Posts for tag: braces
We treat most malocclusions (bad bites) with braces or clear aligners. But not all malocclusions are alike — some can require extra procedures to achieve successful results.
One such example is when incoming teeth crowd other teeth and cause them to erupt abnormally. The crowding also reduces the space needed to move the misaligned teeth to better positions. To make more room we'll often remove some of the teeth before undertaking orthodontics.
The key is to extract the right teeth. The best candidates are those whose absence will have minimal effect on both appearance and dental function. That's commonly the bicuspids, located right on the edge of the “smile zone” (the teeth most visible when we smile) between the cuspid (eye) teeth and the back molars.
Once we choose and remove the teeth our next concern is to protect the bone at the extraction site.Â The bone in our jaws benefits from the pressure created when we bite or chew. This stimulates new bone cells to form and replace older cells. Without it, as when we have a missing tooth, the amount of bone can diminish over time and affect the success of any future orthodontics.
To prevent this, we take care not to damage the gums and bone removing the tooth. We may also install a graft under the empty socket to encourage bone growth.
If we've removed teeth outside the smile zone, the resulting orthodontics will move teeth into the opened space. In the end, you won't even notice they're gone. Teeth lost or congenitally missing in the smile zone, though, may eventually require a replacement tooth. A dental implant is the best choice, but it should be put on hold for a younger person until their jaw has fully developed.
In the meantime, we can install a spacer or a temporary restoration to hold the empty space and prevent other teeth from drifting into it. This can be incorporated into braces or aligners, or with a removable partial denture or a temporary modified bridge.
Extracting teeth to aid orthodontics first requires a well-laid plan that could encompass several years. The end result, though, can be well worth the time and effort — better function and a new, attractive smile.
If you would like more information on the process of straightening teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”
Now in your adult years, you feel you’ve functioned pretty well even with a few misaligned teeth. You may also think having them straightened at this point may not be worth the effort and expense.
But there are solid reasons — beyond, of course, the psychological and social benefits gained from a new smile — why straightening teeth even as an adult can be a wise investment. Orthodontics not only enhances your appearance but may also improve your long-term oral health.
Restores proper oral function. Teeth that are aligned properly will tend to function properly. Although you can still chew, speak and smile with teeth that aren’t quite aligned properly, over time you’ll put more stress on both the teeth and the jaws, which could lead to more wear than what normally occurs with aging. By re-aligning teeth to a more normal position you could be extending the life of your teeth and reducing your risk of other functional problems.
Reduces the risk of periodontal (gum) disease. Some people with misaligned teeth are more susceptible to periodontal disease. Besides difficulties with bacterial plaque removal (a must to avoid gum disease), a person with misaligned teeth can also encounter more defects involving bone and gum tissues like gum recession that can contribute to the progression of gum disease. By straightening teeth (and performing plastic periodontal surgery if needed), we can reduce this risk dramatically — as long as we’re performing periodontal treatment for existing gum disease before and during orthodontics.
Facilitates tooth replacement. When we lose a tooth, the mouth’s natural mechanism is to move remaining teeth to fill the void left by the lost tooth. This can make it difficult to position a dental implant or similar tooth replacement in a functional and aesthetically appealing way. By applying orthodontics to move drifting teeth back into their proper place, we restore the best condition for achieving success with a tooth replacement.
The best way to know how much you could benefit from orthodontic treatment is to visit us for a full dental evaluation. From there, we can help you decide if treatment for straightening misaligned teeth is right for you.
If you would like more information on orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Why Straighten Teeth.”
Taking care of your teeth is a lifetime commitment, if you want your teeth to last a lifetime. But it can be especially challenging if you're wearing traditional metal braces. With a little extra attention, though, you can reduce the risk of dental disease during orthodontic treatment.
The goal of oral hygiene is to remove biofilm, a layer of leftover food particles called plaque that is a haven for disease-causing bacteria. Orthodontic braces make access more difficult for performing oral hygiene. A little extra effort and attention, though, can make a big difference.
First, be sure you're eating a healthy diet and avoiding unhealthy snacks (especially those high in carbohydrates) between meals; this will discourage the growth of bacteria in the mouth. You should also limit your intake of sodas, sports or energy drinks since their high acidity contributes to tooth enamel erosion.
Although more difficult for someone wearing braces, brushing is still essential to good hygiene. Begin by holding a soft, multi-tufted bristle brush at a 45-degree angle, and then brush the surface area between the gum and the braces all the way around. Return to your starting point and brush the area from the braces to the edge of the top of the teeth in the same direction. Be sure you do this for both the upper and lower jaw and on both the cheek and tongue side.
Flossing is also more difficult, but not impossible. Instead of conventional floss thread, you can use special floss threaders, small interdential brushes, or an irrigation device that sprays pressurized water to remove food particles between teeth.
Above all, it's important to keep up regular office visits with us. In addition to monitoring overall dental health, we can also apply or recommend additional fluoride products to help strengthen teeth or prescribe antibacterial rinses to reduce the mouth's bacterial level.
Keeping up a good daily hygiene regimen and regular checkups will ensure that the smile you gain from wearing braces is healthy as well as beautiful.
If you would like more information on oral hygiene while undergoing orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”
If you've lived for many years with crooked teeth, you may think that your teeth will be this way forever. Believe it or not, one out of every five orthodontic patients is an adult and 75% of adults have some form of malocclusion. You're never too old to improve your smile, and here a few reasons why you should consider orthodontic treatment:
- Self-Esteem: An attractive smile contributes to your confidence and self-image, and this is important at any age. Research has shown that, logically, the better you feel about your looks, the better you feel about yourself. You might not realize it, but those crooked teeth can cause you to be self-conscious, thus smiling and talking less. Studies have even demonstrated that orthodontic treatments can enhance your career opportunities.
- Longevity: Though you can always expect a certain amount of wear and tear to your teeth from aging, properly aligned teeth will function better over time. If you are prone to gum disease, your problems can worsen with poorly aligned teeth. Not only is it more difficult to clean around crooked teeth, but we often see gum recession around poorly positioned or crowded teeth.
- Options: If you choose to explore orthodontic treatment, you will see that much has changed since you were a teenager. Instead of traditional metal braces, we can sometimes use clear or colorless braces that are less noticeable. Some braces can even be attached to the back of your teeth. You may also be a candidate for clear orthodontic aligners, which use a sequence of clear, removable and custom-fitted trays to gradually straighten your teeth.
If you're considering orthodontic treatment, you should schedule an appointment with our office, so that we can conduct a thorough examination, discuss your options and recommend a course of treatment. We'll also make sure that your teeth and gums are healthy, an important requirement to successfully straighten your teeth.
If you would like more information about adult orthodontics, please contact us for a consultation. You can also learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”
If you are planning orthodontic treatment for yourself or your child, you may have heard about different types of orthodontic appliances (braces) and you may be wondering which type is best for you.
Orthodontic treatment is the process used to improve the positioning of your teeth and bite so that you look better and your teeth function properly. Movement of the teeth is accomplished by harnessing the natural regenerative powers of the body to remodel living tissue, in this case, the bone, which adapts to the new position into which the teeth are moved. Orthodontic appliances accomplish the movement by placing small light and constant forces on the teeth to move them into new and better positions.
There are currently three main types of orthodontic appliances to move your teeth. After careful analysis of your bite and needs, we can help you select the best option for your particular situation.
Fixed appliances, commonly known as braces, so-called because they are fixed to the teeth thereby bracing them together, small brackets are bonded to the teeth and light flexible wires are threaded through them. Controlled tension on these wires pulls or pushes the teeth into position.
Clear brackets are a second, more aesthetic type of fixed appliance. While they are less visible, they tend to be more fragile.
Use of fixed appliances, whether brackets are metal or clear, is usually recommended in more complex cases because they enable the orthodontist to accomplish more complex three-dimensional tooth movements in the most efficient and predictable manner. Please note that, during treatment, you should avoid eating hard foods or participating in extreme contact sports so you will not damage your teeth or the appliances.
Clear aligners are a third, more recent option for repositioning teeth. They are removable appliances, generally used in situations that are milder in nature and easier to correct. After careful assessment, a series of computer-generated, custom made clear plastic trays are made to move the mal-aligned teeth. Tooth movement is progressive with each successive aligner or tray, moving the teeth minutely, until the new desired position(s) is achieved. Clear aligners are usually used for simpler or tipping movements of teeth.
With any of these options, simple movements of teeth may take a few months, and more complex movements take up to two or three years.
Orthodontic treatment is an ingenious scientific discovery that has allowed the dental profession to accurately and precisely move teeth for improved aesthetic appearance and functional position. Contact us today to schedule an appointment or to discuss your questions about orthodontics. You can also learn more by reading the Dear Doctor magazine article “The Magic of Orthodontics.”