An orthodontic elastic is a small rubber band that facilitates the adjustment of teeth by exerting specific pressure or tension. Orthodontic elastics are connected to the orthodontic brackets on the maxilla and mandible or their anterior or posterior segments to rectify the alignment between the two jaws and improve orthodontic treatment outcomes. Orthodontic elastics are typically employed after bracing, while orthodontic interdental elastics are positioned between the upper and lower brackets or between the anterior and posterior segments.

Importance of orthodontic elastics

At first glance, these small rubber bands may seem to have a limited effect on the teeth. However, orthodontic elastics work towards major goals. Orthodontic treatments often require a correction phase, during which the use of elastics can greatly enhance the effectiveness of orthodontics. Despite being a lengthier and more challenging phase than other ones, the benefits of achieving a proper jaw position and regular teeth make it all worthwhile when dealing with these elastics.

It is noteworthy that the use of orthodontic elastics relies on the active involvement of the user. The user should follow the instructions provided by their orthodontist, as they play a major role in their treatment. Effective collaboration and adherence to guidelines are crucial for attaining the desirable therapeutic outcomes. For orthodontic elastics to work effectively, it is important to consistently place them on the designated brackets and replace them regularly. Based on the specific malocclusion, they may be arranged in a specific shape or configuration to achieve optimal positioning.

Orthodontic elastics used to adjust maxillary and mandibular teeth during orthodontic treatment

Advantages of orthodontic elastics

Since dental elastics bring several advantages to orthodontic treatments, patients are recommended to replace their elastics whenever they are torn. Here are some key advantages of using orthodontic elastics:

  • Increased treatment speed
  • Improved therapeutic outcomes and efficacy
  • Affordable price and cost-effectiveness
  • Correction of bite-related problems
  • Replaceability
  • Fixation of maxillary and mandibular teeth using interdental orthodontic elastics

While interdental elastics offer numerous benefits in orthodontics, minor disadvantages should also be considered. For instance, you might experience some mild pain and discomfort, making it challenging to wear orthodontic elastics around the clock. Over time, it would be much easier for you to wear them for longer periods.

Features of orthodontic elastics

Orthodontic elastics come in a variety of sizes and elasticities to meet different needs. The wide range of types and various methods of attachment to the hooks result in different orthodontic outcomes. Orthodontic elastics are characterized by four features as follows:

1. Strength

The strength of orthodontic elastics is typically measured in ounces; accordingly, orthodontic elastics are available in the following types: light (2.5 oz), medium (3.5 oz), heavy (4.5 oz), heavy x (6.0 oz), and heavy xx (6.5 oz).

2. Diameter

The diameter of orthodontic elastics holds significant geometric importance. The diameter may vary depending on the desired tension distance for connecting two brackets. The diameter of orthodontic elastics ranges between 8.1 and 8.3 inches.

3. Materials

The materials used for orthodontic elastics include latex and latex-free options. Latex elastics are more widely used. However, for the convenience of those who have an allergy to latex, there are elastics made of latex-free materials. The color of orthodontic elastics made from natural latex is yellowish, while latex-free elastics are transparent.

4- Type

  • Class I: This type of orthodontic elastic is designed to bring the teeth closer together in a row.
  • Class II: This type is used to correct overbites by moving the mandible forward and the maxilla backward.
  • Class III: This type of orthodontic elastics is designed to correct underbites by moving the maxilla forward and the mandible backward.
  • Cross elastics: These elastics are used to guide the teeth on the dental arch in order to fix crossbites.
  • Vertical elastics: This type of orthodontic elastics is used to address open bites by connecting the maxillary and mandibular teeth.
A close-up view of dental elastics during orthodontic treatments

How to put orthodontic elastics on braces

It is not very difficult to put orthodontic elastics on braces. The orthodontist will guide you on how to use the orthodontic elastic and will provide thorough information regarding its placement and installation. Generally, the following tips can help you properly use orthodontic elastics:

  • Wash your hands to ensure the elimination of any potential contamination before using the orthodontic elastic;
  • Prepare the orthodontic elastic along with accessories, including forceps, the special hook, and a mirror, in advance;
  • Specify the rings within the brackets to which the elastic should be attached;
  • Attach one end of the elastic to the first ring, then gently pull and secure it to the next ring;
  • Ensure that the elastic is securely attached to the rings and that there is no surplus elastic present;
  • In order to prevent harm to the gums and teeth, orthodontic elastics must be placed on braces in accordance with the pattern or guidelines provided by your orthodontist. The use of other patterns or guidelines may exert extra force on your teeth.
Orthodontic elastics should be applied to the orthodontic bracket as instructed by the orthodontist.

Time to replace orthodontic elastics

It is crucial to consider the timing for replacing orthodontic elastics. The orthodontist typically guides the patient regarding the suitable timing for replacing their orthodontic appliances. Regular replacement of orthodontic elastics is essential for both improved effectiveness of the elastics and maintaining oral hygiene. The timing for replacing orthodontic elastics can generally be categorized into three distinct modes:

  1. Daily replacement of orthodontic elastics: Changing the orthodontic elastics 2 or 3 times a day is the way to go for the best results! It is highly recommended to replace your orthodontic elastic at least once every 12 hours. For example, you can use a fresh elastic right after brushing and cleaning your teeth.
  2. Replacement of a loose orthodontic elastic: The elasticity of the orthodontic elastic may sometimes diminish after a few hours, resulting in the elastic becoming loose. Upon noticing this, follow your orthodontist‘s instructions for replacing the loose elastic.
  3. Replacement of a torn orthodontic elastic: Some orthodontic elastics may easily tear because they are made of poor-quality materials. Once an orthodontic elastic tear occurs, you need to replace it with a new one as soon as possible.

Individuals wearing orthodontic elastics have to come to terms with the fact that they will now need to take care of them every day. They have to be mindful of them at all times, except when they are eating. This is the tedious or annoying part of using orthodontic elastics for some users. Getting them back on track might be challenging at first, but it will get easier over time

FAQ about orthodontic elastics

How long should I use an orthodontic elastic?

Your orthodontist offers an expert opinion on interdental elastic wear time depending on the severity and type of malocclusion of your teeth.

How often should I replace my orthodontic elastic?

Replacing the orthodontic elastic 2 or 3 times a day can lead to the best therapeutic results. However, it is highly recommended to replace your orthodontic elastic at least once every 12 hours because it may tear or lose its desired elasticity.

Is it possible to remove my orthodontic elastic while eating or sleeping?

Yes, you can remove your orthodontic elastic when eating, brushing, and sleeping.

How can I clean my orthodontic elastic?

Orthodontic elastics are meant for single use and should be replaced throughout the day. Consequently, there is no need to clean them.

Should all patients undergoing orthodontic treatments use orthodontic elastics?

No, the orthodontist may prescribe using orthodontic elastics based on the status of the jaws and dental deformity. In some cases, it is not necessary to use these elastics.

Professor Abdolreza Jamilian Orthodontist

Professor Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

منتشر شده توسط
Professor Abdolreza Jamilian Orthodontist

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