Fixed Braces

Fixed braces (otherwise known by younger children as train tracks) is the traditional method of orthodontic treatment.

To undergo orthodontic treatment here at Lancashire Dental, you would be required to attend a treatment consultation. On this appointment a treatment plan will be created. It may be at this stage where a removable brace may be made and worn before the fixed brace is put on. To have a fixed brace, oral hygiene must be very good, therefore brushing regularly is essential.

For some orthodontic treatment, it may be that you need a tooth extracting in order to make room for the movement of the other teeth in your mouth to get the desired position.

A fixed brace consists of brackets which are stuck onto the teeth using glue. The brackets do not do any of the work, and are only there to hold the wires in place. Wires are then put through the brackets – the wires are the most important part of your fixed appliance. You will then be booked in with six weekly appointments where you teeth movement and oral hygiene are monitored. Wires are changed at these visits, and the further into treatment you are, the stronger the wires will be.

Length of fixed treatment will vary and can be anything from 6 to 24 months, depending on the complexity of the treatment. During your orthodontic treatment with Lancashire Dental, you will see one of our in house Orthodontic therapists, who work under the instruction of our specialist orthodontist, Mr. S. Matterson.

Care instructions for fixed braces

We have put together the following  list to help with the ongoing care of your Orthodontic appliance. It is important that you read and follow the advice from the dental team and that written on this sheet. If you have any questions regarding your treatment or the care of your appliance, please don’t hesitate to ask one of the team.

For more information on Invisalign treatment, book an appointment and speak to our specialist dentist.

 Fixed Braces

Brush Types

V-Shaped Brush – This brush is used to clean the brackets by using circular motions around each individual bracket. You should start at one point in your mouth and continue all the way round with this technique.

Interdental Brush – This brush is used to clean in between the gaps of your teeth. It can also be used to remove any debris off the wires of your brace.

Your normal toothbrush – If your normal toothbrush is electric, we sell specialist Orthodontic heads to ensure correct brushing whilst wearing your orthodontic appliance. If you usually use a manual toothbrush, ensure the correct technique is followed and that all three surfaces of the teeth are cleaned. Small circular motions should be carried out when brushing, so that all points of the tooth and gum junctions are covered.

Brushing must take place at least 3-4 times daily. In the morning after breakfast and in the evening before bed, all the above mentioned brushes should be used. A fold away brush is available for brushing ‘on the go’ such as when at school or work.Insufficient brushing could lead to permanent decalcification (white marks) on your teeth. There is no treatment to reverse this process, therefore it is extremely important to look after your oral hygiene during your Orthodontic treatment.

Disclosing tablets

We recommend disclosing tablets are used 1-3 times weekly and that you use them after brushing your teeth. Disclosing tablets will show which areas you are missing, and make you more aware of which areas require extra attention. The disclosing tablets are in the Orthodontic pack and are also available to buy separately at reception.


A sample of mouthwash is available in your orthodontic care pack. We recommend a regular alcohol free Fluoride mouthwash. Regular use of mouthwash will help to reduce the effects of plaque and acid.


The best drinks for your teeth are milk and water. If you enjoy lots of fizzy or fruit drinks then there is a high risk of tooth decay and erosion. Limiting these types of drinks to a sensible amount and meal times will reduce this risk. Where possible we would always advise patients to drink water.


Whilst we would advise a well-balanced healthy diet, we are aware that many people enjoy a sweet treat from time to time. These should be limited to a sensible amount and meal times and teeth should always be brushed well afterwards.

The way you eat your food will need to alter whilst wearing braces, for example you will no longer be able to bite straight into an apple or sandwich. Your braces need to be treated with care whilst you eat, this may mean cutting food into smaller pieces. Be sensible about the way you eat, place food to the back of your mouth so that your molar teeth do most of the work. This will decrease the chance of any damage occurring.

The ‘Banned’ List

We recommend that the following foods are avoided (even if they are sugar free);

  • Chewy sweets
  • Hard boiled sweets
  • Chewing gum

All of the above foods are highly likely to cause damage to your orthodontic appliance.


In your orthodontic pack, you will find some wax. This is there to place over the brackets to help reduce the amount of soreness occurring from the brackets rubbing on your lips. Eventually your lips will toughen up and you may not need to use the wax. You can also use the wax in the event of a wire coming away to provide relief until we can see you at the practice.

If your appliance breaks it is very important that you call the practice straight away. Do not wait until your next appointment as this could set back progress. Once we have checked your records we will be able to advise you whether it is necessary for you to come in to be seen sooner.


This is to be expected in the beginning and will usually only last a few days. Pain killers can be taken if necessary. Instructions for painkillers should always be followed carefully.

Talk to one of our team members today about the right orthodontic treatment for you by calling us on 01254 51579 or e-mailing info@lancashiredental.co.uk

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