If improperly placed or too loose, they can reduce force effectiveness and delay treatment. Choosing the right type ensures consistent force delivery and better outcomes.

Yes. Self-ligating brackets eliminate the need for elastomeric ties altogether by using a built-in clip to hold the wire. However, they are generally more expensive.

Mild discomfort can occur, especially after new ties are applied and begin exerting pressure. This usually subsides within 1–2 days.

Ligature ties are typically changed every 4–6 weeks, coinciding with regular adjustment appointments. However, if they snap or lose elasticity, they should be replaced earlier.