ORTHODONTICS

Orthodontics deals in correcting the teeth and jaw that are positioned unfittingly. Overlapped teeth or crooked teeth that do not fit together correctly are difficult to keep clean. These also bear the risk of early loss due to tooth decay and cause stress on gums and muscles. These problems often lead to headache, and TMJ syndrome – moreover disfigured teeth also hamper one’s appearance.

Orthodontics is aimed towards correcting these anomalies. The benefits of orthodontics treatment include a more pleasing appearance aesthetically besides, enduring the strength of teeth and mouth.

With the help of diagnostic tools including X-rays and photographs an orthodontist recommend the suitable orthodontics treatment after carefully looking at the dental health history and clinically examination. A treatment plan is thus devised, that’s right just for you!

Scope of orthodontic treatment

  • Alterations in tooth position: Orthodontic treatment is made possible by the fact that teeth can be moved through the bone to ideal location by applying appropriate force on them.
  • Alteration in skeletal pattern:Malocclusion may be associated with skeletal disharmony involving the jaw bone. The orthodontist can bring about changes in all the three planes of space i.e, sagital, transverse and vertical.
    1. • The soft tissues that envelope the dentition are greatly influenced by the placement of the dentition.
    2. • It is possible to bring about favourable changes in the soft tissue pattern by orthodontic treatment.

Need of orthodontic treatment

  • • Poor facial appearance
  • • Psychological disturbance
  • • Risk of caries
  • • Predisposition to periodontal diseases
  • • Risk of trauma
  • • Abnormalities of function
  • • Temperomandibular joint problems

Candidates for Orthodontic Treatment

You are a candidate for orthodontic treatment if you have any of the following conditions:

  • Buck Teeth: It is also called as “Overbite”. It is a condition where the upper teeth lie too far forward or protruding over the lower teeth.
  • Underbite: This is the reverse of overbite or buck teeth – where the lower teeth are too forward or the upper teeth too far backward.
  • Crossbite: It is a condition where while biting, the upper teeth do not come down fully aligned with lower teeth causing problem in biting.
  • Open bite: when open space appears between the biting surfaces of the front and/or side when the upper and lower teeth bite together.
  • Misplaced midline: it can be defined as a condition when the centres of the upper and lower teeth are not aligned with each other.
  • Crowding: when there are too many teeth at the dental ridge

Different types of components like fixed and removable are used to correct the disfigured teeth and help retain muscles and effect the growth of the jaws. These components might put gentle pressure of the teeth and jaws depending on the severity of your problem.

Fixed components include:

  • Braces: Braces are the most common fixed component, which include wires and/or brackets. Bands are used around teeth to act as anchors and provide strength. On the other hand, brackets are most often bonded at the front of the tooth. Arch wires are passed through the brackets and attached to the bands to create tension on the teeth – making them slowly move to their proper position. Now days, braces have become smaller, lighter and much more convenient to carry. They also come in bright and attractive colours for youth.
  • Special fixed appliances: These are used to control the habits of thumb sucking or tongue thrusting. These components are attached to teeth by bands.
  • Fixed space maintainers: Space maintainers are used to keep the open space formed with the loss of baby tooth intact until the permanent tooth erupts.

Removable appliances include:

  • Aligners: Aligners are a good alternative to braces, which is very effectively used by orthodontics to move teeth in a similar way without using metal wires and brackets. Aligners are virtually invisible and can easily be removed while eating, brushing and flossing.
  • Removable space maintainers: These devices solve the same purpose as that of fixed space maintainers. Made up of acrylic base that fits over the jaw and have plastic braches.
  • Jaw repositioning appliances: These are also called splints, which are used to align jaw to close in a more favourable position.
  • Lip and cheek bumpers: These are designed to help lips and cheeks prevent from bucking over to teeth. These are meant to relieve the pressure lips and cheeks might mount on to the teeth in some cases.
  • Palatal expander: A plastic devise, palatial expander is used to widen the arch of upper jaw. Fitting over the roof of the mouth, it mounts pressure on the joints in the bones exerting them to open lengthwise, widening the palatial area.

Dental Braces

Dr. Anshu believes that it is never impossible to perk up your smile, and she can build a inclusive orthodontic treatment plan for any member of the family at her practice. At our treatment centre, we present treatment choices including traditional orthodontic braces, clear braces, and invisible braces . We also bid an spur program to cheer our younger patients to pursue their orthodontic treatment plan.

Types of Dental Braces

braces

Child Orthodontics


Information about orthodontic treatment for children? (Through age 12)

Some kids as early as 5 or 6 years of age may advantage from an orthodontic assessment. Though treatment is remarkable at this early age, some preventative treatment may be indicated.
By age 7, most broods have a combination of baby (primary) and adult (permanent) teeth. Some familiar orthodontic problems seen in children can be traced to genetics, that is they may be present at birth from their parents. Children may encounter dental crowding, too much space between teeth, protruding teeth, more number of teeth than normal, less number of teeth than normal and problems with jaw growth.
Other malocclusions (literally, “bad bite”) are attained. In other terms, they build up over time. They can originate by thumb or finger-sucking, mouth breathing, dental bug, abnormal swallowing, deprived dental hygiene, the ill-timed eruption or exfoliation of primary teeth. Damage and other health conditions such as birth imperfection may add on to orthodontic problems also.
It is not advisable to wait till the time of eruption of all the permanent teeth or the completion of growth of jaws and face because some of the problems may not be corrected later. For these grounds, the AAO suggests that all kids get a check-up with an orthodontist no later than age 7. Despite the fact that your child’s teeth may seem in the right position to you, there could be a problem that only an orthodontist can detect FOR SURE, the check-up may expose that your child’s bite is all right, and that is consoling information.
Sometimes even after the detection of the problem, the dentists choose to wait and watch till the time right time is there for the intervention. For every patient who wants treatment, there is a perfect time for it to initiate in order to attain the top outcome. The orthodontist has the capability to establish when the treatment time is correct. The orthodontist’s aim is to offer each patient with the most suitable treatment at the most correct time.

  • • Premature or delayed loss of baby teeth
  • • Problems in mastication
  • • Mouth breathing
  • • Thumb sucking
  • • Finger sucking
  • • Crowding, misplaced or blocked out teeth
  • • Jaws that shift or make sounds





Guide


Frequently asked questions about childhood orthodontic treatment:

What is preventive orthodontic treatment?

Preventive orthodontic treatment is planned to keep a malocclusion (“bad bite” or crooked teeth) from rising in an otherwise normal mouth. The purpose is to impart sufficient space for permanent teeth to come in.

What is interceptive orthodontic treatment?

Interceptive orthodontic treatment is executed for problems that, if left untouched can lead to much more complicated dental problems later on. The purpose is to lessen the severity of a budding problem and get rid of the cause. The span of later comprehensive orthodontic treatment may be reduced. Interceptive orthodontic treatment can happen when patients have primary teeth or mixed dentition (baby and permanent teeth). A patient may have need of more than one segment of interceptive orthodontic treatment

What is comprehensive orthodontic treatment?

Comprehensive orthodontic treatment is take on for problems that include alignment of the teeth. The purpose of comprehensive orthodontic treatment is to correct the known problem and reinstate the occlusion (the bite) to its best. Treatment consists of one or more stages, depending on the sort of the problem to be corrected and the objective of treatment.

What is a space maintainer?

Baby molar teeth, also known as primary molar teeth, required space for permanent teeth that will come in later. When a baby molar tooth is lost, an orthodontic device with a fixed wire is commonly planted in between teeth to hold the space for the permanent tooth.

Why do baby teeth sometimes need to be removed?

Drawing out baby teeth may be considered necessary to allocate sternly crowded permanent teeth to arrive in at a natural time in a practically normal location. This procedure is called as serial extraction.

What variety of orthodontic appliances are usually used to lessen the severity of jaw-growth problems?

A process of dentofacial orthopaedics with orthodontic appliances may be used to correct jaw-growth problems.. Some of the more common orthopedic appliances include headgear, twinblock and chin cup.


A patient wearing headgear

Headgear:

This appliance applies force to the upper teeth and upper jaw to direct the path of upper jaw growth and tooth eruption. The headgear may be detached by the patient and is mostly worn 10 to 12 hours per day.Fixed functional appliances can aid to correct severe protrusion of the upper teeth. Removable functional appliance like twinblock embrace the lower jaw forward and guides eruption of the teeth into a more needed bite while helping the upper and lower jaws to grow up in proportion to each other.

Palatal Expansion Appliance

A kid’s upper jaw can be too narrow for the upper teeth to fit suitably with the lower teeth (a crossbite). When this happens, a palatal expansion appliance can be fixed to the upper back teeth. This appliance can clearly open out the width of the upper jaw. For some patients, a wider jaw may avert the requirement for extraction of permanent teeth.

Can your child play sports while wearing braces?

Yes. But to wear a mouth guard to protect the teeth is necessary.

Why does orthodontic treatment time at times last longer than estimated?

Every patient responds at different rates and reacts in their own manner to orthodontic treatment. The orthodontist has precise treatment aim in mind, and will mostly carry on treatment until these goals are accomplished. Patient collaboration, though, is the only greatest predictor of staying on time with treatment. Patients who show full cooperation and wear head gear, rubber bands or any needed appliances as directed, while taking heed not to damage appliances, will most often lead to prompt and outstanding treatment outcome.

headgear

Want information about orthodontic treatment for teenagers?

Mainly patients start their orthodontic treatment between ages 9 and 16, but this differs depending on every person. since youngsters are still rising, the teen years are often the most favourable time to correct orthodontic problems and attain outstanding results.

Frequently asked questions regarding teenage orthodontics:

How do braces feel?

The majority of the people have some uneasiness after their braces are first put on or when adjusted throughout treatment. After the braces are on, teeth may turn out to be sore and may be tender to biting pressures for three to five days.The lips, cheeks and tongue also turn out to be irked for one to two weeks as they firm up and become habituated to the surface of the braces. Orthodontic wax put on to an offending bracket will help lessen discomposure.

What special care is needed for teeth with braces?

One has to avoid very hard foods like nuts, hard candy, popcorn, and things that tend to stick to teeth and braces like chewing gums etc.
Patients who are energetic in contact sports, whether in prearranged programs or just games in the neighbourhood, should wear a mouth guard.
To maintain healthy gums and teeth, repeated visits to the family dentist have to continue throughout orthodontic treatment.

How long does treatment take?

Though each case is different, normally speaking, patients wear braces from one to two years. Treatment period differs with cause that embrace the severity of the problem, patient growth, gum and bone reaction to tooth moving forces and how well the patient go along the orthodontists’ commands on dental hygiene, diet and appliance wear

Why are retainers needed after orthodontic treatment?

Once braces are detached, the teeth can budge out of place if they are not stabilized. Retainers are intended to hold teeth in their corrected, idyllic positions until the bones and gums adjust to the treatment variations.

Will tooth alignment change later?

Children whose teeth developed into idyllic position and bite lacking treatment may build up orthodontic problems as adults. The most usual maturational change is crowding of the lower incisor (front) teeth. Wearing retainers as directed after orthodontic treatment will stabilize the rectification and can avert most of this modification.

teeners-orthodontics

Orthodontics for Adults

  • 1. Is it unusual for adults to have orthodontic treatment?
  • 2. Is adult orthodontic treatment beneficial?
  • 3. What are the common orthodontic treatments for adults?
  • 4. What problems could make orthodontic treatment for adults more difficult?
  • 5. Can an orthodontist help my painful jaw muscles and joints?

  • 1. Is it uncommon for adults to have orthodontic treatment?
  • • No
  • • Orthodontics can create the teeth more striking and more useful, by recuperating jaw alignment, and correcting " bite".
  • • Enhanced techniques have been invented for treating adults.
  • • Current orthodontic braces are less blatant and adults are more keen to wear them.
  • 2. Is adult orthodontic treatment successful?
  • • Yes. Of course . Adult orthodontics is successful for correcting crowding and jaw problems.
  • • Identical treatments and appliances are used for children and adults.
  • 3. What are the most common orthodontic treatments for adults?
  • • Closing the newly developed or old spaces between teeth.
  • • Correcting the position and alignment of teeth Teeth often tilt into gaps left by extractions. These teeth have to be moved into a more upright position. This modification makes it possible to use replacement crowns, implants, fixed bridges, or removable partial dentures to replace the missing teeth.
  • • The photographs below clarify what we can do for an adult, when the orthodontist,periodontist and prosthodontist all work jointly.
  • 4. What problems could make orthodontic treatment for adults more difficult?
    • • Periodontal Disease
    • o Adults may suffer from periodontal disease, which is a worsening of the gums and primary bone.
    • o Periodontal treatment will be obligatory before the orthodontic treatment can start.
      • Tooth decay
    • o All dental decay must be treated earlier than orthodontic treatment begins.
    • o It is less comfortable to have dental treatment after braces have been fitted.
      • Abnormal jaw relationships
    • o The growth of the jaws has been completed in adults, and so this treatment is not always possible.
    • o In children, the in progress growth of the jaw can be focussed to correct the abnormalities that are present.
      • Worn down or broken teeth
    • o These have to be build up or restored before orthodontic treatment can start.
      • Lack of commitment
    • o Adult patients can find it tough to carry out to long term treatment, especially to wearing braces for long periods.
  • 6. Can an orthodontist help in painful jaw muscles and joints?
  • • Your orthodontist or dentist will diagnose the problem.
  • • This problem is due to the grinding and clenching of teeth.
  • • The action is unaware and automatic.
  • • The technical name for it is "bruxism."
  • • Bruxism usually occurswhen you are in sleep.
  • • It wear off the teeth, and results in stress and trauma to the teeth.
  • • The orthodontist will possibly recommend a splint, bite plate or a nightguard to shelter the teeth when you sleep. This will also relax the muscles of the jaw.
  • • These devices should reduce and avert the results of tooth grinding.
  • • The cause of the bruxism may be psychosomatic, and have to be treated by a appropriate psychotherapist.
Dental-Headgear



Dental-Headgear



Dental-Headgear




SIGNS FOR EARLY ORTHODONTIC EXAMINATIONS

  • o Early or late loss of baby teeth
  • o Difficulty in chewing or biting
  • o Mouth breathing
    • o Crowding, misplaced or blocked out teeth
    • o Jaws that shift or make sounds
    • o Cutting the cheek or top of the mouth
    • o Teeth that meet up meet or bite unusually or not

Types of orthodontic problems

teeners-orthodontics


PAYBACKS OF EARLY DETECTION FOR ORTHODONTIC TREATMENT

A check-up with an orthodontist no later than age 7 for children who facilitate the orthodontist to detect and assess problems (if any), advise if treatment is essential, and establish the finest time for that patient to be treated. Patients who have clear indications for early orthodontic involvement, early treatment presents an opportunity to:

  • o Direct the growth of the jaw
  • o Control the size of the upper and lower dental arches
  • o Guide succeeding permanent teeth into needed positions
  • o Lesser risk of trauma (accidents) to protruded upper incisors (front teeth)
  • o Amend harmful oral habits
  • o Trim down or eliminate anomalous swallowing or talking problems
  • o Perk up personal appearance and buoyancy
  • o Possibly shorten and/ abridge treatment time for later on corrective orthodontics
  • o dwindle probability of impacted permanent teeth
  • o Conserve or expand space for permanent teeth that are arriving.

WHAT DOES ORTHODONTIC TREATMENT INVOLVE?

Orthodontic Treatment involves 3 phases
  • o Planning Phase
  • o Active Phase
  • o Retention Phase
teeners-orthodontics

How do Dental Braces Work?

Braces have four basic parts as shown below:
  • • Brackets made of metal or ceramic. A bracket is fixed to each tooth.
  • • Bonding material or a band made in metal which fixes the bracket to the tooth.
  • • An Arch Wire, which is a lean metal wire that seeps from bracket to bracket and puts load on the teeth.
  • • The Ligature Elastic (also called an "o-ring"). This is a small colored elastic that grips the bracket onto the arch wire. The ligatures are customarily replaced at each adjustment visit. Some types of brackets do not need elastic ligatures (they are called "self-ligating").

Dental braces act by putting on persistent pressure on the teeth, in a preferred direction, over a interval of time. The force directed can not be too extreme, as it will damage the tooth and periodontal tissues. Normally, only one mm of tooth movement occurs in one month during orthodontic treatment. depending on individual patient’s response to treatment. Once the braces are removed, retainers are recommended to stabilize the teeth in their new positions.

Guide

Orthodontic appliances

Guide

Orthodontic Implants

An up to date and competent service of orthodontic and dental facial orthopedics, led by dr anshu gupta. most current invention materials, advanced technology, in addition to staff speciality and overspecialization, advocates advanced dental care centre a clinic of array when immaculate and outstanding dental treatments are required.
New stomatology these days allocates achieving the wonderful smile, with white teeth, flawlessly aligned, as we all wish. With recent orthodontics abet, branch of stomatology which has fundamentally developed in current years, the whole lot that before was just a fantasy turn out to be possible.
even though an orthodontic treatment resolve, largely, an esthetic setback, it doesn’t just recommence to this. inaccurate teeth and maxillary position make up daily oral hygiene difficult, showing the way in bacterial plaque accumulation and severe teeth disorders coming out, of which periodontal disease and tooth decay. as a result, an orthodontic treatment will unravel several expressions: physiognomic, practical as well as medical.
. Many patients favored evading wearing braces, even for a small interval of time, from the reason that it was unaesthetic. Orthodontics progression show the way to an growing use of mini implants

Conventional Implant

The conventional implant rationale used in stomatology is to substitute a absent tooth. This implants rests inside the patient’s mouth for various years, force that is gathered through the crown, attach to it, are extremely high and must stand firm grinding for a extended episode of time. Orthodontic implants are entitled as mini implants. These are similar to small size screws, intended to last only a few months, utmost 1 year in the patient’s mouth, as long the teeth aligning elastic is anchored. prop up pressure from the mini implants will only be conveyed for a small period of time

Orthodontic Mini Implants Rationale

throughout the orthodontic treatment, very gentle but continuous forces are being put on the teeth that have to to be stirred, obtaining support on the rest of the teeth, known as “anchoring units”. Teeth with anchoring rationale have to be very even and stay still all through the whole treatment period. But, as forces are joint, side effects come into view, for example mobility, plus anchoring teeth, phenomenon recognized as “anchorage loss”. This circumstance can be shunned with orthodontic mini implants aid.

The Method of Introducing Mini Implants

Mini implants inclusion is executed under local anesthesia,. The introduction procedure of a mini implant is different placing in an implant used in implantology, to reinstate a missing tooth taking only some minutes. After insertion, a small sense of uneasiness may come out, but no twinge. Insertion zone can stay touch sensitive for a day or two, subsequent to which the patient gets used to the new circumstances, not sensing any variation.Orthodontic implants are minute size implants (mini implants) employed in fixed orthodontic treatment, with brackets to fasten and move misaligned teeth When we take out teeth and don’t put back them right away with a dental work, dental migrations occur in nearby and opponent teeth level. Teeth can drift horizontally (or vertically (when the opponent is absent). To recuperate a horizontal migrated) tooth from the back of the mouth, an orthodontic implant is positioned behind it, a ring is cemented on the tooth, and between the implant and tooth a resort is placed. The elastic force will “drag” the tooth in the direction of the implant because of orthodontic forces, because the implant is fixed.
Vertically Migrated Teeth
can be now and then infringed with orthodontic implants and elastic forces. So, 2 orthodontic implants are introduced encircling the dental root which needs interruption, on the tooth a metallic ring is protected, and between the ring and implants an elastic is applied which will produce the required forces for tooth intrusion () in the accurate position.

  • Orthodontic Implants Advantages:
  • • Minimally invasive treatment – the normal migrated tooth stays integral for the reason that devitalizing (canal treatment) is eluded, cleaning and wrapping teeth with the crown is comprehend at the correct level (tooth remains alive).
  • • easiness of use and placing, but upholding anchorage (puts off movement of anchoring teeth, of support).
  • • cost-effective treatment – essential costs for a standard, invasive treatment that entails root canal treatment and crown () often go above the cost of realignment through orthodontic implant.
  • • fast and trouble-free treatment – numerous treatment sittings are duck ed(and orthodontic implant/implants incorporation is totally devoid of pain.
  • • Mini implants are a feasible option to headgear () and, in a number of cases, cut down the treatment time.
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MYOFUNCTIONAL THERAPY

Myofunctional therapy is referred as the treatment that send out, climates or conducts likely forces of the orofacial musculature that are pass on to the teeth and alveolar bone through the means of baggy fitting passive appliances to reach changes in jaw position and tooth alignment.
A key aim of functional appliance is to obtain benefit of natural forces and transmit them to certain regions to create the needed modifications.

CLASSIFICATION OF MYOFUNCTIONAL APPLIANCES

  • • Group I appliances
    These appliances put on the muscle force directly to the teeth.
  • • Group II appliances
    These appliances relocate the mandible downward and forward (except in class III malocclusion), triggering the attached and linked invtrasculature. Eg. activator
  • • Group III appliances
    These appliances bring about mandibular transformations through musculature only.

Tooth borne active appliances:

These are mainly amendment of activator and bionator designs .

Tooth borne inactive appliance

These appliances have no inborn force generating capability from springs and that depends only on soft tissue stretch and usual action to bring out treatment effects.

Tissue born

The appliance has minimum contact with teeth and is positioned in vestibule.

Space Maintainers

Early loss of teeth sometimes call for a space maintainer. If a tooth is lost earlier ,than the permanent tooth can erupt into the space left by the removal of primary tooth.
Once the permanent tooth hit the roof, it's path will be out of alignment as well. A space maintainer is an orthodontic appliance that grip the space open so that the permanent tooth can come in its desired position. It can considerably reduce the time for future braces treatment.

Guided Eruption

Mild to moderate crowding can be alleviated or reduced without using braces if treatment starts while the permanent front teeth are erupting (before 7 years of age). This can be concluded by creating more space for the teeth and allowing natural alignment of the teeth.

Early Extraction

At times baby teeth do not fall out when they are supposed to. in reality, there are some cases when the baby tooth does not fall out naturally at all. This can happen when the permanent tooth is not formed in the jawbone at all or erupts in an improper position .In these cases it may be required to extract the baby tooth to allow for proper alignment of the permanent teeth.

Cross-Bite Appliance

Cross-bite is when the top teeth in the back fit on the inside of the lower teeth. This can be taken care of with palatal expanders.

Thumb Sucking

Passionate, long-lasting thumb or finger sucking can have adverse affects on the teeth and jaws. It can push the upper front teeth and the jaw forward.
We can fabricate an appliance that makes it nearly not possible to suck your thumb or fingers. If the problem is addressed early enough, braces may not even be required.

Early Straightening of Permanent Incisors

Permanent front teeth may be straightened with braces at the ages of 8-10. These braces are often only bonded to the front teeth

Functional Jaw Orthopedics

Some kids have a significant discrepancy of the upper and lower jaws. Orthopedic appliances can aid align the jaws correctly. These appliances can generally be placed in and removed by the patient.

Dental Headgears

One of the chief reasons a headgear is used is to accurate the manner the upper and lower molars fit together. It can also be used to build supplementary space for permanent teeth alignment.

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