Orthodontia

The secrets of orthodontia

It is an astonishing fact: Having a regular, even set of teeth is the privilege of a little more than half of the population. If we do not belong to this lucky group, we need to seek help.
The irregularity of our teeth is not only an aesthetic problem. If our teeth cover each other, it is hardly possible to clean our teeth in the appropriate way. Besides, the bacteria proliferating in the plaque can lead to dental caries and gum diseases.
In more serious cases, problems related to voice production and chewing can occur, as well as swallowing disorders and problems concerning the temporomandibular joint.
Our desire for a regular set of teeth is not a recent trend. Proof for this are the teeth corrected with the help of a golden net that were found during excavations in the territory of the ancient Roman Empire.
Instead of the cumbrous braces known from the movies of the 1980s and 1990s, nowadays we can choose from much more aesthetic solutions.
From this article you can learn

• When do we need an orthodontic treatment?
• When should we start the treatment?
• What possibilities exist in the field of orthodontia?
• What should we keep in mind during a treatment with braces?

When do we need an orthodontic treatment?

Irregularities mostly occur with the eruption of permanent teeth after losing our baby teeth. Problems are usually detected during dental examinations organized by the school.
Positional disorders affecting one or more teeth occur the most frequently.
The constriction of the dental arch and the different positions of the upper and lower jaw to one another also make an orthodontiac treatment necessary. The correction of developmental disorders of the palate and the jaw requires in many cases surgical reconstruction and adjustment.

When should we start the treatment?

The ideal time to start wearing braces always depends on the type of the problem and it is decided by the doctor individually. For preventive purposes, orthodontic treatments can be started even before the appearance of permanent teeth, at the age of 6 or 7. In this case, the treatment will be shorter later on.
Earlier, the general opinion was that an orthodontic intervention is less successful after the age of 18-20 years and it is too late to start treatment. However, we know today that the ability of the bone to be reconstructed is kept throughout our life, so the treatment can be started even after we turn 70.

What possibilities exist in the field of orthodontia?

Determining when to start the treatment and what device to use for treatment is a competence of the othodontist. However, we should know the possibilities ourselves.
The devices can be divided into two big groups: removable and fixed braces. In special cases it might be necessary to use a corrective solution outside the mouth and fitted to the head.

Removable devices

• Traditional, removable devices – they are usually applied for nocturnal use. The device consists of a passive plastic and an active metal part. There are devices made separately for the lower or upper set of teeth, and also ones that adjust the lower and upper set of teeth jointly. With the nocturnal devices it takes longer to achieve the desired result than in the case of fixed devices. Its benefits are that it does not have to be worn during the day and it is easily to clean. However, getting used to wearing it, can be difficult for some.
• Invisalign – this device is a very up to date solution and it is hardly noticeable from the outside. This device, made of special plastic, is completely transparent and it snuggles against the teeth. After the position of the teeth has changed, a new device is created. A check-up is usually needed every two-three weeks. Invisalign has to be removed while eating. Its advantage is that it is almost invisible, but the cleaning can cause difficulties.

Fixed devices

Fixed devices can be fitted to both the inner and outer surface of the teeth. So called brackets are fitted to the surface of the teeth with a special dental glue. These elements are glued to the teeth one by one, and they have so called wings where the arch of the braces can be fitted. Brackets can be made of medical metal, ceramics, plastic or a combination of these materials. The arch is fixed to the molar rings fitted to the molar tooth. A tiny rubber ring is put on the brackets.
Fixed braces usually remain on the teeth for 1-3 years. After removal, it is necessary to wear retainers at night in order to maintain the achieved result.

• Device fixed to the outer surface of the teeth – one of its benefits is the affordable price (the brackets made of medical metal are cheaper than ceramics). Among its disadvantages we can mention that it is difficult to clean after eating sticky food, and the version made of medical metal is conspicuous.
• A device fitted to the inner tooth surface – its benefit is that it is invisible from the outside, but its cleaning can cause difficulties and wearing it involves more inconveniences.
• SureSmile – a device fitted to the inner tooth surface, which is special because a virtual 3D model is made of both the lower and upper set of teeth before the treatment. Based on the image, specialists can prepare a precise treatment plan and, with the help of the SureSmile programme, a robotic arm bends the arch of the braces into the most ideal position. The braces are fixed to the brackets fitted on the inner surface of the teeth. People wearing the SureSmile braces reached the desired effect much sooner than those wearing the traditional fixed braces.

What should we keep in mind during a treatment with braces?

In case of removable braces, we should make sure that:

• the device is always cleaned after use
• it is kept in its box when not used
• we wear it according to the doctor’s advice
• we do not forget the dental check-up

In case of fixed braces, we should make sure that:

• if possible, we should brush our teeth after every meal in order to avoid dental caries and gum diseases
• we avoid food which can get stuck in our braces, for example chewing gums, caramel, oil-seeds, popcorn or melted cheese
• we should regularly visit the dentist for a check-up
• after our braces are removed, we should not forget to wear retainers at night