Rage they're called lingual cleats, and I have them on all
eight of my molar bands (as well as hooks for powerchains/elastics on the
outside of every molar band,
plus buccal tubes (usually used for headgear I think) on the outside of two of the upper bands
![Rolling Eyes :roll:](./images/smilies/icon_rolleyes.gif)
. Sometimes I wonder how there's room for my tongue and food in there as well!)
Meryaten posted a good pic of them on another thread somewhere. If you do a search for 'cleats' in the metal mouth forum you should get a few listings.
Your ortho should be able to tell you if you will be needing the cleats; sometimes they're not required for your particular treatment. Depending on what other appliances your treatment will involve, your ortho may say he/she won't need to use them, if so you can ask him/her to either;
1) push the cleats hard against the molar band so they don't irritate your tongue as much, or
2) clip the cleats off the molar bands and grind the remaining 'stub' down so your molar band is smooth against your tongue, or
3) place a blob of cement over the cleat so it's not as sharp/doesn't catch on your tongue, or
4) put ligs on the cleats to minimise the irritation on your tongue.
They're also used sometimes with elastics (for crossbites and flared molars I think). Some people have posted having had elastics hooked to the lingual cleat on one tooth, going to the outer hook on another tooth. I think
Clo has had several of these configurations.
Otherwise the salt water rinses can be your best friend, followed possbily a close second by wax. The salt water rinse definitely helps heal the irritated tongue as well as keeping the rest of your mouth fighting fit to fend off the brackets, etc. If you're having trouble getting wax to stay on, try drying the area before placing a blob of wax on, then lick your finger (yes, a bit gross but trust me) and position/mould the wax. Wetting your finger prevents the wax from sticking to your finger rather than your braces/teeth so you can get a better seal.
Good luck, so far my ortho hasn't done anything about my cleats
![Confused :?](./images/smilies/icon_confused.gif)