

This design has the advantage of being able to be temporarily removed if necessary. A removable plate is used to align the teeth for children with a slight anomaly of the dentition and correction of the bite. The duration of therapy can only be determined by a doctor. In most cases, it does not exceed 1.5-2 years.

Removable plates are orthodontic devices that are used to eliminate only malocclusion and uneven teeth. In addition, sometimes there is a problem with the whiteness of tooth enamel. A special plate with a whitening effect can eliminate it. The course of therapy with such devices is 14 days. But before using it is necessary to seek the help of a doctor.

Operating principle

Dental platinum is a design presented in the form of a metal arc, which is fixed to a plastic base. On the edges there are clasps for fixing. The principle of their influence lies in the soft pressure, which is adjusted at certain intervals with the help of a special screw. Temporary twisting of this element with a special key leads to the expansion of the surface of the product. Thus, the load on the lower or upper jaw increases.

Since this orthodontic construction is made on an individual basis, the plastic base must be precisely adjusted to the surface of the gums. As a rule, the toe of the plates does not imply a feeling of discomfort. Small patients get used to such a device in a few days, and then live a normal life.

According to the principle of influence, the following dental plates are distinguished:

1. Single jaw. They are used for uneven dentition and individual teeth. The therapeutic effect is achieved due to the pressure corrected by tightening the screws.
2. With built-in pusher. Allows you to solve the curvature of the teeth in the upper row. The positive effect is achieved under pressure with a spring wire.
3. With refractive arc. Solves the protrusion of the teeth in the front row.
4. With an arcuate process. Eliminate anomalies of individual teeth on the upper and lower jaws. A positive result can be achieved when the tooth is moved under the load of the process.

Positive and negative sides

Correction of bite with plates in adults and children has its own advantages and disadvantages. Let's look at the positives first:

1. The ability to remove the device for a certain period. Thanks to this, a person can safely brush his teeth, eat, and also do various other manipulations.
2. Caring for orthodontic structures is very simple. Even a child can cope with such work.
3. The plate manufacturing process is carried out in the laboratory. An adult or a child does not need to sit for a long time in the dentist's booth.

The negative qualities include:

1. Although the removal of the plates allows you to solve problems such as normal eating and hygiene oral cavity, sometimes this leads to the fact that children lose the device. As a result, parents need to go back to the dentist and pay twice the money. In addition, the child may not lose the plate, but remove it often. This will disrupt the effectiveness of the treatment, which is affected by the duration of wear.
2. The plate, compared to the bracket system, cannot move the teeth. Its destiny is to keep the teeth in a specific position.
3. Sometimes the plate has to be removed for further installation of braces.

Nuances of socks and care

In order for the toe of the plates to have maximum efficiency, certain rules and nuances must be observed:

1. The installation of a removable plate should be carried out not only in the daytime, but also at night. If this condition is not met, then the achieved effect will be lost.
2. The presented products must be carefully maintained. To do this, it is important to maintain normal oral hygiene. Otherwise, you will not become the owner of a beautiful smile.
3. The brushing process should be done with a personal toothbrush. The best option would be soft bristles.
4. The use of special gels allows cleaning already worn products on the teeth. There are several types of gel. Some are allowed to be used daily. Another option is allowed to be used once a week, as deep cleansing is achieved.
5. Every week it is necessary to lower the products into a special cleaning concentrate. Leave overnight.
6. When eating, a removable product should be removed, otherwise contamination may occur, which will lead to caries.

The difference between braces and plates

Even earlier, the presented products were considered the most suitable for eliminating uneven teeth. For this reason, the plates were not installed at any age. Children over 15-16 years of age were not suitable for this manipulation, since the treatment did not give the desired result. Today, the presented orthodontic devices can be placed on patients of any age. An expander type device can be placed to deal with malocclusion in children, provided that the anomaly is minor. For patients aged 18 years and over, a bracket system is installed, because the formation of teeth and bite has already taken place. Therefore, the choice of device for treatment should take into account the age and severity of the anomalies.

Price

The price of the presented product consists of the cost of equipment and the work of the dentist. Different dental centers set their own prices for therapy, as there are different doctors and services. It is advisable to purchase a dental plate only if, during the diagnostics, an accurate diagnosis was made - the curvature of the teeth or malocclusion.

The cost of production and installation of one plate will be in the range of 15,000-20,000 rubles. Due to the fact that the therapeutic course includes a temporary change of the product, the final price will be more expensive.

The problem of malocclusion today is very common among adults and children. You can solve it without using harsh methods of treatment, but by installing a plate. You need to wear it for 2 years, take it off from time to time to eat, brush your teeth. It is possible to achieve the benefits of such treatment, but only on the condition that the existing violations are not of a local nature.

Sources used:

• National Library of Medicine (USA)
• Proffit W.R., Modern Orthodontics (3rd edition), MEDpress-inform, 2015
  
• "Conceptual Orthodontics" (Stefan Williams)

To correct small bite defects, plates are placed on the teeth of children. These orthodontic designs gently align the dentition, are comfortable and almost invisible. They are a great alternative to braces if the baby has only a few crooked units.

Dental veneers are usually removable. They consist of 3 basic elements:

Additional Information! Some models may additionally include locks, hooks and other elements. The complexity of the design directly depends on the degree of curvature of the bite.

What problems can plates solve?

The main advantage of plates over braces is early use. They can be placed even in milk bite from 6 years. But basically the system is applied after. The maximum age of the patient is 12-15 years, before the dentition is fully formed and becomes inactive.

Important! Tooth alignment plates are very rarely used for adults. They are recommended for people with 1-2 crooked units or to prevent re-curvature after the main orthodontic treatment.

The device is unable to remove serious anomalies. It is used for minor defects, to prevent the curvature of units, to stimulate the correct growth of the jaw. The system is set up to:

Advantages and disadvantages

Dental plates have numerous advantages over other orthodontic structures:

1. High comfort and aesthetics. The patient gets used to the system in a couple of days. It is almost not felt in the mouth, it can be removed during meals, sports, hygiene procedures. Also, the device is hardly noticeable to others.
2. Fast production. On average, the mechanism is made a week after the removal of impressions, while other orthodontic appliances - up to a month.
3. Easy installation. The installation itself takes 10 minutes. The procedure is completely painless.
4. Easy care. Even elementary school students can keep the plate clean.
5. Low price. The cost of the system in Moscow dentistry is on average 8-10 thousand rubles.
6. Rare visits to the dentist. To correct the device, the doctor is visited on average 3 times less often than when wearing braces.

However, there are also significant disadvantages:

Additional Information! It is necessary to ensure that the baby does not play with the mechanism. Children quickly adapt to take off and put on the plates with their tongue.

Varieties

Dental aligners are divided into 2 groups: non-removable and removable. The latter are most often used in dental practice. Removable structures are divided into:

Manufacturing and installation

The plates on the teeth are made individually. The procedure takes place in several stages:

• examination of the patient, x-ray diagnostics of the oral cavity;
• taking impressions from the lower and upper jaws: impressions must be taken simultaneously from two jaws, even if only one needs to be aligned - this will allow you to make an accurate model;
• fitting plaster templates;
• making a permanent mechanism, if the gypsum one is suitable;
• direct installation and adjustment of the system.

The design is made individually.

Important! At first, after installation, it will be difficult for the child to speak. Perhaps increased salivation, a feeling of pressure on the teeth, slight soreness. The baby will get used to the device in 2-3 days.

How effective are the plates in aligning the bite in children?

The average duration of treatment with removable plates is up to 2 years. However, the period varies greatly depending on the age of the patient and the complexity of the defect.

The first positive changes will be noticeable in a couple of weeks. The incisors occupy the correct position for an average of six months. The situation is more complicated with canines and molars. It takes at least a year to fix them.

Additional Information! If the therapy is long, it may be necessary to replace the product with a new one, since over a long time the structure of the jaw and palate changes in the child.

The average duration of treatment with removable plates is up to 2 years.

Also, the plate for the teeth is not always able to completely eliminate the anomalies of the jaws. It is effective in 8 cases out of 10. In this case, it is used as a preparation for braces treatment.

How to properly care for the plates?

Improper care leads to breakage, scratches and damage to the integrity of the plate to align the teeth. To avoid failure of the mechanism and ensure the most effective treatment, adhere to the following recommendations:

• • you need to wear the plate for at least 21 - 22 hours;
  • during meals, active games, sports, the structure is removed;
  • brush their teeth after eating;
  • before putting the plate back in, it is rinsed with warm water;
  • need in a special plastic ventilated container;
  • once a day, the device is cleaned with a paste or gel;
  • the adjusting screw is lubricated with a drop of oil every day;
  • once a week, the device is placed overnight in a vessel with disinfectant- chlorhexidine, hydrogen peroxide;
  • every 3 months, professional oral hygiene is carried out;
  • if the plate breaks, immediately contact the dentist.

The plates are placed on the teeth of children from 6 to 12 years old. Orthodontic constructions are used to correct minor defects and correct development of the jaws. In difficult cases, treatment with braces is necessary.

There are statistics showing that only every tenth inhabitant of the planet has. All other people, one way or another, have to think about the even position of their teeth.

For some, the malocclusion is not noticeable, and you can live with it all your life. And for others, the abnormal position of the teeth makes it difficult to chew, smile and be self-confident.

Dental plates are used just to align them due to soft pressure.

Indications for installation

Such devices for alignment of a row of teeth are used in childhood, braces are recommended for adults. Plates, depending on the curvature of the teeth and their location in a row, can be installed from the age of 6, when the first few molars grow.

If the defect is obvious, you need to contact the orthodontist as soon as possible so that the teeth have time to properly fall into place.

The main indications for the installation of plates are:

• minor malocclusion;
• abnormal arrangement of teeth in a row;
• the need to change the width of the sky;
• slowing down or activating the growth of teeth;
• rehabilitation after the use of braces (so that the teeth do not return to their previous state).

Kinds

This mechanism is divided into two main types: removable and non-removable. But there are also varieties of plates, depending on their location, device and purpose.

Fixed

This mechanism for straightening the teeth attached to their surface from the outside. It has several locks that perform the function of correcting the position of the tooth.

Metal arcs pass through them, setting the direction of the teeth. Such plates are placed for a period of 2 years.

Removable

A little simpler in design than the first. They are made of plastic. Depending on the degree of curvature of the teeth, removable plates are divided into several types of designs and may include various additional elements.

single jaw

Refers to removable devices, used in case of deformation of crowns that stand separately in a row. If the row is pathologically located: narrowed or shortened, such mechanisms are also applied.

Single jaw plates adjustable by screws, can be used for children and with minor pathology for adults.

Orthodontic mechanisms with hand-shaped process

Photo: Orthodontic design with a hand-shaped process

Apply in case if one tooth has grown incorrectly. When it is not in its place, the mechanism presses on it, thereby facilitating its return to the correct place.

The plate is worn on both the upper and lower jaw, the process gently presses on the tooth, gradually moving it. It can be removed.

Retraction-type archwire device

Photo: Retraction archwire design: 1. plastic base 2. clasp 3. retraction archwire 4. expansion screw

It is a removable mechanism. Her can be used even on milk teeth, during their change, and in permanent bite. Restores normal bite, can be installed on the lower or upper jaw.

The arch has springy properties, due to this, the teeth are aligned in a row.

Frenkel apparatus

Also applies to removable plates. It is used on both milk teeth and permanent teeth. He is complex in terms of the number of constituent elements, as it consists of lip pads, cheek shields, plastic inserts and a metal frame.

It also has arcs (vestibular and lingual) that correct the position of the teeth. It helps to eliminate the unevenness of the row of teeth and correct the bite.

Brückl apparatus

Has a narrow application: it applies only to the lower jaw, if there are anomalies in the location of the teeth in front. The mechanism consists of a plate base, a retraction arc, an inclined plane. used with mesial occlusion.

It acts due to the springy properties of the arc when the muscles of the face work during chewing. The inclined plane at this time presses on the front teeth.

Andresen-Goipl activator

Made for Impact on the lower and upper jaw. It is also a removable mechanism. The apparatus includes two bases for the jaws, connected so that lower jaw moved forward a little.

In this case, the growth of the upper jaw is retarded, and the masticatory and facial muscles are restored. The device consists of a metal arc, screws and other elements for bite correction. It is difficult for the child to speak and breathe through the mouth, but device efficiency is high.

Description of the operating principle

We saw that there are several types of plates, and they consist of different elements, but the principle of their operation is the same, and the basic structures are also the same.

All such structures have:

• plate;
• fastening;
• metal arc.

The plate is made of soft plastic so that the child does not rub the gums. It comes in different colors, so children often wear them without problems. The orthodontist forms it in accordance with the structure of the palate of the patient

The arc is made of a special alloy of titanium and nickel metals. It does not take the form of improperly grown teeth, but presses on them so that they fall into place. Continuously acts on crowns.

The wire can be of different diameters, depending on the complexity of the anomaly. Mounting on crowns also consists of the same alloy.

The principle of operation of such orthodontic structures is clearly presented in the following video:

Manufacturing and installation

Plates are formed only individual cast patient's palate. The same plate should not be used for more than one person.

In addition, with the age of the child, such mechanisms are subject to change or change, as the jaw grows and the position of the teeth changes.

The procedure for installing the mechanism is painless. Immediately in the mouth, discomfort from a foreign object will be felt, a change in speech is possible. But after a while, a person gets used to the device.

In addition, if the plate is removable, you can rest from it while eating. With a fixed mechanism, it is important to carefully monitor it.

The first installation must necessarily take place under the supervision of a doctor, as there are errors in the manufacture of the structure. Getting used to it ranges from 3 to 7 days.

It is necessary to carefully care for the mechanism in order to avoid breakdowns and complications.

Advantages and disadvantages

There are positive points that allow you to choose plates from all orthodontic structures.

1. Metal arcs make it possible to correct the shape of the jawbone.
2. In a short time, the gap between the teeth disappears.
3. The sky width is corrected.
4. Taste changes.
5. Manufacturing speed.
6. Availability due to low cost.

The main disadvantages of teeth alignment plates include:

• allergic reactions of patients to metal alloy and device material;
• the occurrence of such a complication as periodontitis, as food is constantly stuck;
• the plates do not correct serious anomalies in the growth of teeth and bite;
• for the best effect, it is desirable to wear them almost 24 hours a day, and this is inconvenient for the child.

How long do you need to wear, what determines the period of wearing?

Only a doctor can determine the time of wearing this design. He looks at the effectiveness of its use.

With the correct wearing of the mechanism and twisting, the average wearing time is about 2 years. This is the period for removable plates, provided that they are on the teeth for at least 21 hours a day.

Does it hurt to wear designs?

Pain should not occur when using these orthodontic constructions. In the first days after their establishment, only unpleasant sensations arise.

A person is constantly distracted by a foreign body in the oral cavity. Diction is broken and sometimes salivation becomes profuse. But then those feelings pass.

If there is no inflammation in the gums (complications from wearing the plates), wearing them does not hurt. The arc gently affects the teeth, so they practically do not hurt.

Any mechanism with prolonged use is prone to breakage and failure. Dental aligners are no exception. If not properly cared for, they become brittle.

There are certain rules when using plates that will help keep the mechanism longer.

1. Toothpaste or special gel should be used to clean the device once a day.
2. A thorough cleaning is required once a week. The device must be placed overnight in hydrogen peroxide or another aseptic liquid.
3. Before inserting the plate, it must be doused with warm water.
4. Storage must be carried out strictly in the place intended for this: a plastic container.
5. Do not use if cracked or broken! If the device breaks down, you need to hand it over to the attending physician.
6. The adjusting screw can stagnate over time, so that this does not happen, you need to drop oil on it.
7. It is better to remove the device while eating.
8. For maximum effect, the removal of the plate should be only at the time of eating.
9. During sports activities (swimming, skating) it is better to remove the plate.
10. In order to avoid complications, it is necessary to be observed by a dentist.
11. It is recommended to rinse the mouth with fluoride solutions.

Difference from braces

Unlike braces, plates are mostly removable.. When using them, it is important to visit the dentist regularly to prevent complications, as well as the constant consultation of the orthodontist to correct the bite.

Plates are easy to care for, braces need more thorough care. Also removable structures attract less attention which is important for teenagers.

Prices

Here are approximate prices for such orthodontic constructions (information taken from the price lists of a number of Russian dental clinics):

Clinic name	Service	Cost, rub.)
Clinic of Doctor Dubkov	expansion plates Installing a non-removable plate
Orthodontist-Complex	Vestibular plate	10500
smile laboratory	retention plate	6585
Alpha Clinic	Single screw device, with two screws
Clinic Beauty Smile	Plate with screw for one jaw	8000

According to statistics, nature has awarded only one out of ten inhabitants of the globe with perfectly even teeth, while the rest have this defect to one degree or another. Some live with him all his life without the slightest discomfort, for others it becomes a real psychological problem.

Modern dentistry has many effective and affordable technologies for correcting the dentition, many of which can be used from an early age. Consider one of them - leveling plates.

What is a dental plate?

A plate (bracket) is an orthodontic retainer (retainer) for straightening teeth during the period of bite formation or in order to fix the result obtained after the use of other leveling systems (in particular, braces).

Different models of brackets have only slight differences, their main structural elements are identical:

• actual plate;
• arcuate wire;
• fastening system.

As a material for the production of dental plates, soft or medium hard colored plastic is used. The shape of the product is individual for each patient - this is necessary for the firm fixation of the leveling arch in the oral cavity. The therapeutic effect largely depends on the quality of the arc, so it is made from a special titanium-nickel alloy with a memory effect.

On a note! The memory effect is the ability of a material to restore its original shape after any mechanical impact. Due to this, the archwire does not deform and, when wearing the plate, exerts a gentle constant pressure, as a result of which, over time, the dentition takes the desired position.

The impact force of the structure is small, completely eliminating any damage to the teeth or their roots. The thickness of the wire from which the arc and fasteners (hooks) are made is selected individually.

Some models are equipped with activators built into the plate, which allows you not to change them during the entire treatment period. To change the shape of the arc (tension) in such structures, a special key is used.

Insert types

According to the installation method, leveling plates are divided into two large groups - removable and non-removable.

Fixed ones are used to eliminate defects of a large group of teeth during the entire period of treatment without removing them. Such systems are equipped with additional locks through which the arc is passed and pulled together from time to time to correct the pressure. The technology has shown its effectiveness in correcting significant defects, incl. permanent occlusion with complex deformity. The course of treatment is long, can last up to several years. The cost of non-removable systems is quite high, due to the complexity of the design and the high quality of the material of the arc and locks.

Removable plates are much lighter because they do not have locking elements. Fastening to the teeth is carried out by means of loop-shaped hooks. If necessary, removable structures are supplemented with elements for a more rigid fixation. As in the first case, the plate must be worn daily, but can be removed periodically. In general, removable devices are much cheaper than permanent ones, very easy to use and popular. Their significant disadvantage is the limited impact - only for individual local defects. The course of treatment averages about two years.

Insert Type Classification Table

Insert type	Application area	Design features
	Deformation of separately located teeth, correction of sizes with narrowing or shortening of the dentition	Arc pressure adjustment via built-in screws
	Correction of the incorrect position of the anterior incisors of both jaws	The result is achieved thanks to the springy qualities of the arc
	Correction of individual incisors	The process puts pressure on one tooth
	Correction of the position of the anterior maxillary teeth	Construction of 1-2 spring elements
	Correction of the position of teeth and bite	A complex system, including special shields mounted on a metal arc to protect the cheeks and lip pads
	Simultaneous correction of the teeth of both jaws	Consists of archwire, screws and other elements for effective correction of malocclusion
	Correction of the mesial occlusion	Includes plate base, inclined plastic plane, retraction arch. The effect is achieved due to the springy qualities of the system

Indications and contraindications

Plate systems are used to correct teeth for children from six years of age and above. With obvious curvature, it is better to consult a doctor as soon as possible, and then permanent teeth will be in place in a timely manner. The design of the braces is very simple, however, they have proven to be effective in eliminating a wide range of problems in the dentition, such as:

• malocclusion;
• incorrect position of the teeth;
• slow or too active jaw growth;
• anomaly of the bones of the jaw arches; narrowing of the sky;
• large interdental distance.

In addition, braces are actively used to prevent re-displacement of the dentition after wearing braces and other alignment systems. For this purpose, they are installed even in adult patients.

The advantages of the plates include the fact that, in comparison with braces, they attract much less attention - a factor that is very important for teenagers.

As for contraindications, there are few of them:

• diseases of the respiratory system;
• allergy to materials or components of materials used in the manufacture of plates,
• periodontal disease;
• caries.

The process of manufacturing and installing dental plates

The plates are formed strictly according to an individual wax cast and cannot be reused for another patient. In the process of wearing, the system is adjusted in accordance with the growth of the child's jaw and the change in the position of the teeth.

The installation procedure is painless and lasts no more than 10 minutes. At the same time, the orthodontist instructs in detail how to use the plate at home, how to change the tension of the arc. The first period of wearing the brace is appointed before the appearance of a visible result, and already on its basis the subsequent direction of the course of treatment and its duration are determined.

As for anyone foreign body, you need to get used to the plates. At first, discomfort is felt in the mouth, diction is impaired, increased salivation is possible, in some cases the plate can rub the child's gums. If there are no inflammatory processes on the surface of the gums, it does not hurt to wear them. On average, the adaptation period is 5-7 days. The effectiveness of treatment directly depends on strict adherence to the recommendations of the doctor.

Video - How dental plates are made

At first glance, the dental plate looks solid as it is made from a hardened alloy and soft, flexible plastic. And yet, with careless use or improper hygienic care, it can break. In order for the design to last for a long time, it is enough to adhere to simple rules:

• clean the plate daily with a soft brush using regular toothpaste;
• weekly disinfection - place the system in an antiseptic solution overnight;
• store in a closed container;
• each time after removal, rinse with a fluoride solution, and before the next use - with cool boiled water;
• to prevent stagnation of the screw, periodically apply a little oil to it;
• remove the brace when eating and brushing your teeth, while practicing certain sports (martial arts, water sports, etc.);
• at night, special double-jaw removable plates can be used.

Important! To achieve the result, it is advisable to wear the leveling plate for at least 20-22 hours a day.

If, nevertheless, your bracket is broken, it must be handed over to a specialist for repair. Wearing a broken structure is strictly prohibited.

Prices

The cost of leveling plate systems depends on the quality of the material, the complexity of the design and the level of the dental clinic. The average price of a standard brace made of medium hard plastic is about 10,000 rubles. Additional items are paid separately - screws (from 1000 to 2000 thousand rubles), flaps for the tongue (from 500 to 1500 rubles), etc. Devices made of colored plastic are more expensive - from 12 thousand rubles. The price of devices for correcting molars and premolars is from 14 thousand rubles.

Video - Removable orthodontic appliances

Results

Dental alignment plates help to correct defects in the teeth in a relatively short period of time and not experience any particular discomfort. Caring for them is easy - the child himself can handle it. It is also very important that at any time the plate can be removed, cleaned, disinfected, and the resulting layers can be removed. The main thing is to follow all the recommendations and be sure to visit the dentist's office for examination and further recommendations at least once every 1.5 months.