Traditional
Metal
Braces.
The most thoroughly researched orthodontic system in dentistry. Metal braces have been continuously refined over seven decades — delivering precise tooth movement across the full range of malocclusions, from mild crowding to complex skeletal cases. The most affordable fixed option at Hassaan Dental. Starting from PKR 60,000.
Simple mechanics.
Extraordinary precision.
Traditional metal braces consist of three components: stainless-steel brackets bonded to the front surface of each tooth, a metal archwire that threads through a slot in every bracket and exerts the force that moves teeth, and elastic ligature ties (or metal ligatures) that hold the wire within the bracket slot. The wire's natural tendency to return to its original shape pulls the teeth — gradually, precisely, permanently — into their planned positions.
What makes metal braces the most powerful orthodontic tool is the direct mechanical control they give the clinician over every axis of tooth movement — tipping, torque, rotation, translation, intrusion, and extrusion — all independently controllable through wire bends, bracket prescriptions, and auxiliary attachments. No other system offers this degree of three-dimensional control over tooth position.
Metal braces are not the most aesthetic option — but they are the most proven, most versatile, and most affordable. For patients prioritising clinical outcome over aesthetics, or for complex cases where aligner or ceramic options would compromise the result, metal braces remain the unambiguous first choice.
No orthodontic system has more peer-reviewed clinical data behind it. The outcomes, limitations, and optimisation of metal braces are better understood than any alternative.
Metal brackets provide the clinician with maximum control over root position — critical for complex cases where precise three-dimensional tooth positioning determines the long-term result.
Metal braces work continuously — 24 hours a day, 7 days a week. Treatment outcome does not depend on the patient remembering to wear a removable appliance.
At PKR 60,000, metal braces are the lowest-priced fixed orthodontic system at Hassaan Dental — delivering the same clinical capability as more expensive bracket types.
From mild crowding to severe skeletal discrepancy — metal braces with appropriate auxiliaries (elastics, springs, TADs) can treat the complete range of orthodontic presentations.
What metal braces can do —
and what the evidence proves.
Metal braces are the reference system against which all other orthodontic options are measured. Their capabilities are not in dispute — the question is whether a different system better suits your specific needs.
When researchers want to test whether a new orthodontic system is effective, they compare it to metal braces — because metal braces are the established benchmark. Clear aligner trials measure against them. Damon bracket studies compare against them. Ceramic bracket research is judged relative to them. This is not because metal braces are old-fashioned — it is because their outcomes are the most thoroughly documented and clinically validated in orthodontics. A patient choosing metal braces is choosing the system with the deepest scientific foundation, not an inferior alternative.
Mild to severe — including cases requiring extractions. Full arch decompression achievable.
Single or multiple diastemas closed with precise space management and root paralleling.
Superior rotation correction versus aligners — particularly for premolars and round-shaped teeth.
Anterior and posterior crossbite correction — with or without expansion auxiliaries.
Intrusion of over-erupted teeth — precise control via archwire mechanics and bite turbo ramps.
Vertical bite closure with intrusion/extrusion mechanics — combined with habit correction where indicated.
Superior root torque control versus all other fixed and removable systems — critical for long-term stability.
Standard appliance for decompensation before orthognathic surgery — precise positioning required.
Alignment before crown, bridge, or implant placement — opens or closes spaces with controlled root positions.
Who is the ideal candidate
for traditional metal braces?
Metal braces suit a wide range of patients — particularly those prioritising clinical outcome, affordability, or case complexity over aesthetics.
Interceptive phase 1 orthodontics — expanders, space maintainers, habit breakers. Metal brackets introduced once permanent teeth erupt.
Phase 1 / InterceptiveThe classic time for metal braces — all permanent teeth present, rapid bone response, fastest treatment. Coloured elastics available.
Ideal Age WindowMetal braces fully effective — slightly longer treatment vs teenagers due to mature bone. Most common age group seeking braces.
Highly EffectiveNo upper age limit — adult orthodontics equally effective, may take slightly longer. Often combined with restorative or FMR planning.
No Age LimitConsultation to retention —
every step explained.
Metal braces treatment at Hassaan Dental Clinic begins with a complete set of clinical records — so the treatment plan is built on accurate data, not assumptions.
Dr. Haris performs a full orthodontic assessment — clinical examination, OPG panoramic X-ray, lateral cephalometric X-ray (where required), intraoral photographs, and digital study models or impressions. Cephalometric analysis determines the skeletal pattern and jaw relationship. The complete treatment plan, arch-by-arch tooth movement sequence, expected timeline, and total cost breakdown are presented at this appointment. No brackets are placed until you have approved the plan.
Any teeth identified for extraction to create arch space are removed first, with a healing period before brackets are placed. Any existing periodontal disease is treated — gum health must be stable before orthodontic forces are applied. Scaling, root planing, and gum treatment are performed as needed. Any urgent restorative work is completed. Once the oral environment is stable and healthy, bonding is scheduled.
Teeth are polished, etched with bonding agent, and each stainless-steel bracket is individually bonded in a precise position — determined by the bracket prescription and Dr. Haris's treatment plan. Molar bands may be placed on the back teeth for attachment of auxiliaries. The initial archwire — typically a very flexible, heat-activated nickel-titanium wire — is threaded through each bracket and secured with elastic ligature ties. The procedure is painless; mild sensitivity and pressure develop over the following 24–72 hours as the teeth begin to respond to the wire.
At each adjustment, Dr. Haris removes the elastic ties, takes out the current wire, assesses progress in all three planes, and places the next wire in the treatment sequence. Wires progress from lighter, more flexible initial alignment wires to stiffer, more precise finishing wires. Auxiliaries — elastic bands, coil springs, or temporary anchorage devices (TADs) — may be added at appropriate stages to correct bite relationships or manage complex tooth movements. Total active treatment: 12–24 months depending on complexity.
When tooth positions, root angulations, bite relationships, and arch coordination meet the treatment objectives, Dr. Haris schedules debonding. Brackets are removed with a debonding instrument — each bracket is gently popped off and the bonding resin polished from the tooth surface. Final clinical photographs and digital scan are taken to document the completed result.
Retainers are provided on the same appointment as bracket removal — the biological window for relapse begins immediately. Options include a fixed bonded retainer (a thin wire glued to the back of the front teeth — permanent, maintenance-free, patient does not need to remember anything) or a removable clear retainer worn nightly. Many patients have both. Relapse is biological — it will happen without retainers, regardless of treatment quality or bracket system. Retainer wear is lifelong for night-time use.
Metal braces vs all other
orthodontic options at Hassaan Dental.
All four systems treat malocclusion. The right choice depends on case complexity, aesthetics preferences, lifestyle, and budget.
| Feature | ★ Metal | Damon | Ceramic | Clear Aligners |
|---|---|---|---|---|
| 💰 PRICING (PKR) | ||||
| Starting price | 60,000 | 85,000 | 75,000 | Assessed at consult |
| Monthly adjustment fee | 8,000 | 8,000 | 8,000 | Varies |
| Most affordable fixed option? | ✓ Yes | ✗ No | ✗ No | N/A |
| 📚 EVIDENCE & CAPABILITY | ||||
| Years of peer-reviewed evidence | 70+ years | ~25 years | ~30 years | ~25 years |
| Full malocclusion range | ✓ All complexities | ✓ All complexities | ✓ All complexities | Mild–moderate best |
| Torque & rotation control | ✓ Maximum control | ✓ Excellent | ✓ Good | Limited for rotations |
| Patient compliance required | ✓ None (fixed) | ✓ None (fixed) | ✓ None (fixed) | ✗ 22 hrs/day wear |
| 👁️ AESTHETICS & COMFORT | ||||
| Visibility | Visible (silver) | Visible (silver) | ✓ Low (tooth-colour) | ✓ Nearly invisible |
| Adjustment time per visit | Standard | ✓ Fastest | Standard | No adjustments |
| Oral hygiene challenge | Moderate — elastic ties | Easier — no ties | Moderate — elastic ties | ✓ Easy — removable |
| ✅ BEST FOR | ||||
| Teens / children | ✓ Classic choice | ✓ Good | Possible | Compliance risk |
| Budget priority | ✓ Best value | ✗ | ✗ | Varies |
| Complex malocclusion | ✓ Preferred | ✓ Also good | ✓ Good | ✗ Limited |
Metal braces from
PKR 60,000. Everything included.
The most affordable fixed orthodontic option at Hassaan Dental. Full cost transparency before any brackets are bonded.
Important: Unit prices remain the same; final treatment cost may vary after clinical examination. Total monthly adjustment fees depend on treatment duration — estimated at your consultation. Any additional procedures required before or during treatment (extractions, periodontal care) are priced separately and disclosed before commencement.
Metal braces
questions answered.
Straightforward answers — no pressure toward more expensive options if metal braces are right for your case.
The most proven system.
The most affordable price.
An orthodontic consultation (PKR 1,000) includes OPG X-ray, complete clinical records, a realistic treatment timeline, and a full cost breakdown — before any brackets are bonded. No pressure toward a more expensive option if metal braces are the right clinical choice.
