Who makes the orthodontic appliances?

The technicians fabricate the orthodontic appliances in the Orthodontic Laboratory.

'Each appliance starts with an impression'

How are appliances made?

All orthodontic appliances are made to the individual patient's requirements. They are fashioned according to a prescription and/or verbal discussion with the orthodontist. They are made on a plaster cast, which is made from an impression (mould) of the patient prepared by the orthodontist.

'The impression is cast (filled) with dental plaster'

From what materials are appliances made?

Depending on the type of appliance required, orthodontic appliances can be made from acrylic resin, stainless steel wire, metal bands and small screws.

'Wires are bent around the teeth of the cast'

What type of appliances are made at Addenbrooke's?

There are three main types of appliances made in the Orthodontic Laboratory at Addenbrooke's:

  • Fixed appliances
    These are generally used in conjunction with the fixed braces that orthodontists cement to the teeth. Different coloured elastics are available.

  • Removable appliances (including retainers)
    These are generally made from acrylic resin and stainless steel wire. Different coloured acrylics are available (see below).

  • Functional appliances
    These move teeth by stimulating the muscles of the face and jaws. They can be fairly bulky but with new materials constantly being developed, we are finding and adapting new appliances to help patients tolerate them better.

Making a coloured orthodontic appliance:

'Acrylic can be white or coloured'

'Adding blue colouring'

'This one has glitter too!'

'Blue, just one of many colours...'

Photos by Medical Photography

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Last updated: 1 February 2005