Removable braces – Effective or not?
In many cases, the question is decisive even among the dentists, and there is a lot of controversial information circulating on the Internet. Let’s talk about the problem from different points of view!
What is the basic difference between removable and glued braces?
The removable device is recommended by dentists when there are still milk teeth, and glued braces, when there are only bone teeth. It follows that the removable (or also night) orthodontic devices are used primarily in childhood.
When do we start the orthodontic treatment?
The most suitable time is the so-called mixed dental period when the children have just started the change and they have both milk and permanent teeth, so the first ones have been changed, but the chewing teeth are still the deciduous ones. This usually happens around 7 to 10 years of age. During this period, it is possible to divert the jaws and teeth in the correct direction. In addition, it is easier to detain children from their bad habits, e.g. thumb sucking and tongue thrusting. An important advantage is that teeth’s cleaning is easier because the device can be removed, as opposed to the glued braces.
- With orthodontic treatment, we have to wait for all the child’s teeth to be replaced by the permanent ones.
This is not the case, the most optimal period for orthodontics treatment is the mixed dental period.
- Removable braces are ineffective.
Taking advantage of growth, the treatment with the removable device is much more durable than with the glued ones, but the collaboration of the parent and child is required to achieve good results.
- The teeth are easily return to the wrong position.
On the contrary, the percentage of recurrence is lower.
- The removable braces will interfere with the child’s eating
This is certainly not the case, as the child cannot wear the braces during eating or drinking. However, with glued braces, there are foods that are not recommended to be consumed (e.g. sticky foods such as butterscotch).
- In the case of crowded teeth, removal is a must.
That is not the case, the primary role of the removable device is to make space for the remaining teeth, so preventing tooth loss.
What kind of devices are there and what are their functions?
Simplistically, there are two main categories:
- the one fit to two jaws
- the one fit to one jaw
Devices fit to two jaws are primarily suitable for the treatment of bite abnormalities, e.g. open and deep bite. In case of open bite, when the child closes his mouth, the front teeth will not touch. In case of deep bite, the upper incisors overlap the lower incisors.
Special types of this device are the so-called myofunctional trainers using muscle strength to influence the growth; they help the correct development of teeth, jaws, and muscles. It also has a good efficiency in detaining bad habits. It can be used from the age of 4-5 years, even as a substitute for pacifier.
The one-jaw-fit device (expansion screw plate) is primarily used for making space in cases of arch narrowing and crowded teeth. It helps to avoid the tooth from being pulled out.