Orthodontics

Orthodontics

The highly talented director of Sai Yashoda Dental Clinic holds a specialization in Orthodontics, one of the most widely known branches of dentistry specializing in correction of teeth. To be precise, Orthodontics is nothing less than a magical treatment for teeth correction that literally transforms your personality. Orthodontist is the dentist specializing in application of dental braces.

Precisely, braces are used for proper positioning of tooth, and if required, the jaw bones, to accomplish maximum functional efficiency. Dental braces are the best dental treatment to correct crowded or crooked teeth. At Sai Yashoda dental Clinic, we provide the finest quality care enabled with the latest equipments in the field of dentistry.

You need an Orthodontist if

  •  You have protruding anterior teeth
  • Malocclusion(crooked, crowded or teeth, which do not fit together properly)
  • You have crowding of teeth
  • There’s too much space between your teeth
  • Your have extra or missing teeth
  • You have cleft palate and a variety of irregularities of the jaws and face

Crooked/Crowded teeth may lead to

  • Accumulation of harmful bacteria
  • In turn, Tooth decay
  • In turn, Gum disease
  • And ultimately, Tooth loss
  • Reduction in functional efficiency while chewing
  • Mouth joint problems

Types of Braces

1 .Aligners

Dr. K.V.Sujan Kumar is one of the very few certified Invisalign Provider in the country.

He is also trained in other aligner systems like

K-Line

Smile Align

Clearpath

NovoAlign

Tac Aligners

Spark from ORMCO etc

           

Traditionally braces were used to treat malocclusion, but as more and more adults are seeking orthodontic treatment, they demand for faster treatment and aesthetic options have increased. To address these, aligners have made their way into orthodontics.

 

Clear aligners, also known as clear-aligner treatment,

are orthodontic devices that are a transparent, plastic

form of dental braces used to adjust teeth.

 


Though many companies are in market with their own aligner system, Invisalign is considered to be the mother of all these companies, and still continues to be the top aligner provider in the world. The company has a very good research and development division which gives an edge as they continuously try to modify protocols, attachments, materials for better treatment results.

Invisalign is manufactured by Align Technology, a multinational medical-device company headquartered in San Jose, California. The company’s clear align system has been used to treat more than 3 million patients.Apart from Invisalign, other aligners in use are K-Line, Smile Align, Spark, NovoAlign etc

 

Procedure

Treatment begins with taking x-ray, photographs, an intraoral scan or a bite registration, and polyvinyl siloxane impressions of the person’s teeth and gums. The dentist/orthodontist completes a written evaluation that includes diagnosis and treatment plan. Dental impressions are scanned in order to create a digital 3D representation of the teeth. Technicians move the teeth to the desired location with the program, which creates the stages between the current and desired teeth positions. The number of aligners depends on the case. Each aligner moves teeth .25 to .33 millimetres.

A computer graphic representation of the projected teeth movements, created in the software program ClinCheck, is provided to the doctor and patient for approval or modification before aligners are manufactured. The aligners are modelled using CAD-CAM (computer-aided-design and computer-aided-manufacturing) software and manufactured using a rapid prototyping technique called stereolithography. The molds for the aligners are built in layers using a photo-sensitive liquid resin that cures into a hard plastic when exposed to a laser. 

 

 

 

The aligners are made from an elastic thermoplastic material that applies pressure to the teeth to move into the aligner’s position. Patients that need a tooth rotated or pulled down may have a small, tooth-colored composite attachment bonded onto certain teeth. More attachments can make the aligners less aesthetically pleasing. Reproximation, also called interproximal reduction or IPR, is sometimes used at the contacts between teeth to allow for a better fit.

 

Each aligner is intended to be worn an optimal 22 hours a day for two weeks.  Treatment time varies based on the complexity of the planned teeth movements. The aligner is removed for brushing, flossing and eating. Once the treatment period has concluded, the patient is advised to continue wearing a retainer at night for the foreseeable future. Invisalign also provides their own retainers called as Vivera Retainers

 

Advantages of Aligners

  1. Esthetically pleasing.
  2. No diet restrictions as patient can remove them while eating.
  3. Patient can remove them on socially important occasions.
  4. Hygienic as cleaning is easier
  5. Accurate

 

Disadvantages :

  1. Cost
  2. Patient compliance, as if patient doesn’t wear, they don’t work.
  3. Lost aligner are chargeable

 

 

  1. Conventional Labial Braces

They are conventional braces where the brackets are placed on the outer surfaces of the teeth. There are several types of labial braces available

A.Ceramic Orthodontic Braces

Ceramic braces are extremely popular in the present scenario. As they are translucent, they blend in with your natural tooth colour, eliminating metallic look and embarrassment due to braces.

Though brackets are white in colour, at times we do need to use metal wires,

B. Metal Orthodontic Braces

Boring braces are classic but, passé. It’s time to grace yourself with colours on your teeth. The idea is to put the colour of your choice on the metal braces for great look. Also, the results of this treatment are commendable.

C.Self-Ligating Braces

One of the most accepted and widely used brackets, Self- Litigating braces are the classic type of braces used for best results. At Sai Yashoda Dental Clinic, we specifically use the best of the brands in the dental industry- 3M, Damon, AO etc that minimizes lip and cheek irritation due to its reduced size and height along with application of continuous gentle force. Precisely, this gentle force means less discomfort and pain throughout your treatment.

They elastic bands are replaced by clips to hold the brace’s wire in place. This helps in reducing friction making it easier for you to brush around your brace and keep your teeth clean during your orthodontic treatment.

 

  1. Lingual Braces

Also, known as Invisible braces, Lingual braces is another revolution in the world of dentistry. Just as the name suggests, the braces are placed behind your teeth making them invisible to other people. Usually, lingual brackets are made of metal. This is a great solution for extremely self-conscious people and those with professions that demand good looks like acting, modelling etc

  1. Functional and Orthopaedic appliances

Sai Yashoda Dental Clinic is a reputed name in Orthodontics Growth Modification Treatment. Growth modification (early treatment) is part of the first phase of two-stage orthodontics treatment of children with malocclusion (poor bite). Growth modification is only possible when bones are still growing. Orthodontics Growth Modification Treatment is most effective during children’s growth spurts.

Orthodontists use growth modification devices (appliances) to change the position, shape, length, or width of the jawbone(s). Some common devices for the Growth Modification Treatment are:

  • Headgear, an appliance that uses pressure to guide teeth and jaw growth
  • Fixed functional appliances, an appliance attached to the upper and lower molars that corrects overbites caused by a small lower jaw
  • Myofunctional appliances, removable appliance that guides teeth and jaw growth
  • Palatal expansion, an appliance that corrects crossbite by widening the upper jaw

5.Adult Orthodontics

Orthodontic treatments work at any age. However, they respond the best when the bone structure is in formation mode. That’s usually after the age of 10- 16. But, we specialise in Adult Orthodontics too that specifically deals with treatments for 18+.

Benefits of Treatment in Adults

Adults can benefit from orthodontic treatment in many ways. These include:

  • Align the teeth to create a more aesthetic and beautiful smile
  • Correct relapse after previous orthodontic treatment due to lack of long term retainer wear
  • Improve the ability to brush and floss, especially for crowded or overlapping lower front teeth
  • Create a better or more comfortable bite and ability to chew
  • Address missing teeth
  • Close spaces between the teeth
  • Reduce excessive wear on the teeth due to grinding or poor bite jaw surgery to correct discrepancy between the upper and lower jaws.

Soreness/Discomfort

Orthodontic treatment is no more uncomfortable for adults than children. Adults undergoing orthodontic treatmentreport the same level of soreness as children (although adults are more willing to tell us about the soreness).
Typically, the teeth are most uncomfortable 12-24 hours after an orthodontic adjustment and will disappear within 3 to 5 days. Modern appliances are smaller and more comfortable to wear. Modern techniques with new technology put less pressure on the teeth to cause discomfort, while moving the teeth more rapidly and efficiently. It also decreases the time required between adjustments to every 8 – 10 weeks. Treatment time, on average, is completed in 18-20 months.

How Are Braces Done?

  •  The brackets are bonded to your teeth with composite resin
  • They are exposed to light until they harden
  • A metal wire applies pressure to the teeth to shift them into the desired position.
  • Adjustments are made every 4-6 weeks approximately. Braces are usually worn for 12 months – 2 ½ years.
  • After your braces come off you are fitted with a retainer to ensure sure your teeth don’t shift.

Maintaining Your Braces

  •  Avoid hard eatables like hard breads, apples, raw vegetables, corn cobs etc.
  •  Avoid sticky or chewy foods.
  •  Brush and floss your teeth while wearing braces, adequately.

What are the signs to know that I need clip treatment?

  • Crowding or Mal positioning of teeth
  • Proclined teeth/Forwardly placed teeth
  • Excessive spacing between the teeth
  • Midline of upper and lower teeth are not in alignment
  • Sounds in jaw joints
  • Under bite or over bite

What causes Crooked teeth?

The Various Causes that result in Crooked teeth are:

  • Habits such as thumb sucking, tongue thrusting, pacifier , bottle feeding after the age of seven
  • Jaws too small for their teeth which cause crowding and thereby shifting of teeth
  • Upper and lower jaws are different sizes or malformed Jaws
  • Over bite or under bite
  • Excess protrusion of upper jaw or lower jaw
  • Inherited traits
  • Early or late loss of baby teeth
  • Early loss of permanent teeth
  • Dental restorations with improper fit (eg:crowns)
  • Periodontitis
  • Pressure on teeth and gums which is undue
  • After severe facial injury due to misalignment of jaw
  • Tumors in mouth or jaw

When is the best time to schedule an initial consultation for braces?

It is important for children to consult Orthodontist around the age of seven as orthodontic problems are corrected easily by early detection and screenings. Though treatment may not be started this early, certain conditions require intervention at this stage to prevent further malocclusion.

When should orthodontic treatment be started?

Orthodontic treatment can be started at an age of 12-13 years of age. You should consult an orthodontist when you have

  • Proclined or Retroclined teeth
  • Crowding of teeth
  • When you are in doubt about teeth alignment
  • If your bite is abnormal
  • If you have difficulty in biting, speaking or chewing
  • Mouth breathing
  • Clenching or grinding your teeth
  • Inability to comfortably close your lips
  • If there is a frequent shift in the position of jaws or making sounds when they move
  • If there is cheek bite or any kind of trauma to the palate

You can consult our office for an appointment with the orthodontist.

Does it hurt to get braces?

When you first get your braces, you may require some adjustment as you feel that there is a foreign thing in the mouth.

First three days after application of braces

As your teeth begin to realign you may feel some discomfort. Wax can be placed on the braces to prevent them from rubbing against the inside of cheeks and lips. Our orthodontist will instruct you how to place wax on the braces.

After each orthodontic appointment you are likely to feel the same discomfort. Arch wires and elastic ligatures are changed periodically.

The discomfort with these braces is inconvenient, but it is manageable and it is only for few days. 

How often will I come in for an orthodontic appointment?

Braces normally need to be adjusted every 4-6 weeks unless specified by the orthodontist or if any bracket gets loose or broken or detached.

If I get braces, how long do I have to wear them?

Depending on the individual patient, and the severity of teeth alignment, the amount of time required varies, because response to the treatment is different in every case. The standard treatment time is about 18 months but in few circumstances may vary between 10-30 months.

How can I take care of my teeth if I’m wearing braces or a retainer?

  • We at our practice suggest a separate brush for Orthodontic patients called as “ORTHO BRUSH” and Interdental brush for better maintenance of oral hygiene.
  • Use toothpaste containing fluoride, and fluoride rinse if required to prevent cavities
  • During the treatment period avoid sugary foods that increases the bacteria in the mouth which cause plaque and cavities
  • Avoid foods which are sticky (chewing gum, caramel), hard foods (hard candy), and foods that struck in braces.
  • When you remove the retainer, keep it safely in a container so that it is not lost or broken, brush your teeth and floss
  • Your retainer has to be kept clean by brushing with a tooth paste and tooth brush. You can wash it in denture cleaner as your orthodontist suggests. Do not place the retainer in boiling water or dishwasher.
  • After the completion of treatment also, visit dentist for every six months.

Will I need to have any permanent teeth extracted?

Parents are concerned when removal of permanent teeth is required. Permanent teeth need to be removed if there is moderate to severe crowding and insufficient space in the jaw for accommodating all the permanent teeth in proper alignment. It is indicated generally when there is:

A) Excessive Crowding
B) Excessive Protrusion
C) Some Cases Of Correction Of Over Bite Or Under Bite

Is it too late to start?

It is never too late to start orthodontic treatment and make your teeth straightened with braces even in adults. Braces are not just for children but for adults also. Even if you are adult and if you need braces for misaligned teeth you can get it done. However, treatment in adults takes a little more time than in children because of the quality of bone.

Will my braces interfere with my school activities like sports, playing an instrument, or singing?

You can carry on with your studies and extracurricular activities as usual. You may find it little difficult at first but you will eventually get used to them in few days. While playing sports, you need to wear a mouth guard which protects the braces or appliance.

What should I do if the braces get dislodged at home?

Brackets are a part of braces, and attached in the center of each tooth surface with cement.

These brackets may get dislodged if the patient bites very hard food (the food to be avoided by the Orthodontic patients) with the braces or if the mouth is hurt during any activity.

If the brackets get loose or dislodged at home

  • You need to bring to the notice of the Parent’s or Guardian
  • Contact our dental office for determining further steps to be taken.
  • Take care not to swallow or injure further.
  • Bracket is kept back in the place using sterile Tweezer sliding the bracket along the wire to the center of the tooth back into proper position.

I would love to have orthodontic treatment but as an adult I’m too embarrassed to wear braces. Are there any other options?

Now-a-days more adult patients are getting treated than the teenagers and children. The most popular treatment option is Invisalign, where teeth are moved into position by invisible plastic aligners. If braces are recommended by the orthodontist, there are different types of braces in which you can choose so that your appearance is not affected.

Other treatment options are:
1. Ceramic braces
2. Lingual braces
According to the patient’s affordability, and interest, the type of braces can be chosen.

What are the types of braces?

  • Traditional Braces- quality of these braces have progressed than those in the early days
  • Ceramic Braces- brackets are made up of clear, transparent, ceramic material
  • Clear and Removable Aligners (Invisalign)- clear plastic aligners resembling Mouth guards.
  • Palatal Expanders- for patients who have overcrowded teeth

What if i ignore orthodontic treatment after suggested by my Dentist ?

If the treatment is ignored there are two types of effects.

  • Functional- The function of the teeth such as chewing and speaking is compromised. Maintaining oral hygiene is difficult and teeth eventually end up in Periodontitis and may become loose.
  • Esthetical- The appearance of the patient will have a psychological effect on them. They will become conscious of their smile and appearance.