Ceramic Braces

Note from the directors at Wimpole Street Dental Clinic:

As we do not employ an orthodontist offering fixed braces at present, this sub-page is for information only. The Invisalign treatment is offered as normal. 

Many people dream of an attractive, straight set of teeth. The tried and tested option to correct misaligned teeth, fixed braces, remains the standard treatment, even for adults. 

Fixed braces are primarily used to correct distinct tooth and jaw misalignments. They can also be used to correct smaller defects. As a rule, all desired tooth realignments can be realised with one, fixed instrument. At the end of the treatment, you can delight in a beautiful, straight set of teeth.

Who benefits from fixed braces?

Most adults who are interested in braces are looking to improve the overall appearance of their teeth. However, in some cases, misaligned teeth might also lead to health complications, which need to be remedied. Displaced teeth can be overstrained or hard to clean. This increases the risk of tooth diseases.

Healthy teeth, free from decay and periodontitis, are a prerequisite for treatments with braces. Moreover, we advise you to refrain from smoking because it increases the risk of bone shrinkage.

What’s special about ceramic brackets?

Fixed braces consist of small plates (brackets) that are adhered onto each tooth, and subsequently connected by a wire. This results in a pressure that moves the teeth in the desired direction.

Brackets are often made of cost-effective metal, however, this makes your braces conspicuous. Transparent ceramic brackets, which are far less noticeable, are a modern alternative. They do not discolour and continue to look like new, even after long wear, enabling a carefree smile even during treatment.

What to expect during treatment

We start the treatment by taking photographs, X-rays, and impressions. These allow us to paint a precise picture of your dental situation. After an in-depth analysis of your teeth, we diagnose the issue and draft a tailored treatment and cost plan, which we then discuss with you in detail. If only individual teeth are misaligned, it usually suffices to apply the fixed braces to partial areas.

At the next appointment, we gently fit the brackets, arches, and wires, which takes around two hours. When applying the braces, mineral loss of the enamel surfaces occurs, which unfortunately cannot be avoided. Exercising thorough dental care with fluoride toothpaste ensures that the teeth recover quickly.

It usually takes three to five days for the patient to become accustomed to the braces. The teeth might hurt a little over the first eight to 14 days. Moreover, the mouth might feel irritated. However, these initial discomforts usually disappear rapidly. You can, of course, contact us at any time if you are experiencing problems. Your wellbeing is paramount to us.

The arch exercises relatively strong pressure on the teeth, which causes them to move and loosen. This process is reversible, and it does not influence eating or talking. After the fixed braces are fitted we schedule further appointments with you to check up on the treatment’s progress and readjust the braces if needed. Usually, patients visit our dental clinic once every four to six weeks. The overall treatment takes between three months and two years.

After the treatment is completed the patient continues to wear a removable retainer at night. This retainer ensures that the teeth stay fixed in their new position, as well as straight. These measures are important to ensure that you enjoy your new, straight teeth for years to come.

Benefits and drawbacks

We will gladly provide you with comprehensive advice on the benefits and disadvantages of the various procedures in our dental practice.

Listed below, you can find a short overview of fixed braces with ceramic brackets:

• precise dental correction possible
• better appearance than metal brackets
• fixed dentures require less discipline from the patient, as the braces are kept in place, instead of inserted for a limited time each day
• as the braces are worn consistently, the desired results are often reached quicker and the results are better than with removable treatment options
• the smooth surfaces of ceramic brackets offer barely any hold for bacteria
• ceramics are also suited for patients with nickel allergies.

As with every treatment, there are certain disadvantages associated with ceramic brackets. They are brittle and can break if the patient bites down on a very hard object. Special precautions should be taken with cherry stones, bread crumbs and the like. Sweet and sticky foodstuffs such as chewing gum, chocolate and gummy bears should be avoided as well, as these can loosen the brackets. Good dental hygiene is equally important, as the brackets also require cleaning. We advise you to brush your teeth after each meal and are also happy to provide you with tailored tips on dental hygiene.

Invisible braces inside teeth

Lingual technology uses brackets that are placed on the inner side of the teeth, out of sight. What are the advantages and downsides of this method? On this page, you can read up on the treatment procedure with lingual systems, such as Incognito™, at our dental clinic in London.

Broad range of treatments

As a rule, nearly all teeth can be treated using lingual technology. This opens up a range of treatment options that cover just as many opportunities as conventional, fixed braces. Lingual technology is usually more elaborate and costly. Whether it is the right treatment for you is best decided after an in-depth assessment. Of course, we will also present you with various alternatives to offer you a comprehensive overview of the treatment options.

What is the treatment procedure?

Lingual braces are quite complicated to manufacture. It also takes more work to put the brackets into place and change the arches than with conventional multi-band braces. First, we take impressions of your teeth and perform a 3D scan. This allows us to design the instruments precisely on the computer. These data are used to produce a model and the associated brackets at our dental laboratory. To begin with, a wax model of the brackets is produced using a 3D printer. This model is then embedded in plaster, after which it is cast with a gold-containing alloy. The resulting model is unique and tailored to your teeth.

We gently attach the brackets to the inside of your teeth after a processing time of three weeks, connecting them to an arch that is customised to your dental case. A wire-bending robot ensures that the wire fits exactly, correcting your teeth as desired.

We regularly adjust the alignment of the arch to straighten your teeth step by step. How long you have to wear your lingual braces depends on your dental and jaw positioning. Of course, we will gladly explain the exact procedure to you during an extensive consulting session.

Teeth tend to start moving again after they have been corrected. We offer retainers to make sure that the resulting realignment is permanent. The small wires ensure that your teeth will stay straight in future.

Benefits and drawbacks

The benefits of lingual technology include:

• invisible braces
• no white spots on the outside of the teeth which might form with conventional braces
• permanent fixing without the risk of forgetting the braces in the morning, which in turn leads to faster treatment results than removable braces
• lower risk of caries than with other fixed braces
• We will gladly explain the various benefits and downsides of lingual technology during a personal consultation Brackets that are located on the inner side of the teeth tend to negatively influence pronunciation over the first few weeks. There might also be some issues with eating. After the adaptation phase, these side-effects tend to disappear again. Most patients stop noticing the brackets at this point. Hard foods such as bread crusts and nuts should, however, be avoided until the treatment is completed.
The brackets on the inside of the teeth are harder to clean, which means that very good dental hygiene is necessary to avoid an increased risk of decay. The foundation for healthy teeth is based on regular brushing and flossing. We are happy to explain what you need to do; your dental hygiene is paramount to us.

For more information regarding this treatment

Back to Saving Teeth

Lecturer of the Academy of Practice and Science

Implantologist certified by the German Society for Implantology (DGI)

Specialist certified by the General Dental Council and the German Society of Prosthodontics and Dental Materials

Fellow of the Royal Society of Medicine

Registered Specialist with the General Dental Council

All-on-4® Competence Center

University lecturer at the Christian-Albrechts-University at Kiel, Germany

Certified training centre for Implantology (DGI)

European Association for Osseointegration

View on Instagram
Wimpole Street Dental Clinic
  • 55 Wimpole Street
  • Marylebone
  • London
  • W1G 8YL
  • T.020 3745 7455

Follow or like us