Frequently Asked Questions

Orthodontist / Who is an orthodontist?
An orthodontist is a person who, after his orthodontic education, does doctorate work in the relevant departments of universities. Dentistry education is 5 years. After the dentistry education, doctoral/specialty training is carried out between 4-6 years. During this period, practical and theoretical orthodontic training and bedside applications are carried out.

At what ages is orthodontic treatment (wire treatment) performed? Do teeth straighten at any age?
While the disorders caused by the position of the jaws (orthopedic disorder) are treated during the growth and development period, the disorders caused by the normal jaws and only the tooth alignment can be treated at any age. Orthognathic surgical treatment is performed after the age of 18.

At what age should I bring my child for an orthodontic examination?
It is beneficial to have the first orthodontic examination of the child at the age of 7-8, after the lower and upper front teeth erupt. During this period, problems with the development of the jaws and permanent teeth may be noticed. With an early diagnosis, skeletal disorders that are more difficult to treat in the future can be easily treated and conditions that require tooth extraction can be prevented. In addition, the duration of treatment can be shortened and the cost of treatment can be reduced.

What will happen at the first visit to the orthodontist?
Information about the treatment process is given at the first appointment, and x-rays and plaster models are taken and stored for treatment planning. After the treatment plan is made by the orthodontic team, orthodontic treatment is given to the patients by making an appointment.

Is dental X-ray harmful?
All kinds of drugs and x-rays have minor side effects and harms. Of course, X-rays are harmful. However, in today’s technology, the dose of dental x-rays is very low compared to other radiation sources. Microwave ovens, televisions, mobile phones and even hair dryers emit significant electromagnetic radiation and are used uncontrollably. Your dentist will dress you in a lead apron while the dental x-ray is being taken.

How often will I come to appointments?
Appointments are arranged according to the patient’s condition. It varies between 4-6 weeks in patients receiving fixed orthodontic treatment. In special cases that require more frequent control, appointments are made accordingly. The duration of the treatment will not be shortened by coming to the sessions more often. On the contrary, this will damage your teeth and may prolong the treatment.

Is tooth extraction necessary?
Tooth extraction for the purpose of orthodontic treatment is not preferred by patients. In deciding on tooth extraction, criteria such as the amount of crowding in the lower and upper jaws, the growth pattern of the lower and upper jaws, and the patient’s facial profile are taken as a basis. Tooth extraction may be required for a successful orthodontic treatment, where the result will be more stable. Gaps gained by tooth extraction are used to correct crooked teeth. At the end of the treatment, there is no gap in the mouth. Around the world, the rate of extraction for orthodontic treatment varies between 35-40%.

Are there any invisible wires?
In recent years, the use of tooth-colored porcelain brackets, which attract less attention than metal brackets, has increased. In addition, bracket systems (lingual brackets) placed on the tongue-facing surfaces of the teeth have been developed.

How long is the orthodontic treatment?
It can vary between 6 months and 3 years (average 1.5 – 2 years) depending on the severity of the orthodontic disorder, the age and compliance of the patient.

Why do teeth come out crooked?
Genetic and environmental factors have an effect on the formation of orthodontic disorders. In a child who inherits a small jaw from his mother and large teeth from his father, the teeth may appear crooked (genetic factors) or the teeth may become crooked as a result of the failure to preserve the position of the permanent teeth that will come from below due to early loss of milk teeth. It can also be caused by bad habits such as thumb sucking. (environmental factors).

Is it important to protect milk teeth? Anyway, won’t it be replaced by a new one?
The common misconception about milk teeth in society is that milk teeth are temporary and brushing is not very important. The most important benefit of milk teeth is that they contribute to the development of the maxillofacial skeletal system. In the early loss of milk teeth, the jaw bones cannot provide the necessary expansion and cannot guide the permanent teeth. In this respect, the protection of primary dentition is very important for the health of permanent teeth.

Is there a relationship between nutrition and tooth and jaw disorders?
In particular, eating sugary foods causes orthodontic disorders. Tooth decay occurs as a result of eating too much sugar. When tooth loss (extraction) occurs due to caries, orthodontic disorders occur as a result of the movement of the teeth adjacent to the extraction space. In addition, there are researches that Protein, D, A, B1, B2 vitamins and Calcium deficiency facilitate the formation of tooth and jaw disorders.

How do you know if you have an occlusion disorder?
When the teeth are closed, if there is an opening in the upper-lower direction, if the upper jaw is narrower than the lower, if there are gaps between the teeth, if the lower or upper jaw is too much in front or behind the other, you should be examined by an orthodontist.

Can adults receive orthodontic treatment?
Orthodontic treatment can be done at any age. There are treatment methods and treatment goals that can be applied to all ages.

What is orthognathic surgery?
In the treatment of some skeletal incompatibilities, orthodontic treatment alone may be insufficient if the lower and upper jaws are positioned too far forward, backward or to the side. In such cases, surgery to the jaws may be required as part of orthodontic treatment to provide the needed correction. The aesthetic result obtained in a very short time after surgery is successful and nowadays orthognathic surgical treatment is becoming more and more common.

Does it cause pain when inserting/removing the wires?
There is no situation that will cause pain to the patients during the insertion and removal of the wires. Braces may cause discomfort and mild pain to the cheeks and gums for the first few days of treatment. However, the use of painkillers is not necessary. All complaints disappear within 1 week.

Do wires affect speech?
Strings generally do not affect speech. Some wires (such as tongue preventer, nance) used within the movement limits of the tongue may adversely affect speech in the first days after insertion. However, this situation disappears as the language adapts to the region again.

Is it normal for teeth to shake during orthodontic treatment?
In order for the teeth to move during orthodontic treatment, the bone around them must be destroyed in the direction of movement. Therefore, it is normal for the teeth to wobble.

How long does it take to install the wires?
The process of attaching the wires varies between 45 minutes and 2 hours, depending on the case.

What should be considered during treatment?
After braces are attached to your teeth, the most important thing you should pay attention to is oral hygiene and taking care of the foods you eat. In mouths with crooked teeth, nutrients accumulate much more than in mouths with smooth teeth. There is an excessive accumulation of nutrients by sticking wires with many recesses and protrusions on crooked teeth. The acids formed by the breakdown of these food residues by bacteria both create a suitable environment for dental caries and gingival diseases (gingival inflammation), and cause the wires (brackets) adhered to the teeth to break. Therefore, mouth cleaning should be done properly, sugary, acidic, sticky and hard foods should be avoided.

Do braces rot teeth?
Wires do not have a direct tooth decay effect. Since they only increase the nutrient accumulation, they create a suitable environment for the formation of caries when the teeth are not brushed enough. That’s why teeth should be brushed after every meal.

Are the braces harmful to the gums? Do wires cause bad breath?
Wires do not directly harm the gums. Because they increase nutrient accumulation, they create a suitable environment for dental and gingival diseases when teeth are not brushed well. Bad breath has many causes. A disease that concerns your general health (such as diabetes mellitus) can cause bad breath, or tooth and gum diseases that occur when the teeth are not brushed well can cause bad breath.

What can happen if orthodontic treatment is not performed?
Since crooked teeth are difficult to clean, conditions such as tooth decay, gingivitis and gingival recession will occur more easily. Closing disorders of the jaws can cause chewing disorders, which can lead to abrasions on the teeth and joint problems. In addition, orthodontic disorders can negatively affect the psychosocial development of the individual by reducing his/her self-confidence.

Are the wires harmful to health?
If you are not allergic to metal, there is nothing to worry about. Because all metals used in orthodontics are produced with the health of patients in mind.

Will the wires prevent me from doing sports?
If you use an orthodontic bow (facebow) or face mask, it will be difficult for you to do sports. It is recommended to remove extra-oral appliances during sports. Brackets are not an obstacle to doing sports. However, a protector can be used to prevent injuries that may occur during any collision.

Will there be any stains on the teeth after the braces are removed?
If you brush your teeth regularly during the treatment, if your oral care is good, no stains will be left.

Will the teeth deteriorate again after the treatment is over?
After the braces are removed, the teeth want to return to their previous positions. Fixed or movable reinforcement appliances are used to hold the teeth in their current positions. If these appliances are not used within the recommended times, the teeth may deteriorate again.

What happens if the retention appliance is not used?
The teeth return to their position at the beginning of the treatment. Orthodontic treatment may need to be restarted.

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