Correction of the dentition and occlusion with the help of bracket systems remains popular, despite the emerging new technologies. What are the advantages of this method? Relative accessibility, predictable results, a high degree of people's trust. In addition, with the advent of snow-white ceramic systems, the aesthetic component of the treatment has significantly increased.
But wearing a bracket system can deliver a lot of unpleasant moments. For example, in most patients, the locks come off at least once during treatment. When this happens for the first time, the patient panics. He does not know what to do if the bracket is peeled off, and why it happened.
What to do when the lock comes off?
There are not so many options that can be taken in a situation with a detached bracket. It is important to keep the bracket intact and as soon as possible to come to your doctor so that he puts the lock in place.
If the peeled lock was located on one of the extreme teeth, it can simply be removed. If the tooth is in the middle of the dentition, then remove the bracket on your own will not work.
If the braces are metal, most likely, there will be no problems with gluing the old bracket - they are quite strong and usually do not break.
The now popular ceramic braces are many times more fragile and can break. Then you have to buy a new bracket and stick it already. Such a need will be reported by the doctor, and, as a rule, you can buy a new lock from him.
A problem with the system can occur even when the orthodontist is not in the city, he is on vacation, on a business trip or somewhere else. What to do in this case? First of all, you need to contact the clinic to find out about the date of return of the attending physician. About a week you can walk without a bracket, so if time allows, you can wait. If the orthodontist will not be too long, then most likely there is a doctor in the clinic who is able to replace him and make a brace. If this option is not possible, you should try to sign up to the orthodontist in another clinic.
What can be caused by peeling of locks
So why are the braces peeling off? There may be several reasons for this:
- the lock was originally glued incorrectly;
- something tough was eaten;
- aggressive brushing triggered the unsticking;
- the lock was glued to the crown;
- body features.
Read more about the last paragraph. Each organism in this world is unique, and not one, even the best, doctor can predict 100% how the teeth will behave after installing braces. How fast they will move, how often and very ill, whether they will peel off - you can only guess about the answers to all these questions.
Therefore, the reason why the bracket is constantly peeling off can be surprisingly simple - this is how the body reacts to a foreign body.
In addition, the teeth may have little space in the mouth, braces can bump into each other, contact with each other. All this can also entail peeling braces.
Often braces are set not on a โcleanโ tooth, but on the crown. This is not prohibited, sometimes orthopedists even put a crown specifically for the treatment of the bracket system. But the bracket may not hold as well on the crown as on the tooth. This is due to the fact that the glue on which the lock is put in contact with artificial material worse, therefore, locks from crowns peel off more often. This situation is no different from any other, and the patient has no choice but to visit his orthodontist.
The lock came off immediately after installation
If the braces come off within a couple of days after their installation, then the problem is with the actions of the orthodontist.
The fact is that the lock is not glued to the "bare" tooth, but to the filling material. To stick it evenly and firmly, the tooth surface is dried from saliva. If, despite all the efforts of the doctor, the tooth is not perfectly dry, the braces may begin to peel off on the same day. This is an ordinary situation, the lock is stuck in place, and payment for gluing is usually not taken.
The lock comes off after brushing your teeth
Bracket treatment requires thorough hygiene. For patients, brushing their teeth 3-4 times a day is commonplace, because they need to clean their mouth after each meal. In addition, most people use irrigators during this period. If you overdo it with pressure on the teeth, the braces may begin to peel off. To avoid this, cleaning should be done with gentle movements, and for the irrigator, set the optimal water pressure.
The castle came off after eating
The most common reason braces are peeled off is because food restrictions are not respected. The lock is glued to glue, which can not withstand excessive loads caused by hard food.
What you will have to limit yourself so as not to provoke the removal of braces:
- nuts, including chocolate with them;
- tough meat;
- hard fruits, for example, itโs definitely not worth biting into an apple, it is better to cut it into pieces;
- hard vegetables such as carrots, cucumbers;
- crackers;
- other products that turn out to be too hard.
Meanwhile, during the treatment, you can not deny yourself the usual products. Meat, vegetables, fruits should be cut into pieces and quietly eat. Even nuts can be chopped and not worry that the locks come loose.
The bracket on the last tooth peeled off: what to do
In this situation, some patients start to panic. They do not know what to do if the bracket on the last tooth comes off. This situation is not uncommon, because people chew it with their back teeth. The danger here is that the lock can easily fly off the arc and be swallowed.
Fortunately, usually the bracket carrier feels the moment when the lock begins to peel off. What to do if the last bracket comes off? The main thing here is to catch him and bring him to the doctor as soon as possible safe and sound.
If it was not possible to catch, you will have to purchase a new one. Otherwise, the situation in which the last bracket was peeled off was completely regular, not different from others. It is not worth worrying about a swallowed bracket, it will leave the body after one day. The most important thing is not to choke on them.
What to do if the castle comes loose on vacation
No one is safe from trouble on vacation. What to do if the braces come off, and the doctor, and the clinic itself, is far away? The best option is to contact your orthodontist. As a rule, doctors understand that force majeure is possible, and leave their personal contacts to patients.
An orthodontist can recommend a clinic on the spot, since doctors are closely familiar with each other, or offer another solution to the problem.
How braces attach back
To stick the peeled lock in place, you have to disassemble the entire structure: remove all arcs, ligatures. After that, the tooth is cleaned, dried, filling material is applied and the bracket is glued, just like the first time. After that, install the rest of the system back. The whole procedure takes about ten minutes.
Typically, clinics install several preferential brackets for which no money is taken. As a rule, these are 3-4 visits for the entire duration of treatment. This is enough for unforeseen circumstances. If the patient does not follow the doctorโs instructions, eats hard foods, then the number of stickers will increase, and you will have to pay for them. The amount is set small and serves as a discipline for the patient.
Some patients practice sticking braces at home. Orthodontists treat this differently: some encourage, and some react extremely negatively. Before making a decision on self-gluing, it is better to find out the opinion of the attending physician about this. As practice shows, there are more negatively tuned orthodontists.
If, nevertheless, a decision has been made to stick braces at home, you need to follow a few rules:
- brush your teeth thoroughly;
- dry the tooth from saliva;
- Use only clean materials.
It will be better if the procedure and the correct position of the bracket will be demonstrated by the orthodontist in advance.
What braces come off more often than others
There is an opinion that the frequency with which the locks come off depends on their material. As mentioned above, now mainly ceramic and metal braces are used. Dentists convince that there is no such dependence, but reviews of people who wore braces indicate that ceramics come off a little more often than metal.
What do dentists recommend
Orthodontists are unanimous in their recommendations: if the patient has had the bracket peeled off, then he needs to visit his doctor immediately. The valid period that can be passed without a bracket is a week. The teeth move constantly and changes can be difficult to fix.
In recommendations on how to prevent the structure from peeling off, orthodontists also unanimously declare: the main thing is to observe a sparing mode of eating, avoiding solid and hard foods.
Treatment with bracket systems, like any other treatment, requires strict adherence to the doctor's recommendations. If the braces come off, regardless of the reasons why this happened, you need to contact your orthodontist as soon as possible in order to stick them back. Any delay can increase the duration of treatment, which is already quite impressive.