Orthodontics

It’s a specialized field in dentistry that deals with aligning teeth, correcting bite issues, and the relationship of jaws to each other and the dentofacial system.


ANOMALIES IN ORTHODONTICS

Anomalies are considered any deviations from the norm. They can be skeletal or dental, such as:

  • Open bites
  • Deep bites
  • Class II skeletal and dental relationships
  • Class III skeletal and dental relationships
  • Crossbites
  • Dental crowding

FIXED APPLIANCES

Used for aligning teeth in children, adolescents with permanent dentition, and adults of any age. They can be metallic or aesthetic ceramic (white or transparent). The difference lies only in appearance and not in function or treatment duration.

METALLIC FIXED APPLIANCES

These appliances consist of metallic brackets and Ni-Ti and steel archwires. They can be chosen by all patients who don’t mind the appearance of metallic appliances.

AESTHETIC FIXED APPLIANCES

These appliances consist of transparent ceramic brackets and barely visible archwires, replaced by metallic ones in the first few months. They are very efficient in treating orthodontic problems in adolescents and adult patients who wish for their appliance to be almost invisible.

SELF-LIGATING APPLIANCES (DAMON):

This is a new, revolutionary technique in orthodontics that:

  • Offers the patient more comfort
  • Facilitates teeth cleaning holding the brackets
  • Shortens treatment time

Reduces the number of visits (activations) during treatment.

The use of this technique reduces the possibility of needing tooth extractions in orthodontic treatments.
It is considered a low-friction system, ensuring tooth movement by exerting lighter forces, biologically more acceptable for the dental system, thus reducing treatment duration by several months.
These appliances can be metallic or aesthetic.

TREATMENT AGE

Some anomalies, mainly skeletal ones (such as crossbites; Class III skeletal relationships; open bites, etc.), should be treated in childhood because not only is self-correction not possible, but over time they worsen.

Some other anomalies (mainly dental ones) can also be treated in adulthood. The sooner an anomaly is diagnosed and the right time for treatment is chosen, the safer the result.

TREATMENT DURATION
Orthodontic treatments with fixed appliances last from 8 to 24 months, depending on the problem and the appliance used.

PAIN
Orthodontic treatments do not cause pain, but there is a short adjustment period (up to a week) for the patient to get used to the appliance and the slight pressure it exerts on the teeth. In rare cases, an analgesic (pain reliever) such as paracetamol, ibuprofen, etc., may be taken.

EATING
After the appliance (the fixed one) is placed, patients should be careful with eating, but they can consume any food they desire. Special care should be shown for hard foods that can dislodge brackets; they should be cut into small pieces before being eaten.

HYGIENE
It should be maximal, brushing three times a day especially after main meals and rinsing the mouth in between. Brushing should be done thoroughly above and below brackets on every tooth surface so that no food residue remains around the brackets, which could later cause tooth decay. It is also advisable to use different mouth rinses in the morning and at night.
The use of orthodontic brushes is recommended, which facilitate teeth cleaning.

Removable appliances
Mainly used in children with mixed dentition (when the child has both milk and permanent teeth). They serve mainly to align the jaws, gain small spaces, gently expand arches, and maintain spaces in cases of premature loss of milk teeth.