Fixed orthodontic appliance: metal braces, ceramic braces and palatal expander

KEIT Dental has seven dental treatment rooms organised to accommodate restorative dentistry, endodontics, implantology, and prosthetic rehabilitation. For fixed orthodontic treatment, appropriate diagnostic and orthodontic instruments allow the orthodontist to assess tooth positions, the relationship between the dental arches, and plan the necessary movements. The use of metal or ceramic brackets, orthodontic archwires, and palatal expanders when indicated, selected according to the clinical case, allows treatment to be personalised, with particular attention to controlled tooth movement, functional occlusion, and smile aesthetics.

One of the main advantages of KEIT Dental is its ability to combine dental expertise with the multidisciplinary medical team at KEIT Day Hospital. The clinic works with professionals experienced in orthodontics, restorative dentistry, endodontics, implantology, and dental prosthetics. In particularly complex cases, oral and maxillofacial surgeons and other medical specialists may also be involved, depending on clinical needs.
When treating complex malocclusions, collaboration between professionals allows the assessment of dental and skeletal structures, correction of tooth alignment, and any necessary complementary dental treatments to be coordinated. This approach makes it possible to address the patient's different needs through a coordinated treatment plan, including cases requiring additional specialist expertise.

Before fitting fixed braces, the orthodontist assesses tooth positions, the relationship between the dental arches, occlusion, and the condition of the teeth and gums, using photographs, digital scans, and X-rays when indicated. Particular attention is paid to the severity of misalignment, jaw development, and whether treatment is required on one or both dental arches. The potential use of a palatal expander is assessed according to the shape of the upper dental arch and the patient's skeletal characteristics.
Thanks to its integration with KEIT Day Hospital, patients with particular medical conditions or those requiring more complex procedures may undergo assessments by anaesthetists, cardiologists, or other specialists, alongside any necessary diagnostic evaluations. Treatment planning therefore considers both the patient's orthodontic objectives and general health.

One of KEIT Dental's distinguishing features is its in-house dental laboratory, which facilitates direct collaboration between dentists and dental technicians in producing dental appliances and restorations. When orthodontic treatment requires a palatal expander or other custom-made appliances, the laboratory can contribute to their design according to the anatomy of the dental arches and the orthodontist's instructions.
Coordination between the clinic and laboratory allows clinical requirements and technical details to be shared, with particular attention to precision of fit, appliance functionality, and patient comfort.

KEIT Dental follows hygiene and infection control protocols that include disinfecting treatment areas, sterilising instruments, and using disposable materials when indicated. During the fitting and adjustment of fixed braces, particular attention is paid to the correct handling of instruments, protection of oral tissues, and monitoring of gum health.
For cases requiring prolonged monitoring or specific postoperative care, admission to KEIT Day Hospital's inpatient wards can also be arranged. These wards are equipped with healthcare staff and monitoring systems. This integration allows treatment to be organised according to the level of care required by the patient's condition and the complexity of the procedure.

At KEIT Dental, patient care continues throughout fixed orthodontic treatment through personalised guidance and follow-up appointments scheduled according to clinical needs. Regular examinations allow the orthodontist to monitor tooth movements, adjust orthodontic archwires, check the integrity of brackets, and assess the response of the gum tissues.
Patients also receive guidance on oral hygiene, diet, and managing any discomfort or problems with their braces. At the end of treatment, appropriate retention measures are assessed to maintain the alignment achieved. In complex cases, other specialists from the KEIT team may also be involved according to the patient's needs. For international patients, care may include communication with the clinic and guidance on arranging the necessary orthodontic follow-up appointments.

KEIT Dental places particular emphasis on treatment transparency and clinical documentation. Before fixed braces are fitted, patients receive information about the proposed orthodontic treatment, available alternatives, expected treatment duration, anticipated benefits, and potential risks.
Clinical documentation includes diagnostic examinations, the treatment plan, and procedures performed. The informed consent form and treatment quotation also allow patients to understand the details of the treatment and its associated costs. Any applicable guarantee conditions are specified in the contractual documentation, clarifying the coverage provided, exclusions, and arrangements for assistance.