Ligature braces (elastic-tied braces) are a traditional orthodontic method that uses pulling forces from archwires and elastic ligatures to realign teeth. This method is generally less expensive than other types of braces, but it is not suitable for everyone. This article by My Auris will help you understand more about who is and isn’t a good candidate for this treatment.
What are Elastic-Tied Braces?
Elastic-tied braces are an orthodontic method that uses metal brackets bonded to the tooth surface, connected by an archwire, and whose force is adjusted by elastic ligatures. This is a traditional orthodontic technique widely adopted by many dentists due to its high effectiveness and relatively low cost. This method is suitable for many cases of misaligned teeth, from mild to severe, including overbites, underbites, crooked teeth, and malocclusion.
The system consists of three main components:
Brackets: Small metal pieces securely bonded to each tooth. Brackets are typically made from durable, strong, stainless steel that can withstand force.
Archwire: A thin wire, usually made from nickel-titanium alloy or stainless steel, threaded through the brackets. The archwire applies gentle pulling force, gradually moving teeth into their correct positions.
Elastic ligatures (or elastics/bands): Small, elastic bands used to secure the archwire to the brackets. Elastics help control the pulling force more precisely than self-ligating brackets. The force from the elastics is periodically adjusted by the orthodontist, allowing for gradual and effective tooth movement.
Who Should and Shouldn’t Use Elastic-Tied Braces?
Who Should Use Elastic-Tied Braces?
Elastic-tied braces are a good option for many cases, especially for:
Mild to moderate teeth misalignment: If you have issues such as overbites, underbites, or crooked teeth that are not excessively severe, elastic-tied braces can significantly help. The pulling force from the elastics is flexibly adjusted, suitable for various treatment stages.
Individuals needing basic orthodontic treatment: If your goal is to realign teeth, improve bite, and enhance chewing function, elastic-tied braces can meet these requirements with good effectiveness.
Those with budget constraints: Compared to self-ligating or ceramic braces, the cost of elastic-tied braces is often lower. This is a significant advantage for those who want to save costs while still achieving good treatment results.
Children and teenagers: At this age, the jawbone is still developing, making it easier to adjust the pulling force of the elastics, which helps the braces treatment proceed effectively.
Patients who are patient and adhere to instructions: The success of elastic-tied braces largely depends on patient cooperation. You need to attend follow-up appointments on schedule, wear elastics correctly, and maintain good oral hygiene.
Who Should Not Use Elastic-Tied Braces?
Some cases where elastic-tied braces are not recommended include:
Individuals allergic to metal: Metal braces are typically made from stainless steel or nickel-titanium. If you are allergic to any metal, you should choose other types of braces such as ceramic or clear aligners.
Those unable to attend regular follow-up appointments: Regular follow-ups are crucial for the dentist to adjust the pulling force of the elastics and monitor the treatment progress. If you cannot visit the dentist according to the schedule, elastic-tied braces may not be a suitable option.
Severe teeth misalignment cases: For severe overbites, underbites, or malocclusion, elastic-tied braces may not be effective enough. You should consult your dentist for advice on a more suitable treatment method.
Individuals desiring high aesthetics: Elastic-tied braces have lower aesthetic appeal compared to other types of braces, especially ceramic or clear aligners. If aesthetics are a concern for you, you should consider other options.
The Elastic-Tied Braces Procedure
Step 1: Examination and Treatment Planning
This is the first and extremely important step. The dentist will conduct a comprehensive examination of your oral condition using modern technologies such as X-rays and 3D scans. Based on these results, the doctor will assess the extent of misalignment and malocclusion, then develop a personalized treatment plan, including the estimated duration, type of braces, archwire, and elastic ligatures to be used.
Step 2: Bracket Placement and Care Instructions
Once you agree to the treatment plan, the dentist will proceed with bonding the brackets to the tooth surfaces. This step is quite gentle, but you may experience some discomfort during the first few days. The dentist will instruct you on proper oral hygiene, including: how to brush your teeth, use dental floss, and interdental cleaning tools to prevent tooth decay and gingivitis. Proper oral hygiene is a determining factor for the success of the braces treatment. Poor oral care can lead to issues such as cavities and gingivitis, affecting the treatment process. Be sure to ask your dentist about suitable oral care products and how to use them.
Step 3: Regular Follow-ups and Force Adjustment
Regular follow-ups are extremely important. During each follow-up visit, the dentist will check the condition of your teeth and adjust the pulling force of the archwire and elastics. The elastic ligatures play a crucial role in adjusting the pulling force, helping teeth move in the correct direction and according to the plan. Regular elastic changes require your strict adherence. Remember your follow-up schedule and comply with the dentist’s instructions. Your cooperation will help the braces treatment proceed quickly and effectively.
Step 4: Monitoring and Force Adjustment Through Each Stage
The braces treatment process is divided into several stages. In each stage, the dentist will adjust the tightening force of the archwire and elastics to move the teeth gradually, ensuring oral health. You may feel some discomfort or mild pain in the first few days after adjustments, but these symptoms will gradually subside. If you experience any issues, contact your dentist immediately for advice and support.
Step 5: Bracket Removal and Retainer Wear
After the teeth have been aligned into their correct positions, the dentist will remove the brackets. To maintain long-term results of the braces treatment, you need to wear a retainer as instructed by your dentist. The retainer will help keep the teeth stable and prevent them from shifting back. Be sure to follow your dentist’s instructions to achieve the best results.
How Much Do Elastic-Tied Braces Cost?
The cost of elastic-tied braces typically ranges from 25,000,000 to 60,000,000 VND. The price of elastic-tied braces is not fixed. Many factors determine the final cost, including:
Complexity of the case: Mild tooth misalignments, slight overbites, or severe misalignments will directly affect the treatment duration and the number of brackets needed. More complex cases require more time, thus incurring higher costs.
Treatment technique: The dentist will choose the appropriate treatment technique for your oral condition. Some cases may require additional procedures, such as tooth extraction, leading to increased costs.
Materials used: Although this method uses metal brackets, the quality of the brackets, archwires, and elastics also affects the price. Higher quality brackets and archwires typically come with a higher cost.
Dental clinic: Each dental clinic has different pricing policies, depending on its reputation, equipment, and team of doctors. Reputable dental clinics with modern equipment often have higher costs.
Geographical location: The cost of living in different areas also affects the price of dental services. Dental clinics in major cities often have higher costs compared to rural areas.
My Auris Dental Clinic Braces Price List – 2023
| Braces Type | Level | Listed Price |
| Standard Metal Braces | Level 1 | 25,000,000 |
| Level 2 | 30,000,000 | |
| Level 3 | 35,000,000 | |
| Self-Ligating Metal Braces | Level 1 | 35,000,000 |
| Level 2 | 40,000,000 | |
| Level 3 | 45,000,000 | |
| Standard Ceramic Braces | Level 1 | 30,000,000 |
| Level 2 | 35,000,000 | |
| Level 3 | 40,000,000 | |
| Self-Ligating Ceramic Braces | Level 1 | 50,000,000 |
| Level 2 | 55,000,000 | |
| Level 3 | 60,000,000 |
Answering ‘Sensitive’ Questions About Elastic-Tied Braces
Do Elastic-Tied Braces Hurt, and How Long Does Treatment Take?
Discomfort during braces treatment is often unavoidable, especially in the first few days. Pain is usually a feeling of soreness or dull ache rather than severe throbbing pain. The intensity of the discomfort varies depending on each individual’s pain threshold and the complexity of the case. Pain relievers can help alleviate the discomfort. Most braces wearers gradually get used to this sensation after a few days.
The duration of braces treatment depends on the condition of the teeth, the extent of misalignment, and the dentist’s treatment plan. Typically, this process lasts from 18 to 24 months, and even longer in complex cases. However, adhering to the follow-up schedule and the dentist’s instructions will help shorten the treatment time.
Which Type of Elastic-Tied Braces is Best?
No single type of elastic-tied braces is considered “best” for everyone. The choice depends on many factors such as dental condition, budget, and personal preferences. Your dentist will recommend the most suitable type of braces for your dental condition after an examination and X-rays. You should discuss with your dentist to find the optimal solution. More important than the type of braces is the skill and experience of the performing dentist.
Do Elastic-Tied Braces Cause Bad Breath?
Braces, regardless of the type, increase the risk of bad breath if not cleaned properly. Brackets and archwires create small crevices where food debris and bacteria can easily accumulate. To avoid bad breath, you need to:
- Brush thoroughly: at least twice a day, using a soft-bristled toothbrush and fluoride toothpaste.
- Use dental floss: clean between your teeth daily to remove food particles.
- Rinse your mouth: with an antibacterial mouthwash.
- Attend regular check-ups: for your dentist to clean and check your oral health.
Proper oral hygiene is key to preventing bad breath throughout the braces treatment process.
What to Do If a Bracket Comes Off?
If a bracket comes off, you should remain calm and follow these steps:
- Call your dentist: for guidance on how to handle it.
- Sterilize the bracket: with saline solution or clean water if possible.
- Store the bracket: to prevent it from getting lost or damaged. Carefully wrap it if possible.
- See your dentist immediately: for the bracket to be reattached and to check for any other issues.
Do not attempt to reattach the bracket yourself at home. This can cause gum damage or harm your teeth.
Do Elastic-Tied Braces Affect Eating Habits?
Initially, you may feel uncomfortable eating and chewing due to the brackets and archwires. However, you will gradually adapt. You should avoid hard, chewy, and sticky foods to protect the brackets and prevent pain. Your dentist will advise on a suitable diet throughout the treatment process.
