There are several types of orthodontic appliances that are “fixed” or bonded to the teeth. With these types of appliances patient cooperation is much less of a factor compared to removable appliances. These appliances control the amount and direction of force applied to the teeth much more precisely than a removable appliance.
Fixed appliances can be used to accomplish simple tooth movement or they may be used to correct more complicated functional discrepancies in how the upper and lower jaws relate. The latter type of fixed appliance is called an orthopedic appliance.
Because these appliances are always in the mouth they are considered to be much more predictable and reliable appliances as compared to removable appliances. This is a significant advantage in your treatment.
When a fixed appliance is first inserted in the mouth some mild to moderate discomfort should be expected for a few days. Speech problems may also be encountered during this first few days.
As mentioned above, cooperation is much less a factor with fixed appliances. However, it is still very important to follow Dr. Boyd's instructions on the use of your appliance. Because it is always attached to your teeth, cleaning your teeth and appliance become more important. Also, if your appliance has a screw to be turned, make sure you follow the directions on turning the screw exactly as given.
If your appliance becomes loose or a part breaks, it will need to be rebonded or repaired. Do not try to adjust your appliance yourself or bend any of the parts. Please refer to the web page on “emergencies” and call Dr. Boyd.
Below are several examples of fixed appliances Dr. Boyd may use.
