
Braces were once a source of dread for teenagers, but times have changed. While the occasional teasing nickname like "tinsel teeth" might still surface, such remarks are now rare. Braces have transformed into a symbol of status rather than shame, thanks to advancements in their design and functionality.
"Patients today have a wide array of choices," explained Theresa Chidsey, treatment coordinator for Dr. Michael Riccio, a North Shore Boston orthodontist [source: Chidsey]. "Options include stainless steel brackets, which are commonly used, as well as clear or tooth-colored brackets. Additionally, there are invisible aligners like Invisalign, which have gained significant popularity."
All these solutions aim to address the timeless issue of a misaligned bite, known in dental terms as "malocclusion." Essentially, this refers to teeth that are improperly positioned. This misalignment can occur due to overcrowding, crooked teeth, overbites, or underbites. Such conditions may arise from natural factors, habits like thumb sucking, or even injuries. Many parents also worry about the impact of sports on their child's smile.
Modern braces (or orthodontic appliances) and aligners remain highly effective in fixing these issues, but they are now far more discreet—unless you prefer to make a statement. If so, the options are as plentiful as a child's choices in a candy store.
Brackets, the components attached directly to the teeth, are available in various materials such as metal, ceramic, and plastic, and even in different shapes. The archwires and bands that connect the brackets come in multiple colors and shades, with clear wires currently in development. For those seeking a personalized touch, elastic ligatures or rubber bands are available in nearly every color, allowing patients to customize their appearance. As one orthodontist shared with Parenthood.com, many young girls now view braces as "like jewelry" [source: Parenthood].
Interested in a more comfortable and modern braces experience?
Interested in a more comfortable and modern braces experience?
One lingering misconception about braces as we entered the new century was the belief that they are extremely painful. In the past, bulky metal bands and tighteners made children feel as though their teeth were clamped in a vise. However, modern orthodontic treatments have significantly reduced discomfort, thanks to advancements in brace design and application techniques.
"The major improvements include smaller and more durable brackets," Chidsey explained. "This makes dental hygiene much simpler for our patients."
Chidsey and other experts highlight that the materials used for wires, along with the technology for bracket placement—such as adhesives that securely attach brackets to each tooth—are constantly advancing and improving.
"The field is always evolving," she noted. "Today's treatments are far more comfortable for patients compared to the past."
However, these advancements come at a cost. While braces are now gentler on teeth, they remain a significant financial burden for many families. The price can vary widely, but a standard two-year treatment typically ranges from $4,000 to $6,000. Most dental insurance plans do not cover the full expense, and many policies impose a "lifetime cap" on orthodontic care that often falls short of the total amount needed.
On the brighter side, many orthodontists understand the financial strain dental treatments can cause and often collaborate with patients and their families to create manageable payment solutions. Numerous practices provide installment plans to ease the initial financial burden. For instance, Dr. Riccio's office locks in the total treatment cost at the start of the two-year period, ensuring no additional charges, even if extra procedures are needed.
Now, you might be asking: What role does the patient play in this process?
While basic orthodontic treatments are expensive, those willing to invest can choose from a variety of custom brackets, including designs like heart shapes and soccer balls.
The Patient's Role in Dental Work
Orthodontic treatments are not a guaranteed shortcut to perfect dental health and a dazzling smile. To put it plainly, braces require active involvement. For any orthodontic treatment to succeed, the patient must be fully committed and engaged throughout the process.
Chidsey emphasized that braces are "highly effective, but their success hinges on full patient cooperation."
Patients, or their guardians, must remain diligent about attending follow-up appointments, maintaining excellent dental hygiene (regular brushing and flossing), and consistently using retainers and headgear between orthodontic visits.
"Dietary adjustments can also be challenging," Chidsey noted. "Saying no to popcorn isn't easy."
If you're preparing for braces, be prepared to avoid hard, sticky, and sugary foods—some of which might surprise you. Orthodontists advise steering clear of corn on the cob, caramel, bubblegum, pretzels, hard chips, ice, beef jerky, apples, raw carrots, and dense rolls like bagels or tough pizza crust [source: Parenthood]. Foods like chicken wings and ribs are allowed only if the meat is deboned. Hard candy, a favorite among teens, poses a dual threat: its hardness can damage braces and enamel, while its sugar content promotes cavities.
Following the orthodontist's instructions can feel overwhelming, especially since treatments typically span 24 months. For many teenagers, this feels like an eternity. However, while the orthodontist provides the braces and a detailed treatment plan, the patient's commitment to following that plan is crucial for achieving long-term success.
What is the ideal age to consider getting braces?
What is the ideal age to consider getting braces?
Is there a chance you or your child might need braces? Unfortunately, the answer is likely yes. Naturally perfect teeth and bites are uncommon. According to Chidsey, most patients visiting Dr. Riccio's office could benefit from orthodontic treatment, though the extent varies widely. The American Association of Orthodontists (AAO) supports this, estimating that about 75% of Americans have some form of malocclusion.
Timing is another critical factor when considering braces. The most common candidates are teenagers, as they typically have all their permanent teeth and molars, yet are still at an age where adjustments can be made with minimal effort.
Orthodontic treatment can begin earlier, even as young as 6 years old, but this is usually reserved for addressing severe structural issues that could hinder the proper alignment of permanent teeth or other oral concerns like jaw alignment or tooth extraction. Such decisions should only be made after consulting with a family dentist or an oral surgeon. The AAO advises that children undergo a comprehensive orthodontic evaluation by the age of 7.
Chidsey emphasizes that the primary focus is maintaining excellent oral health. "While the cosmetic advantages are clear," she stated, "the real goal is to prevent dental problems. It's about ensuring long-term health benefits, with the aesthetic improvements being an added bonus."
In essence, well-fitted braces enable more effective brushing and flossing, prevent enamel wear caused by misaligned bites, address health issues linked to improper jaw alignment, and often lead to a radiant smile. Both children and adults can appreciate the appeal of such outcomes.
The American Association of Orthodontists reports that 20% of current orthodontic patients are adults [source: AAO]. "We've noticed a rise in adult patients," Chidsey mentioned. "These individuals may have experienced a relapse or missed the chance for braces during their childhood."