Dr. Mark Burbey, Orthodontist
As mentioned before, each patient has a different treatment plan. Some patients require space maintainers or a RME (Rapid Maxillary Expander) appliance along with their braces. These appliances require slightly more work because bands are fit specifically to the patient’s teeth, an impression is taken and the appliance is made on the same day at Burbey Orthodontics. Dr. Burbey has a lab in the building where these devices are made in order to save time for the patient.
STEP 2: The next step is to place the brackets. Cheek retractors are placed to keep the cheeks and lips away from the teeth to keep them dry. This is important because some of the glue Dr. Burbey uses to place brackets requires a dry surface in order to stick. Once the cheek retractors are in place, a liquid is painted onto the tooth surface and let sit for one minute. This etching liquid prepares the tooth surface for the bracket to better stick to the tooth. A special light is used as a catalyst on each bracket after it is placed, which starts the chemical reaction and creates a solid bond between the tooth and the bracket. This entire process takes some time because Dr. Burbey hand places all of the brackets to make sure they are exactly where they are needed.
STEP 3: Once all of the bands and brackets are glued onto the teeth, it is time to put in arch wires. Dr. Burbey indicates in the treatment plan whether a whole wire or a sectional wire will be used. The arch wires are tied into the brackets using ligature wires to hold the larger wires in place. When this is completed, the patient is able to choose colored elastics to be placed onto each bracket.
Instructions and directions are then given and you are done. As always, please ask us any questions you have before or after the braces are placed!