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Exercise allowed, with mouthguard for contact sports.","restrictions":["Avoid hard, sticky and chewy foods","Meticulous brushing and cleaning around brackets","Mouthguard for contact sports"]},{"phase":"Debonding and retention","description":"Braces removed, retainer provided; retention is separate from active treatment and continues long term.","restrictions":["Wear retainers long term"]},{"phase":"At any time","description":"Seek prompt dental review for broken brackets, poking wires or persistent ulcers; urgent care for facial swelling, fever, severe pain or breathing trouble.","restrictions":["Fix a poking wire or broken bracket before travelling"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Time to adapt to eating and speaking after initial bonding."},"result_longevity":"Alignment is generally lasting if retainers are worn as prescribed; without retention, teeth tend to shift over time.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Retreatment or refinement after completed fixed braces, mostly from relapse or poor retainer wear, within about 5 years."},"scars":"Braces involve no incisions and leave no scars; the only possible lasting marks are enamel white-spot lesions if oral hygiene is poor.","sessions_or_stages":{"sessions":{"min":8,"max":30,"unit":"visits","qualifier":"Bonding, adjustment and debonding visits over 12-30 months at 4-8 week intervals; retention checks excluded."},"stages":[{"code":"records_and_prep","label":"Records, planning and dental clearance (decay/gum treatment, cleaning, extractions or spacers if planned)","after":{"min":0,"max":0,"unit":"days","qualifier":"Precedes bonding; no post-bonding offset applies, lead time varies with preparatory care."}},{"code":"bonding","label":"Bonding of brackets and first archwires","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 reference event."}},{"code":"adjustments","label":"Adjustment visits with wire changes, elastics or space closure as needed","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment, then every 4-8 weeks until goals are met."}},{"code":"finishing_debonding","label":"Finishing, debonding and retainer delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, once planned occlusion is achieved; matches 12-30 month active course."}}],"qualifier":"Metal brackets on both arches; adjustments every 4-8 weeks over 12-30 months. Day 0 is bonding."},"success":{"metric":"Substantial improvement in occlusion (PAR score reduction of about 70-80%) at end of active treatment","value":75,"unit":"percent","horizon":"End of active treatment, about 12-30 months","population":"Adolescents and adults with fixed metal brackets and good compliance","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most patients, including teens and adults; durable.","recovery":"Standard adaptation of a few days; visible appliance."},{"name":"Ceramic brackets","suits_whom":"Adults preferring a less visible appliance.","recovery":"Similar adaptation; more prone to staining and bracket fracture."},{"name":"Self-ligating brackets","suits_whom":"Patients wanting easier cleaning and slightly longer visit intervals.","recovery":"Similar adaptation; adjustment visits spaced further apart."},{"name":"Lingual braces","suits_whom":"Patients wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for braces on both dental arches; adjustment visits are shorter (about 20-30 minutes)."},"initial_assessment_documents":["Panoramic dental X-ray","Side skull X-ray (if available)","Front and side facial photos","Intraoral photos of bite and both arches","Dental scans or impressions (if available)"],"travel_trips":{"min":3,"max":10,"one_trip_possible":false,"qualifier":"Trips cover bonding, adjustment blocks and debonding over 12-30 months; adjustments every 4-8 weeks. Each stay is 1-5 days."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=united-states/procedure=breket-sistema/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":349},"manualSeo":[],"updatedAt":"2026-10-28T00:40:07.759Z","activeCountries":["ES","US","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}