Fixed Braces are simply better
Even up until now in Germany, a large percentage of orthodontic treatments on children and youth are accomplished by using removable retainers. We are so used to seeing school-aged children with a mouth full of plastic and metal wiring that is doesn’t trigger a response from anybody. Furthermore, a lot of these bracing systems were developed during the last century and that there are alternatives that have already been proven to be more scientific.
Because of the large volume of plastic associated with the removable retainers, there are problems with speaking and of course eating is virtually impossible. Most of the children feel so confined that they only wear the retainers at night. By having a lower usage-rate, the chance of a good success is hard to achieve – so it is important that the parents constantly support their child in order to be successful. Removable retainers have a very high failure rate at nearly a third of all patients and also have a longer treatment time and higher costs. In addition, due to their treatment provided, this method needs to be finished by using the fixed braces, which results in treatment times of 4-5 years becoming common practice in this two-phase treatment.
Because of this reason, treatments in industrialized countries are carried out differently. The procedure commends no earlier than the complete change of teeth around 11-12 years old, and then with one‐time only fixed braces for a short time of 9-18 months. That is why the “pre‐treatment” with a removable retainer unnecessary for a simple treatment, because the fixed braces can treat and align all of the desired teeth alone. From our experience, the youth who went through this treatment felt more comfortable and also there were no instances of fixed braces disrupting speaking or eating recorded.
You can say, anything is possible by using fixed braces, what the young patients can do without clasps, so that the treatments aren’t thought of as being a burden and the cooperation during this complicated phase isn’t necessarily required. Without a doubt, fixed braces are scientifically more efficient than removable retainers: a precise alignment of teeth in all sections is only possible with Brackets, whereas the bulky, removable retainers only provide a tilt-movement with the possibility of inaccurate results. Numerous scientific studies show that fixed apparatuses offer the better relationship between costs and benefits; the highest success rates, best results, and shortest treatment time are achieved with these devices.
Male Patient with an extreme case of deep bite…
…and after 16 months in fixed braces.
Shorter Treatment is healthier
Modern-aged practices accomplish the customary active treatment time from a good three years and are able to reduce that time in half. This results in the parents being worried if there are risks associated with the teeth and the more strenuous, fast-paced procedures. Luckily, that is not the case: the most important tricks for achieving shorter treatments are smart decisions at the best time and leaving out unnecessary treatment steps. Damage to the teeth or roots are also taken into accountability and therefore have a longer treatment time, but we can achieve the same, healthy result in a shorter time.
A female patient with big gaps and an over-bite…
…and after 9 months in fixed braces.
It is unfortunate for the young patients, that there are still so many removable retainers visible in children’s mouths throughout Germany! Experts have known a long time, which is due to an error in our fee rates. This way, the orthodontist can generate more profit with removable retainers as opposed to the possibilities with fixed apparatuses. Even when there is still an orthodontist who prefers the removable retainers because of a more honest, old favorite application, to risk having limited resources being misdirected in the health sector. Orthodontists from other European countries are left in awe when they hear about the four to five year procedures in Germany and they ask what the colleagues are actually doing in the long time…
Female patient with a case of overbite in the lower jaw…
…and after an 18 month procedure (in two phases with an extended break)
Differences are only accomplished by breaking through self‐conscience barrier from the patients and their parents. You should consider, that modern orthodontics should only perform this procedure only after the jaw is set in the fixed position at around 11 or 12 years old with one‐time fixed braces in order to have a successful procedure. Only about 20% of our young patients profited from beginning earlier with procedures, whereas the most pronounced misalignments result in a novices work. The doctor must always describe the background and the set precautions to the parents before beginning procedures on school‐aged children.
The parents are always encouraged to find an orthodontist with more modern treatment concepts, even if there is a longer route to take into consideration.
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