What is Fixed Orthodontic Treatment?

Fixed orthodontic treatment is a dental treatment that uses fixed appliances to move the teeth and jaws into the correct position. This treatment method ensures proper alignment of the teeth, usually with the help of braces and brackets. Unlike removable appliances, fixed orthodontic treatment uses fixed systems that cannot be removed by the patient. Fixed orthodontic treatment is one of the most common and effective methods for correcting dental disorders and jaw incompatibilities.

Why is Fixed Orthodontic Treatment Performed?

Fixed orthodontic treatment is a permanent solution method applied for individuals who have various problems in their teeth and jaw structure. Fixed orthodontic treatment is performed not only to achieve an aesthetic appearance, but also to protect oral and dental health, improve chewing and speech functions. Fixed orthodontic treatment is considered one of the most effective methods for correcting structural problems in the mouth.

Thanks to fixed orthodontic treatment, the teeth are brought into the ideal alignment and jaw closure disorders are eliminated. This treatment is especially preferred for the solution of situations that cause improper positioning of the teeth, imbalance in the jawbone and functional problems in the mouth. The fixed orthodontic treatment process is carried out with a long-term planning under the control of a specialist orthodontist and the results of the treatment are usually permanent for life.

Fixed orthodontic treatment is applied for many different reasons. The reasons for having fixed orthodontic treatment are explained in detail below:

Removing External Crowding

Fixed orthodontic treatment is mostly preferred to eliminate crowding of the teeth. The irregular alignment of the teeth in the mouth causes both aesthetic and functional problems. Crooked teeth create areas that are difficult to clean over time and this can lead to tooth decay and gum disease. With fixed orthodontic treatment, these crowding is corrected and a healthy and aesthetic tooth alignment is achieved. At the end of the fixed orthodontic treatment process, the teeth are properly aligned and oral care is made easier.

Correcting Jaw Disorders

Fixed orthodontic treatment is a highly effective method for treating incompatibilities between the upper and lower jaw. Jaw disorders not only create an aesthetic problem, but also negatively affect basic functions such as chewing, speaking and breathing. Fixed orthodontic treatment balances the jaw closure and ensures that the upper and lower jaws work harmoniously. If jaw disorders are not corrected with fixed orthodontic treatment on time, they may cause jaw joint problems and facial asymmetries in the following years. This is why fixed orthodontic treatment plays an important role in jaw development.

Eliminating Closing Problems

Mouth closure problems are one of the main conditions that require fixed orthodontic treatment. Fixed orthodontic treatment offers an effective solution especially in cases such as open bite, deep bite and cross bite. These malocclusions can cause chewing difficulties, speech problems and tooth wear in the long term. The fixed orthodontic treatment process helps to achieve the ideal bite between the teeth and jaws. Fixed orthodontic treatment stabilizes chewing function and eliminates excessive contact or gaps between teeth.

Aesthetic Purposes

Many people seek fixed orthodontic treatment because of aesthetic concerns. Crooked, separated or prominently positioned teeth can reduce self-confidence and negatively affect social relationships. Fixed orthodontic treatment improves the person's psychological and social quality of life by providing a smoother and more aesthetic smile. After fixed orthodontic treatment, patients can smile more comfortably and confidently thanks to the significant improvement in their dental structure. Fixed orthodontic treatment offers highly satisfactory results not only in terms of health but also in terms of aesthetic appearance.

Comfort and Health

Fixed orthodontic treatment improves chewing and speaking comfort by ensuring that the teeth are in the correct position. Uneven teeth lead to the accumulation of food debris and the formation of areas between teeth that cannot be cleaned. In the long term, this can cause health problems such as tooth decay, gum recession and bad breath. Fixed orthodontic treatment minimizes these risks and facilitates oral hygiene.

Properly aligned teeth ensure that the chewing force is evenly distributed between the teeth. Fixed orthodontic treatment balances the excessive pressure and load on the teeth. This prevents problems such as premature tooth wear, fracture and jaw pain. This balance achieved with fixed orthodontic treatment contributes greatly to the long-term protection of oral and dental health.

How is Fixed Orthodontics Performed?

Fixed orthodontic treatment is a gradual process planned and meticulously carried out by a specialized orthodontist. Fixed orthodontic treatment is applied not only to improve the appearance of the teeth, but also to balance the jaw structure and create a healthy oral structure. The fixed orthodontic treatment process is customized

is planned and may consist of different stages for each patient. But basically, fixed orthodontic treatment consists of the following basic steps:

Examination and Diagnosis

The first step in the fixed orthodontic treatment process is a detailed examination. A comprehensive evaluation of the patient's teeth and jaw structure is critical for the success of fixed orthodontic treatment. At this stage, the orthodontist examines the patient's oral and dental structure in detail. Panoramic and cephalometric x-rays are taken before planning fixed orthodontic treatment. If necessary, intraoral and facial photographs are taken.

Before fixed orthodontic treatment, the orthodontist analyzes the relationship between the bite shape of the teeth, tooth alignment and jaw bones. In addition, gum health, presence of caries and jaw joint disorders, if any, are also taken into consideration in the planning of fixed orthodontic treatment. This stage is one of the most fundamental building blocks of the fixed orthodontic treatment process.

Treatment Planning

After the examination and diagnosis phase is completed, a personalized treatment plan is prepared for fixed orthodontic treatment. While planning the fixed orthodontic treatment, the most appropriate method suitable for the patient's teeth and jaw structure is determined. The type of bracket to be used, the approximate duration of the treatment and the stages to be passed through are detailed.

At this stage, fixed orthodontic treatment options are explained to the patient. Different alternatives such as metal brackets, ceramic brackets, lingual brackets are evaluated and the most suitable one for the patient's needs is selected. During the planning of fixed orthodontic treatment, the patient is also explained in detail what to pay attention to during the process.

Bonding the Brackets

One of the most important steps of fixed orthodontic treatment is fixing the brackets to the teeth. During this process, the front surfaces of the teeth are carefully cleaned and the brackets are fixed to the teeth with the help of a special adhesive. The brackets remain on the teeth throughout the fixed orthodontic treatment and cannot be removed by the patient.

The placement of the brackets during fixed orthodontic treatment is a very delicate procedure. Placing the brackets in the correct position is extremely important for the teeth to move as planned. Arc wires are placed between the brackets, which will be used during fixed orthodontic treatment. These wires apply a continuous and controlled force to the teeth.

The brackets guide the teeth throughout the fixed orthodontic treatment and help the teeth to move into the planned position. This phase is usually completed in one session and then the active treatment process begins.

Regular check-ups

During fixed orthodontic treatment, the patient should have regular orthodontic check-ups. Usually, during fixed orthodontic treatment, a check-up session is scheduled once a month. During these check-ups, the orthodontist adjusts the tension of the wires,

checks for any loosening or damage to the brackets or wires.

With fixed orthodontic treatment controls, it is monitored whether the teeth are moving in the right direction and at the desired speed. If necessary, the wires are tightened or replaced. During this process, the patient's compliance with the rules of fixed orthodontic treatment and keeping appointments directly affect the success of the treatment.

Oral hygiene is also evaluated at follow-up appointments and patients undergoing fixed orthodontic treatment are given recommendations regarding dental hygiene. Tooth brushing techniques and interface cleaning become even more important during this period.

End of Treatment and Reinforcement

After the fixed orthodontic treatment process is completed, the brackets and wires are removed from the teeth. However, fixed orthodontic treatment is not completely over at this stage. Reinforcement treatment is started to maintain the new position of the teeth. At this stage, transparent reinforcement trays or fixed reinforcing wires are applied to the patient.

The consolidation period after fixed orthodontic treatment is very important for the permanent fixation of the teeth. If reinforcement treatment is neglected, the teeth may return to their old positions over time and the gains achieved during the fixed orthodontic treatment process may be lost.

Reinforcement appliances are usually used for several years and while it is necessary to wear them all day long at first, it may be sufficient to wear them only at night in the future. Regular check-ups should not be neglected in this process after fixed orthodontic treatment.

Fixed Orthodontic Treatment Stages

The stages of fixed orthodontic treatment are carried out according to a detailed plan:

1. Diagnosis and Planning

X-rays, photographs and mold measurements are required to fully analyze the external and jaw structure. The method to be applied and the appliances to be used during the treatment are determined.

2. Placement of Brackets

The brackets are fixed to the surface of the teeth with a special adhesive. A metal or ceramic wire is inserted between these brackets and tooth movement is initiated.

3. Active Treatment Period

During this period, the patient should go for a check-up once a month. The braces are tightened regularly to ensure that the teeth are in the correct position.

4. Treatment Termination

When the teeth are in the desired alignment, the wires and brackets are removed. After removal, reinforcing appliances are worn to keep the teeth in their new positions.

Advantages of Fixed Orthodontic Treatment

Fixed orthodontic treatment has many advantages, both aesthetically and functionally. The main benefits are as follows:

A More Aesthetic Smile: Regular teeth contribute to a more beautiful smile and facial aesthetics.

Healthy Mouth Structure: It helps to correct crooked teeth, prevent gum problems and decay.

Comfortable Chewing: Proper alignment of the teeth allows for a more comfortable and effective chewing function.

Easier Cleaning: Organized teeth make brushing and flossing easier.

Lasting Results: Fixed orthodontics maintains its effect for many years when applied correctly.

Fixed Orthodontic Treatment Prices

The prices of fixed orthodontic treatment vary depending on many factors. The duration of the treatment, the materials used, the type of wire selected (metal, ceramic, lingual, etc.) and the hospital's price policy are the main factors affecting the prices.

Fixed Orthodontic Treatment Duration

The duration of fixed orthodontic treatment is a personalized process that may vary for each patient. The most important factors affecting the duration of fixed orthodontic treatment are the degree of defects in the patient's teeth and jaw structure, the current position of the teeth, the patient's age, the fixed orthodontic treatment method applied and how faithful the patient is to the treatment rules. The duration of fixed orthodontic treatment also depends on details such as complications that may arise during treatment and the importance given to oral hygiene.

In general, the duration of fixed orthodontic treatment varies between 1.5 and 3 years. Simple orthodontic problems and small-scale interventions for aesthetic purposes are usually completed in a shorter time. However, in complex cases such as jaw misalignment, advanced malocclusion and severe dental crowding, the duration of fixed orthodontic treatment can be 3 years or longer.

Does Fixed Orthodontic Treatment Discolor Teeth?

Many patients undergoing fixed orthodontic treatment wonder if there will be a change in tooth color during the treatment process. One of the most frequently asked questions is whether fixed orthodontic treatment can discolor teeth. Fixed orthodontic treatment directly

It does not change the color of the teeth, but staining and yellowing of the tooth surfaces can occur if oral hygiene is not paid enough attention.

During fixed orthodontic treatment, brackets are attached to the tooth surfaces and wires are attached. Since these appliances are permanent in the mouth, the risk of plaque and food accumulation around the teeth increases. If oral care is not taken properly during fixed orthodontic treatment, these deposits can cause discoloration and yellow stains on the tooth enamel over time. In other words, fixed orthodontic treatment is a process that can indirectly lead to tooth discoloration.

Fixed Orthodontic Treatment and Tooth Color Relationship

Brackets and wires used during fixed orthodontic treatment require changing tooth brushing habits and paying more attention to oral hygiene. This is because the areas around the brackets and wires are the most difficult areas to brush your teeth. Failure to clean these areas properly during fixed orthodontic treatment can lead to yellowish plaque accumulation on the teeth and discoloration over time.

In patients undergoing fixed orthodontic treatment, the following conditions can usually cause tooth discoloration:

- Inadequate tooth brushing and neglect of interface cleaning

- Excessive consumption of sugary and acidic foods and drinks

- Tartar and plaque accumulation

- Smoking and use of tobacco products

- Frequent consumption of coffee, tea and dark foods

These factors can cause yellowing or discoloration of the teeth during fixed orthodontic treatment.

Care After Fixed Orthodontic Treatment

Once fixed orthodontic treatment is completed, the process is not over yet. For the long-term success of the treatment and the preservation of the new positions of the teeth, care after fixed orthodontic treatment is very important. After the teeth are brought into the desired alignment with fixed orthodontic treatment, the regular care and control process begins in order for the teeth to maintain their new positions.

Neglecting the care after fixed orthodontic treatment may cause the teeth to shift back to their old positions over time and the aesthetic and functional gains achieved during fixed orthodontic treatment may be lost. For this reason, patients should continue their oral care and orthodontic controls meticulously in the period after fixed orthodontic treatment.

Use of Reinforcement Appliances

After the fixed orthodontic treatment is completed, reinforcement appliances are used to maintain the current alignment of the teeth. Reinforcement appliances are an important support that allows the teeth to get used to the new position and stay in this position.

- Transparent Reinforcement Trays: They are usually worn at night and do not affect the social life of patients. Clear aligners are one of the most preferred methods after fixed orthodontic treatment. Thanks to their transparency, they are invisible and offer a comfortable use.

- Fixed Reinforcements: A thin wire is fixed to the back surface of the teeth. This method is used to prevent the teeth from returning to their original position, especially in the front teeth. Fixed retainers cannot be removed by the patient and remain behind the permanent teeth.

Reinforcement treatment must be applied after fixed orthodontic treatment. Reinforcement appliances should be used regularly for the period determined by the orthodontist. During this period, the orthodontist closely monitors the position of the teeth and the condition of the appliances.

Regular Tooth Brushing and Oral Care

In the period after fixed orthodontic treatment, teeth cleaning and general oral health should not be neglected. Good oral care habits acquired during fixed orthodontic treatment should be maintained after treatment.

- Teeth should be brushed at least twice a day, preferably after meals, with orthodontic toothbrushes or soft-tipped brushes.

- Flossing should be continued and interface brushes should be preferred, especially in areas with fixed reinforcements.

- Oral hygiene should be supported with mouthwashes and special toothpastes recommended by the orthodontist.

The main purpose of the care after fixed orthodontic treatment is to prevent gum disease and caries, maintain tooth color and make the position of the teeth permanent.

Keeping Regular Checkups

Regular orthodontic check-ups should be continued after fixed orthodontic treatment. During the reinforcement treatment, the orthodontist checks whether the teeth are moving and the condition of the reinforcement appliances.

Usually, the first check-up after fixed orthodontic treatment is done within 1 month. Afterwards, the orthodontist determines the control intervals for longer periods such as 3, 6 and 12 months. Regular check-ups minimize the risk of the teeth returning to their old positions.

During post-fixed orthodontic treatment check-ups, the orthodontist will also assess oral hygiene, check for tartar formation and recommend professional teeth cleaning if necessary.

Paying Special Attention to Oral Hygiene

Paying attention to oral hygiene after fixed orthodontic treatment plays a critical role in the longevity of treatment success. Interface cleaning and flossing become even more important, especially for patients who use fixed reinforcements. Things to consider in oral hygiene after fixed orthodontic treatment:

- Interface brushing should be continued even if the brackets are removed.

- The area around the fixed reinforcing wires must be cleaned in detail.

- If transparent aligners are used, the aligners should be cleaned regularly every day with soapy water and should not be washed in extremely hot water.

- Avoiding sugary and acidic foods reduces the risk of tooth decay.

- To support oral hygiene, special toothpastes and mouthwash products should be preferred with the recommendation of the orthodontist.

Types of Fixed Orthodontic Treatment (Braces)

Fixed orthodontic treatment may differ depending on the type of braces used:

- Metal Braces: One of the most common and durable options. It is usually a more economical choice.

- Ceramic Brackets: Provides a more aesthetic appearance. They are less noticeable because they are tooth-colored.

- Lingual Braces: Placed on the inner surface of the teeth. This method is completely hidden from view, but more laborious to apply.

- Specialized Self-Locking Braces: More comfortable than others and can shorten the treatment process.

Fixed orthodontic treatment, when performed correctly under the guidance of a specialized orthodontist, provides long-term success both aesthetically and functionally. Patience and attention to oral care during the treatment process increases the success rate of the treatment.