Do You Need to Replace Braces After Cavities? A Guide to Metal Braces - Dentistry

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Dear Doctor: If a patient develops cavities after getting a single arch orthodontic appliance, does it need to be replaced? Is the previous appliance no longer usable? Will a new one need to be installed? Could you please provide information on the types of metal braces and their costs? How long can various types typically be used by an average patient?

baw, 20~29 year old female. Ask Date: 2005/06/01

Dr. Liu Tiancai reply Dentistry


Hello: If you experience new cavities after getting braces, they usually occur at the edges of the dental appliance.
Ideally, after removing the braces, the cavities should be thoroughly cleaned and filled before making a new set of braces.
The old braces can be taken home as a keepsake.
Our clinic offers three types of metal braces, ranging from $5,000 to $9,500.
The lifespan of the braces is closely related to the material used and oral hygiene, typically lasting about 15 to 20 years.
Sincerely, Dr.
Liu Tian-Cai, Dentistry.

Reply Date: 2005/06/01

More Info


When it comes to dental braces, particularly metal braces, the occurrence of cavities can raise several concerns for patients. If you have developed cavities while wearing braces, it is essential to understand the implications for your orthodontic treatment and whether you need to replace your braces.

Firstly, if you have cavities while wearing braces, it does not necessarily mean that you need to replace your braces entirely. However, the approach to managing cavities will depend on the severity and location of the cavities. If the cavities are minor and can be treated with fillings, your orthodontist will likely recommend that you have the cavities treated by your dentist before continuing with your orthodontic treatment. This is crucial because untreated cavities can lead to further dental issues, including infections or more extensive decay, which could complicate your orthodontic treatment.

In cases where the cavities are extensive and have caused significant damage to the tooth structure, it may be necessary to remove the braces to allow for more comprehensive dental treatment. After treating the cavities, the orthodontist can then reapply the braces. It is important to note that the braces themselves are not "used up" or rendered ineffective by cavities; they can be reused after the necessary dental work is completed.

Regarding the types of metal braces, there are generally two main categories: traditional metal braces and self-ligating braces. Traditional metal braces consist of metal brackets that are glued to the teeth and connected by wires, which are tightened periodically to gradually move the teeth into the desired position. Self-ligating braces, on the other hand, use a specialized clip instead of elastic bands to hold the wire in place, which can reduce friction and may lead to shorter treatment times.

The cost of metal braces can vary widely depending on several factors, including the complexity of the case, the length of treatment, and the geographical location of the dental practice. On average, traditional metal braces can range from $3,000 to $7,000. Self-ligating braces may be slightly more expensive due to their advanced technology, typically costing between $4,000 and $8,000.

As for the duration of treatment, most patients will wear braces for about 18 to 24 months, although this can vary based on individual circumstances. Factors such as the severity of the dental issues being corrected, the patient's age, and adherence to the orthodontist's recommendations can all influence the length of time braces need to be worn.

In summary, if you develop cavities while wearing braces, consult both your orthodontist and dentist to determine the best course of action. Treatment of cavities is crucial to maintaining oral health and ensuring the success of your orthodontic treatment. The braces themselves may not need to be replaced unless significant dental work is required. Understanding the types of braces available and their associated costs can also help you make informed decisions about your orthodontic care. Always prioritize regular dental check-ups and maintain good oral hygiene to minimize the risk of cavities during orthodontic treatment.

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