November 13, 2020
Many patients who need correction of bite pathologies pay attention to ceramic braces. And it’s not surprising, because these are very aesthetically pleasing devices that look great both in any photos and upon closer inspection in person. Also, those who have already undergone treatment note: the condition of the teeth before and after the correction is a big difference. Due to the demand for orthodontic appliances made of ceramics, we present to your attention an article by the editors of the UltraSmile.ru portal about the most popular models today.
Classification of ceramic devices
First, let's figure out what types of ceramic systems there are today.
According to location in the oral cavity
Ceramic braces are only vestibular, which are attached to the outer (frontal) surface of the teeth. In the arsenal of modern orthodontists there are also lingual appliances that are fixed on the inside of the dentition, that is, on the side of the tongue. However, they are never created from ceramics due to the fragility of the material, and also for the reason that this is simply impractical, because even metal systems, which, by the way, are considered the most functional, on the reverse side of the series will be completely invisible to others.
According to the method of fixing the power arc
The power arc in ceramic devices (the same one that puts pressure on the dentition, causing it to move) can be fixed in different ways. Depending on the method of arch fixation, doctors distinguish two types of structures:
- ligature: here special rubber bands, which can be either transparent or colored, act as fasteners. These rubber bands need to be changed approximately once a month. Their tension or loosening in the grooves of the braces allows the doctor to regulate the force of pressure on the teeth,
- non-ligating: they are also called self-ligating. This option is considered more compact, aesthetic and functional. Attaching the arch to the plates (more precisely, snapping) is carried out here using special locks located on the braces themselves. Such locks can be ceramic or metal. The good thing about the design is that it allows you to avoid frequent visits to the clinic to correct the position of the power arch, since this process is regulated independently as the teeth are aligned.
The photo shows the difference between ligature and non-ligature systems
Based on materials used in the manufacturing process
Today there are both completely solid ceramic braces and combined ones (with grooves and metal clasps). The first option is very aesthetic and even practically invisible on the teeth, but the second is cheaper and more functional. So, if the design contains metal components, this makes it more durable, allows you to work with a larger number of clinical cases, reduces the level of friction between the elements of the system, which means the treatment process is much faster.
Metal arc with and without coating
Despite the fact that the braces are ceramic, that is, the plates themselves consist of ceramics, the power arc in them, which combines all parts of the system into a single whole, is always metal. This is again done for greater efficiency and increased functionality of the system, reducing the level of friction.
At the request of the patient, such an arc can be coated with white coating, due to which the design looks more advantageous. But if you want exactly this type of orthodontic device, you must understand that the coating is short-lived and can wear off. Moreover, not all at once, but in parts, which will spoil the aesthetics of the smile.
And now it’s time to talk about popular ceramic braces and at the same time look at photos before and after bite correction with these aesthetic systems.
The essence of corrective therapy using braces
The principle of the corrective effect of orthodontic devices is the ability of teeth to move in a given direction under the influence of mechanical pressure. Braces systems are devices that create adjustable directional force. With their help, orthodontists correct congenital and acquired bite defects and correct abnormal tooth growth.
Braces are an orthodontic structure that consists of miniature bracket plates, fixed with an adhesive composition on the tooth enamel, and a power arch attached to these plates. The arc is bent taking into account the characteristics of the clinical case of a particular patient. The material of this power element has so-called “shape memory”. This means that the arc tends to straighten. Thus, she pulls the bracket plates behind her, moving the teeth in the desired direction.
The described process is accompanied by remodeling of the bone tissue in which the tooth is held: resorption in the direction of movement and the simultaneous formation of new tissue in the opposite direction. This prevents the tooth element from returning to its original location.
Note: treatment of occlusion pathologies using braces can only begin when a permanent dentition has been formed, i.e. after 12–14 years.
Models Clarity and Clarity SL from 3M Unitek (USA)
As for the Clarity model, this is a traditional ligature system, where the arch is fixed using rubber bands. But the Clarity SL model is self-ligating ceramic braces (but if indicated and as necessary, you can selectively ligate the arch with elastic bands).
The photo shows the Clarity system
In both samples, the plates themselves have an anatomical contour, a microcrystalline surface and rounded edges. In addition, they are reinforced with an open metal groove (lock) made of stainless steel. All this allows the system to be very durable, ensures the reliability of its fixation on the teeth, makes the process of adaptation and subsequent use comfortable, and makes the treatment as effective as possible for the patient. These design features also reduce the risk of mucosal injury to zero and simplify daily hygiene care.
The manufacturer positions its devices as one of the fastest to install, eliminating time-consuming steps in the orthodontist’s office. The fact is that each plate is already treated with an adhesive composition. In addition, when in contact with the enamel, the adhesive acquires a pink color, which allows the doctor to accurately determine its location and carefully remove excess if necessary.
The photo shows teeth before and after treatment
When choosing these aesthetic models, the cost of correcting the bite on one jaw will cost you approximately 110-120 thousand rubles.
Installation Features
Ceramic braces are installed on the outside of the teeth using special dental glue. This glue is selected for ceramics so as not to change its shade on the teeth. Locks are glued to each tooth separately.
Depending on the type of system, the arc is fixed. The installation process is not painful and takes from 20 to 40 minutes. But before installation, the patient must go through a preparatory stage with the making of impressions and filling of diseased teeth.
Braces from the Damon line from Ormco (USA)
Orthodontic devices from Ormco are very popular among patients in domestic and foreign clinics. If we consider ceramic models specifically, it just so happens that they all belong to the Damon series, which, by the way, only includes self-ligating systems.
So, samples of ceramic systems in the Daimon line are represented by the following models.
Damon Clear
This is an all-ceramic system that does not contain metal elements, which makes it look very advantageous on the teeth, does not oxidize from interaction with saliva and is suitable for allergy sufferers. The advantage of these devices is that when peeled off, they can be fixed again.
As for the shortcomings, they also exist. Firstly, the designs are not suitable for all clinical cases; for example, they cannot be installed on the lower jaw if there are low-height teeth there. Secondly, treatment with them will last on average 2-3 months longer than with other devices that contain metal components. You will find more complete information about the disadvantages and advantages of this model in the feature article on the website.
The photo shows teeth before and after treatment with Damon Clear braces.
The price is about 100 thousand rubles when installed on one jaw.
Damon Clear2
This is a more advanced all-ceramic model, which, unlike the previous version (Damon Clear), has increased strength and color fastness (does not accumulate dyes from food and drinks, retains its original whiteness), as well as a rough surface for better fixation on the teeth.
Price – from 100 thousand rubles.
Damon 3
Here, ceramic plates are successfully combined with metal clasps to secure the arc. This option is the most budget-friendly of those presented. In addition, this is an excellent compromise between functionality and aesthetics, allowing it to solve a large number of clinical cases and make the treatment process less time-consuming than when using all-ceramic devices.
The photo shows Damon 3 braces
In some situations, this model allows you to avoid tooth extraction to free up additional space in the jaw, which is sometimes required before correcting the bite. If, during operation, one of the plates accidentally comes off, you will have to install a new one, and this is a drawback of this system. But this is one of the most budget aesthetic models in the Daimon line, whose price starts from 90 thousand rubles.
Caring for ceramic braces
Modern ceramic systems, for the most part, do not change their color, but plaque that accumulates on their surface is easily stained. Ligatures are also highly susceptible to pigmentation; they can acquire an undesirable tint from black tea or coffee, as well as other colored drinks and foods. In the first case, professional hygienic cleaning using sandblasting machines is recommended, and in the second, you can reassure yourself that the ligatures are changed at every appointment with the orthodontist. And yet, manufacturers want to eliminate such troubles.
Ortho Technology's Reflection ceramic bracket system is made from 99.99% pure polycrystalline aluminum oxide, which is resistant to surface staining or discoloration. Mistique braces from GAS boast similar properties, which are coated with silicon oxide, which does not allow them to absorb dyes and, therefore, do not change color during the treatment process. Ormco also claims that their Damon Clears are made from a pigmentation resistant material. But ligature-free or self-ligating braces such as Clarity 3M Unitek, In-Ovation C from GAS, QuicKlear from FORSTADENT and others will help you avoid staining ligatures. They simply don’t have ligatures and there’s nothing to paint on.
To summarize: if you do not want to show off your orthodontic treatment to others, but are not ready to make serious financial outlays on lingual braces or aligners, ceramic braces are just for you. Ceramics will match any shade of natural teeth and will remain invisible. The aesthetic qualities that ceramic braces have, how much they cost and what comfort they bring to the patient - all this fits into an effective formula for the harmony of price and quality!
In-Ovation C system from Dentsply Sirona GAC (America - Germany)
In general, the In-Ovation line includes four models1 of braces: R, C, L, mini. According to the manufacturer, they share common advantages: the absence of ligatures (all of them are self-ligating), ease and speed of installation, reduced treatment time, and ease of hygienic procedures during operation. The devices are very comfortable for the patient, since the plates themselves have an anatomical shape and rounded edges, fit tightly to the teeth, and do not injure the soft tissues of the oral cavity.
The photo shows teeth before and after treatment with the In-Ovation C system
As for the In-Ovation C model, it is the most aesthetically pleasing in the collection, as it is made of ceramic. Together with it, the manufacturer can offer patients highly aesthetic arches with a matte rhodium coating and low reflectivity, due to which the smile will look simply great. Such arcs are not inferior in functionality to standard metal ones.
These systems are not cheap. The price for treating one jaw with them starts from 115 thousand rubles.
How much do ceramic braces cost?
What is the price of ceramic braces in Moscow dentists is of interest to many patients. It is known that it exceeds the price of metal systems. However, the cost of ceramic systems in Moscow is lower than the prices for sapphire or lingual ones. In addition to the material, the price list also depends on the manufacturer of the orthopedic design. Often, when patients find out the price of ceramic braces, clinics use a cunning marketing policy: they announce the amount only for the system and installation (on average this turns out to be from 40,000 to 60,000 rubles), and a person learns about the costs of the treatment itself after the fact. Know that no matter what pricing is used, in the end the average price for ceramic braces for both jaws on a turnkey basis will be around 260,000 rubles.
Brand | Economy prices | Business prices | Premium prices |
Clarity SL from 3M Unitek | 130,000 rubles* | 180,000 rubles* | 235,000 rubles* |
In-Ovation C by GAS | 74,000 rubles* | 120,000 rubles* | 180,000 rubles* |
QuicKlear from FORSTADENT | 90,000 rubles* | 120,000 rubles* | 180,000 rubles* |
Damon Clear by Ormco | 70,000 rubles* | 120,000 rubles* | 140,000 rubles* |
* Prices for ceramic braces are indicative for Moscow for 2018. The cost is given taking into account the installation of the system on two jaws and the cost of treatment.
Blesk bracket systems from Smart (Russia - China)
These are classic ligature systems created from durable, translucent and food stain-resistant nanoceramics. The manufacturer claims that they do not shine even after liquids get on them, that is, they completely merge with the enamel of the teeth, and therefore from a distance they can go unnoticed by others.
The plates have a slightly elongated shape, without sharp corners, and are smoothly polished on the outside. They have microporosity and a zirconium coating on the inside, thanks to which they fit tightly, adhere well to the teeth, and do not scratch the mucous membranes. At the request of the patient, the plates can be equipped with a metal groove or a ceramic one. Smart also offers patients “Chic” arches with tooth-colored coating.
When installing Blesk devices, you should not expect that the treatment will be quick. You will have to visit the orthodontist frequently (every month), and correction of even minor malocclusions can take several years. However, many people choose these ceramic braces for their budget price and high aesthetics.
“I’ve wanted to straighten my teeth for a long time. I looked at different types of devices for a long time, but in the end I decided to get “Shine” ceramic braces. I looked so many photos on the Internet before and after treatment with different systems, but I still didn’t understand what the differences were. Products from different manufacturers look approximately the same, and the results are also similar. But the price of Blesk is significantly lower when compared with ceramic models from other manufacturers - this was the determining factor for me!”
Krainova L., review from the dental portal gidpozubam.ru
This is what Blesk braces look like
The price for bite correction with this model starts from 70 thousand rubles.
Which ceramic braces are better?
Braces systems from different manufacturers have their pros and cons: nuances in treatment and appearance. Today, the most popular systems among patients and in demand among orthodontists are Damon Clear transparent braces. It is not for nothing that they are positioned as sapphire, because they look very similar to sapphire systems, but are free from their drawback - excessive fragility. For a more aesthetic appearance, you can choose the so-called white braces - systems with a white arch (by the way, they are shown in the photo below). Read about all the pros and cons of braces here.
Reflections from Ortho Technology (USA)
This ligature model is made of pure translucent polycrystalline aluminum oxide. Among the main advantages, the manufacturer highlights the following: excellent appearance, increased strength, reliable fixation and absence of complications during removal, resistance to chips and breakages, impermeability to dyes.
The photo shows teeth before and after treatment with Reflections braces.
Cost – from 85 thousand rubles for installation on one jaw.
Advantages and disadvantages
- Strength - finely divided ceramics, which are baked at high temperatures, are highly resistant to mechanical loads,
- Aesthetics – not visible against the background of teeth,
- Comfort - the small size and smoothness of the braces provide comfortable wearing and quick adaptation, within 3-7 days,
- The disadvantages of ceramic systems include less resistance to high pressure than metal or sapphire, as well as a rather high cost.
Empower Clear from American Orthodontics (USA)
These are carefully designed self-ligating devices, designed using CAD modeling, which, according to the manufacturer, provides them with increased mechanical strength2. Each bracket plate has a rounded contour, and this minimizes injuries to the mucous membranes of the lips and cheeks. Empower Clear retains its original aesthetics and clarity throughout its entire lifespan.
Photo shows Empower Clear braces
The cost of this system differs slightly from those we presented earlier and is about 95 thousand rubles.
Contraindications
The procedure for installing ceramic braces has a number of contraindications, which can be relative or absolute:
- The first group includes caries, non-compliance with the rules of personal oral hygiene, hypersensitivity and allergic reactions to the material of the structure being installed, and dental diseases of inflammatory origin. When treating the above ailments, wearing braces may be allowed - this issue should be decided by your attending physician.
- Conditions in which it is strictly forbidden to carry out this procedure are the absence of healthy teeth that will support braces and can withstand all the stress, diseases of the blood, immune, endocrine system, tuberculosis, damage to the bone apparatus.
QuickClear and TruKlear from FORESTADENT (Germany)
TruKlear are elegant self-ligating all-ceramic systems, where the plates themselves and the clasps under the arc are made of hypoallergenic and aesthetic material.
This is what QuickClear systems look like
QuickClear are also ceramic and self-ligating, but they have a metal clip, which expands the capabilities of the devices in relation to different clinical cases and reduces the treatment time. By the way, to improve the aesthetics of a smile, the manufacturer carefully polished the metal component of the system and made it matte, and the plates themselves are flat in shape.
How much does bite correction with these systems cost? To straighten teeth on one jaw you will have to pay about 85-90 thousand rubles.
This is what teeth look like before and after treatment
FORESTADENT Corporation also offers patients another model of ceramic braces – GLAM. They are classified as ligatures. Completely matte, they perfectly adapt to the shade of any teeth, and therefore are completely inconspicuous to others. Included with them, the manufacturer offers a BioCosmetic archwire with a tooth-colored coating, as well as transparent elastics.
Diet
While wearing ceramic braces, a person should review their diet and limit the consumption of certain foods. Due to the fact that ceramics is a fairly fragile material, you should not put a sharp load on the structure and eat hard foods - these include nuts, crackers, apples. This food can cause the braces to break and come off.
It is advisable to cross off food that stretches and can stick to the surface of your teeth from your shopping list. Toffees, some candies, chewing gum, fresh flour products, dried fruits, corn flakes, chips can remain in the spaces between the components of the structure, increasing the risk of pathogenic bacteria joining and the development of a pathological process. Also, these products can dislodge the structure, which will be an important reason for going to the dental office.
Sweets and foods high in carbohydrates are temporarily excluded from the diet - their fragments can remain between the elements of braces and tooth enamel, increasing the risk of plaque, tartar and carious lesions.
Whether it is possible to drink coffee drinks while wearing ceramic braces is a controversial issue. It is believed that ceramics are resistant to food dyes, but in the absence of high-quality oral hygiene, the accumulation of pieces of food in the teeth, the resulting plaque can absorb pigments and thereby affect the change in shade of the structure. The same goes for smoking. This is not prohibited, but it is advisable to minimize such exposure.
You should not eat too hot or too cold food - firstly, this negatively affects the enamel of the teeth, and secondly, it can lead to loss of structure properties.
After installing the brace system, it is recommended to eat food that contains large amounts of magnesium, calcium, vitamins A, B, C, D, fruits and vegetables, soups, purees, and dairy products.
Experience ceramic from TOMY Inc (Japan)
Since 2012, the official distributor of orthodontic products manufactured by the Japanese company TOMY Inc is the German corporation GC Orthodontics.
The photo shows Experience ceramic braces
What are Experience systems? A whole line of products is produced under this name, but here we will only talk about the aesthetic ceramic models Experience ceramic and Experience ceramic mini. Both bracket systems operate on the principle of self-ligation, that is, the power arc is snapped into them using special locks. At the same time, the clips of the clasps are coated with a thin layer of rhodium, which allows them to completely merge with the body of the bracket and improves the aesthetics of these devices.
Read the article on the topic: TOP 20 dentists where you can correct your bite.
Braces marked mini are compact and provide increased comfort for the patient. They are very durable and impact resistant, just like the Experience ceramic model.
The cost of bite correction with these devices is about 85 thousand rubles per jaw.
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braces
- According to the official website of the manufacturer in Russia: dentsplysirona.com/ru
- According to the manufacturer's official website: americanortho.com
Expert “Today, orthodontists have a large number of models of ceramic braces from different manufacturers. They all look decent, but the choice should depend not only on individual preferences and financial capabilities, but also on the clinical situation. For example, not all ceramic models are suitable for correcting complex malocclusions. Therefore, it is better to first undergo a thorough diagnosis in order to understand what you are dealing with, and then consider different options.” Orthodontist Vagapov Zakir Irkinovich
Consulting specialist
Chorny Stanislav Vladimirovich
Doctor rating: 9.8 out of 10 (4) Specialization: Orthopedist Experience: 20 years
Care
The brace system makes oral care difficult. Therefore, you need to remember the care rules when installing ceramic structures to straighten your teeth.
- The toothbrush should have bristles with different directions. This will help clean hard-to-reach areas and the surface of the braces. The hardness of the brush should be medium.
- It is important to purchase small brushes. They are needed to clean the enamel under the arches and at the place where the clasps are attached.
- Dental floss can help clean out food debris well.
- You can use mouth rinses after meals to avoid premature darkening or plaque clogging of ceramic braces.
- Regular consultations with a dentist will help not only to properly align your teeth, but also to professionally clean the enamel surface.
Comments
Braces are all great. But I have no desire to wear them, even ceramics... What other options are possible?
Nikita (11/25/2020 at 03:56 pm) Reply to comment
- It all depends on your clinical case. So, if you have minor defects that do not affect the functionality of the maxillofacial apparatus, then you can get by with artistic restoration and microprosthetics. For more serious malocclusion pathologies, you can consider trainers, plates, and transparent removable aligners. Read more about methods for correcting crooked teeth without braces in the feature article on the website.
Editorial staff of the portal UltraSmile.ru (11/28/2020 at 09:12) Reply to comment
Are ceramic braces suitable for a child?
Svetlana (01.12.2020 at 15:02) Reply to comment
- If a child has already fully formed a permanent bite, which usually happens between the ages of 14 and 16, then ceramic braces can be considered as an option for teeth correction. For example, you can choose ligature systems because they are more affordable, plus you can always choose different colored rubber bands (ligatures) for them, which is usually very popular with teenagers who like to stand out from the crowd. Also, children are often given simply metal or plastic systems.
Editorial staff of the portal UltraSmile.ru (04.12.2020 at 09:14) Reply to comment
I like Japanese braces in terms of quality and appearance better than others, but they are selected individually. Tell me, can braces be placed successfully at any age or are there restrictions?
Anna (12/18/2020 at 09:40) Reply to comment
How many times can you get braces in your lifetime? And can they be placed on ceramic crowns? I wore braces for 2 years, after removing them everything came back. I want to install it again, but I’m afraid that the crowns will be damaged when removed.
Anna (12/18/2020 at 10:23 am) Reply to comment
Braces look attractive, straighten teeth well, and change your smile. There is a choice and that's the main thing. Tell me, do specialists usually offer systems from different countries or just one or two?
Dan (12/18/2020 at 10:41 am) Reply to comment
You need to carefully weigh the pros and cons before installing braces. How much do braces feel and are they comfortable to live with? After all, they require careful care and periodic visits to the doctor.
Tonya (12/18/2020 at 10:45 am) Reply to comment
As I understand it, the most comfortable and well-thought-out model for treatment is installed and selected exclusively by a specialist? You probably won’t be able to choose a model that you like externally.
Vera (12/18/2020 at 10:47 am) Reply to comment
My front tooth was half broken at one time. It has been built up and is held on by a pin. Is it possible to install braces on such a tooth?
Anastasia (12/18/2020 at 10:47 am) Reply to comment
How should you properly care for braces? Is there a uniform approach to this or does it all depend on what they are made of? Because one doctor recommends one thing, and another another. And there is no clarity.
Ekaterina (02/05/2021 at 09:58) Reply to comment
As a child, I never understood the people who agreed to them, but now I understand that although it is expensive and not easy, the result is worth it, straight, beautiful teeth. And if a person is already over 30, can this also be installed?
Lera (02/05/2021 at 10:06 am) Reply to comment
Each model has its own characteristics and capabilities. Tell me, can a brace help if I have problems with the temporomandibular joint due to which I have an incorrect bite?
Alla (02/05/2021 at 15:57) Reply to comment
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Materials of self-ligating braces
Ligature-free systems differ in the material of manufacture.
Braces are made from alloys of steel, titanium and artificially grown sapphire. Metal
Metal non-ligature braces are simple, durable and reliable systems. They are applicable for almost any type of malocclusion and can give the desired effect even in difficult cases. Their affordable price makes them the most popular, but it is important to understand that such braces will be visible when you smile.
Ceramic
This type of braces is less durable. They are made from dental ceramics, which can be matched to the shade of your own tooth enamel - this makes the braces less noticeable on the teeth. However, the orthodontic arch will still be visible. Conditional disadvantages include the fragility of the material.
Sapphire
Such braces are also hardly noticeable when smiling and talking. Made from transparent artificial material reminiscent of natural sapphires, they reflect light and give your smile a real shine. Such braces are stronger than ceramic ones and can be used, among other things, for complex malocclusions.
Combined
The disadvantages of sapphire and ceramic non-ligature braces include their price, so modern dentistry offers optimal solutions - a combination of materials. For example, sapphire braces or ceramic elements can be used in the smile area, and metal ones on the chewing teeth. This will help make the treatment cheaper, but still get the desired result in terms of the beauty of your smile.
How aesthetic are non-ligature braces?
It is believed that ligature-free braces are the most aesthetic type of braces, but this is only partially true. Indeed, sapphire and ceramic braces are chosen for their attractive appearance. Metal ones may look more aesthetically pleasing than ligature ones made of the same material, since the clasps in them are more compact and neat - but it’s difficult to call them aesthetic.
For those who strive to achieve high aesthetics and make orthodontic treatment completely invisible, there is another solution - ligature-free lingual braces. They are fixed on the inside of the teeth, so they are not visible to others at all. It is important to remember that during the first adaptation period they can affect diction, so in cases where professional activity requires perfect pronunciation, it is worth consulting with a dentist and choosing an alternative.
White elements of the system
To make the system look like a single whole, the doctor can use not only white braces and arches, but also other light-colored elements. For example, today there are white wire ligatures coated with Teflon. White or transparent elastics are also used. It is also important to use high-quality adhesives to fix the braces. They must remain transparent or light in color throughout the entire treatment period and not become pigmented.
You can obtain detailed information about the features of treatment with white braces during an orthodontic consultation. Only a doctor can determine whether this type of system can be used in your clinical case. One of the best orthodontists in Moscow is Dr. Irina Butorina . She has extensive practical experience in the application of aesthetic systems in her clinical practice. Make an appointment today and ask Irina Alexandrovna all your questions.