Orthodontics
Braces
Orthodontics is the branch of
dentistry specializing in the diagnosis, prevention and treatment of dental
and facial irregularities. Braces are appliances used to correct the irregularities.
Poorly arranged teeth can easily break, cause chewing difficulties, TMJ
disorders, unesthetic appearance. and decay easily.
There are currently over
four million children and adults in USA going through orthodontic treatment;
the majority are in their early teens and almost 20% are adults. Successful
orthodontics can be performed on adults.
Topics of Interest:
ORTHODONTIC
CLASSIFICATION
The majority of jaw and teeth
misalignments are hereditary, while other local factors such as thumb sucking,
abundant cavities, gum disease, trauma and premature loss of teeth can
also result in a crooked and mal-aligned teeth. The simple explanations
of either jaw or teeth size discrepancies are:
Class I occlusion:
When the 1st molar
and the anterior teeth are correctly in position. The 1st lower molars
are half-a-cusp distance in front of the upper 1st molar, and the upper
front teeth are 2-3mm over the lower incisors.
Class II occlusion:
The lower 1st molar is further back than the normal
position and the upper incisors may be protruding forward. This will give
the impression of bucked teeth and/or the lower jaw being smaller than
the upper jaw. In some instances the lower lip may fall under the upper
incisors.
Class III occlusion:
The lower 1st molar
is forward compared to its natural position, the upper anterior teeth fall
behind the lower ones and the person appears to have a protruded lower
jaw.
EXAMINATION
At your initial exam the Orthodontist
will go over your medical and dental history. X-rays, photos and impressions
of your teeth are taken. A tailored treatment is then formed to meet your
needs and a rough estimate of treatment time is given.
TREATMENT
In majority of cases where braces
are used, it will include Brackets, a piece of specially shaped metal or
ceramic that is attached to each tooth by bonding. An Archwire, a piece
of wire bent to the way your teeth are to be aligned is used to straighten
your teeth. The archwire is attached to the brackets on your teeth by elastics,
as the wire tries to go back to the way it originally was, in it will gently
move the teeth along with it.
MAINTENANCE
During treatment the brackets,
archwire and the elastics can cause food to easily become trapped and plaque
build up increases. Optimum oral hygiene is essential or the chances of
decay and gum disease are highly increased. Depending on the extent of
treatment, retainers may be required to stabilize the new positions of
your teeth. They usually need to be worn at night and the length of time
is determined by the Orthodontist. In some cases the lower anterior teeth
may be stabilized using a fixed splint, which is a thin metal wire bonded
onto the back of the lower incisors.
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