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Wear a mouthguard for contact sports.","restrictions":["Maintain meticulous oral hygiene","Avoid damaging brackets and wires","Arrange local orthodontic access for planned adjustments when travelling"]},{"phase":"Debonding and retention","description":"After braces are removed, retainers are fitted and worn to maintain results; this phase is separate from active treatment.","restrictions":["Wear retainers as instructed"]},{"phase":"At any time","description":"See orthodontist promptly for broken brackets, loose wires, ulcers, severe pain, swelling or lost retainers. Urgent care for swelling with fever or breathing trouble.","restrictions":["Use wax on sharp parts meanwhile","Do not cut or bend wires yourself"]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Time to adapt to the initial appliance and comfortable eating."},"result_longevity":"Alignment is generally lasting only with long-term retainer wear; teeth can shift without retention.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Need for additional refinement or retreatment (including relapse correction) after initial debonding; counts adults with conventional fixed braces."},"scars":"No surgical scars; bonding fixed braces involves no incision. Any extractions or mini-screws, if the plan requires them, are separate from this protocol.","sessions_or_stages":{"sessions":{"min":10,"max":35,"unit":"visits","qualifier":"Conventional metal braces on both arches: 12-30 months of adjustments every 4-8 weeks, plus bonding, debonding and retainer visits."},"stages":[{"code":"bonding","label":"Bonding of brackets and first archwires (one or two visits)","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 = first bonding appointment."}},{"code":"adjustments","label":"Recurring adjustment visits: archwire changes, elastics and hygiene checks","after":{"min":28,"max":56,"unit":"days","qualifier":"First adjustment counted from bonding; later visits every 4-8 weeks until alignment goals are met, about 12-30 months in total."}},{"code":"debonding_retainers","label":"Debonding, cleanup and retainer fitting","after":{"min":365,"max":900,"unit":"days","qualifier":"Counted from bonding, when alignment and bite goals are met; the same range as the 12-30 month active treatment."}},{"code":"retention_reviews","label":"Separate retention phase with periodic retainer checks","after":{"min":30,"max":180,"unit":"days","qualifier":"Counted from debonding; later checks depend on retainer type and clinician plan."}}],"qualifier":"Visit count depends on treatment length and interval. Retention continues after the 12-30 month active phase."},"success":{"metric":"Clinician-judged satisfactory alignment and bite improvement at debonding","value":85,"unit":"% of patients","horizon":"At end of 12-30 months of active treatment","population":"Adults with conventional fixed metal braces, good hygiene and attendance, uncomplicated cases","evidence_status":"limited"},"techniques":[{"name":"Conventional fixed metal braces","suits_whom":"Most adults, including complex malocclusions.","recovery":"Adaptation soreness for several days after bonding and adjustments."},{"name":"Ceramic (tooth-colored) braces","suits_whom":"Adults wanting less visible braces.","recovery":"Similar to metal braces; brackets can be more fragile."},{"name":"Lingual braces","suits_whom":"Adults wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation than labial braces."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for full upper and lower fixed braces; not the total treatment time."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray (if available)","Front and side face photos","Photos of teeth in bite and both arches","Digital dental scan or models (if available)"],"travel_trips":{"min":2,"max":8,"one_trip_possible":false,"qualifier":"Bonding and debonding trips are 12-30 months apart; adjustments need trips or a local orthodontist. Allow 3-7 days per trip."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=la-romana/procedure=brekety-dlya-vzroslyh/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}