ORTHODONTICS

It is the arrangement of crooked teeth and incompatible jaw relations with the help of a number of apparatus.
These are practices aimed at reducing as much as possible the problems that occur due to habits such as thumb sucking, lip biting, and foreign body insertion in the pre-school years, which is called the primary dentition period. If these habits are eliminated during the primary dentition period, recovery is achieved without a permanent defect in the skeletal structure. For this, some intraoral or extraoral devices are used.

The mixed dentition period covers primary school age children, it is the period when both permanent and milk teeth are present in the mouth. In this period, some space problems may occur as a result of the loss of milk teeth before or after their time and not being able to guide the permanent teeth from below. The confusion created (of your distortion) removal is required. Again, the elimination of incompatibilities between the jaws, which begin in this period and continue until the end of adolescence, is also the subject of orthodontics.

In the permanent dentition period, the disorders in the dental knees can be corrected with fixed or mobile devices with or without tooth extraction.

Orthodontic treatment is divided into two as fixed and removable orthodontic treatment according to the way it is applied:

  • Fixed Orthodontic Treatment

Fixed orthodontic treatment, as the name suggests, is orthodontic treatment in which fixed appliances that the patient cannot remove are used. In fixed orthodontic treatment, a corrugated metal called bracket is placed on the teeth. (porcelain brackets are also used today) is pasted. A wire passes through this groove. This wire is replaced at intervals of 1 or 2 months.

  • Removable Orthodontic Treatment

Removable orthodontic treatment is orthodontic treatment in which appliances that the patient can put on and take off. Removable orthodontic treatment is mostly applied in children between the ages of 6-12. In some cases, it may be necessary to apply both fixed and mobile orthodontic treatment methods.

THINGS TO CONSIDER DURING ORTHODONTIC TREATMENT

Before starting orthodontic treatment, all caries and gum diseases in the mouth should be treated. Regardless of the form of fixed orthodontic treatment or removable orthodontic treatment, oral hygiene should be considered during orthodontic treatment. If a removable orthodontic appliance is used, the appliance should be removed and the teeth should be brushed after meals. The hygiene of the orthodontic appliance should be given the same attention.
Brackets used in fixed orthodontic treatment are very suitable areas for the accumulation of food residues. For this reason, food residues between brackets and wires should be carefully cleaned using orthodontic toothbrushes after meals. If oral hygiene is not taken care of, it is inevitable that caries and gingival problems will occur during orthodontic treatment.

Orthodontic treatment is a long-term treatment and there are monthly check-ups. For this reason, the person should be willing for orthodontic treatment and should not delay their appointments. In case of any breakage, rupture or dislocation of the orthodontic appliance used in any way, it is necessary to consult an orthodontist without wasting time, as the treatment may be adversely affected.

Reinforcement treatment is very important in orthodontic treatment. Reinforcement treatment must be strictly followed in order to maintain the position of the teeth.

  • What is reinforcement therapy?

Orthodontic treatment takes about 2 years. The structures around the teeth immediately after they are straightened (periodonsium) could not adapt to the new position of the teeth. In addition, bone tissue is immature. For this reason, if the appliances are removed, the teeth can return to their original places. To prevent this, it is necessary to reinforce the straightened teeth with other devices to be made. This final stage of treatment is called reinforcement therapy. During this period, it is essential for children to take care of their teeth.

  • In which age groups can orthodontics (wire treatment) be applied?

Age is not a problem in dental corrections. No matter how old the patient is, treatment is possible. If there is an irregularity in the bone structure of the individual (skeletal) age is important. In this case, there is a need for functional treatment, which is done until puberty. Although the average duration of treatment is 24 months, it varies from person to person. Adults take a little longer to treat than children.

  • When to go to the orthodontist?

First teeth in children (milk teeth) There is no need to worry too much about their location. The spaces between these teeth are an indicator of natural development. Tight contacts, as in adults’ teeth, may result in future shortness of space and therefore crowding in the teeth. (of your distortion) could be an indicator. Permanent teeth begin to erupt at the age of 6-7, but between the ages of 7-9, there are not many problems until the incisors erupt. However, all of the milk teeth should be kept in place until they are replaced with permanent ones. While it is necessary to intervene in jaw problems in children at an early age, there is time for treatment only in cases where the teeth show irregularity. Adult patients can also move their teeth, so there is no time limit for such treatments. It may be possible that increasing age prolongs the treatment period and complicates the treatment somewhat. However, the age factor is not as important as the healthy supporting tissues of the teeth.

  • Can orthodontic treatment (wire treatment) be performed on adults?

Yes. Developing technology makes orthodontic treatment possible in adulthood, which could not be done as a child; his smile with his own straight teeth makes people happier. In fact, dental treatments can be performed at almost any age; as long as the teeth and periodontium are healthy. However, anomalies involving the jaw bones can only be corrected by surgery in advanced ages.

  • What is orthognathic surgery?

Proper alignment of teeth can be achieved with orthodontic or orthopedic treatment. Relationships between the jaws can also be corrected to a certain extent. But in some cases, orthodontic treatment is insufficient. In such cases, a maxillofacial surgeon can work together with the orthodontist to correct a severe anomaly surgically. The aesthetic result obtained in a very short time is successful and today, orthognathic surgical treatment is becoming more and more common.

  • How do teeth move during orthodontic treatment (braces treatment)?

If a force is applied on the tooth with spring, wire or special tires, a movement occurs in the direction of the force. Bone tissue is destroyed temporarily in front of the moving tooth, and new bone tissue is made in the opposite direction of the movement. Thus, the teeth that take their new places sit in a new bone socket.

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