Orthodontics mainly deal with teeth and face irregularities. Main focus of orthodontics is preventing and fixing the deformations in teeth, jaw and face. Orthodontics also deals with protecting the dental health and providing an aesthetic function (chewing, biting, talking, smiling).
Some analysis is required before starting an orthodontic treatment. Our dentists examines your x-rays and determines the position of your teeth. A smile and profile analysis is done via the pictures. A model analysis is also required to determine whether the teeth has enough space, or if there is an anomaly with the size of the teeth.
Orthodontic treatment can be applied in any age, but it is especially important for the children between 10-12 to be examined, to take advantage of the development period, especially in the case of diseases that concern the jaw area. The treatments, if necessary, should start immediately.
For the children of 5-6 age, orthodontic examination is important to determine the problems that may disrupt development.
The purpose of protective orthodontic treatment is providing the required space for the permanent teeth. Placeholders are prepared for the baby teeth that fall, for this purpose. The children that are prone to tooth decays are also advised to see a pedodontist.
Preventive orthodontics is the treatments that are done in order to get rid of bad behaviours such as thumb sucking, abnormal swallowing, tongue sucking and some treatments that are done to provide space for the permanent teeth with mobile devices.
After the permanent teeth come out, orthodontic treatment is now performed with brackets that stick to the teeth and are not removed during the treatment and with wires passing through these brackets after the age of 12-13. Some tooth disorders allow brackets to be applied to the inner surfaces of the teeth so that they can be completely invisible (Lingual Orthodontics). Fixed orthodontic treatment can be applied to patients of all ages with healthy teeth and gums.
The duration of orthodontic treatment depends on many factors. However, the most important factor affecting the duration of orthodontic treatment is the severity of the orthodontic problem. Although the average duration of treatment is 18 months, the duration of treatment may vary between 8-30 months depending on the severity of the problem.
During the treatment, it is necessary to avoid acidic drinks and foods such as sticky desserts and caramels. During the treatment rigid foods such as apples, quince, carrots should not be eaten by biting.<g id=”5″> </g> It is more appropriate to consume these kinds of food in small pieces. It is, however, okay to eat foods that are consumed by biting, such as sandwiches toasts and hamburgers. It is not appropriate to eat nuts such as hazelnuts, walnuts, chickpeas and food such as cherries, plums and olives without removing the seeds as it may damage the brackets and wires.
Dental extraction for orthodontic treatment is not preferred by patients. When deciding on tooth extraction, criteria such as the amount of crowding in the lower and upper jaw, the growth pattern of the lower and upper jaw and the patient’s face profile are taken as a basis. For orthodontic treatment, 1st premolar teeth are usually extracted. The reason for this is that these teeth are usually close to the area of crowding, there are two on each side of the jaw, and their extraction does not cause aesthetic discomfort. Tooth extraction may be required for successful orthodontic treatment, where the result obtained will be more stable. When considered the location and the negative effect on the treatment, the dentist may decide on extracting the wisdom teeth.
It is possible to maintain impacted teeth with orthodontic treatment. In rare cases, it is impossible for the teeth to erupt. 3D volumetric tomography is used to diagnose the sustainability potential of impacted teeth and their positions within the bone.
Appointments in patients undergoing fixed orthodontic treatment vary between 4-6 weeks. In special cases that require more frequent control, appointments are planned accordingly.
In recent years, the use of porcelain braces that mimic the tooth colour , which attracts less attention than metal braces, has increased.<g id=”3″> </g> In addition, lingual brackets which are placed on the tongue-facing surfaces of teeth have been developed . <g id=”4″> </g> In appropriate cases, crowding is corrected with transparent molds (invisalign treatment) without using brackets and braces in our hospital. The patient-specific molds, which will be changed every two weeks, should be used for approximately 20 hours per day. The duration of treatment varies from 2 to 24 months depending on the case.
After the braces are removed, the teeth want to return to their old positions. Fixed or movable reinforcement devices are used to keep the teeth in their current positions. If these appliances are not used within the recommended times, the teeth may deteriorate again.
Orthodontic treatment is possible for adult patients. In the orthodontics department of our hospital, the use of aesthetic brackets,aesthetic wires and invisible wire treatment (invisalign) options make the treatment more enjoyable for adult patients.
During orthodontic treatment, you should use brushes and interface brushes suitable for your tooth structure in order to protect oral hygiene. You should also apply the brushing technique shown to you by your dentist. The use of mouthwash also helps to ensure oral hygiene.
No pain occurs during the fixed wire set (bracketing).
Mild pain occurs after the first 8 hours after arc wire activation.
No pain occurs in the expansion (enlargement of the palate),if it occurs, the apparatus should be removed immediately.
Pain does not occur when using non-oral devices.
The occurrence of pain in adult patients is slightly higher than in younger patients.
You can use paracetomol-derived drugs for pain in orthodontic treatment. Aspirin and NSAIDs are not recommended as they are thought to prevent tooth movement.