Metal brackets and wires are the traditional braces. Modern brackets are smaller and less noticeable than the notorious “metal-mouth” braces that many adults remember. Plus, new heat-activated archwires use your body heat to help teeth move more quickly and less painfully than in the past.

Pros: Least expensive type; colored bands give kids a chance to express themselves

Cons: Most noticeable type of braces

Metal are fixed orthodontic appliances to correct malpositioned teeth.

Advantages of Fixed appliances:

1. Fixed appliances provide a variety of tooth movements, e.g. bodily movement, rotation, uprighting, torquing, intrusion.
2. Fixed appliances are very efficient in treating mild to severely malpositioned teeth.
3. Space closure can be done using fixed appliances.
4. Multiple tooth movement; fixed appliances allow for control of position of several teeth during treatment.
5. Establishing normal incisor relationship with both crown and root movement.
6. Extra oral forces can be effectively applied through fixed appliances.
7. Precise control over force distribution to individual tooth is possible.

Limitations of Fixed appliances:

1. Fixed appliance technique is complex and requires special training.
2. Rate of tooth movement depends on individual’s biological response.
3. Maintenance of good oral hygiene is difficult.
4. Patient cooperation is required in the maintenance of appliance, wearing of elastics, headgears.
5. Treatment effects are restricted to dentoalveolar structure.
6. Skeletal discrepancy cannot be corrected by fixed appliance alone.
7. Aesthetically less pleasing for some patients.

At Coral Orthodontics, Dr. Prathima Adusumilli, Orthodontist chooses the best treatment that suits individual needs to treat different malocclusions in children, teens and adults.