Fixed appliances

Slight misalignment could be treated with removable devices. In case of massive tooth misalignment, a late treatment start or further special indications, fixed braces are used.

White or metal platelets, so-called „brackets“, are glued to the teeth through which an archwire is drawn. This wire has a certain pre-stress in the form of an „ideal arch“, which smoothly and continuously corrects the tooth position. The duration of the treatment is often shorter due to the constant wearing, as well as the speech is considerably less hindered, since the internal space of the mouth is mostly free.

Some adults are afraid of fixed braces because they believe their appearance changes. Dr. Scherngell has made the main part of his orthodontic training in the USA and has experienced that tooth braces almost became a status symbol. There the manager carries the brackets as well as the school child or the teenager. In the USA the fixed appliance is so „in“ that even in the last years even colorful or golden brackets came onto the market.

„Celebrities“ with brackets

Compared to countries like Sweden, Norway or the U.S., there still exists a prevailing view in Austria that considers the wearing of braces a flaw. There are quite a few patients who would like to have their teeth regulated, but refuse treatment, because they are afraid of being ostracized. But as soon as these patients have started their therapy, they notice that they are not the only ones wearing braces. Also in this country, one starts to notice a trend toward wearing braces and more and more adults choose the treatment with fixed braces.

When a decision for orthodontic treatment has to be made, one should first consider the health of the teeth and their aesthetics, the health of the chewing apparatus and finally of the entire organism and not whether one can expect social acceptance during the duration of the treatment.