Orthodontic decisions are guided by clinical evaluation rather than trends or personal preference. Before recommending any appliance, orthodontists assess how teeth align within the jaw, how the bite functions during everyday activities, and how much mechanical control is required to guide movement safely. While many patients know there are multiple alignment options available, the final decision is rooted in diagnostics, biology, and long-term oral health rather than appearance alone. In certain cases, metal braces are selected when orthodontists determine that a fixed system is necessary to achieve predictable and controlled results. This type of braces recommendation is based on how teeth reposition within bone and how the upper and lower jaws interact under functional pressure. This article explains the clinical criteria orthodontists use when deciding whether a fixed orthodontic appliance is appropriate and how those decisions support effective, stable outcomes over time. Clinical Evaluation as the Starting Point Every orthodontic...
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