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At one time, patients who needed orthodontic braces had only one choice: plain silver-colored metal that covered the outsides of the teeth and spawned the nickname "tin grin." However, thanks to advancements in dental technology, braces now are available in several styles and materials, giving patients more choices than ever for customizing their orthodontic care and for feeling more attractive. And patients who feel attractive, despite wearing braces, usually are more compliant with their treatment, say orthodontists. The newer braces are less noticeable than those in the past. Brackets - the parts that hold the wires – usually are bonded to the front of the teeth, although in some cases they may be put on the backs of the teeth. The brackets may be gold or silver metal, clear or tooth-colored. Modern wires, made of "space-age" materials, exert a steady, gentle pressure on the teeth during the tooth-moving process. The wires, also less noticeable than their predecessors, can be designed with custom colors. Text Continues Below

While some patients still prefer basic silver braces, others opt for braces of bright gold-colored metal, or they can choose custom colors that can be changed by having one's orthodontist change the wires. (Retainers, usually worn for a year or longer after braces are removed, also can be made in color). Some patients prefer transparent tooth-colored braces, while others who want to have their teeth straightened without traditional braces may opt for "invisible" ones. This product, called Invisalign, involves placing a series of invisible liners on the inside of the teeth instead of the outside, where they would show. The use of computer-guided digital imaging helps the orthodontist place the liners correctly. The Invisalign method has been found to work best in people who have minimal crowding or spacing of front teeth and have no missing or severely-tipped teeth. Even then, Invisalign does not correct all bite or jaw problems, so orthodontists sometimes prescribe follow-up Invisalign therapy with a brief period of traditional braces. The liners, invisible to others, can be removed for eating and cleaning. CITATIONS American Journal of Orthodontics and Dentofacial Orthopedics (AJO) from 1988 to the present - (www2.us.elsevierhealth.com) Web site of William J. Trepp, DDS., PA – Allentown, PA - (http://www.orthodontics.org/) American Dental Association – (http://www.ada.org) American Association of Orthodontists - (http://www.orthodontics.org/)
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