Self-Ligating Braces vs. Traditional Braces: Understanding Your Orthodontic Options

Self ligating braces vs traditional braces

Self-Ligating Braces vs. Traditional Braces: Understanding Your Orthodontic Options

Self-Ligating Braces vs. Traditional Braces: Understanding Your Orthodontic Options

By Island Hospital | July 8, 2024 12:00:00 PM

Medical Reviewer: Dr Chang Chiew Sinn, Orthodontist

When it comes to straightening teeth and correcting bite issues, braces are a common and effective orthodontic treatment.

Whilst traditional braces have been used for decades, a newer type called self-ligating braces has gained popularity in recent years.

In this article, we will dive into the world of self-ligating braces, exploring their differences from traditional braces, pros and cons, potential risks, installation procedures, who should consider getting them, and the associated costs.

What Are Traditional Braces?

Traditional braces are the most common type of orthodontic treatment. They comprise small metal or ceramic brackets attached to the front surface of each tooth.

Then, an archwire runs through the brackets and is secured in place using elastic or metal ties called ligatures. These ligatures apply gentle but consistent pressure to your teeth and gradually reposition them over time.

Adjustments are made periodically by tightening or repositioning the archwire to maintain the necessary tension and guide the teeth into their correct positions.

What Are Self-Ligating Braces?

Self-ligating braces are a more advanced orthodontic appliance that uses a specialised bracket system with a built-in clip or door to secure the archwire.

Unlike traditional braces, self-ligating braces eliminate the need for separate ligatures, thus improving the treatment efficiency and enhancing patient experience.

There are 2 distinct types of self-ligating braces, each catering to different orthodontic needs:

a) Active self-ligating braces

  • Feature a spring clip that actively presses against the archwire, exerting an active force to facilitate tooth movement.
  • Suitable for more complex cases that require targeted and precise tooth repositioning.

b) Passive self-ligating braces

  • Utilise a sliding mechanism that allows the archwire to move freely through the brackets, reducing friction and discomfort.
  • Preferred for milder cases where gentle tooth alignment is desired, offering a more comfortable and low-friction treatment experience.

Self-Ligating Braces vs Traditional Braces: What’s Their Differences?

The table below summarises the primary differences between self-ligating and traditional braces.

Self-Ligating Braces

Traditional Braces

  • Uses a specialised bracket system with a built-in clip or door to secure the archwire.

  • 2 types:
    - Active: Suitable for complex cases.
    - Passive: Suitable for milder cases.

  • Higher treatment efficiency.

  • Better patient experience.
  • Employs separate ligatures to hold the archwire.

  • 1 type suitable for all cases.

  • Standard treatment efficiency.

  • Standard patient experience.
  • Pros and Cons of Self-Ligating Braces

    In this section, we’ll discuss the pros and cons of self-ligating braces, when compared to traditional braces.

    On the positive side, self-ligating braces boast several compelling advantages.

    Firstly, their innovative design, which allows the archwire to slide freely through the brackets, translates into time-saving benefits.

    With fewer appointments required and faster teeth alignment due to reduced friction, these braces can shorten the overall duration of your orthodontic treatment compared to traditional braces.

    Furthermore, some patients report increased comfort with self-ligating braces due to the absence of traditional ligatures.

    At the same time, this design feature also promotes improved oral hygiene, as there are no ligatures to trap food particles, making your daily oral care routine more manageable.

    However, don’t forget to consider the potential drawbacks of self-ligating braces as well.

    One notable consideration is the generally higher cost associated with self-ligating braces compared to traditional options. This increased expense may be a deciding factor for those on a tight budget.

    On the other hand, self-ligating braces often offer limited options for customisation or bracket colour choices compared to traditional options. This may be a concern for those who value personalisation and aesthetics.

    Refer to the table below for the summarised pros and cons of self-ligating braces compared to traditional braces.

    Pros

    Cons

  • Time-saving

  • Increased comfort

  • Improved oral hygiene
  • Higher cost

  • Limited options for customisation or bracket colour choices
  • Since both types of braces have their pros and cons, it is vital to consider which option is right for you. Consult a qualified orthodontist if you have any concerns or are unsure about their suitability.

    At Island Hospital‘s Dental Department, our experienced dental professionals are committed to providing personalised guidance and tailored dental treatment plans.

    Visit us today and let us help you make an informed decision about achieving your dream smile in the most comfortable and effective way possible!

    Risks of Self-Ligating Braces

    While self-ligating braces are generally considered safe, there are some potential risks and complications associated with their use that you should bear in mind:

    1. Root Resorption

    Like traditional braces, self-ligating braces may cause root resorption (shortening or damage to the tooth roots) if excessive force is applied or if the treatment is prolonged.

    2. Bracket Breakage or Malfunction

    The complex design of self-ligating brackets may increase the risk of breakage or malfunction, which can delay your treatment progress and require additional appointments for repairs or adjustments.

    3. Tooth Discolouration

    Prolonged use of metal braces, including self-ligating braces, can cause yellowish or brownish discolouration or staining, especially around the bracket areas.

    One of the most common causes of this situation is plaque and tartar deposits adhering to teeth due to the difficulty of cleaning them after installing braces.

    4. Gum Irritation and Inflammation

    As with any type of braces, self-ligating braces can cause gum irritation or inflammation if proper oral hygiene is not practised or if the brackets rub against the gum tissue.

    5. Allergic Reactions

    Although rare, some patients may experience allergic reactions to the materials used in self-ligating braces, such as nickel or other metal alloys.

    6. Tooth Decay

    Food particles can be trapped in any type of braces, causing plaques to build up and elevating the risk of tooth decay.


    Concerned about tooth discolouration but don’t know what to do? Check out this article on teeth whitening for more insights!


    Procedure of Installing Self-Ligating Braces

    Achieving a beautiful, straight smile with self-ligating braces involves a comprehensive process that begins well before the braces are placed on your teeth.

    To help you prepare for this transformative experience, let’s take a closer look at the procedure of installing self-ligating braces.

    Developing Treatment Plan

    Before installing braces, your orthodontist will thoroughly examine your dental health and develop a personalised treatment plan.

    This may involve taking dental impressions, X-rays, and photographs to gain a comprehensive understanding of your unique orthodontic needs.

    During this preparatory phase, your orthodontist will discuss your treatment goals, expectations, and any potential concerns you may have.

    You will also receive detailed instructions on the ways to care for your braces and what to expect during the installation process.

    Preparation Before Installing Braces

    After confirming your treatment plan, you will be asked to receive a professional teeth cleaning service before installing the braces.

    This ensures a clean slate for your orthodontic treatment and helps address potential dental issues that may require attention before proceeding.

    During the teeth cleaning process, your dental professional will thoroughly remove any plaque, tartar, and other buildup from the surfaces of your teeth and along the gumline.

    By eliminating existing buildup, you reduce the risk of developing dental issues such as gum inflammation, tooth decay, or other oral health concerns during your treatment with self-ligating braces.

    In addition to the cleaning itself, your dental professional will also perform a comprehensive examination of your teeth and gums to identify any existing dental problems before installing self-ligating braces.

    Conditions such as cavities, gum disease, or other oral health issues should be treated first to ensure a smooth and successful orthodontic experience.


    Want to ensure your teeth are in the best possible condition before beginning your orthodontic journey? Check out our in-depth guide on teeth scaling for more valuable insights!


    Installation Process

    Now, we have come to the installation process. Typically, self-ligating braces can be installed in a single appointment.

    Here’s what you can expect:

    1. Your orthodontist begins by cleaning and drying your teeth to ensure proper bracket adhesion, followed by applying a special bonding agent to each tooth’s surface.
    2. Then, your orthodontist places each self-ligating bracket onto your teeth, using specialised dental adhesive to secure them in place.
    3. Once the brackets are securely in place, your orthodontist threads the archwire through the self-ligating clips or doors. This wire applies gentle, consistent pressure to guide your teeth into their desired positions over time.
    4. Throughout the installation process, your orthodontist makes necessary adjustments to ensure proper fit and maximum comfort.

    Aftercare

    After your self-ligating braces are installed, your orthodontist will guide you on caring for your new braces and managing any potential discomfort or soreness that may arise in the initial stages.

    To ensure a successful treatment process, it is crucial to follow your orthodontist’s aftercare instructions, which may include:

    1. Dietary Restrictions

    Your orthodontist may recommend avoiding certain foods, such as hard, sticky, or chewy ones, that could potentially damage or dislodge your braces.

    2. Oral Hygiene

    Maintaining excellent oral hygiene is imperative during orthodontic treatment.

    Your orthodontist will guide you on the proper brushing, flossing, and use of an interdental cleaner to keep your teeth and braces clean.

    3. Managing Discomfort

    Your orthodontist may recommend over-the-counter pain medication or provide wax to alleviate any discomfort or irritation caused by the braces during the initial adjustment period.

    4. Periodic Adjustments

    Regular visits to your orthodontist are required to monitor progress and make necessary braces adjustments.

    Now, by understanding each step of the self-ligating braces installation procedure and following your orthodontist’s instructions, you can navigate your orthodontic journey with confidence and ease.

    Who Should Get Self-Ligating Braces?

    Self-ligating braces can be a suitable option for many patients seeking orthodontic treatment, but they may be particularly beneficial in certain cases:

    1. Patients with Crowding or Severe Misalignment

    Due to their potential for faster tooth movement, self-ligating braces can be effective in treating crowding or severe misalignment of teeth.

    2. Patients with Limited Treatment Time

    If you have a limited timeframe for orthodontic treatment, self-ligating braces are a good choice, as they can reduce the overall treatment duration.

    3. Patients Seeking Increased Comfort

    Some patients find self-ligating braces more comfortable than traditional braces, as there are no ligatures rubbing against the inside of their cheeks or lips.

    4. Patients with Allergies

    If you have known allergies to certain metals or materials used in traditional braces, self-ligating braces may provide an alternative option with different materials.

    Still unsure whether self-ligating braces are the right choice for you?

    Consult our orthodontic specialists at Island Hospital today! We will help you make the right decision that leaves you with a beautiful and confident smile.

    Cost of Self-Ligating Braces in Malaysia

    Generally, self-ligating braces tend to be more expensive than traditional metal braces due to their advanced design and technology.

    In Malaysia, the approximate cost for self-ligating braces can range from RM7,000 to RM12,000 or more, with the actual cost varying based on several factors.

    The orthodontist’s experience, the case’s complexity and the clinic’s location all play a crucial role in determining the final cost. Any additional procedures or treatments required can further impact the overall expenses too.

    Thus, it is highly recommended to consult with multiple orthodontists to ensure you have a clear understanding of the costs involved and can make an informed decision based on your specific needs and financial situation.


    Considering braces but unsure about the financial commitment? Our comprehensive guide on the cost of different braces in Malaysia has all the details you need!


    Schedule an Orthodontic Appointment with Island Hospital Today!

    Ultimately, both self-ligating and traditional braces are effective orthodontic treatments that can give you a straighter, more confident smile.

    However, no matter which option you choose, a reputable and skilled orthodontist is vital to achieving the best results.

    At Island Hospital, our Dental Department is dedicated to providing exceptional orthodontic treatments, utilising cutting-edge technology and a team of highly skilled dental professionals.

    This commitment to excellence has earned us recognition as the finalist for Malaysia’s Flagship Medical Tourism Hospital Programme and a place on Newsweek’s lists of World’s Best Hospitals 2024.

    Ready to embark on your journey towards your dream smile?

    Schedule a consultation with us today! Our experienced orthodontists will develop a personalised treatment plan that is aligned with your unique needs and goals.

    Don’t plan to take the leap into braces?

    No problem! We also provide other dental packages, including teeth whitening and dental screening services. Whether you’re seeking a dazzling smile or preventive care, our team is here to support you every step of the way.

    Should you have any inquiries, feel free to contact us.

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    FAQ

    How much faster are self-ligating braces compared to other braces types?

    Self-ligating braces are often claimed to work faster than traditional braces, but the difference in treatment time can vary.

    Some studies suggest that self-ligating braces may shave a few months of the total treatment time, while others find no significant difference. Hence, the potential time savings depend on the case’s specifics and the type of self-ligating braces used.

    What conditions do self-ligating braces treat?

    Like other types of braces, self-ligating braces can be used to treat a variety of orthodontic issues, including:

    • Crowded teeth
    • Gaps between teeth
    • Overbite
    • Underbite
    • Crossbite
    • Open bite
    • Misaligned teeth and jaws

    What material are self-ligating braces made of?

    Self-ligating braces can be made from different materials, but common options include:

    • Stainless steel
    • Ceramic/Porcelain/Plastic (for clear/tooth-coloured braces)
    • Nickel-titanium alloy wires & Stainless steel wires

    Although rare, some patients may experience allergic reactions to these materials.

    Hence, it is crucial to inform your orthodontist about any known allergies or sensitivities you may have to certain metals or materials so that they can recommend hypoallergenic options to ensure a safe and comfortable treatment.

    Are self-ligating braces painful?

    Like traditional braces, self-ligating braces can cause some temporary discomfort and soreness, especially right after tightening appointments.

    However, many patients report that self-ligating braces are slightly more comfortable than traditional braces due to less friction and pressure on the teeth.

    How often should I visit my orthodontist if I wear self-ligating braces?

    The frequency of orthodontic visits is usually the same for self-ligating braces as for traditional braces.

    Most patients need to visit their orthodontist every 4-8 weeks for adjustments and monitoring of their treatment progress.

    Will clear self-ligating braces stain over time?

    Yes, clear or tooth-coloured ceramic self-ligating braces may become discoloured or stained over time, especially if the patient consumes staining foods and beverages like coffee, tea, red wine, or curry.

    Hence, practising proper oral hygiene and avoiding staining agents as much as possible will be helpful to prevent or minimise discolouration.



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