Skip to main content

WHAT TO CHOOSE? METAL OR CERAMIC BRACES!!!!

WHAT TO CHOOSE? METAL OR CERAMIC BRACES!!!!
When a patient enters a Orthodontic clinic He/She is confused whether to go for metal braces or ceramic braces? Orthodontic treatment is generally considered a cosmetic treatment as this is the primary reason behind patient visiting a Orthodontist. But the choice of braces should be more dependent on the longetivity, comfort and ease of treatment in addition to cost to both the patient and the Orthodontist.
Based on my personal experience i would prefer metal braces over ceramic for the following reasons :-
1. Cost effective : metal braces are far cost effective than ceramic braces. approx difference would range from Rs.10,000 - 20,000.
2. Longetivity :- although ceramic braces have a very good tooth to bracket bond strength but they lack marginal strength(i.e. they break from corners because of load). so in this regard they have a lesser life than metal brackets.so for this reason they have to be changed which ultimately leads to higher cost.
3. Friction :- we all know friction tend to slow down a object. Friction between a ceramic bracket and wire is much higher than that of a metal bracket due to which the movement is slower, ultimately resulting in longer duration for treatment. although now a days various brackets are available in market that have a ceramic bracket with metal slot but there overall efficiency is still lacking somewhere.
4. Comfort - Metal has strength in thin sheets also, but ceramic requires bulk. So the profile that is thickness of ceramic bracket is much higher than that of a metal bracket. more the thickness more is the discomfort for the patient as it takes space between soft tissue (lips, cheek) and hard tissue (teeth). so in this regard metal brackets are more comfortable. now a days various bracket system is available that have low profile metal brackets.
5. Aesthetics :- anyone opt to ceramic braces due to aesthetic concern but they are not completely invisible. and in addition the coating over ceramic wire and ligatures gets removed after sometime leading to a unaesthetic look.
6. Repair :- in any case if a bracket breaks it has to be replaced. Replacement of ceramic bracket is higher than a metal bracket.
7. Enamel damage :- as discussed earlier ceramic brackets have a higher tooth to bracket bond strength they tend to chip off enamel at the time of debonding(removal of bracket).
so it can be concluded that metal brackets have a lot of advantages over ceramic bracket. it lacks in aesthetics only. but if we measure all benefits and drawbacks one will always go for metal brackets. as aesthetics is a smaller concern. protection of tooth is a greater concern.
all the things mentioned above are a result of my personal experience. opinions may vary. criticism is always welcome.
Regards,
Dr.Kapil Saroha
BDS,MDS (Orthodontics and dentofacial orthopaedics)

Comments

Popular posts from this blog

Do i really need to get my WISDOM TEETH removed?????

very often a problem is arising among patients that if there is no pain in my wisdom tooth then why should i get it removed. There are various factors for which the removal should be done even if there is no pain.The wisdom teeth have an average age of eruption i.e 17-21yrs.and after this age the tooth loses its eruption potential and the various problem arises
just because your wisdom teeth aren't  paining doesn't mean there's nothing wrong. the TEETH could be stuck,or imapcted.which means they can't break through your jaw and into your oral cavity.maybe your oral cavity is too samll to make space for them.

variuos factors in which removal should be done-




INFLAMED GUMS:Tissue around the area can swell and may be hard to clean and which may further progress to infection.

JAW DAMAGE:cysts can form around new teth .if they aren't treated ,they canhollow out your jaw and may damage nerves.

DAMAGE TO OTHER TEETH:Those wisdom teeth can push your other teeth around,causing…

will my teeth get SENSITIVE after scaling(cleaning)??????

These days a major query is arising among patients is SENSITIVITY AFTER SCALING.
 i must say the results after scaling may vary from patient to patient as if in a patient deposition is deep i.e under gums "which requires deep cleaning" will show sensitivity. BUT if the deposition of plaque and tartar is only on superficial areas of teeth then there isno chance of senstivity
sensitivity is basically due to deep cleaning in which scaling along with root planing is performed,which involves the use of tools between the gums and tooth roots to remove plaque nad tartar on root surfaces.
Taking good care of your teeth after a deep cleaning treatment helps your gums heal by reducing the common triggers of pain and sensitivity.For this you need to brush your teeth with soft bristles toothbrush and  antisensitive toothpaste while your gums are sore and at the same time avoid  eating foods and drinks that set off your sensitivity.
This treatment can cause minimal discomfort which usual…