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Fixed Braces

Fixed orthodontics works through brackets bonded to the teeth and an archwire connecting them. As the wire tries to return to its shape it applies continuous, controlled force. The reason a century-old method is still in use is simple: for complex movements it remains the most reliable.

Duration12–30 months
ReviewsEvery 4 weeks
Bracket optionsMetal, ceramic, lingual
AgeFrom age 7 (early assessment)
RetentionMandatory, indefinite night wear

Metal, ceramic or lingual

Metal brackets are the most durable and the fastest working option, and remain standard for children and teenagers. Ceramic brackets are tooth-coloured and go unnoticed at conversational distance, but they are more brittle and can lengthen treatment slightly.

In lingual orthodontics the brackets are bonded to the back of the teeth and are invisible from outside. Adaptation takes longer and the tongue is uncomfortable for the first weeks. Where an adult patient’s priority is visibility we assess aligners first; lingual comes up when the case cannot be solved with trays.

What sets the duration

Eighteen to twenty-four months on average — but that is an estimate, not a range you choose. What sets it: the degree of crowding, whether extractions are needed, whether there is a skeletal discrepancy, and age. In a growing patient the jaw can be guided; in an adult the same problem is compensated through tooth position alone.

Attending reviews on time affects duration directly. When four-weekly appointments are missed, the wire has finished its work and simply waits — treatment stalls. A broken bracket likewise suspends that tooth’s movement until the next visit.

08 — Process

The process

01Diagnosis

Cephalometric and panoramic films, model analysis, photographs.

02Plan

Extraction or not, which mechanics — decided together.

03Bonding

Brackets are bonded and the first wire placed (60–90 min).

04Monthly reviews

Wire changes, elastics and mini-screws where needed.

05Debond & retention

Brackets are removed and a retainer fitted the same day.

Related services

  • Class I / II / III fixed treatment
  • Short-term orthodontics
  • Orthodontic start package
  • Mini-screw anchorage
  • Hawley & lingual retainers

A treatment plan and its costing are prepared individually after examination.

11 — FAQ

Common questions

Fitting them is painless and needs no anaesthetic. For the first three or four days there is pressure and tenderness on biting, and this recurs more mildly for a day or two after each wire change. Soft food and a simple painkiller are enough to get through it.

Yes. Tooth movement is not limited by age, only slowed a little. The real difference in adults is that skeletal problems can no longer be guided by growth; either dental compensation is used, or in advanced cases orthognathic surgery is considered. Gum health must be under control before treatment starts.

Not in every case. The decision comes from measuring the space available, after model analysis and cephalometric assessment. There are other ways to gain space — distalising the back teeth, minimal interproximal reduction, an expansion appliance. Extraction comes up when those are not enough.

An orthodontic brush, interdental brushes and a water flosser are all needed; ordinary brushing does not clean around brackets. Decay and gingivitis risk rise during treatment, so we recommend a professional clean every three months. Good hygiene is part of the treatment, not an optional extra.

05 — Team

Who performs this treatment

Dt. Han Demirci

Dt. Han Demirci

Dentist · Aesthetic Dentistry & Implantology

  • Digital smile design (DSD)
  • Laminate veneers & zirconia
  • Implantology
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