Combined Braces

Aesthetic and durable braces. Treatment period — up to two years. With comfort for the patient

In the dental clinic of designer prosthetics Kiadent you can install combined braces. On the upper jaw - ceramic, on the lower jaw - metal. This is a compromise option - they are invisible when smiling and quickly correct the bite.

What is a combined bracket system?

Combined braces are a type of orthodontic device that is considered one of the most reliable, aesthetic and inexpensive designs for correcting malocclusion.

In the manufacture of a combined system, two types of devices are used. For example, metal braces can be fixed to the lower jaw. There they will take up less space and will not undermine the upper teeth when closed. And on the upper jaw, in the smile zone, ceramic braces look aesthetically pleasing.

Prices

Full list of services for combined braces	Our price	Average price in Odessa
Orthodontist consultation	UAH	UAH
Retainers	UAH	UAH
Diagnostics (Taking impressions, making and calculating models)	UAH	UAH
Installment for combined – 1.5 years (Price per month for two turnkey jaws)	UAH	UAH
Turnkey braces (Diagnostics, installation, scheduled visits, arch replacement, removal, retainers)	UAH	UAH
Turnkey braces (Manufacture, installation, scheduled visits, replacement of power arches, removal)	UAH	UAH

Indications for combined braces

In addition to the standard indications for braces (malocclusion, trema/diastema, crowding, impacted teeth), there are several that relate specifically to combined systems:

The need to achieve both a beautiful appearance and functionality Significant curvatures and malocclusions are effectively treated using braces made from metal alloys. However, they are very noticeable on the teeth, which can cause psychological discomfort to patients. Therefore, it is preferable to place metal structures on the lateral teeth and/or lower dentition, and ceramic ones on the front teeth.

Limited budget In case of serious dental anomalies, metal structures are more often recommended. However, malocclusion can be successfully corrected with any system. It all comes down to price - sapphire clasps are quite expensive compared to metal ones. Combined designs allow you to save up to approximately 5,000 hryvnia.

Advantages and disadvantages of combined braces

Advantages over classical orthodontic systems:

Aesthetics in the smile zone Ceramic braces installed on the front upper teeth, almost invisible.
Comfort Sapphire\ceramic designs allow the patient to avoid microtraumas on the mucous membrane and deterioration of diction.
Shorter treatment period To correct dental pathologies using ceramic or Sapphire braces are required for up to 3 years. When combining these systems with metal ones, it is possible to achieve the desired effect faster, since the load increases. In this case, treatment takes 1-1.5 years.
Strength Sapphire/ceramic clasps are quite fragile. Therefore, it is more rational to put metal ones on the chewing units that will withstand the chewing load.
Acceptable price Ceramic systems, compared to metal ones, are quite expensive . When combining orthodontic systems, the final cost is lower.

Disadvantages:

More complex care Metal-ceramic or metal-sapphire combinations require in thorough cleaning, compared to classic ones.

We did not list the disadvantages that are common to all braces, for example, a slight violation of diction after installation. Such inconveniences appear during the adaptation period. Discomfort is caused by the adaptation of periodontal units and tissues to the foreign structure. After 1-2 weeks, the unpleasant symptoms disappear.

Types of combined braces

Metal-ceramics

One of the most common combinations. Ceramic ones are used in cases where the teeth do not require heavy loads. As a rule, these are units in the smile zone on the upper jaw. Porcelain systems are almost invisible, their color can be matched to the shade of the enamel. Metal clasps secure the entire lower jaw and lateral teeth of the upper row.

Compared to sapphire, ceramics are slightly stronger and cheaper.

Metal sapphire

Aesthetic and comfortable design. The operating principle is similar to metal-ceramic braces. The differences are that sapphire is transparent and is more suitable for patients with naturally light enamel to achieve the best aesthetics.

Installation of combined braces

1. Consultation with an orthodontist

Before fixing braces, the doctor conducts a thorough initial examination of the jaws. After this, he makes impressions of the upper and lower dentition and sends them to the dental laboratory. Based on the impressions, the specialist makes a plaster model of the jaw.
2. Diagnosis and treatment plan

The doctor orders an x-ray (CT), digital or 3D image. They help to consider all the features of the position of the teeth and jaws.
3. Treatment plan and choice of braces

The orthodontist analyzes the collected data. Then he draws up several treatment plans. Together with the patient, the most suitable one is selected, taking into account clinical indications and the patient’s wishes regarding appearance and price.
4. Sanitation of the oral cavity

Before installing an orthodontic system, the patient must undergo treatment for dental and periodontal diseases, for example, caries, stone, pulpitis. It may also be necessary to replace old fillings or remove some units that cannot be treated.

Immediately before fixing the orthodontic structure, the doctor carries out professional cleaning.
5. Installation of bracket system

There are two installation protocols:
- Direct - the doctor assembles the structure in the patient’s mouth. Separately glues bracket plates and power guides to each unit.
- Indirect - makes the system on a plaster model of the jaw, then glues it to the teeth.
After installation, a series of activations will be required (correction of the arc tension force). The doctor schedules follow-up appointments, usually once a month or less.

After removing the brace system, the doctor installs permanent retainers (orthodontic splints) on the inner surface of the units. This is necessary to prevent the teeth from moving back to their original position. He may also prescribe clear, removable aligners.

The duration of use of the fastening structures is prescribed by the doctor.

Wearing and care

Medical recommendations for use:

Stop smoking for the entire period of wear Tobacco smoke and tar stimulate the proliferation of pathogenic bacteria. This leads to the rapid formation of caries and stone.
Do not eat hard, sticky, staining, cold/hot foods Such food will deteriorate the appearance or even lead to structural failure.
If the lock injures the mucous membrane, insulate it with protective wax.
Come to the orthodontist for regular examinations and activation of braces The frequency of appointments is prescribed by the doctor. Usually once every 4-6 weeks. It tightens the arches, replaces ligatures (rubber bands), which allows you to adjust the pressure.
Practice good oral hygieneBrush the units with a toothbrush and toothpaste 2 times a day. After eating, rinse your mouth with water or a special mouthwash. Clean the orthodontic structure with a brush.