Metal Braces

When it comes to orthodontic treatment, metal braces have been the gold standard for decades. These traditional braces use a system of brackets and wires to correct various dental issues, from crowded teeth to severe malocclusions. Though newer options like clear orthodontic aligners have become popular, metal dental braces remain a reliable choice for people of all ages—especially those with more complex alignment needs.

In this article, we’ll dive into how metal braces work, what conditions they treat, and why they continue to be a trusted solution for dental realignment.

How Metal Braces Work

Metal braces are composed of several key components:

  • Stainless steel brackets that bond directly to the teeth
  • Archwires that connect the brackets and apply pressure to shift teeth
  • Ligatures (elastic ties) that secure the archwires to the brackets
  • Molar bands for additional support on the back teeth
  • Elastics (rubber bands) to adjust the alignment of the bite

Once the brackets are bonded to the teeth, the orthodontist adjusts the archwires during regular appointments to guide the teeth into their ideal position. Over time, the teeth straightening process results in better alignment and improved oral health.

Different Types of Braces

While traditional metal braces are the most well-known option, there are a few variations that cater to different needs:

  • Self-ligating braces: These use clips instead of elastic ties, reducing friction and making adjustments easier.
  • Lingual braces: These are placed behind the teeth, making them nearly invisible from the front.
  • Ceramic braces: These feature clear or tooth-colored brackets, blending in with the teeth but still utilizing metal wires.
  • Damon braces: A type of self-ligating system that requires fewer adjustments.

Each type offers its own advantages, but metal braces are generally the most durable and effective, especially for more severe malocclusion treatments.

What Conditions Do Metal Braces Treat?

Metal braces are highly effective at correcting a wide range of orthodontic issues, including:

  • Overbite correction
  • Underbite correction
  • Crossbite correction
  • Crowded teeth
  • Gapped teeth
  • Misaligned teeth
  • Open bite treatment
  • Complex malocclusion cases

Because metal braces allow for precise tooth movement, they are often the preferred choice for complex or severe alignment problems. Additionally, they are suitable for both pediatric orthodontics and adult orthodontics.

The Treatment Process and Duration

The journey with metal braces begins with an initial orthodontist consultation, where a detailed treatment plan is created. During the first appointment, the orthodontist bonds the brackets to the teeth and threads the archwire through the brackets. Patients will need to visit their orthodontist regularly—usually every 4 to 6 weeks—for adjustment appointments. These visits ensure that the wires are tightened or repositioned to keep the teeth moving in the right direction.

Depending on the complexity of the case, the treatment duration for metal braces typically ranges from 18 to 36 months. After the braces are removed, patients must wear retainers to maintain their new alignment and prevent teeth from shifting.

Caring for Metal Braces

Proper care and maintenance of braces are essential for successful treatment. Patients should follow these tips:

  • Stick to a braces-friendly diet, avoiding hard, sticky, or chewy foods that could damage the brackets or wires.
  • Use specialized braces cleaning tools like interdental brushes and floss threaders to clean between teeth and around brackets.
  • Apply orthodontic wax to any areas that cause irritation inside the mouth.
  • Wear a dental mouthguard when playing sports to protect the braces.

Keeping up with oral hygiene is essential during treatment to avoid plaque buildup and tooth decay around the brackets.

Pain Management and Adjustments

It’s normal to experience some discomfort after each orthodontic tightening. This soreness typically lasts a few days and can be managed with over-the-counter pain relief, such as ibuprofen. Orthodontic wax can also help alleviate irritation caused by brackets and wires rubbing against the cheeks or gums.

Additionally, many patients need to wear elastics (rubber bands) during treatment. These are hooked onto the brackets to improve the alignment of the bite. Though they may be inconvenient at times, wearing these braces elastics as instructed is crucial to achieving the best results.

Metal Braces vs. Other Orthodontic Options

While clear aligners like Invisalign offer a more discreet approach, metal braces still hold several advantages:

  • Effective for complex cases: Metal braces can handle severe bite correction and difficult malocclusions.
  • Durable and reliable: Stainless steel brackets are less likely to break compared to clear aligners or ceramic braces.
  • Lower cost: Metal braces are often more affordable than other orthodontic options.
  • No discipline required: Unlike clear aligners, metal braces remain in place, eliminating the need for patients to remember to wear them.

Many orthodontists recommend metal braces over other options when the case is complicated or when patient compliance is a concern.



Metal braces remain a trusted, effective solution for those seeking teeth straightening and bite correction. With their durable stainless steel brackets and precise tooth movement capabilities, they are well-suited for both simple and complex orthodontic cases.

Though alternatives like clear aligners offer convenience, metal braces excel in providing reliable results that stand the test of time. Whether you’re considering pediatric orthodontics or adult treatment, consulting with an orthodontist can help you determine the best path to a healthier, aligned smile. Investing in metal braces today will ensure you enjoy the benefits of a beautiful, functional smile for years to come.