Sapphire braces - for the most demanding patients

Modern orthodontics allows you to correct the bite and straighten teeth not only for children and adolescents, but also for adult patients with a long-formed dental system. Today we can help people who, at the age of 30–40, are embarrassed by their smile and cover their mouths with their hands when laughing, and sometimes experience more significant problems caused by malocclusions.

Unfortunately, not every one of them agrees to undergo orthodontic treatment. It is difficult to decide to install turnkey braces on the outside of your teeth because they will attract the attention of strangers when communicating. And lingual braces, fixed on the side of the tongue and completely invisible from the outside, change diction, causing a lisp.

If you have already internally decided to correct your bite with braces, pay attention to the so-called aesthetic brace systems. They do not straighten teeth as quickly as classic metal ones, but they effectively cope with the majority of not the most complex malocclusions and are not at all noticeable.

What is this system?

This name is given to bracket systems, the base of which is made of artificially grown sapphire crystals. At its core, the material is monocrystalline aluminum oxide.

Despite the “artificial” nature, this material does not cause allergies and is completely safe for the human body . It can be classified as ceramics. The difference between sapphire and ceramic braces is that polycrystalline aluminum oxide is used to produce the latter.

For crystallization (“crystal growing”), the starting material is exposed to very high temperatures – 2050°C. After special cutting and polishing, braces have the ability to transmit light . This is what makes them transparent and invisible after installation.

During the cutting process, each element is given a rounded shape, which allows the patient to practically not feel the foreign structure in the mouth, since it does not damage the mucous membrane .

Device and principle of operation

Not only the device, but also the principle of operation of such systems are identical to classic braces made from other materials.

The system consists of three main elements:

1. The first is the braces themselves. They are miniature locks that have wings and a groove for the arc.
2. The arc is the main active component. After its installation (passed into the groove of each lock), the braces are connected into a single system.
3. Ligatures are small fasteners that help hold the archwire in the groove.

The principle of operation is based on the fact that the teeth in the jaw are fixed in such a way that they can slightly change their position. Moreover, the change is possible in any direction - towards neighboring teeth or around the central axis - if constant and prolonged slight pressure is applied to the tooth.

The arc is made of a material that has so-called shape memory - it tends to take its original position . It is she who produces this pressure, gradually changing the position of each desired tooth.

Main disadvantages

These orthodontic devices have very few disadvantages compared to other types of braces.

Minuses:

1. The first and most significant of them is high cost. To a greater extent, the complexity of production and processing of each bracket and the need to use expensive equipment play a role here.
2. A fairly long period of bite correction with the help of these systems.
3. Despite the high strength of the base material, it is very fragile, forcing patients to treat the installed device very carefully.
4. They are practically not used to correct serious malocclusions.

Manufacturers

These orthodontic appliances are made by different manufacturers.

Inspire ICE from Ormco

They take into account all the shortcomings of previous generations, so Inspire ICE are deservedly popular.

photo: before and after treatment

The special platform of each bracket has a special coating of microscopic zirconium balls , which, when applied with an adhesive, create maximum adhesion force to the tooth. At the same time, the properties of the coating make it easy to remove braces after treatment.

Damon Clear

This is a self-ligating passive system that has several advantages. In particular, this concerns the design. First of all, we should note the diamond shape and rounded edges, which increase wearing comfort. Using this system, there is no need for frequent visits to the dentist to activate the archwire.

photo: before and after

The groove is closed using a special patented Spin Tek mechanism, which allows the necessary manipulations (replacement of the arc) to be carried out quickly and without causing discomfort to the patient.

When opening the lock there is no pressure on the tooth. The attachment to the enamel surface is very strong and reliable , thanks to laser etching of the bracket base.

Miso

Also a non-ligature system, the difference of which is the free fixation of the arch without blocking it. This is achieved thanks to the presence of special sliding clamps in the design, which are similar in appearance to a valve.

This type of fixation simplifies the correction and allows you not to visit the orthodontist too often, and also facilitates care.

Radiance from American Orthodontics

The main advantage of this classic ligature system is the special base of each bracket, which has a patented name “Quad-Matte”.

Its peculiarity is that along the perimeter the attachment to the enamel is much weaker than in the central part. This ensures the safety of the enamel and ease of removal without damaging the teeth or using special tools.

Pure by OrthoTechnology

They are distinguished by their neat shape, miniature size and fastening strength , which is ensured by applying powdered zirconium dioxide to the base of each element.

photo: treatment result

The installed system looks like a decoration, as it transmits not only natural daylight, but also neon. Because of this feature, it is suitable for active young people.

How much does it cost to install sapphire braces?

Considering that the manufacture of sapphire braces requires crystals specially grown in the laboratory, the price for the design is quite high. These are the most expensive braces of all vestibular devices. However, they are cheaper than lingual ones (located on the inside of the dentition). The price of sapphire braces is influenced mainly by the manufacturer’s brand, as well as the segment of the clinic and the qualifications of the orthodontist who carries out the treatment.

The prices in the table are indicated for a bracket system for one jaw. When planning orthodontic treatment, you should take into account that the final cost of all services will be higher. This will include the price of diagnostics (1,500 - 3,000 rubles), installation (20,000 - 30,000 rubles), correction (2,000 - 2,500 rubles per session) and retainers (10,000 - 15,000 rubles).

Prices for sapphire braces

Installing a system entirely made of sapphire costs from 82,000 rubles. Combined options, when several sapphire locks are replaced with ceramic or metal ones, will cost the patient 62,000 - 72,000 rubles.

Ligature and non-ligature

Sapphire braces can be made in two types.

The classic case is when the system is equipped with ligatures to hold the arc - fastenings that are small elastic bands or thin wire rings. Rubber ligatures wear out quite quickly , so they have to be changed by your doctor.

Non-ligating braces are also called self-ligating braces. They are radically different from ligature ones in their structure. Each bracket is equipped with a lock that snaps into place and firmly secures the archwire , allowing it to slide. In this case, no additional fastenings are required, and the friction force will be much less.

Self-ligating systems are more expensive and in many cases more effective, as well as easier to use - there is no need to change the ligatures if they change color, become deformed or break.

However, they are not always better. The fact is that during the treatment process it may be necessary not only to replace the arc , but also the density of its fastening. When the contact with the walls of the groove is loose, this is a passive type of fastening, and if the arc is fastened very tightly, this is an active type.

Sometimes you need to change the force on your teeth. In the case of a classic ligature system, this is quite simple - the doctor can slightly loosen the fastenings , allowing the arc to slide freely or vice versa.

But self-ligating systems can be equipped with only one (passive or active) type of fixation. This may affect the duration of treatment, prolonging it.

The main advantages of sapphire bracket systems

For many, the term “sapphire braces” is associated with minerals of a beautiful blue hue, which are quite difficult to imagine as part of a braces system. In reality, everything is somewhat different. There is no need to worry that your mouth will turn into a chest of jewelry. Yes, the orthodontic apparatus is indeed made from sapphires, but artificially grown in laboratory conditions. Such stones have no color, which is fundamentally different from natural minerals. Among the main advantages of sapphire orthodontic systems are the following.

• Aesthetics
  . The clasps are hardly noticeable in everyday wear and sparkle effectively in bright light.
• Reliability.
  In terms of strength, sapphire braces are second only to diamond; they can withstand even serious loads.
• Immune to neon lighting.
  A useful quality of the system for nightclub lovers.
• Fast adaptation.
  The patient quickly gets used to the design, as it is polished in such a way that all corners are smoothed as much as possible.
• Resistance to staining
  . Coloring foods and drinks will not noticeably affect the color of the system.
• Hypoallergenic
  .

Photo of sapphire braces on teeth

The design of sapphire braces is such that only the plates themselves, which are attached to the teeth, are made of precious mineral. The arc remains metallic, which means it will stand out. To make the bracket system even more attractive and less noticeable, modern dentistry offers a matte arch or one lined with a composite material to match the color of the enamel. Beautiful sapphire braces with a white arch look very aesthetically pleasing, they create an excellent effect of snow-white teeth.

Is it true that sapphire brect system darkens?

If we are talking about the new generation of sapphire braces, then this is not true. Previous models had their drawbacks: due to the lack of a polishing stage in the manufacture of “old” sapphire braces, their surface remained loose and dark plaque quickly accumulated on it. That is why, if a specialist really wants to achieve an ideal result in terms of function and aesthetics, he chooses the latest generation sapphire braces system for his work.

What arcs are used?

Unfortunately, there are no transparent arches that have the qualities necessary for braces. a classic metal arc is inserted into sapphire systems . It is a little noticeable during a conversation, but does not create the effect of “metal staples”.

In such systems, to maximize their aesthetics, you can use metal arches that have a white coating of a material similar to Teflon.

In this case, the braces become completely invisible. The only drawback of such arches is that the aesthetic coating can gradually wear off due to strong friction.

Which systems are better and how do they differ?

At the moment, most orthodontists agree that to correct significant malocclusions, the ideal option is to install a metal brace system.

This is due to its reliability, maximum strength and the ability to use large forces to move teeth. However, it has one significant drawback - the metal on the outer surface of the teeth stands out and spoils the impression of a smile.

As opposed to metal, special ceramics and artificially grown sapphire crystals began to be used in orthodontics. Both of these materials are less durable than metal, but are strong enough to perform their functions .

The option of sapphire artificial crystals is most preferable for those for whom the aesthetic side of the issue is very important, since transparency and high light transmittance make them invisible.

Ceramic braces have properties similar to sapphire ones, but have a matte tint , which will be noticeable on white enamel. The strength of ceramics is almost the same as that of a transparent crystal. In addition, both materials do not stain during wear and retain their ideal appearance throughout the entire treatment period.

What is the difference between sapphire braces and ceramic braces?

Evaluating only the effectiveness of treatment, it is impossible to say whether sapphire or ceramic braces are better. They work the same way, but, unlike ceramic systems, sapphire does not have a yellowish tint, since in principle they have no color. This puts them an order of magnitude higher in terms of aesthetics. However, it is not so easy to answer unequivocally which braces are better in a particular case. Ceramics can easily be matched to the color of natural enamel, and due to its matte finish it will not glare in the light. If you have white teeth, then sapphires would definitely be a better option.

Installation

Installation always takes place in several stages.

• Diagnostics. At the very beginning, the doctor conducts a complete diagnosis not only of the type of anomaly, but also of the entire oral cavity. Possible treatment options (for example, installation of a ligature or self-ligating system) are discussed with the patient. A visual examination is carried out, as well as detailed studies - orthopantomogram, photographs, etc.
• Preparation. Since the installation of sapphire braces can only be carried out on healthy teeth, the oral cavity is sanitized - all problems are eliminated (treatment of caries, other diseases) and professional hygiene is carried out.
• Taking impressions. Before making it, the doctor must take an impression of both jaws of the patient. This is necessary for making a working model and precise fitting of braces.
• Ordering braces and waiting for them to be made. The wait is inevitable, since in each case the installation is carried out purely individually - the location and shape of the bracket is determined for each tooth.
• Installation. In order to install braces, one visit is enough, but it requires from 1.5 to 3 hours of time spent in the dentist’s chair. The doctor secures each brace separately and only after that installs the arch

Alternative to self-ligating design

An alternative to a self-ligating design is ligature braces. The word “ligature” comes from the Latin word “ligature” - a ligament. The arch is tightly fixed to each bracket using ligatures and, due to “shape memory,” pulls the teeth in the desired direction. “Classic” models correct various malocclusion pathologies: from anomalies in the position of individual teeth to complex complex cases.

metal ligature braces Mini Diamond

There are wire and elastic ligatures. Wire structures fix the arc as tightly as possible. They are more reliable, but provide worse sliding. Elastics are made from rubber and caoutchouc in various colors. Elastic materials tend to stretch, can sometimes tear and require regular replacement.

Comparison of self-ligating and ligature braces

Depending on the method of fixing the arch sliding in the grooves of the braces, ligature and non-ligature (self-ligating) systems are distinguished.

self-ligating Damon Q2 and Orthos ligature braces

Let's compare self-ligating and ligature models.

1. Method of fixing the arc. In “classical” systems, the arch is held in place by ligatures, and in non-ligature systems, by a lid or clip.

arc in groove Damon Clear

2. Material of manufacture. Ligature and non-ligature devices are made from various materials. Here are some examples:

• Damon Clear2 self-ligating ceramic braces;
• metal Damon Q, 3MX;
• ligature Inspire Ice made from artificially grown sapphire;
• in the manufacture of Orthos and Mini Diamond, the material used is stainless steel;
• Titanium Orthos are made of titanium.

sapphire ligatures Inspire ICE

The choice depends on the clinical case, preferences and financial capabilities of the patient.

3. Price. The cost depends on a number of factors.

• The presence of a mechanism for closing/opening the lid or clip. Due to the complexity of manufacturing, the price of non-ligature self-ligating braces is higher than that of devices with ligatures.
• Materials of manufacture: for example, ceramic ones are more expensive than steel ones.
• Areas of fixation: vestibular, on the outer surface, or lingually, on the inner surface of the dentition. The cost of lingual ones is higher.

4. Duration of treatment. “Classic” devices are worn on average from 2 to 3.5 years. Without ligature – 20–30% less. Bite correction with Dimon can reduce the number of visits and the overall duration of treatment by several months. The period is different for each person. The doctor indicates the approximate period of time after calculating the diagnostic models and the patient’s TRG.

5. Discomfort during treatment . The Damon self-ligating brace system brings less discomfort to the patient due to the work of low forces and reduced friction. In addition, pain sensations depend on individual characteristics: pain threshold and jaw anomalies to be corrected.

6. Treatment effectiveness. Non-ligature structures are capable of correcting clinical cases of varying levels of complexity, gently and carefully building the correct bite. Appliances with ligatures also correct complex jaw anomalies. However, self-ligating braces reduce the time required for bite correction and provide a long retention period.

7. Care. Oral hygiene with ligature devices is more difficult. Food gets stuck between the bracket, archwire, and elastics, and cleaning the system takes longer. If the patient neglects careful hygiene, multiple caries lesions and periodontal diseases are possible. Because of this, additional therapeutic treatment may be required after the structure is removed.

8. Adaptation. Getting used to any type of device is not easy in some cases. A foreign object appears in the oral cavity, which, of course, interferes. Adaptation to the non-ligation system is easier due to the small size and atraumatic shape of the elements. The absence of additional elements in the form of ligatures also makes it easier to get used to.

Who is it prescribed to?

Such orthodontic appliances are prescribed to patients who have relatively simple problems with the position of their teeth:

• malocclusion;
• spaces between teeth;
• torsion.

It is also important that people who may have allergic reactions to other materials can undergo treatment using such systems.

In this case, the age and gender of the patient (from 14 years old) do not matter. However, you should note that sapphire models are more suitable for patients with white tooth enamel . In the case of a natural yellowish color, aesthetics decreases, since the appliance becomes more noticeable on yellow teeth.

How long to wear sapphire braces?

It is impossible to determine the duration of orthodontic treatment with an accuracy of up to a month - it all depends on the severity of the clinical case, age and individual characteristics of the patient. On average, for simple dental deformities, a sapphire brace system is worn from a year to a year and a half. How long do you need to wear sapphire braces for serious anomalies? Only the attending physician will tell you the exact timing, but sometimes the treatment period can double.

It is optimal to begin orthodontic treatment at the age of 12-13, because in adults the process of moving teeth takes longer and is more difficult. However, even in adulthood, the use of braces will give good results that are worth going through the treatment process. Moreover, when the braces on the teeth are sapphire, this will only beautify their owner.

IMPORTANT!

A number of clinics use effective self-ligating structures without ligatures, thanks to which you need to come to an appointment for correction much less often than usual. There is an opinion that ligature-free braces speed up the treatment process. In fact, the timing of wearing braces directly depends on the qualifications of the doctor. The more experienced the specialist, the less time the treatment lasts.

Rules of care

Despite the fact that sapphire braces do not change color while worn and are quite durable, there are still certain care rules that experts advise to adhere to.

1. Be sure to brush your teeth every morning and evening.
2. Use an additional toothbrush – a mono-beam one.
3. Use dental brushes and, if possible, an irrigator.
4. Avoid eating hard and very hard foods – nuts and other things.
5. Be sure to visit a doctor according to the schedule for preventive examinations and replacement of arches.