Ceramic braces differ from traditional braces to align teeth only in that they are made not of metal, but of ceramics (which may be white or translucent). Therefore, these braces are much less noticeable on the teeth for others.
Ceramic braces come in two types. -
- The former are made from polycrystalline alumina. In this case, the brackets will be white and have low transparency (Figure 1-3).
- The latter are made of monocrystalline alumina, which is often called monocrystalline sapphire. Braces from such material will have very high transparency, and they are often called sapphire braces (Fig.4-6).
Ceramic braces: photo
Features ceramic braces systems -
The ceramic bracket system consists of three elements: first, from ceramic plates that are attached to the moving teeth (they are called braces), second, from the metal arc, with which the braces are connected to each other, and third, arc fastening systems to braces.
1. Ceramic plates (braces) -
Plates of ceramic braces can be fixed only on the front surface of the teeth. In this way, they differ from metal braces, which can be placed not only outside, but also from inside the dentition. Most manufacturers make ceramic braces from aluminum oxide, which is not as hard as metal and has good aesthetics.
Ceramic braces are resistant to discoloration and not colored at all with time. On teeth of lighter shades translucent braces (sapphire) look best of all, and on teeth of dark and yellowish shades opaque braces from classical ceramics will look better.
Braces can be made entirely of ceramic, or a combination of materials can be used. Thus, the following types of braces can be identified:
- Solid ceramic braces (pic.7) -
for example, these include the "Clarity Advanced" and "Damon Clear" braces. Of course, the best aesthetics is observed precisely at all-ceramic braces. Clarity Advanced refers to brackets with ligature fixation of the arc in the groove of the brackets, and Damon clear refers to brackets with ligature fixation (an explanation of the types of fixation will be given below).
- Ceramic braces with a metal lock (Fig. 8) -
An example is the "In-Ovation-C" bracket, in which the body of the bracket and the groove under the arc are made entirely of ceramic, but above there is a reclining metal latch (which holds the arc securely in the bracket's groove). These braces are unligated.
- Ceramic braces with a metal groove (Figure 9) -
An example is the "Clarity" bracket, in which the groove under the metal arc is made of metal, and also the ligature type of fixing the arc in the groove of the braces is implemented.
- Ceramic braces with a combination of metal groove + metal lock (Fig.10) -
examples are unligature type braces, for example, "Clarity SL" and "Damon 3." It must be said that the aesthetics of such braces will be slightly worse than that of all-ceramic ones.
2. Metal arc -
It connects braces to each other, passing through each bracket. The arc transmits through braces a certain effort (pressure) on the teeth that they need to move. The arc is attached to the plates of braces: either with the help of special ligatures (rubber rings or wire, or by means of special locking fastenings on the surface of the braces.
The metal arc is made of ordinary metal, and therefore it is clearly visible. However, if desired, the patient can use a metal arc coated with a special white composite composition. Such an arc will be much less noticeable on the background of teeth, but will cost a little more.
3. Ligature and ligature-free attachment of the arc to the bracket -
To date, there are two main systems for fastening the arc: using ligatures (rubber rings or metal wire), and using special lock mounts on the surface of the braces plates. This is a very important point, because depends on it including the effectiveness of the treatment.
- Ligature braces -
With such a fastening system, the arc is first inserted into a groove laid in the body of the bracket, and then fixed in this groove with the help of special ligatures. Special rubber rings or metal wire can be used as ligatures. Systems of braces that use such rubber bands for fastening are called "ligature".
The gums themselves can be not only colored, but also white or translucent. Then they are not very noticeable, as well as white ceramic plates of braces. But if you drink a lot of coffee, tea or wine, or smoke, the bright gum can change its color. Every month you will be changing them - during each new visit to the orthodontist for correction.
- Ligature (self-ligating) braces -
as the name implies - there are no ligatures in the construction of such braces. On the surface of such braces there is a special snap lock. Fixing is very simple: the arc is inserted into the slot of the bracket, and a special lock snaps on top, which sufficiently securely holds the arc.
These braces, of course, more expensive. Dental factories that produce these braces systems - position them as a new word in orthodontics. In addition, more expensive braces are also beneficial for orthodontists themselves. Now there is a lot of information on the Internet regarding the absolute advantages of ligature-free braces over ligature braces, which, to put it mildly, does not correspond to reality.
About why ligature braces are not a panacea, and why ligature is better - read the article: "How to choose braces"
Ceramic braces: reviews
1) Benefits -If it is important to you that the braces are invisible, then ceramic braces will be the best choice. They are hardly noticeable even close, and almost imperceptible from a distance, as well as in photographs. If you are confused by the classic metal arc, then for a little big money you can put an arc of a matte shade, or a metal arc lined with white composite material.
It is very important to choose the right ceramic braces -
opaque ceramic braces look good on teeth of darker shades. Translucent ceramic braces made of monocrystalline aluminum oxide (monocrystalline sapphire) look best on teeth of lighter shades.
2) Disadvantages - first, ceramic braces (both ligature and ligature) are much larger than most modern models of metal braces. This means a stronger irritation of the mucous lips and cheeks, which they will traumatize at first, and therefore a longer period of adaptation to the braces.
If we compare the speed of orthodontic treatment with ceramic and metal braces, then it is almost the same (in ceramic it is only slightly less). The downside is that in some clinical situations, ceramic braces can not be used on the lower jaw. Another disadvantage is the higher cost of treatment (see below).
And the third point ... Ligature-free ceramic braces made entirely from ceramics have a slightly lower degree of reliability, which is associated with the risk of breakage of ceramic locking fastening. Therefore, orthodontists usually give slightly less pressure on such braces to prevent the breakdown of such a ceramic lock (24stoma.ru).
Comparison of ceramic braces - with other types of braces
If you compare ligature ceramic braces - reviews by orthodontists and patients agree that these braces are as strong and reliable as metal ones, but at the same time much more invisible on teeth.
|Ceramic / Sapphire Braces||Metal braces||Lingual braces|
|Frequency of visits to the orthodontist||1 time in 2 months||1 time in 2 months||as needed|
|quick adaptation||quick adaptation||heavy adaptation|
|Treatment price||high||moderate to high||the beyond|
In addition, you need to somehow make a choice between ceramic, metal and lingual braces - you need to make the right choice between models of braces from different manufacturers. Whether there are important differences between braces of different companies and which ones are better to choose - read in the articles:
- "Which braces are better, analysis of metal braces",
- "Comparison of Sapphire Braces",
- "Comparison of lingual braces models".
Ceramic braces: price 2019
The price range is very large. The cost of ceramic braces in different clinics may differ by almost 1.5 times, so it is worth spending a little time looking for the optimal clinic option. The cost of braces will depend not only on the price policy of the clinic, but also on the list of works included in the price, as well as the qualifications of the orthodontist.
1) The cost of the initial consultation and diagnosis -
- An orthodontist’s consultation is usually free,
- diagnosis (this includes: taking impressions, analyzing diagnostic models, calculating TRG, orthopantomogram analysis, drawing up a detailed treatment plan) - about 1,600 rubles.
Below, we calculated the average cost of ceramic braces in Moscow. The price already includes: installation of braces for 2 jaws, wire retainer (the price of which is approximately 16,000 rubles), all work on fixation and removal (error of ± 10,000 rubles).
3) Ligature ceramic braces: price
- ceramic braces with a metal groove - about 40-50 thousand rubles.
- Braces "Reflections" - price 135 000 rub.
- Braces "Clarity Advanced" - price 175 000 rub.
- braces "Inspire ICE" (transparent) - price 150 000 rub.
4) Ligature-free (self-ligating) ceramic braces: price
- brackets "In-Ovation-C" - the price is 130 000 rubles,
- braces "Damon clear" (translucent) - price 160 000 rub.
- Braces "Clarity SL" - price 185 000 rub.
- semi-ceramic braces "Damon 3" (with a metal lock) - the price is about 175,000 rubles.
5) Monthly correction sessions cost approximately 2000 to 2500 rubles.
Author: dentist Kamensky K.V., 19 years experience.