Bracket Brace

The bracket brace or MB appliance is a fixed brace that consists of brackets – or sometimes tapes – that have either been stuck or cemented onto the teeth. The bracket brace is the archetypal orthodontic appliance that is used to carry out most orthodontic treatment procedures within the shortest possible time, with minimal strain on the patient and with the best results. Prejudice against the MB appliance, particularly in Germany, stems from the dark times of the so-called functional orthodontics, when it was believed that removable braces were somehow ‘healthier’ or more humane.

The MB appliance or fixed brace dates back to around 1900. However, since this time it has been continuously improved. Modern MB appliances are more comfortable, more hygienic and have a gentler effect than the earlier devices. However, where there is poor dental care, calcification of the tooth enamel and occasionally, root resorption can both be inevitable results of treatment. Latest developments include the fully programmable brace that saves the orthodontist a lot of work and the patient a lot of treatment time, and the so-called self-ligating brackets (Speed, Damon, In-Ovation, etc). There is no doubt that these brackets significantly reduce the amount of time that the patient has to spend in the dentist’s chair. Studies have so far not been able to confirm any resulting effects such as faster treatment time or reduced pain, although these two factors are always popular arguments for selling self-ligating brackets. This is yet another example of how, in practice, science is constantly ignored, to the disadvantage of the patients whose self-ligating brackets are often sold at a hefty additional charge.

A modern bracket brace: the miniaturized, self-ligating Speed-Bracket