Adult and child orthodontics

Smiling provides with confidence and attracts people. The main criterion for a beautiful smile is even and healthy teeth.
Orthodontics (Greek Orthos – straight lat. Dentis – tooth) deals with straightening of teeth and bite correction.
More than 90% of people have incorrectly positioned teeth and malocclusion. And more than a third of cases require specialized orthodontic care. Every year incidents of occlusion is growing. This is due to the nature of the food used by modern people. We eat soft food and our chewing machine does not get enough of naturally intended load. As a result, the jaw bone does not grow, teeth remain the same size, and they become cramped.

Very often parents are wondering whether to pay attention to the bite of baby teeth, or rather wait until all the baby teeth change to permanent? The answer is simple: start paying attention to the child’s bite at an early age, once the problem is noticed. Simply put, we need to “grow” the right bite. Children’s orthodontics successfully copes with any malocclusions, if to turn to an orthodontist on time.

Pathological bite can be hereditary. This occurs if a parent or other close relatives have a similar problem. It is therefore important to consult an orthodontist promptly to prevent and plan teeth violations.
Harmful Habits

Formation of the child’s bite depends on how the mother breastfeeds her child, on the width of the hole in the bottle, on how much time the baby, and then the one- and two-year-old child spends with a pacifier in the mouth, on whether the baby has the thumb sucking habit, or keeps the corner of the blanket in the mouth, and then – pencils, pens… all of these lead to malocclusion. If you have noticed at least one of these harmful habits, you need to remove it at an early stage.

Our body is a single unit. Postural disorder, spinal curvature lead to incorrect development of the maxillofacial area. Therefore, parents need to pay attention to their child’s posture.

Open-mouth breathing

If your child has frequent sore throat, cold, which are accompanied by constant open-mouth breathing, then ENT – specialists state the overgrowth of tonsils, adenoids, polyps in the nasopharynx. In this case, it is necessary to take certain measures in order to eliminate open-mouth breathing since just in a year the deformity of child’s dentitions will be expressed very clearly. Already during the first years of life the signs of these pathologies can be detected. For this reason orthodontics is needed.

Children with such disorders find it difficult to chew food, mouth breathing does not provide the body with enough of oxygen. Such children quickly get tired in class, slowly assimilate information. The cause of mouth breathing should be eliminated in cooperation with an ENT – specialist, and after that start dealing with the correction of malocclusion.

Disturbing should also be poor child’s diction. This may mean that the frenum of the tongue is too short and the tongue mobility is limited.

Sometimes the correction of speech deffects is impossible without operative treatment. This minimal interference is not more complex than removing a baby tooth.

Congenital absence of teeth.

Child orthodontics also deals with this problem. Recently primary edentia is very common. It is the congenital absence of permanent tooth germ, nature often does not lay down lateral upper incisors and second premolars. It can be symmetric or asymmetric incompleteness. It involves the change in the structure of food – food has become softer, so there is no need to put efforts to masticate it. Thus the nature has found the way out – less-in-demand teeth do not grow. Orthopantomogram or panoramic radiography confirms the absence of germ. It is especially necessary to be examined if parents or relatives had similar problems.

Early diagnosis helps to prepare ahead of time to full restoration of the dentition with the help of the orthodontic device – prosthesis, and in the older age – prosthetic bridge or implantation (without involvement in the process of the adjacent abutment teeth).

Technologies used in our clinic

Fixed appliances

CLASSIC METAL BRACES

We use braces of steel and gold color from leading manufacturers. Maximum strength, low profile and good polish let reduce discomfort during orthodontic treatment.

Aesthetic braces

Semitranslucent ceramic braces is the perfect aesthetic device. They are almost invisible on teeth, especially with aesthetic arc wires. Braces are made of reinforced ceramics, which makes them lasting, whereas silicon oxide coating provides them with color resistance and perfect gliding arcs.

 

 

 

 

SELF-LIGATING BRACES
Self-ligating braces (SmartClip, Clarity, In-OvationR, In-OvationC, Damon) is most modern as of today. Low friction facilitates tooth movement and accelerates treatment, while allowing to increase the intervals between visits up to 6-12 weeks, significantly reducing the number of visits to the doctor.
Self-ligating braces can also be metallic and aesthetic.

 

 

 

 

DISTALIZATOR

Molar distalization is often the first stage of orthodontic treatment for various forms of teeth anomalies without removing teeth. The device can effectively move permanent molars back to 4-8 mm in 3-6 months of treatment. It is used in the period of variable and fixed bite.

ORTHODONTIC MICROIMPLANTS
Application of microimplants expends the options of orthodontic treatment. They are made of an alloy of titanium, are easily get installed in the mouth in the area of interdental spaces without causing discomfort. Orthodontic implants perform supporting function. After treatment they are also easily get removed, leaving no traces. Comfort and efficiency increase greatly, orthodontic treatment time is reduced due to the simultaneous movement of large groups of teeth.


DISTAL BITE CORRECTOR
Distal bite corrector is a highly effective orthodontic device to readjust the discrepancy balance of jaws in the horizontal plane. Permanent force of the device holds the lower jaw in the advanced position and leads to predictable results in 7-12 months of treatment. This device breaks less, does not require cooperation on the part of the patient, resulting in reduced frequency of visits to the doctor and increases the effectiveness of treatment.

RISK AND COMPLICATIONS DURING ORTHODONTIC TREATMENT

As with any medical intervention various complications may develop during orthodontic treatment. In addition, each stage of treatment is linked to some risk. Fortunately, orthodontic complications occur rarely and lead to minor effects if detected early. Nevertheless, all possible risks must be considered.
What are the possible complications of treatment?
Focal demineralization of enamel and gingivitis.
Installed in the mouth orthodontic device is not the cause of the initial caries and gingivitis. The cause of caries is excessive consumption of carbohydrates, low resistance of enamel and poor oral hygiene. Orthodontic device only accumulates soft plaque that with inadequate personal hygiene leads to caries and gingivitis. Therefore, it is necessary to conduct hygiene procedures recommended by doctors thoroughly to prevent complications.
Gum Recession
The recession of the gums is the shift of gums along the tooth root that occurs during abnormalities of the teeth position and bite, porch mouth, parafunctions, poor oral hygiene, inflammatory – destructive processes in periodontal tissues, periodontal injury while cleaning teeth, during physical and chemical effects and age-related changes. In clinical practice, gum recession is often diagnosed with vestibular position of the teeth. Adequate orthodontic treatment does not generate negative impact on periodontal and does not cause recession. However, by some patients with thin “biotypes” of gums during orthodontic treatment may be observed migration of gingival margin. For the prevention of these complications it is necessary to follow oral hygiene thoroughly, normalize functional occlusion and conduct treatment with gentler orthodontic devices.
Resorption of teeth roots
According to the literature, resorption of the teeth roots occurs in 16.5% of adolescents and 40% of adults. Among adults root resorption is more common than among children, and it is less common for men than women. Most studies have shown that the amount of tissues that resorpt depends on the duration of orthodontic treatment. The main cause of this pathology is an overdose of forces aimed at moving teeth. Factors that increase susceptibility to root resorption are: short and rounded roots, large or small teeth, absence of germs. In 6-8 months of treatment can be carried out x-ray in order to prevent it. If in six months there were no signs of resorption, then there won’t be significant changes till the end of the treatment.