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How Do Braces Work? Navigating Orthodontic Treatment with Braces

Orthodontist discussing with a patient why in-person exams and x-rays are so important!

While we’re all familiar with the transformative power of braces in straightening teeth, how does this process work? Behind each wire and bracket lies a fascinating world of science and precise engineering designed to align teeth and jaws. 

Braces apply gentle yet persistent pressure to teeth to guide them into their ideal positions over time. This process achieves an aesthetically pleasing smile and enhances the overall function and health of the mouth. By correcting overcrowding, misalignment, and bite problems, braces help improve chewing functionality and oral hygiene while reducing the risk of gum disease and tooth decay.

From the initial placement of brackets to the final reveal of a beautifully aligned smile, your orthodontist meticulously plans and executes each step. In this article, we’ll explore the anatomy of braces, the biological principles behind tooth movement, and the stages of braces treatment, providing insights into one of the most effective tools in orthodontics. Whether you’re considering braces for yourself or a loved one, the AAO is here to equip you with the knowledge to approach orthodontics confidently.

The Anatomy of Braces

Braces are more than just a collection of tiny metal parts; they’re a sophisticated system designed to correct misaligned teeth and jaws through precise manipulation. The primary components of braces are the brackets, which are small metal or ceramic pieces bonded directly to the front of each tooth. They act as the main anchor point for the braces system, holding the archwire in place.

The archwire is a thin metal wire that runs through all the brackets in orthodontic treatment, serving as a crucial component in guiding teeth into alignment by applying consistent pressure. Throughout the treatment process, orthodontists adjust the archwire’s shape during appointments to control the movement of the teeth and facilitate progress through various treatment stages. Modern archwires often incorporate shape memory technology, allowing them to return to their original form after being bent. This feature ensures they maintain the desired pressure on the teeth effectively, contributing to the success of orthodontic treatment.

The archwire is held to the brackets by ties, small wires, rubber rings, or little doors on self-ligating brackets. Archwires can be changed at each orthodontic visit to adjust the pressure level on the teeth and can be replaced if they wear out or break. They also allow for a bit of personalization in treatment, coming in various colors to fit your unique style.

Elastics are another common component of braces. These rubber bands apply additional pressure in a specific direction, which is essential for correcting bite issues. They hook onto the brackets and can be arranged in various configurations to adjust teeth and jaw alignment.

How Do Braces Move Teeth?

Braces leverage the principles of human biology and physics to move teeth into their desired positions, but what exactly happens underneath the gums to make this possible? At the heart of all orthodontic treatment is bone remodeling, a biological response to pressure that involves the breakdown and rebuilding of bone tissue around the teeth. When braces apply pressure to a tooth, it creates an area of compression on one side of the root and an area of tension on the other. The body responds to this pressure by removing bone in the compression area and forming new bone in the tension area, allowing the tooth to move gradually into its new position. 

Consistent pressure is the key to successful tooth movement. Braces are designed to maintain constant pressure on the teeth, even as they move, to stimulate bone remodeling and ensure continuous progress toward ideal teeth positioning. As the teeth move and the resistance changes, orthodontic adjustments are required to maintain the correct pressure. Your orthodontist will tighten or replace the archwire, adjust the placement of bands or elastics, and make other modifications to ensure the treatment progresses as planned.

The Braces Treatment Process

Orthodontic treatment, particularly with braces, is a comprehensive approach to improving oral health and aesthetics. Your journey begins with an in-person consultation, where the orthodontist will examine the teeth, jaws, and bite, taking X-rays or digital scans to understand your overall dental health. Based on the findings of your first visit, the orthodontist will develop a personalized treatment plan that outlines the type of braces recommended, the estimated treatment duration, and any specific objectives or considerations.

Experience the Transformative Power of Braces with an AAO Orthodontist

As we’ve explored, braces are more than just wires and brackets; they are precisely engineered systems designed to enhance confidence, comfort, and oral health. For those considering braces, understanding how they work and the treatment process ahead can ensure a comfortable and stress-free journey.

AAO orthodontists have the expertise and experience to help you achieve a healthier, more beautiful smile at any age. With the help of an expert, braces can unlock the smile you’ve always dreamed of. If you’re ready to explore how braces can improve your smile and oral health, find an AAO orthodontist near you and schedule your consultation today.