- Orthodontic brackets used with enamel hypoplasia patients:
a. self legating.
- school going pt. with reverse overjet went to dental clinic because children at school tease at him. Dentist did lateral ceph and find following findings:
SNA 80° SNB 82° ANB (-) 2°:
a- class 1 malocclusion with cl 2 sk
b- class 3 malocclusion with cl 2 sk
c- class 3 malocclusion with cl 1 sk
d- class 3 malocclusion with cl c sk***
Orthodontics; is a specialty of dentistry that diagnoses, tries to prevent and treat perplexed tooth and mismatched jaw relationships. Dentists specializing in orthodontics are called orthodontists.
Why do orthodontic problems occur and how are they treated?
Disorders of the jaws (such as the lower jaw front or back) are usually hereditary. In this case, the treatment method is decided according to the age of the patient. If the patient is in puberty and his lower jaw or upper jaw is behind, he can be treated with orthodontic methods. If the patient is an adult, severe skeletal disorders are treated with orthodontic-surgical cooperation. Jaw mismatches may also occur due to dysfunctions (such as mouth breathing). In a patient breathing mouth, the upper jaw is usually in the form of V because it remains narrow.
It may cause orthodontic disorders in habits such as pacifier or bottle feeding, finger sucking, nail eating, etc. for a long time. Habits should be treated as early as possible (7-10 years). Thus, the use of a simple apparatus will prevent the skeletal disorder which will be adversely affected. If habits are recognized at an early age, they can be prevented by some habit-breaking appliances. Skeletal stenosis in the upper jaw can be treated with orthodontic appliances. Sometimes the individual gets the size of the jaw from one parent and the size of the tooth from the other. If the jaw is large and the tooth is small, the teeth are intermittent. If the tongue is larger than the nomal and the tooth cavities are pulled in the mouth, the teeth are spaced. If the jaw bone is small and the teeth are large, the teeth cannot fit in the jaw and perplexity occurs. Another reason for ragged teeth is early or late loss of primary teeth. Each milk tooth has a fall time. For example, if a milk tooth that should fall at the age of 10 falls at the age of 8, the permanent teeth in the mouth will slide into this cavity and the tooth that needs to come out cannot find a place for itself. In this case, this tooth develops in or out of the dental arch, or in some cases remains embedded.
Can orthodontic treatment be performed at any age?
There is absolutely no age limit for orthodontic treatment. However, treatment planning and duration may vary according to age. In recent years, adult orthodontics has become widespread all over the world. In particular, it is possible to minimize aesthetic concerns by using porcelain brackets. Sometimes, orthodontic treatment can be performed in order to prepare the prosthesis for better prosthesis and the teeth can be made more suitable for the prosthesis. Such treatments are short-lived and orthodontic treatment ends in 4-12 months.
Is orthodontic treatment a painful procedure?
Application sessions and intermediate sessions are absolutely painless and simple. However, wounds may form on the cheeks when the wires are first inserted. These wounds resolve spontaneously within 1 week and usually do not recur. In rare cases (rupture of the bracket, breakage of the wire, etc.), the wound may recur. Such problems can be solved with a little intervention from the physician. In addition, patients are given a ‘patient wax ilk in the first session and the patient can place this wax in the area where the wire hurts to prevent excessive irritation that may occur until the doctor arrives. In addition, when the teeth are squeezed and hard things are eaten after the wires have been inserted for the first time and after the interim sessions, leakage occurs in the teeth. However, it passes spontaneously within 3-4 days.
Do braces decay teeth?
Wires do not decay teeth. On the contrary, the areas where the brackets are adhered are protected from bruise as bacteria cannot enter. However, since the brackets contain more bacteria, the risk of decay is greater than that of a radio mouth. This risk is eliminated when oral care is good and the brackets are thoroughly cleaned.
Can the teeth be brushed with wires?
After the wires have been inserted, the teeth can be brushed as easily as before. There are no risks such as breaking or breaking while brushing. However, it is necessary to scrub a bit more carefully and in detail, as a further separation is required. Specially designed orthodontic brushes and interface brushes can be used for this purpose.
What should be considered after installing wires?
Hard food should be avoided which may cause the wires to break. Hard things like apples, pears should be eaten by cutting, not biting and tearing. Especially seeded foods such as plums, olives should not be thrown into the mouth with the seeds, the seeds should be eaten after leaving the outside. Acidic beverages should not be drunk. Sticky things like gum, Turkish delight should be avoided.
Orthodontics; is a specialty of dentistry that diagnoses, tries to prevent and treat perplexed tooth and mismatched jaw relationships. Dentists specializing in orthodontics are called orthodontists.
Why do orthodontic problems occur and how are they treated?
Disorders of the jaws (such as the lower jaw front or back) are usually hereditary. In this case, the treatment method is decided according to the age of the patient. If the patient is in puberty and his lower jaw or upper jaw is behind, he can be treated with orthodontic methods. If the patient is an adult, severe skeletal disorders are treated with orthodontic-surgical cooperation. Jaw mismatches may also occur due to dysfunctions (such as mouth breathing). In a patient breathing mouth, the upper jaw is usually in the form of V because it remains narrow.
It may cause orthodontic disorders in habits such as pacifier or bottle feeding, finger sucking, nail eating, etc. for a long time. Habits should be treated as early as possible (7-10 years). Thus, the use of a simple apparatus will prevent the skeletal disorder which will be adversely affected. If habits are recognized at an early age, they can be prevented by some habit-breaking appliances. Skeletal stenosis in the upper jaw can be treated with orthodontic appliances. Sometimes the individual gets the size of the jaw from one parent and the size of the tooth from the other. If the jaw is large and the tooth is small, the teeth are intermittent. If the tongue is larger than the nomal and the tooth cavities are pulled in the mouth, the teeth are spaced. If the jaw bone is small and the teeth are large, the teeth cannot fit in the jaw and perplexity occurs. Another reason for ragged teeth is early or late loss of primary teeth. Each milk tooth has a fall time. For example, if a milk tooth that should fall at the age of 10 falls at the age of 8, the permanent teeth in the mouth will slide into this cavity and the tooth that needs to come out cannot find a place for itself. In this case, this tooth develops in or out of the dental arch, or in some cases remains embedded.
Can orthodontic treatment be performed at any age?
There is absolutely no age limit for orthodontic treatment. However, treatment planning and duration may vary according to age. In recent years, adult orthodontics has become widespread all over the world. In particular, it is possible to minimize aesthetic concerns by using porcelain brackets. Sometimes, orthodontic treatment can be performed in order to prepare the prosthesis for better prosthesis and the teeth can be made more suitable for the prosthesis. Such treatments are short-lived and orthodontic treatment ends in 4-12 months.
Is orthodontic treatment a painful procedure?
Application sessions and intermediate sessions are absolutely painless and simple. However, wounds may form on the cheeks when the wires are first inserted. These wounds resolve spontaneously within 1 week and usually do not recur. In rare cases (rupture of the bracket, breakage of the wire, etc.), the wound may recur. Such problems can be solved with a little intervention from the physician. In addition, patients are given a ‘patient wax ilk in the first session and the patient can place this wax in the area where the wire hurts to prevent excessive irritation that may occur until the doctor arrives. In addition, when the teeth are squeezed and hard things are eaten after the wires have been inserted for the first time and after the interim sessions, leakage occurs in the teeth. However, it passes spontaneously within 3-4 days.
Do braces decay teeth?
Wires do not decay teeth. On the contrary, the areas where the brackets are adhered are protected from bruise as bacteria cannot enter. However, since the brackets contain more bacteria, the risk of decay is greater than that of a radio mouth. This risk is eliminated when oral care is good and the brackets are thoroughly cleaned.
Can the teeth be brushed with wires?
After the wires have been inserted, the teeth can be brushed as easily as before. There are no risks such as breaking or breaking while brushing. However, it is necessary to scrub a bit more carefully and in detail, as a further separation is required. Specially designed orthodontic brushes and interface brushes can be used for this purpose.
What should be considered after installing wires?
Hard food should be avoided which may cause the wires to break. Hard things like apples, pears should be eaten by cutting, not biting and tearing. Especially seeded foods such as plums, olives should not be thrown into the mouth with the seeds, the seeds should be eaten after leaving the outside. Acidic beverages should not be drunk. Sticky things like gum, Turkish delight should be avoided.
What is the duration of orthodontic treatment?
The duration of orthodontic treatment depends on the age of the patient, the severity of the problem and the treatment technique to be performed. However, patient compliance is the most important factor in the duration of treatment. If the patient comes to appointments regularly, if oral care is good, brackets and wires do not break frequently, given the apparatus, rubber, and so on. If properly used, treatment is completed in minimum time. If the planning is well done and the patient is in agreement, the treatment period should not exceed 2.5 years even in the most severe cases. The mean duration of treatment was 1.5 years. On the other hand, there are also treatments ending within 1 year.
Do the teeth that are improved with orthodontic treatment break down again?
Our teeth are mobile for life. Especially in people who have never undergone orthodontic treatment due to the effect of chewing forces, teeth may also develop perplexity. After orthodontic treatment, it takes a long time for the teeth to get used to their new positions and have good bone support around them. Therefore, after removing the wires, reinforcement should be performed in order to eliminate the risk of deterioration again. For this purpose, thin wires may be attached to the back of the teeth, or the patient may be provided with transparent plaques that can be attached or removed.
During orthodontic treatment, bone and gingiva are reshaped with biological activity in the surrounding tissue of the female. During this remodeling, the teeth can also be placed in a more aesthetic and healthy position within the mouth by the orthodontist. This biological activity and remodeling that provides orthodontic tooth movement can now be accelerated thanks to the current developments in orthodontic science and technology. Tooth movement during treatment can be accelerated mainly by micro vibration or laser energy applications without surgery or minor surgical methods.
In order to accelerate tooth movement by non-surgical methods, micro vibrations or light energy are utilized to increase biological activity in the tissue surrounding the roots of the teeth. FDA (American Food and Drug Administration) approved charging devices are used to treat the teeth. This device should be used by the patient for 20 minutes per day. Before the course, the details about the use of the device are transferred to the patient by the specialist physician. These devices can also be connected to a computer and the orthodontist can monitor the daily use of the patient at the intermediate controls of the treatment. Scientific studies show that the treatment duration can be reduced by 30 percent if this treatment is applied regularly. This method can be considered a gratifying improvement for adult patients and those with braces in work and social life. Thus, patients can recover in a shorter period of time.
The patient relaxes with laser:
In another non-surgical method, low-dose laser energy is applied to the tissues around the teeth at regular intervals by the orthodontist. When the applied laser energy is absorbed by the tissue, biological activity and tooth movement can be accelerated. Both methods accelerate the movement of the teeth on the one hand, while at the same time, the feeling of squeezing caused by the force applied to move the teeth makes the patient more tolerable.
Short time treatment with Piezocision:
One of the most frequently applied methods to accelerate tooth movement is piezocision, which is surgical orthodontics. Dr. Serdar Üşümez said, uygulamada In this application, small incisions are created between the patient's tooth roots with a special device. These incisions accelerate the reshaping of the bones surrounding the roots and increase the tooth movement speed. This allows a shorter treatment time. In the piezocision application, the patient can also get some gingival or bone defects by grafting (tissue transplantation). ”
Does not affect social life:
In another minor surgical method similar to the piezocision application, small perforations are created between the patient's tooth roots with a special device. Both applications are performed under local anesthesia and the patient feels nothing. In these applications, gingival tissue has minimal changes and sutures are not discarded. After the application, the patient can return to work on the same day and continue his social life.
Specialist physician in orthodontic treatment is essential:
Orthodontic treatment is a science that requires a lot of care, meticulousness and expertise. Therefore, in order to accelerate the orthodontic treatment, the selection and application of the appropriate method should be done by an orthodontist. Unfortunately, in our country and all over the world, there are also people who apply orthodontic treatment to a short-term course without specialization. Orthodontic patients should be very careful and careful about this subject. The treatments tried by non-specialist physicians; may cause permanent negative changes in teeth, surrounding tissues and facial ratios. For this reason, an orthodontist must be examined before the treatment and the physician's instructions should be acted upon.
I can't cure:
Especially adult patients may think it's too late for me. However, orthodontic treatment does not have an age, it can be done at any age. With the development of technology and increasing treatment possibilities, we can easily apply orthodontic treatment to individuals of all ages. Orthodontic treatment can be applied as long as there are healthy dental tissues and the patient pays attention to what needs to be done during the treatment process. Orthodontic treatment has many benefits for adult patients. In cases where the teeth are very perplexed, interface decay may occur as it is not easy to clean. With the treatment, it is easier to clean the teeth and prevent the formation of interface caries.
Orthodontic treatment is done only with wires:
Orthodontic treatment is not only done with wires. In orthodontics, we benefit from much more advanced technologies. One of these treatments is transparent plaques. Transparent plaque treatment is a very efficient method with many advantages compared to wire treatment. These plates are invisible, hygienic and give fast results. There is no wire or metal parts, it does not irritate the inside of the mouth and does not cause discomfort to the patient. Patients can provide oral hygiene with transparent plaques more easily.
Orthodontic treatment is a very painful treatment:
In orthodontic treatments, the patient feels a slight pressure because of the force applied to the tooth. However, pain varies from patient to patient. One of our twin patients who started treatment at the same time had no pain while the other could. This is a completely personal situation.
Orthodontic treatment is very expensive:
Thanks to new technologies, treatment costs and costs have been reduced. In addition, even if patients look at each other, they may see the same problem, but each patient has an orthodontic problem and treatment plan. In this sense, the treatment of one patient may be longer and more costly, whereas the treatment of another patient may not be the same.
Orthodontic treatments take very long:
Contrary to common knowledge, orthodontic treatments do not last long. With the new methods developed, orthodontic treatments are much faster. Today, 50-60 percent of treatments are completed within 10-12 months.
My child does not need treatment, yet it is early:
This is a false belief that we often hear from families. Even a newborn child may need orthodontic treatment. Orthodontic treatment of a baby from the moment of birth may begin. Generally speaking, we can say that the orthodontic examination should be performed between the ages of 6-8.
Without treatment, my teeth will not be damaged:
Orthodontic treatment prevents further losses that may occur in later years. These include tooth loss and interface caries. It also protects patients from treatments such as filling, extraction, implant and prosthesis.
Perpendicular teeth improve over time:
It is not possible to correct spontaneity after 10 years of age. Surely an intervention is required. Therefore, perpendicular teeth do not improve over time.
In orthodontic treatment, dental attachments are not displaced:
This is a false belief. Transparent plaques that we frequently use in orthodontic treatment are products that can be easily removed and inserted. With these products, patients can easily consume what they want compared to wires.
I don't want to be treated because of the ugly image:
Some patients may postpone their treatment because of their wedding, graduation, presentation or important meetings. Patients who use social media very effectively can avoid being treated with metal brackets. In such cases, we recommend transparent plaques to our patients. Invisible, transparent and transparent plates that give fast results; Compared to metal braces, it does not cause any discomfort and can be removed and installed at any time.
Stating that orthodontic treatment increases the self-confidence of individuals at any age. Akgül said, “Our patients who cannot share photos laughing from their social media accounts before the treatment, there is almost no pose they did not smile after the treatment”.
During orthodontic treatment, bone and gingiva are reshaped with biological activity in the surrounding tissue of the female. During this remodeling, the teeth can also be placed in a more aesthetic and healthy position within the mouth by the orthodontist. This biological activity and remodeling that provides orthodontic tooth movement can now be accelerated thanks to the current developments in orthodontic science and technology. Tooth movement during treatment can be accelerated mainly by micro vibration or laser energy applications without surgery or minor surgical methods.
In order to accelerate tooth movement by non-surgical methods, micro vibrations or light energy are utilized to increase biological activity in the tissue surrounding the roots of the teeth. FDA (American Food and Drug Administration) approved charging devices are used to treat the teeth. This device should be used by the patient for 20 minutes per day. Before the course, the details about the use of the device are transferred to the patient by the specialist physician. These devices can also be connected to a computer and the orthodontist can monitor the daily use of the patient at the intermediate controls of the treatment. Scientific studies show that the treatment duration can be reduced by 30 percent if this treatment is applied regularly. This method can be considered a gratifying improvement for adult patients and those with braces in work and social life. Thus, patients can recover in a shorter period of time.
The patient relaxes with laser:
In another non-surgical method, low-dose laser energy is applied to the tissues around the teeth at regular intervals by the orthodontist. When the applied laser energy is absorbed by the tissue, biological activity and tooth movement can be accelerated. Both methods accelerate the movement of the teeth on the one hand, while at the same time, the feeling of squeezing caused by the force applied to move the teeth makes the patient more tolerable.
Short time treatment with Piezocision:
One of the most frequently applied methods to accelerate tooth movement is piezocision, which is surgical orthodontics. Dr. Serdar Üşümez said, uygulamada In this application, small incisions are created between the patient's tooth roots with a special device. These incisions accelerate the reshaping of the bones surrounding the roots and increase the tooth movement speed. This allows a shorter treatment time. In the piezocision application, the patient can also get some gingival or bone defects by grafting (tissue transplantation). ”
Does not affect social life:
In another minor surgical method similar to the piezocision application, small perforations are created between the patient's tooth roots with a special device. Both applications are performed under local anesthesia and the patient feels nothing. In these applications, gingival tissue has minimal changes and sutures are not discarded. After the application, the patient can return to work on the same day and continue his social life.
Specialist physician in orthodontic treatment is essential:
Orthodontic treatment is a science that requires a lot of care, meticulousness and expertise. Therefore, in order to accelerate the orthodontic treatment, the selection and application of the appropriate method should be done by an orthodontist. Unfortunately, in our country and all over the world, there are also people who apply orthodontic treatment to a short-term course without specialization. Orthodontic patients should be very careful and careful about this subject. The treatments tried by non-specialist physicians; may cause permanent negative changes in teeth, surrounding tissues and facial ratios. For this reason, an orthodontist must be examined before the treatment and the physician's instructions should be acted upon.
I can't cure:
Especially adult patients may think it's too late for me. However, orthodontic treatment does not have an age, it can be done at any age. With the development of technology and increasing treatment possibilities, we can easily apply orthodontic treatment to individuals of all ages. Orthodontic treatment can be applied as long as there are healthy dental tissues and the patient pays attention to what needs to be done during the treatment process. Orthodontic treatment has many benefits for adult patients. In cases where the teeth are very perplexed, interface decay may occur as it is not easy to clean. With the treatment, it is easier to clean the teeth and prevent the formation of interface caries.
Orthodontic treatment is done only with wires:
Orthodontic treatment is not only done with wires. In orthodontics, we benefit from much more advanced technologies. One of these treatments is transparent plaques. Transparent plaque treatment is a very efficient method with many advantages compared to wire treatment. These plates are invisible, hygienic and give fast results. There is no wire or metal parts, it does not irritate the inside of the mouth and does not cause discomfort to the patient. Patients can provide oral hygiene with transparent plaques more easily.
Orthodontic treatment is a very painful treatment:
In orthodontic treatments, the patient feels a slight pressure because of the force applied to the tooth. However, pain varies from patient to patient. One of our twin patients who started treatment at the same time had no pain while the other could. This is a completely personal situation.
Orthodontic treatment is very expensive:
Thanks to new technologies, treatment costs and costs have been reduced. In addition, even if patients look at each other, they may see the same problem, but each patient has an orthodontic problem and treatment plan. In this sense, the treatment of one patient may be longer and more costly, whereas the treatment of another patient may not be the same.
Orthodontic treatments take very long:
Contrary to common knowledge, orthodontic treatments do not last long. With the new methods developed, orthodontic treatments are much faster. Today, 50-60 percent of treatments are completed within 10-12 months.
My child does not need treatment, yet it is early:
This is a false belief that we often hear from families. Even a newborn child may need orthodontic treatment. Orthodontic treatment of a baby from the moment of birth may begin. Generally speaking, we can say that the orthodontic examination should be performed between the ages of 6-8.
Without treatment, my teeth will not be damaged:
Orthodontic treatment prevents further losses that may occur in later years. These include tooth loss and interface caries. It also protects patients from treatments such as filling, extraction, implant and prosthesis.
Perpendicular teeth improve over time:
It is not possible to correct spontaneity after 10 years of age. Surely an intervention is required. Therefore, perpendicular teeth do not improve over time.
In orthodontic treatment, dental attachments are not displaced:
This is a false belief. Transparent plaques that we frequently use in orthodontic treatment are products that can be easily removed and inserted. With these products, patients can easily consume what they want compared to wires.
I don't want to be treated because of the ugly image:
Some patients may postpone their treatment because of their wedding, graduation, presentation or important meetings. Patients who use social media very effectively can avoid being treated with metal brackets. In such cases, we recommend transparent plaques to our patients. Invisible, transparent and transparent plates that give fast results; Compared to metal braces, it does not cause any discomfort and can be removed and installed at any time.
Stating that orthodontic treatment increases the self-confidence of individuals at any age. Akgül said, “Our patients who cannot share photos laughing from their social media accounts before the treatment, there is almost no pose they did not smile after the treatment”.
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