How do braces work? Procedure, steps and price

So you’re thinking about getting braces put on. You’re probably wondering, how it works, what the process is, and if it hurts.

Braces have been the most popular type of orthodontic treatment to correct alignment and bite problems for years. What used to be a complex and majorly inconvenient process a while back is now easier than ever, with options such as sapphire, ceramic and self-ligating braces. Orthodontists can also put fixed braces on with greater precision than before.

In this article, we’ll go over how braces are fitted, the different techniques to straighten your teeth, and the step-by-step process to get braces fitted.

How braces are put on?

There are several types of orthodontics, but two main techniques are used when applying traditional braces. One method is called "direct", and another is known as "indirect". Let’s take a look at the process of each of these procedures, step by step.

Direct bonding of orthodontic brackets

Direct bonding of orthodontic brackets is the original process when it comes to getting braces put on. In this method, the orthodontist bonds each bracket directly on the patient's teeth. This is the step by step process of getting bracket and wire braces put on using the direct bonding method:

1. The orthodontist prepares and cleans the surface of each tooth.
2. They then apply a special adhesive to the teeth for direct bonding of the orthodontic brackets.
3. Then a compound is applied to each bracket.
4. Then the brackets are installed one by one, using a positioner to place them in the centre of each tooth.
5. Once the braces are finished being put on, they remove the remaining adhesive.
6. A metal arch is then used to connect all the brackets.
7. After each bracket is attached to the arch wire with rubber bands (except in the case of self-ligating brackets), the procedure is finished!

Although direct bonding of the orthodontic brackets has been the most used technique, the process has some disadvantages.

On the one hand, when looking at how long it takes to put braces on using this method compared to the other, it takes longer and is therefore more uncomfortable for the patient.

This also makes placing the brackets more work for the orthodontist, who has to place each piece manually, calculating the exact position on each tooth, without an outside perspective on the teeth. So, how do they put braces on without these drawbacks? Indirect bonding.

Indirect braces bonding

The indirect bonding technique for braces was created for lingual appliances. It is easier than putting the braces directly, takes less time and allows the orthodontist to work more precisely without contact with the patient's saliva, tongue or inside of the cheek. Indirect braces bonding is done as follows:

1. The orthodontist takes measurements of the teeth and makes a plaster cast.
2. Place all brackets accurately in the mould.
3. Next, they make clear splints to transfer the brackets from the mould to the teeth.
4. They prepare the patient's teeth (cleaning, polishing, drying and bonding).
5. Then they put an adhesive on the braces that are still in the splints.
6. They place braces on teeth.
7. Once the braces are placed, they have to remove the transfer splints.
8. They then clean up adhesive residue.
9. Then, finally, the metal arch is placed, along with the elastics to fix the device (except in self-ligating brackets).

Thanks to advances in orthodontics, indirect digital bonding for braces is also possible. This technique offers even more precision and allows you to prepare the placement of each bracket in 3D software. They are then placed in the splint that will be used for the transfer.

What types of braces are there?

There are several types of fixed orthodontic appliances, which means treatment times and treatment plans, can vary.

We have traditional metal braces and those known as transparent or aesthetic braces. These are produced in several materials: you might have heard of ceramic braces, sapphire or other similar materials.

All of these options, use bracket positioning in the same way, and can be placed following either of the techniques described above.

Alternative methods are lingual braces; generally placed following the indirect bracket bonding technique. As the name suggests, lingual braces are placed on the lingual, side - meaning the back of the teeth.

There are also self-ligating braces. Generally, they're placed in one big piece, since the arch passes through the interior of each of the brackets and they are all connected from the start. These are the only braces that don’t quite follow the direct or indirect bracket bonding methods.

Does it hurt to get braces put on?

For many people, the most important question is “Does it hurt to get braces put on?” The process of getting braces put on is painless. However, even though it doesn’t hurt to actually put the braces on, some discomfort or even pain may occur after they have been placed.

This pain may be caused by the device rubbing against the inside of the cheek and gums, which can be relieved with orthodontic wax.

There may also be discomfort due to the pressure the braces apply on the teeth. Even though it might be bothersome, there’s no need to worry. This discomfort means that they’re doing their job and your teeth are straightening.

How long does it take to put braces on?

• How long it takes to put on the braces depends on the technique used.
• Direct bracket placement requires more time for the patient.
• At least 30 minutes per arc is needed.
• Preparing the teeth, placing the metal arch and the elastics adds up to just over an hour.

Orthodontists often prefer to put on braces in two stages, one arch after another, in two separate appointments. This is less stressful for the patient and gives them time to get used to the new sensation.

And, how long does it take to put the braces on indirectly?

These are easier to put on and can be placed on each arch in just 15 minutes. For a complete placement of both arches, plus all the preparation, approximately 1 hour is needed.

How much does it cost to get braces?

In the UK, the price varies depending on the type of device you choose and many other factors. If you want to know approximately how much it costs to get braces put on, you should read our article on the price of braces in the UK.

Impress aligners: a quick and painless solution

If you are looking for an alternative to braces, Impress clear aligners could be for you. We're specialists in helping you correct your teeth aesthetically and discreetly.

The aligners are made to measure using a digital impression which we take during the initial consultation. Say goodbye to stainless steel, and sore teeth and gums.

Once your aligners are ready, they'll be sent to your home along with a complete kit that includes all the accessories you need until the end of your treatment.

Interested in learning more about Impress treatments? We’re here to answer all your questions. You can call us on +44 20 3808 1072, message us on WhatsApp, or complete a simple online form. We can’t wait to see you smile!