Orthodontic Treatment

How do I know if I need orthodontic treatment?

Individuals with crooked or sparse teeth, missing teeth, excess teeth or impacted teeth, too few or too many teeth during smiling, and those whose upper and/or lower jaws are forward or backward than normal need orthodontic treatment.

Why is orthodontic treatment necessary?

It is impossible to have a beautiful smile and an aesthetic facial appearance with crooked or sparse teeth.

Crowding in the teeth increases the risk of dental caries, as it reduces the effectiveness of tooth brushing, as well as aesthetic problems. The spaces between the teeth negatively affect the chewing function and the health of the tissues around the teeth.

Orthodontic treatment is frequently needed for correct positioning of teeth before prosthetic treatments such as implants, bridges, and veneers.

Individuals with skeletal problems in which the upper or lower jaw is anterior or posterior to normal should be treated at an early age (10-13 years). In adult patients with skeletal problems and delayed treatment, the jaws are repositioned as much as the tissues allow, with surgical operation (orthognathic surgery) after wire treatment.

Preserving the position of the primary teeth lost due to caries or trauma is important for the normal eruption of the permanent tooth that will replace the primary tooth. The gaps in which permanent teeth will come can be protected with appliances that can be removed or fixed on the teeth.

How long does orthodontic treatment take?

The goal of the orthodontist is not only to progress quickly, but to get the best possible result in terms of aesthetics and function without damaging the tissues.

Forces are applied within certain limits in orthodontics so that the teeth and bone tissue are not damaged during the movement of the teeth in the jaw and the repositioning of the jaws and the biological events take place in an ideal way. For this reason, results cannot be obtained in a very short time in orthodontic treatments. Depending on the severity of the problem being treated, your age, compliance with the treatment and the orthodontic treatment method applied, the duration of treatment is quite variable, it can be said that this period is between 6 months and 3 years.

How is orthodontic treatment done?

After the clinical examination of the patient by the orthodontist, the orthodontic problem is diagnosed, the treatment alternatives are discussed with the patient, the most appropriate treatment method is determined by making measurements and analyzes on the photographs and plaster models together with the x-rays and/or 3D tomography and radiographic examination.

Orthodontic treatments, according to the diagnosis and treatment plan; It is carried out using various systems such as removable removable appliances, ceramic or metal brackets and wires, clear plates (aligners), lingual brackets, mini screws, face masks, chinrests.

How can the patient contribute to the success of his own treatment?

Orthodontic treatments require patient-doctor collaboration. The practices performed by your physician are not sufficient alone to carry out and complete your treatment.

In order to start your treatment, excellent oral care and healthy teeth and gums are essential. Orthodontic treatment cannot be applied to individuals who do not have the habit of brushing, because lack of attention to oral hygiene while there are various appliances such as brackets and wires on the teeth will cause the teeth to decay rapidly.

Your doctor will give you the necessary training if there is a problem with your tooth brushing habit. Your orthodontic treatment will be started when you get the right brushing habit and your teeth and gums are healthy.

In order for the brackets and other appliances on your teeth to not be damaged and for them to function, you should stay away from hard, crusty, seeded, sweet foods that stick to the teeth during the treatment.

In your treatment, you may need to use elastics between the jaws or mechanics adapted to the face from the outside of the mouth. You should use them as directed by your doctor and for the desired time.

Your doctor will want to see you in 3-5 week periods, and your doctor will make progress in your treatment at each appointment. In order for the treatment to continue as desired, you should attend appointments regularly.

Is there pain in orthodontic treatments?

In orthodontic treatments, regardless of the technique applied (metal bracket, ceramic bracket, clear aligner, lingual orthodontic), there is a feeling of pressure/squeezing in the teeth in the first 7-10 days after your treatment starts. Mostly, it does not require taking painkillers and it is not a severe pain that forces your daily life. You can feel this pinching feeling in the first days during the treatment process, only in the first few hours after your monthly check-ups. If orthodontic forces are applied to your teeth in the required amount, that is, within physiological limits, during your treatment, you will not have any pain during the treatment process.

At what age is orthodontic treatment applied?

The first orthodontic control in children should be done at the age of 6-7, preventive and preventive orthodontic applications can be started at this age for possible orthodontic disorders waiting for the patient in the future. Skeletal orthodontic anomalies related to the jaw and face structure can be treated in the 10-13 age range, at the stage of growth attack. This stage is extremely valuable for orthodontic treatments. The orthodontist determines the stage of growth in children by examining the X-ray of the wrist or neck vertebrae. There is no age limit for dental orthodontic anomalies, the only criterion for treatment is that the tooth and the surrounding bone tissue are healthy.

What should be considered after braces are placed?

There are 2 important rules to be considered after your treatment with your braces begins. The first is to brush your teeth after every meal, using the toothbrushes and toothpaste recommended by your doctor, with the special tooth brushing technique for patients with braces. Secondly, you should stay away from hard, crusty, sticky foods and foods high in sugar. While hard foods cause breakage or damage to brackets or special appliance systems on your teeth, foods high in sugar cause tooth decay and gum disease. However, you can consume foods such as hazelnuts, walnuts and almonds, which should not be consumed by orthodontic patients because they are hard, but with high nutritional value, and consume them with yogurt, salad or milk desserts. You can eat plums or apricots by cutting them with a knife, or you can choose pitted alternatives of olives.

Do teeth deteriorate again after braces treatment?

Orthodontic treatment is a long-term treatment that requires patience for both the patient and the physician. Orthodontic treatment has been in great demand in recent years, with the increase in aesthetic expectations even in children and with the increase in our awareness of health as a society.

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sees. There is now an intense and increasing demand from a wide age range and from all walks of life. The quality of community oral and dental health is getting better day by day. However, in order not to waste the patient’s financial and moral effort after this important treatment, treatments called “reinforcement treatment” after orthodontic treatment, against the tendency of the teeth to return to their original state, are very important. Depending on the type and duration of the treatment, clear aligners and/or appliances called retainers should be used for the reinforcing treatment for the period and as recommended by your doctor, and regular controls should be continued until your doctor terminates the reinforcing treatment.

What should be done if the brackets break or the wire sinks into the cheek/lip surfaces?

In such a case, you should contact your doctor and report the problem you are experiencing and make an appointment and go to your doctor. If you are on holiday, in the city/abroad or in quarantine due to an epidemic such as covid19, you can take a piece of orthodontic special wax that your doctor gave you for such cases and stick it on the broken bracket or the wire that makes you comfortable. If you don’t have a candle at hand, you can use a sugar-free gum for the same process by softening it slightly. If you feel that a long wire is sticking to your cheek or lip, you can cut off the sticking part yourself with a clean nail clipper or manicure pliers.

What is the treatment process like with Invisalign?

Once the orthodontist confirms that you are eligible for invisalign treatment, they will take photos of your teeth, radiographs, and digital scans or dental impressions. A set of aligners are specially produced and sent according to the treatment plan created by your doctor. Your doctor prepares the teeth for the correction of the aligners by making small support points on the teeth determined specifically for your treatment. Aligners are used all day except meals and each one is changed every 1-2 weeks, you should visit your doctor every 6-8 weeks to get new aligners from your doctor and check the course of treatment.

Can Invisalign be applied to everyone?

Orthodontic anomalies are quite diverse and it would not be correct to say that invisalign can be applied in all orthodontic cases, there are certain limits to what aligners can do. After a detailed examination, your doctor will create the most suitable alternative for you among all orthodontic treatment options.

What is lingual orthodontics?

Lingual orthodontics is a treatment system in which wires and brackets are placed on the back surface of the teeth, not the visible surfaces, and it is not understood that you are being treated from the outside. In these treatment systems, various types of treatment options are available, with brackets and wires produced individually or as standard. Tailor-made lingual bracket systems are more preferred by orthodontists. Lingual brackets and wires are produced in accordance with the treatment plan determined by your doctor, using dental impressions from the patient or digital scanning and photographs. Lingual orthodontics can be applied by orthodontists who have a lingual orthodontic certificate and have technical expertise in this field.

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