Posts for tag: orthodontics
It’s something you think about often—especially when you look in a mirror or at a photo of yourself. You wish something could have been done about it a long time ago. But now you think you’re too old to correct your misaligned teeth—your “crooked” smile.
Actually, you can transform your smile through orthodontics, whatever your age. Millions of your peers have done just that—currently, an estimated one in five orthodontic patients is an adult.
If orthodontics isn’t right for you it won’t be because of age, but most likely the condition of your gums and underlying bone or your overall health. That first factor is extremely important: if you’ve lost a significant amount of bone due to periodontal (gum) disease, there may not be enough to support the force of moving the teeth during orthodontics.
Health conditions like severe heart-valve disease, uncontrolled diabetes or drugs to treat arthritis or osteoporosis can also make tooth movement difficult. And, if you have restricted saliva flow (dry mouth), wearing orthodontic devices could be uncomfortable and increase your risk of tooth decay.
If, however, your mouth and body are reasonably healthy (and you don’t have a difficult bite problem to correct), there’s no reason why you can’t undergo orthodontic treatment. The only other thing that might hold you back is concern over your appearance during treatment. Many adults balk at the possible embarrassment of wearing metal braces “at their age.”
If this is a concern, you may have an alternative: clear aligners. These are a series of computer-generated clear plastic trays that conform to the individual contours of your teeth. Each tray is slightly different—you wear one for a short period of time (usually two weeks) before moving on to the next tray to successively and gradually move your teeth. They’re nearly invisible to others and, unlike fixed metal braces, you can take them out for a rare special occasion.
The only way you’ll know whether correcting your misaligned teeth is a viable option is to undergo a full orthodontic evaluation. From there we can help you decide if and how you want to gain a straighter, more attractive smile.
If you would like more information on adult orthodontics, 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 “Orthodontics for the Older Adult.”
You've probably heard of the relatively new method of straightening teeth with thin, plastic orthodontic appliances (“ortho” – to straighten; “odont” – teeth) known as clear aligners. Here are some reasons you might want to consider them for your orthodontic treatment:
- Appearance. Looks aren't everything, as the saying goes. But it may be that metal-covered teeth will not give you a look you want to sport for perhaps a year or more. Adults in particular find that metal braces don't always fit in with their self-image. Because clear aligners are virtually invisible, your teeth will look as they always do and it will not be obvious that you are undergoing orthodontic treatment.
- Control. When you have traditional braces, you cannot take them out of your mouth yourself. They must be professionally removed when your treatment is completed. With clear aligners, however, you can take them out to eat and also for important social occasions. Of course, that means you are also responsible for wearing them as often as needed — a minimum of 22 hours a day. It's a good bargain if you can live up to it, and most find that they can.
- Hygiene. One of the challenges of traditional braces is to learn to clean around them so that your teeth and gums stay healthy throughout treatment. It's not always so easy to do. With clear aligners, you can maintain your usual oral hygiene routine — and also clean the aligners themselves.
- Comfort. Sometimes the rigid brackets and wires of traditional braces can press into sensitive tissues of the mouth. It's something that you will eventually get used to, but it can be uncomfortable temporarily. The material of clear aligners is flexible, so this type of irritation is not an issue.
- Versatility. In recent years, the clear alignment system has been improved to handle more serious malocclusions (“mal” – bad; “occlusion” – bite). Enhancements have also been made to accommodate additional growth of molar teeth in the case of teenagers.
While there are some cases in which traditional braces are still the best option, clear aligners have more applications than ever before. They also have some clear advantages that are worth considering.
If you would like more information about clear aligners, please contact us or schedule an appointment for a consultation. You can also learn more about clear aligners in general by reading the Dear Doctor magazine article “Clear Aligners For Teenagers.”
Teeth crowding is a difficult bite problem (malocclusion) that often involves the entire jaw structure to be evaluated. Normally occurring when the jaw doesn’t have adequate space for normal tooth eruption, teeth coming in later put pressure on other teeth, causing them to develop improperly.
Crowding also makes it difficult to realign teeth with braces because there’s simply not enough room for sufficient movement to take place. The solution may then be to consider the removal of some of the teeth to create enough space for orthodontic treatment.
Not just any tooth can be removed, however — we must first conduct a careful analysis to determine which can be removed to facilitate optimum movement of the remaining teeth without disrupting normal mouth function or affecting appearance. The teeth most frequently removed for this purpose are the bicuspids, located between the cuspids or eyeteeth (which are positioned directly under the eyes) and the molars, the largest teeth in the back of the mouth. Sometimes one premolar tooth on each side of the jaw can be removed without sacrificing future form or function.
There are a few important considerations we must keep in mind when extracting teeth for orthodontic reasons; perhaps the most important is preserving bone at the extraction site. Because continuing bone growth depends on the forces generated by teeth when we bite or chew, bone near a missing tooth socket will tend to diminish over time. If there’s insufficient bone during orthodontic treatment, it may result in gum recession and root exposure — not only damaging to the teeth themselves but also to a person’s smile appearance. To avoid this, we sometimes will consider inserting a bone graft, which will stimulate bone growth, into the empty socket immediately after extraction. While this isn’t commonly done, it’s being considered if the patient’s bone is thin and a concern during healing.
We must also consider how to accommodate other, unrelated tooth loss to assure the final result is visually appealing. It may be necessary in these cases to maintain the space at the missing tooth site for a future restoration once the orthodontics is completed. This takes planning as well as the use of restorations like dental implants, bridges or partial dentures.
Regardless of your bite issues, the field of orthodontics has the appliances and techniques to overcome even the most complicated condition. When necessary, using procedures like tooth extraction can help turn an unappealing, dysfunctional bite problem into a beautiful smile.
If you would like more information on orthodontic teeth extractions, 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.”
Years ago, if you hadn't received braces by the time you finished high school odds are you would never pursue orthodontic treatment. Most adults wouldn't have even dreamed of wearing braces! Thankfully, today, clear aligners have quickly become a popular alternative for adults who have mild to moderate crowding or spacing of teeth.
Unlike traditional orthodontic “braces” in which small (metal) brackets are attached to the teeth, clear aligners use a sequence of individual, clear, removable “trays” to straighten teeth. These trays completely cover each tooth and gradually move the teeth into new improved positions. Clear aligners can be used to realign mildly crowded or tipped teeth, to close small spaces between teeth and even treat elongated teeth.
Your clear aligners will be computer-generated based on current dental records. If you would like to find out if you are a candidate for orthodontic treatment using clear aligners, we will need a full set of records to properly assess your case starting with a thorough examination, taking radiographs (x-rays) of your teeth, jaws and skull, as well as photos and impressions of your teeth that can be used to create models. If you have a good bite, which means that your back teeth fit together properly, clear aligners should be a viable treatment option for you. However, if your upper and lower jaws don't align properly, resulting in a severe overbite or underbite, you will more likely need traditional orthodontic braces to straighten your teeth and improve your bite.
Each patient presents unique dental challenges. Cases vary, but you can expect to have to wear the aligners all day except when eating, for an average of anywhere from six months to two years. But don't worry about what others might think — clear aligners are barely noticeable at all.
If you are ready to improve your smile with this state-of-the-art orthodontic treatment, call our office today. To read more about clear orthodontic aligners, and to view photos that compare traditional orthodontics to clear alternatives, please read the article “Clear Orthodontic Aligners: An Alternative For Adult Orthodontics” in Dear Doctor magazine.
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.”