What are metal braces and how do they work?
Metal braces are a fixed orthodontic appliance made up of metal brackets bonded to the surface of the teeth, connected by an orthodontic archwire and, depending on the system used, by elastic ligatures or self-ligating mechanisms. These components work together to guide the teeth into the correct position.
Treatment works by applying controlled, constant pressure to the teeth. Throughout treatment, the orthodontist carries out regular adjustments, fine-tuning the appliance and controlling the gradual movement of the teeth until a correct bite and a harmonious smile are achieved.
Types of metal braces
Depending on the particulars of each case, the orthodontist may recommend one of the following types of metal braces.
Classic fixed metal braces
Classic fixed metal braces use metal brackets and elastic ligatures to hold the archwire in place. They are an effective solution for a wide range of malocclusions and remain one of the most widely used options in orthodontics.
Self-ligating metal braces
This type of appliance uses brackets with a special mechanism that holds the archwire without elastic ligatures. In some cases, the system can reduce friction between components and offer greater comfort during treatment.
Metal braces with coloured elastics
For children and teenagers, metal braces can be personalised with coloured elastics, available in a wide range of colours. They do not affect the effectiveness of treatment and can be changed at every adjustment, letting you personalise your braces.
Metal braces or sapphire/ceramic — what is the difference?
Choosing the type of braces depends on the particulars of the case, aesthetic preferences and the orthodontist’s recommendation. All options aim for the same goal, correct alignment of the teeth, but they differ in appearance and characteristics.
| Criterion | Metal braces | Sapphire / ceramic braces |
| Visibility | More visible | Much more discreet, thanks to transparent or tooth-coloured brackets |
| Strength | Very high | High, although aesthetic brackets can be more delicate in certain situations |
| Cost | Generally more affordable | Usually higher because of the aesthetic materials |
| Treatment duration | Similar, depending on the complexity of the case | Similar, depending on the doctor’s indication |
| Recommended for | Patients who prioritise efficiency and strength | Patients who want the most discreet treatment possible |
Who can wear metal braces?
Metal braces are recommended for children and teenagers as well as adults. After the orthodontic consultation, the doctor decides whether this solution is the most suitable, depending on the type of malocclusion and the treatment goals.
Metal braces for children and teenagers
Metal braces are one of the most commonly used options for patients who are still growing. They can correct crowding, gaps between teeth and bite problems, and coloured elastics let the child or teenager personalise their braces.
Metal braces for adults
Orthodontic treatment can be started successfully in adulthood too. Metal braces are recommended even for complex orthodontic cases, offering predictable and effective results at any age.
Benefits of metal braces
High effectiveness in complex cases
Metal braces are suitable for treating a wide range of malocclusions, including complex orthodontic cases.
The most affordable type of fixed braces
Compared with other orthodontic options, metal braces are usually the most affordable solution in terms of cost.
High durability against impact and wear
Metal brackets are very strong and cope well with daily stresses throughout treatment.
Predictable results, proven over decades
Metal braces have been used in orthodontics for decades and remain one of the most effective and predictable ways to align teeth.
Personalisation with coloured elastics
For children and teenagers, the braces can be personalised with coloured elastics, which can be changed at every check-up without affecting the effectiveness of treatment.
Stages of treatment with metal braces
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Consultation and treatment plan
Treatment begins with the orthodontic consultation, clinical examination and the necessary investigations, on the basis of which the doctor establishes the diagnosis and the treatment plan.
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Fitting the braces
The brackets are bonded to the teeth and the archwire is placed to begin the controlled movement of the teeth.
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Regular check-ups and adjustments
Regular check-ups are needed during treatment, usually every 4-6 weeks, to monitor progress and adjust the appliance.
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Removing the braces
Once the desired result has been reached, the braces are removed and the doctor checks the final position of the teeth.
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Retention (the retainer)
To maintain the results achieved, wearing a retainer is recommended, as directed by your orthodontist.
How much do metal braces cost?
The cost of metal braces depends on the type of system chosen (classic or self-ligating), the complexity of the case and the estimated duration of treatment. During the orthodontic consultation, the doctor will present a personalised treatment plan and a transparent quote, tailored to your needs.
For orthodontic treatments, Giadent Smile also offers payment in instalments, to make treatment more affordable.
Why choose Giadent Smile for metal braces
At Giadent Smile, orthodontic treatment is tailored to each patient and aims for lasting functional and aesthetic results. From the first consultation to the end of treatment, you benefit from careful monitoring and a personalised treatment plan.
Specialist orthodontist (Dr. Bianu Oana)
Treatment is carried out by Dr. Bianu Oana, a specialist orthodontist, who establishes the diagnosis and recommends the best solution for the particulars of each case.
Personalised treatment plan after a digital assessment
Treatment begins with a complete assessment and the necessary investigations, on the basis of which a personalised plan is drawn up, tailored to the type of malocclusion and the patient’s goals.
Careful monitoring throughout treatment
Regular check-ups are scheduled during treatment to monitor progress, carry out adjustments and fine-tune the braces, so that results are predictable and stable.
Flexible payment in instalments
To make orthodontic treatment more affordable, Giadent Smile offers payment in instalments for eligible treatments.
Specialist orthodontist at Giadent Smile Sibiu
Dr. Bianu Oana
Specialist orthodontist
Frequently asked questions
At what age can metal braces be fitted?
Metal braces can be recommended for children and teenagers as well as adults. The best time to start treatment is decided by the orthodontist after the consultation and an assessment of dental development.
How long does treatment with metal braces take?
The duration of treatment varies depending on the complexity of the case and how the body responds to treatment. After the orthodontic consultation, your doctor will tell you the estimated duration.
Is it painful to wear metal braces?
Fitting the braces is not painful. In the first few days after fitting or after regular adjustments, you may feel mild discomfort or a sense of pressure, which usually goes away within a few days.
What is the difference between classic and self-ligating metal braces?
Classic metal braces use elastic ligatures to hold the archwire, while the self-ligating system has a built-in mechanism that holds the archwire without elastics. The choice is made according to the orthodontist’s recommendation and the particulars of each case.
Metal or sapphire braces — which is better for me?
Both options are effective. Metal braces are valued for their strength and affordability, while sapphire braces are preferred by patients who want a more discreet treatment. Your orthodontist will recommend the right solution for your needs.
Can I choose the colours of the elastics?
Yes. If you wear classic metal braces, you can choose from a wide range of elastic colours, which can be changed at every orthodontic check-up.
What am I not allowed to eat with metal braces?
It is best to avoid very hard, sticky or crunchy foods, which can damage the brackets or the archwire. Your doctor will give you a complete list of recommendations after your braces are fitted.
What should I do if a bracket comes off?
If a bracket comes off or you notice any problem with your braces, contact the clinic as soon as possible. Do not try to repair it yourself; your orthodontist will tell you whether an immediate appointment is needed.
How do I keep my teeth clean with metal braces?
Oral hygiene must be done carefully, using a suitable toothbrush, interdental brushes and, if needed, a water flosser. Regular check-ups and professional cleanings are important throughout treatment.
How is the cost of metal braces determined?
The cost depends on the type of braces (classic or self-ligating), the complexity of the case and the estimated duration of treatment. During the consultation you will receive a personalised treatment plan and a transparent quote.
