Fixed braces
In the tried and tested way
Removable braces only offer very limited treatment options for complicated misaligned teeth or jaws. Fixed braces must therefore be used.
We will draw up a treatment plan for you with the aim of achieving the most efficient and reliable result. Nowadays, there are many ways to make wearing fixed braces as comfortable as possible.
Further advantages of fixed braces:
- Treatment can be planned
- Speech is hardly affected by fixed braces, as the inside of the mouth remains completely free However, fixed braces require very thorough dental care, as not all areas of the mouth can be easily reached with a toothbrush.
Frequently asked questions about fixed braces
What are fixed braces and how do they work?
Fixed braces consist of small retaining elements, the brackets, which are permanently bonded to the teeth, and a wire that runs through these brackets. This wire and small rubber bands or brackets exert a gentle, continuous force on the teeth so that they gradually move into the desired position. The braces remain in the mouth during the entire treatment period and are readjusted in the practice at regular intervals.
When is fixed braces more sensible than loose braces or aligners?
Fixed braces are particularly useful for moderate to severe tooth and jaw misalignments where removable braces or aligners reach their limits. They can move teeth very precisely in all directions and are therefore particularly suitable for more complex rotations, severe crowding or major bite corrections. In addition, the success of treatment depends less on how long the patient wears the braces, as they work around the clock.
How long does treatment with fixed braces take?
The duration of treatment is individual and depends on the severity of the misalignment, the growth and the desired result. In many cases, fixed braces are worn for around 1.5 to 3 years, followed by stabilization with retainers. As part of the planning process, we will give you an estimate of how long the treatment is likely to take in your case.
Do fixed braces hurt?
When inserting the braces and after adjusting the wire, the teeth may be sensitive or slightly painful for a few days. This feeling of pressure is normal and shows that the teeth are moving; it usually subsides considerably after a few days. The insides of the cheeks and lips may rub against the brackets at first – protective wax and a short familiarization period will help here. Severe or persistent pain should be checked in the dental practice.
What can I eat with fixed braces and what should I avoid?
With fixed braces, very hard or sticky foods should be avoided as they can damage brackets or wires. This includes, for example, hard nuts, chewy sweets, caramel, chewing gum or biting off whole apples or the edges of bread – it is better to cut these foods into small pieces. Normal, soft food is usually possible without any problems. Soft foods such as pasta, soups or yogurt are recommended, especially in the first few days after the onset.
How do I clean my teeth and braces properly?
With fixed braces, particularly thorough oral hygiene is important because plaque and food debris can easily collect in the spaces between the teeth. In addition to the normal toothbrush, interdental brushes, tufted brushes and, if necessary, dental floss should be used to clean areas around brackets and wires. A toothpaste containing fluoride and, if necessary, a fluoride gel or mouth rinse also help to reduce the risk of tooth decay. We will show you and your child in the practice exactly how cleaning works in everyday life.
Are there inconspicuous versions of fixed braces?
Yes, in addition to classic metal brackets, there are also tooth-colored ceramic brackets that look much less conspicuous. These are also attached to the outside of the teeth, but are less noticeable in everyday life because they blend in with the color of the tooth surface. Which type of bracket makes sense in your case depends on your medical and aesthetic wishes as well as your budget – we will be happy to advise you on this in a personal consultation.
What do I do if a bracket or wire becomes loose or interferes?
If a bracket comes loose or a wire pricks, you should make an appointment at our practice so that we can reattach or adjust the braces correctly. Until then, annoying wire ends can sometimes be covered with protective wax or a piece of sugar-free chewing gum to prevent irritation of the mucous membrane. Do not attempt to adjust or remove brackets or wires yourself, as this can worsen the treatment or cause damage.
Does health insurance cover the cost of fixed braces?
For children and adolescents, statutory health insurance covers the costs of treatment with fixed braces if certain degrees of malocclusion (KIG) are reached. In these cases, parents usually pay a co-payment during treatment, which can be reimbursed after successful completion. For adults, fixed braces are generally only covered for very severe jaw anomalies; in many other cases, this is a private benefit or portions are reimbursed by private insurance or supplementary insurance.
