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Types of Braces

There are many different types of orthodontic braces available. Each type, though made of varying components, realigns the teeth to enhance chewing, biting, and aesthetics. Available styles of orthodontic appliances allow the wearer a great amount of flexibility, control and convenience.

The two main types of braces available are removable and fixed devices. As the names suggest, removable devices can be moved into and out of the mouth at any time, while fixed devices are both applied and removed by the orthodontist. Though fixed dental braces are often used to correct severe alignment issues, removable devices are popular because they afford the wearer more control over their treatment.

Traditional Fixed Braces

Traditional braces are often more affordable and expedient than any other kind of braces – particularly in the case of a severe malocclusion (bad bite). During application of fixed braces, individual brackets are glued to each tooth on the arch and a thin wire connects the brackets. Traditional fixed braces work on the premise that consistent pressure is applied to the teeth. The appliances must modified by an orthodontist at routine appointments to continue exerting appropriate pressure.

There are several different types of brackets available, including metal, ceramic and clear. The metal brackets tend to be the least problematic structurally, but they are also the most visible. Ceramic brackets are equally effective and less visible, but they have a tendency to stain if not cared for properly. Clear brackets are the least visible, but generally cost more and are prone to damage.
The following treatment options are available for patients who choose fixed orthodontics:

Lingual Braces

Lingual braces are almost invisible, as they are bonded to the back of the teeth, but the initial affixation is slightly more complex. Lingual braces are comprised of special custom-made brackets, which are connected by a wire. Many wearers prefer the reduced aesthetic impact with these braces, but some report an initial impairment in speech.

Damon System

The Damon System is a more discreet alternative to traditional fixed braces. Light wires are initially used to align the teeth, and are replaced with heavier wires as the teeth become straighter. Traditional braces use elastic rings to hold the wires in place, whereas the creators of the Damon System have replaced these rings with tiny sliding doors.

The biggest advantage of this replacement is the reduction of friction and discomfort. A reduced amount of friction allows this system of self-ligating braces to correct malocclusions quickly, and the lighter wires cause less stress to the periodontal ligaments. The Damon System is less noticeable and quicker, but can be costlier than traditional fixed systems.

SureSmile

SureSmile is a hi-tech system that claims to straighten teeth in a far shorter time than traditional braces. To determine the precise position and angle of each tooth, an OraScanner and/or Cone Beam Computed Tomography (CBCT) is used to take a three dimensional picture of the teeth. The archwire for the braces is created by a computer system and used to link the orthodontic brackets. The archwire is activated by body heat. The result is quicker treatment and more precise alignment. The SureSmile system is technologically advanced and effective, but can be among the more expensive forms of fixed braces.

Six Month Smiles

Six Month Smiles is designed to greatly impact aesthetics, as opposed to function. Instead of moving every tooth into alignment, this system focuses mainly on the teeth that are visible when smiling and speaking. Six Month Smiles utilizes small archwires and tooth-colored brackets to make the braces as unobtrusive as possible. Contrary to popular belief, more pressure is not added to move the teeth quickly. These cosmetic braces are popular, effective and can cost less than other technologically advanced systems.

Removable Devices

Invisalign® Clear Braces

The Invisalign system is a series of removable aligning trays, which gradually reposition the teeth into the correct alignment. Generally, aligning trays are worn for two weeks before they are discarded for trays which fit the new positioning of the teeth. Invisalign trays can be easily removed for eating and social functions, but must be worn as much as possible for expedient results. Invisalign is a convenient type of orthodontics, but requires commitment from the wearer.

Clear, removable braces are generally recommended for minor to moderate alignment problems. Other popular brands of removable orthodontics include ClearCorrect and MTM® Clear Aligner.

If you have questions or concerns about any type of braces, please contact your dental care provider.

Testimonials.

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Testimonials

I just had to write to say how appreciative I am of Dr. Tsui. If you are looking for a dentist, look no further. She is kind, caring and does an amazing job. She makes sure there is no pain and does each job to perfection. I recently had a dental emergency and she was there in no time. On top of all of that, her office is like a spa with water falls and fountains. They have the glasses for you to watch a movie, which are a great distraction. The staff is stellar!!! The nicest staff of people I have ever meet, so professional and personable at the same time. I recommend Dr. Tsui to all my friends, I can't say enough wonderful things about her and her amazing staff.

Ashley F. (Patient gave permission for publication).

I've been a patient of Dr. Tsui's since Smile Creations first opened their doors in 2003. My parents and younger sister see Dr. Tsui as well, and all of us are pleased with the services we've received. My parents have received major work (crowns) and all of us have had cleanings, exams, and fillings done. Dr. Tsui's office is equipped with the latest technologies--digital x-rays, an intraoral camera, and video glasses so you can watch movies as you receive dental work. My parents have recently had more crowns done and in just one visit, Dr. Tsui completed the crown prep work on my parents and they waited in the office while the actual permanent crown was being made right in the office! I've never heard of other dental practices with this technology! My parents didn't need a temporary crown and they didn't need a second visit where crowns are typically sent to labs which can take 2 weeks on average. A call from Dr. Tsui's office is made the next day to check on the healing process and to answer any questions. My parents are quick to point out what a stellar job Dr. Tsui does when it comes to giving anesthetic injections. A numbing topical is applied first, and after a few minutes, Dr. Tsui will carefully and skillfully proceed with the injection into the cheek and gums. She talks you through the whole way so you know what's going on. I have a low pain tolerance and hate needles so she definitely eases my fears through her gentleness and I walk away thinking that the injection hurt less than expected! Dr. Tsui works with a range of patients from the elderly to adolescents. The bi-lingual (English and Chinese) speaking staff including Dr. Tsui herself, allows her to relate and work with multiple generations of people. I have only positive kudos and express my sincere thanks for the gentle and professional dental work that my family and I have received from Dr. Tsui and her staff. I would highly recommend Dr. Tsui for any and all dental care needs.

Andrea W.(Patient gave permission for publication).

Dear Dr. Tsui,

I want to thank you again for all of the great dental care you have provided to me over the years. As you know, I was referred to you years ago by my friend and former co-worker. She raved about how great you and your staff are. I started going to you for dental care about 6 or 7 years ago. 2 of those years, I was forced to change my dental insurance coverage and had to find a different dentist. I went to 2 or 3 different offices trying to find a good patient/doctor relationship....and, frankly, never did. When I went back to an insurer that included you in the network, I was so happy that I could continue my dental care with you.

As you know, I have had the need for 2 crowns recently. Although I can't say I enjoyed the experience, I can say that you and your staff made it as pleasant as possible and I have great confidence in the work that you do. You and your staff have consisently practiced thoroughness, attention to detail and excellent communication (before, during and after procedures). It is very obvious that you truly care about your patients' dental health and their comfort when having their teeth worked on. That makes such a big difference in patient care and I greatly appreciate it! I am happy with the work that you have done for my crowns and I will continue to go to you for any future work that may be needed.

Smile Creations is a wonderful dental care practice! Now, I am the one raving about you and your staff and I have encouraged numerous people to go to you for dental work. Thank you! Thank you! Thank you!

Cathy D.(Patient gave permission for publication).

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