Orthodontic Care

Orthodontic treatment is a common dental treatment which includes the process of aligning the teeth in desirable positions to maintain its appearance and functioning. Many people have various doubts regarding the orthodontic treatment. Few doubts are explained in this blog along with their appropriate answers.

What is orthodontic treatment? #

Orthodontic treatment is a way of straightening or moving teeth, to improve the appearance of the teeth and their function. It can also help to look after the long-term health of your teeth, gums and jaw joints, by spreading the biting pressure over all your teeth.

What is the need for orthodontic treatment? #

• Many people have crowded or crooked teeth. Orthodontic treatment will straighten the teeth or move them into a better position to improve its appearance, and the way the teeth bite together, while also making them easier to clean and maintain.

• Some people have upper front teeth that stick out and look unsightly. These ‘prominent’ or proclined teeth are more likely to be damaged, but orthodontic treatment can move them back into line. Or the way the upper and lower jaws meet can cause teeth to look unsightly and lead to an incorrect bite. Orthodontic treatment may be able to correct both of these problems.

• When the teeth don’t occlude correctly, this can put strain on the muscles of the jaw, causing jaw and joint problems and sometimes headaches also. Orthodontic treatment can help you to bite more evenly and reduce the strain on the jaws.

At what age can I go for orthodontic treatment? #

The best time is generally during childhood, but adults can have orthodontic treatment too. Age is less important than having the right number of teeth. In children, it may be necessary to wait for eruption of all permanent teeth before starting treatment.

Who carries out orthodontic treatment? #

Your dentist may carry out orthodontic treatment. Or they may send you to a specialist who has extra qualifications. The specialist may be in a practice or in a hospital department, and is called an orthodontist.

What does the dental checkup involve? #

The most important thing is to have a full examination of oral cavity. This will usually involve looking at your teeth, taking dental x-rays and making plaster models of your teeth.

Your dental team or orthodontist will then discuss what treatment is possible. Once you are sure you want to go ahead, the treatment can start as soon as you have enough permanent teeth.

Is there a need for tooth extraction? #

You may not have enough room for all your permanent teeth in some cases. If so, you may need to have some permanent teeth taken out to make space. Your dental team will tell you whether extraction is needed or not. Sometimes space can be made using other forms of treatment.

How is treatment carried out? #

Orthodontic treatment can be done by many sorts of appliances, which most people call a braces.

What is a removable brace? #

Simple treatment may be carried out with a removable brace i.e. a plate that can be taken out for cleaning. It has delicate wires and springs attached, which move the teeth using gentle pressure.

What is a fixed brace? #

Often, teeth need to be guided more accurately, for that reason a fixed brace is used. This has brackets and bands which are temporarily stuck to the teeth. A flexible wire joins all the brackets and allows the teeth to be moved. You can’t take out the appliance yourself, so it is called a fixed appliance.

What are the brackets made of? #

Fixed braces are not always made of metals. Plastic and ceramic can be used, especially for adults.

What are ‘invisible braces’? #

They are tough, clear plastic ‘aligners’ that are used to straighten teeth. Several sets of specially moulded, slightly different aligners are made for each patient. Each set is worn for two weeks before being replaced with the next one. They are made from clear plastic, so they are nearly invisible. This means that no one will know you that you are straightening your teeth.

The aligners should be worn for 22 to 23 hours a day for the best results. They can be easily removed while eating, drinking, brushing, and for cleaning in between your teeth. You need to have all your permanent teeth before you can have this treatment.

What are elastics? #

Sometimes delicate elastic bands are attached to a fixed brace to help move the teeth in some cases. Your orthodontist will tell you if you need elastics.

How long will it take? #

The length of treatment depends on how severity of the problem, and it may take anything from a few months to two-and-a-half years. Most people can be treated in one to two years also.

What happens when the teeth are in the right position? #

When treatment is finished the teeth need to be held in position for a time. This is called the retention period, and the appliances that hold the teeth in place are called retainers.

The retainers hold newly straightened teeth in position while the surrounding gum and bone settles. The retainers can be removable or fixed, depending on the original problem.

Will it hurt? #

All appliances may feel strange at first, and can cause slight discomfort. If the problem doesn’t go away, the orthodontist may be able to carry out adjustments to help you in relieving from discomfort. Teeth are usually uncomfortable immediately after a brace has been adjusted, but this will settle slowly.

How many visits will it take? #

Orthodontic braces usually need adjusting every 4 to 6 weeks. Your orthodontist will tell you how often your brace will need adjusting depending on the case.

How successful will it be? #

Success depends on both the skills of the orthodontist, and the enthusiasm and helpfulness of the patient and parents, if the patient is a child. It is important to follow all the instructions given by the orthodontist and to attend the appointments you have with them.

The success of the treatment also depends on the commitment of the patient. For children’s orthodontic treatment it is very important that the patient is as keen as the parent.

How do I go about getting orthodontic treatment? #

The first thing to do is to visit your own dental team and get their advice. Your dental team will know whether you need treatment and will make the necessary arrangements.

How do I care for my braces and teeth? #

It is important to keep having your teeth checked by your dental team while you are having orthodontic treatment. You also need to take extra care of your teeth and mouth

• Clean your teeth carefully every day, including between your teeth where you can. Braces are delicate and you need to make sure you clean them carefully so that they do not break. Your dental team will be able to show you the special techniques to use depending on the appliance you are wearing.

• Cut down on how often you have sugary foods and drinks. Avoid snacks and drinks containing sugars, and fizzy drinks. Also, sticky and hard foods may damage your brace.

• Brush your teeth last thing at night and at least one other time during the day. Use a mouthwash if you need to. Your dental team may recommend a stronger fluoride toothpaste, or perhaps a fluoride gel or mouth rinse, for you to use.

• Use interdental brushes and other aids to properly maintain your oral hygiene.