Ortodonti
Orthodontic Treatment
What Is Preventive Orthodontic Treatment ?
What Is Suspensive Orthodontic Treatment?
What Is Corrective Orthodontic Treatment?
Who Is Orthodontist ?
How Do I Know That I Need Orthodontic Treatment?
  1. Oral breathing
  2. Finger suction
  3. Pacifiers
  4. Lying mode
  5. Bad habits such as teeth clenching, nail biting, pencil biting, lip biting
  6. Tooth crowding due to gum problems
  7. Early loss of deciduous teeth
  8. Discrepancies of anterior teeth due to irregularities of third molars
  9. Irregularities that occur due to loss of teeth
10. Hormonal disorders, systemic diseases
11. Genetic factors
12. Nutritional disorders
Why Should I Have Orthodontic Treatment?
What Can Be Done If Orthodontic Treatment Not Applied?
Which Age Orthodontics Can Be Applied? 
Can Orthodontic Treatment Also Be Applied To Adults?
What Is The Duration Of Orthodontic Treatment?
What Is The Frequency Of Appointments During Orthodontic Treatment?
How Often Orthodontic Treatment Patients Should Be Checked With General Dental Control?
I Want To Get Orthodontic Treatment What Should I Do?
How Is Orthodontic Treatment Done ?
Will I Need To Have Tooth Removal For Increasing Space?
Orthodontic Treatment Methods
Types Of Braces
Metal Braces
Ceramic Braces
Braces Located On Lingual Surfaces Of Teeth (Lingual Braces)
Clear Aligner / Invisalign (Orthodontic Treatment Without Braces)
How Braces Treat Teeth?
How To Apply Braces Onto The Teeth?
Do Braces Cause Pain?
What Should Be Considered During Orthodontic Treatment?
How Should Oral Hygiene Be Ensured During Orthodontic Treatment?
Fluoride Toothpaste And Mouth Water
Auxiliary Tools
Proper Nutrition
Risks Of Orthodontic Treatment
What Should Be Considered After Orthodontic Treatment?
Does Orthodontic Treatment Damage Teeth?
Is Orthodontic Treatment Expensive?


Orthodontic Treatment
Orthodontics is a branch of dentistry which analyzes and diagnoses discrepancies and how the position of teeth in jaws be formed , tries to prevent these disorders before they occur and treats after formation of such disorders. There are risks of loss of teeth at an early age because of tooth decay and having gum disease due to difficulty of cleaning obscure and malpositioned teeth. Besides such teeth can cause temporomandibular joint (jaw joint) disorders and may cause pain in the jaw joint and the head as a result of more pressure in the jaw muscles. At the same, teeth discrepancies adversely affect the aesthetic appearance of a person so this situation is reflected in social life and psychological status of the person in a negative way. With orthodontic treatment you can have a healthier mouth, a more impressive look and teeth that stay in your mouth for longer time. Orthodontic treatment, generally done by constant wires or removable appliances.


What Is Preventive Orthodontic Treatment ?
As in all disciplines of medicine, the basic principle of orthodontics is preventing emergence of disorders. All of the measures taken for this purpose is called as preventive orthodontics. The main preventive orthodontic treatment is to prevent tooth decay. Deciduous teeth are very important becasue they were employed as a placeholder for permanent teeth will come after them. Not to have decayed deciduous teeth, these teeth must be protected from their eruption.


What Is Suspensive Orthodontic Treatment?
Suspensive orthodontic treatment based on stopping problem by removal of agent that causes the emerging disorder. Eliminating factors, such as finger sucking, mouth breathing, are examples of this type of treatment.


What Is Corrective Orthodontic Treatment?
Correcting orthodontic disorders that have emerged by removable appliances or braces is corrective orthodontics. All orthodontic treatments engage in this classification.


Who Is Orthodontist ?
Dentist, who specializes in treatment of orthodontic problems such as crowding and discrepancies , is called as orthodontist. Someone, who have graduated from the four-year doctoral program or specialization program after 5 years of dental education in universities, deserves this title.


How Do I Know That I Need Orthodontic Treatment?
1- The malposition in your teeth or discrepancies.
2- If there is an apparent forward, backward, skew or mismatch with the other parts of the face on lower or upper jaw.
3- If you have a situation that you feel uncomfortable when you smile,
    for example gums seems excessively or dark areas occurs around edges of mouth.
4- If you are having biting and chewing problems because of relationships between jaw and tooth.
5- If you have mouth breathing, suck finger and eat nail as habit or if you had in past such long-term bad habits.
6- If you have difficulty to close your mouth or your lips are not enough to ensure closing.
7- If sound comes from the jaw joints, If you feel pain in the jaw muscles or live jaw
    deadlocks, if lower jaw stays as if locked up inside the upper jaw.
8- If you were born with cleft lip and palate or a similar syndrome.
9- If there are individuals in your family who lived orthodontic problems or who have lost their teeth at an early age.
10- If you have at least one missing tooth and the other teeth in your mouth has started to shift towards the region.
11- If you can not clear your teeth due to crowding and if you have gum problems because of this.
12- If you have wide diastemas between your teeth.
13- If your dentist is having a difficulty arising from position of your teeth when he is overlaying or filling on the tooth.
14- If decidious tooth extraction is performed early.
15- If you are swallowing and speaking by inserting your tongue into your anterior teeth, if upper and lower incisors do not touch each other when biting.

All these things are indication of you can be a candidate for orthodontic treatment.

Reasons For Orthodontic Problems

1. Oral breathing: 
Habit of mouth breathing among children, as a result of often repeated upper respiratory tract infections, nasal obstruction and allergies is an orthodontic problem. Under normal circumstances, we use our nose for breathing. Continuously mouth breathing from childhood causes changing of head posture and deterioration of skeletal development. It can lead to skeletal and dental problems such as contraction of the upper jaw in long-term and lower jaw's staying backward . For the prevention of these problems we should take 4 years of age children to an ENT specialist and if required we should start their treatments.


2. Finger suction: 
A newborn baby has a highly developed mechanism of absorption. A baby sucking instinct is not satisfied, it acquires some ways to eliminate the need. This does not often seen among breast-fed children for 9-18 months. Studies has proved that finger sucking is improved in the first few weeks of life due to hunger. Pain, arising from local discomfort at the beginning of teeth eruption, can be solved by means of finger sucking so this habit can be considered to be helpful for eruption. Finger sucking gets decreased with age. Children, who has this habit, can live displacements in the upper and lower teeth and discrepancies according to sucked finger, number of fingers and domain of suction.


3. Pacifiers: 
A pacifier which has physiological properties is not harmful to be sucked as much as 2 years of age. Even it is beneficial in terms of preventing a child to acquire a bad habit such as finger sucking. When pacifiers are used continuously, they apply a long-term effect on tissues in the domain of suction. This causes disorders in such areas in mouth and teeth


4. Lying mode: 
Lying mode, usually determines the position of the lower jaw. This gives a signal us that in which position lower jaw is located for 8 hours per day averagely . For example, position of the lower jaw is different between a child lying face down and a child supine.


5. Bad habits such as teeth clenching, nail biting, pencil biting, lip biting.:
Parmak emme, emzik ve biberon emme gibi alışkanlıklar dişlerde aralanmalara, çapraşıklıklara ve çenelerde düzensizliklere yol açabilirler. Biberon, en geç 3 yaşlarında bırakılmış olmalıdır. Bu yaşta oluşmuş olan ortodontik sorunlar, alışkanlıkların bırakılmasının ardından belli oranda düzelebilirler. Kendi kendine düzelmeyen sorunların tedavisi için, bir ortodonti uzmanının müdahalesi gerekli olabilir.


6. Tooth crowding due to gum problems:

7. Early loss of deciduous teeth:

Decidious teeth not only temporarily fulfill the function of mastication but also serve as an outline of the growth of the skeletal system and constitute a guide for permanent teeth. In this sense, we should protect deciduous teeth since their eruption, brush and keep in mouth till their loss in their natural processes. The development of the jaw bones negatively affected, too as a result of late loss of teeth. For this reason, the permanent teeth may lead a delayed eruption and irregularities. If deciduous teeth are lost early or extracted due to decay etc., for the protection of sites of lost teeth, placeholders should be used. Deciduous teeth decay, often not taken into account. Families suppose that these teeth are temporary and will not be any problems if they are extracted. Yet, deciduous teeth functions as a framework for developing bone structure, also serve as a placeholder for future permanent teeth that will erupt. In addition, they have tasks of speaking and the feeding of the child.


8. Discrepancies of anterior teeth due to irregularities of third molars .

9. Irregularities that occur due to loss of teeth 

10. Hormonal disorders, systemic diseases

11. Genetic factors::

Especially in individuals who has skeletal disorders, it is important that if there is a similar anomaly in ancestry. Hereditary deficiencies of teeth, the upper and lower jaws deformations, crowding problems can be transmitted to the child in hereditary.


12. Nutritional disorders:
Children who are undernourished can face with volumetric shrinkage in their jaw and facial structure. For this reason, problems such as crowding and malpositions even teeth remain impacted in jaw can be lived due to normal volume teeth can not find the necessary place in small jaws.


Why Should I Have Orthodontic Treatment?
Orthodontic treatment, that is not just an aesthetic process, improves teeth closure and hence makes their cleaning easier. Because of tooth brushing and use of dental floss are comfortable with smooth teeth, oral hygiene is provided properly. This also reduce the risk of infections such as gingivitis (gum inflammation) that is caused by bacteria where teeth and gums combined. In some patients, upper anterior teeth excessively stay forward and in this way causes discrepancies. These teeth can be easily affected by impacts that may come from outside and positions of the teeth can be changed by orthodontic treatment. In addition, people who have this problem has more inefficient mastication. In severe cases, even difficulties of shredding food may occur. Correction of these errors makes chewing and swallowing foods easier. Prevents the emergence of problems in the digestive system. Upper and lower jaw can lead to discrepancies of by not closing properly. Even these discrepancies may affect the speech. When teeth are not bited properly, excessive pressure is applied to the jaw muscles and even jaw and joint problems can be seen. Openbite observed in the incisors may lead to abrasion of the chewing surfaces of the posterior teeth as a result of posterior teeth are more exposed to the forces of chewing.

 What Can Be Done If Orthodontic Treatment Not Applied?
  • No matter what age, untreated orthodontic problems gets worse. As time passed, tooth decay and gum diseases as a result of teeth are not being cleaned properly due to crowding, can lead to tooth loss.
  • Biting deficiencies can lead to wear chewing surfaces of the teeth, difficulties in chewing and speech, damage of supporting bone and gum tissues.
  • Biting deficiencies are enough to cause jaw joint discomfort and therefore the head, back and shoulder pain may become severe.
  • Teeth, which are not ordered correctly, creates an aestheticly undesirable appearance in patients so they may also cause social insecurity and psychological problems .

Which Age Orthodontics Can Be Applied?         
Age is not a problem for dental adjustments. No matter how old the patient can be treated. If there is an irregularity in the individual's bone structure (skeletal disorders), age is important. In this case, there is need for the functional treatment, this treatment must be made between the age of puberty. Especially in children, after the clinical and radiographic examinations the appropriate timing for treatment is determined by the orthodontist. For disorders related to bone structure is important to start treatment at an early age as much as possible . For example, during growing period upper jaw is corrected by the dental arch expansion appliances. In this way, occurrence of possible big problems will be eliminated. Most people wait for eruption of all permanent teeth to go to an orthodontist but sometimes they may be late. Permanent skeletal disorders in adults may create need for orthognathic surgery applications.


Can Orthodontic Treatment Also Be Applied To Adults?
Yes…
Having orthodontic treatment at an adult age is possible, if this treatment could not applied during childhood. With emerging dental health awareness, adults are also having orthodontic treatment with increasing numbers day by day. In fact, orthodontic treatments can be done to the teeth almost in every age, the only important thing in this field is having healthy teeth and healthy tissues surrounding the teeth. Patient's age affects only duration of movement and treatment.


What Is The Duration Of Orthodontic Treatment?
Orthodontic treatment is long-lasting. Duration of orthodontic treatment varies according to the severity of the anomaly and each phase varies about time. Some of discrepancies can be solved with a single stage treatment, some treatments consist of two or three phases. Result of the treatment depends on teamwork between patient, the patient's family, the family dentist and orthodontist. Orthodontist offers information that is coming from his expertise, treatment plan and techniques, to correct teeth and jaws. Family dentist, helps keeping teeth and gums clean and healthy. The patient should strictly implement what the orthodontist said to move teeth and jaws in the desired and planned direction.

What Is The Frequency Of Appointments During Orthodontic Treatment?
Patients are followed for 4 and 6 weeks intervals during orthodontic treatment. This period varies according to the physician's treatment plan.

How Often Orthodontic Treatment Patients Should Be Checked With General Dental Control?
Normally, a general dental check should be done 3-6 months. Orthodontic patients who has susceptibility to decay or gum problems should be checked more frequently.

I Want To Be Get Orthodontic Treatment What Should I Do?
First thing to do is to make appointment with an orthodontist and having examination.


How Is Orthodontic Treatment Done ?
At the first appointment the patient is examined, conditions in the the teeth and jaws are determined, necessary x-rays are asked and the patient is evaluated radiographically, as well. On X-ray, conditions of mouth which you can not see by eye, become detectable.
Intraoral and extraoral photographs and dental impressions that documents the initial state of the patient can be taken. Treatment planning are done on these records as a result of some of the analyzes. At the next appointment, scheduled procedures are done and selected wires or other mechanics of orthodontics applied to the patient. Treatment is initiated. Controls start according to the form of treatment once in 4 weeks or 6 weeks. Changes and activations are made in wires. This situation continues along a predetermined duration of treatment. During treatment, the patient should carefully implement what the doctor says. Therefore, orthodontics is a treatment that requires family-patient-doctor collaboration. The result is dependent on doctor's knowledge, care and the patient's cooperation. At the end of treatment after removal of wires, planned retention apppliances are applied to keep teeth fixed in their newer positions. According to the needs of the patient, a transparent appliance , an appliance in style of boxer gumshield or a thin wire that is attached from behind of anterior teeth can be chosen as an enhancement by orthodontist. Ideally, practice time should be half of the active treatment period. Although there are situations that do not require reinforcement, there may be instances needed to retention a very long time. Retention appliance is gradually abandoned. Treatment should not be finished suddenly.

Will I Need To Have Tooth Removal For Increasing Space?
There may not be enough space in your mouth for all the permanent teeth. Therefore a few teeth need to be removed for the treatment. If this is the case, orthodontist will share this with you.


Orthodontic Treatment Methods
Basically there are two types of treatment.
  • Removable appliance that can inserted / removed by patients
  • Fixed orthodontic wires that are applied to teeth by orthodontist.

The appropriate treatment method for the patient is determined by the orthodontist.

Types Of Braces
Currently different orthodontic braces are available for use in treatment.

Metal Braces

 

Widely used in the treatment of orthodontics. For this purpose, stainless steel and nickel - titanium wires are used.

 

 

 

Ceramic Braces

 

Known as transparent braces publicly. They are highly aesthetic because of being transparent. Especially preferred by adult patients. Ceramic braces is a good alternative in patients who concern aesthetic. Oral hygiene is much more important for ceramic braces users.

 

 

 

Braces Located On Lingual Surfaces Of Teeth (Lingual Braces)

 

These are braces that attached to the lingual surface of teeth . May not be appropriate for all cases. They are not visible because of applied lingual surface of teeth. There are difficulties depending on the usage.

 

 

Clear Aligner / Invisalign (Orthodontic Treatment Without Braces)

 

It is an orthodontic treatment that allows correcting teeth with the use of clear plaques without braces. During the use of this treatment, about 12-16 pieces a transparent plates are used. It is difficult to see and realize this plates by eye. Transparent plates can be removed and cleaned if desired. These plates should be used 22-23 hours a day. They can be removed while eating, brushing teeth or drinking something.

 

 

 

How Braces Treat Teeth?
Teeth braces work by applying pressure to push in the desired direction. During treatment, the teeth are replaced so sometimes activations are needed.

How To Apply Braces Onto The Teeth ?

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Orthodontist will be applying wires called as braces by using special adhesives on your teeth . Then wire is passed through from the braces. Small elastic rondels, called as ligature, are used to connect wires on braces. These elastic rondels may have various colors and during each session according to the request of patients color can be changed.



 

 

 

 

 

 

 

 

 

 

 

Do Braces Cause Pain?
Feeling discomfort is normal a few days after braces are applied. Teeth can be ached and wires may irritate your tongue and lips. Protective wax can be used to prevent irritation. Although most of discomfort pass about 1-2 weeks, when wires are changed or activated mild pain may occur again. In order to pass pain, you can use any pain killers that your doctor will advice.


What Should Be Considered During Orthodontic Treatment?
At the first few days of treatment started, irritation of braces and wires, that stuck on teeth, on internal surface of cheeks and lips is normal. Tissues of the mouth will be easily adapted to such foreign substances and this problems will be finished next days. Dental hygiene is very important during orthodontic treatment. Even if wires make dental care more difficult to maintain, required hygiene can be achieved easily by regular brushing. While brushing, especially the area between the gums and the braces should be cleaned carefully. Usage of specifically produced orthodontic brushes is important for patients. The ideal time is 2-3 minutes for brushing teeth. After brushing, spaces between braces should be cleaned by interdental brush. Dental floss should be used to clean the interfaces of teeth. During treatment, especially after monthly appointments having feeling of tenderness and to act is natural. In this case, you should not worry. Information from the doctor should be taken if necessary. Hard foods may break braces and damage your gums. Bracket breaks hinder treatment and may cause finishing treatment if it repeats often. For this reason, very hard foods should not be consumed during the treatment, fruits should be eaten by posterior teeth after peeling and slicing, kernels of stone fruit should be removed.


How Should Oral Hygiene Be Ensured During Orthodontic Treatment?

Brushing Teeth
Soft-tipped tooth brush should be used. Soft-tipped tooth brushes reach interfaces more easily than medium and hard-tipped tooth brushes also does not disturb the gums. Some brands produce toothbrushes especially for patients undergoing orthodontic treatment .Such brushes are known as double-level. They have longer bristles on edges and shorter bristles in middle . In addition, use of medium hardness is recommended to avoid damage to wires on teeth. After eating each meal you should brush your teeth . The teeth should be brushed at least 2-3 minutes each time. Brushing inner and outer surfaces of the teeth and braces also chewing areas is important .

Dental Floss



 

 

While visibly not possible to use dental floss around orthodontic wires, it is required to be made. When wires first applied, dental floss usage techniques can be shown by your dentist. If you are not sure that you do right, consult your dentist .

 

 

 

Fluoride Toothpaste And Mouth Water

 

While brand is not important but usage of fluoride toothpaste is recommended. You can use mouth water, sold in markets, for more fluoride. These mouthwashes contain fluoride as much as strengthen and protect the teeth during orthodontic treatment. If it is necessary, during the regular visits to the dentist fluoride gel treatment can also be applied by the orthodontist.

 


Auxiliary Tools

 

Interdental Brushes
Oral Irrigators
Antibacterial Mouthwashes

 

 

Proper Nutrition
Stay away from foods that can damage the braces. Avoid hard and sticky foods. Foods such as caramel chocolate, Turkish delight,chewing gum etc. can damage the brackets. Reduce the consumption of sugary foods, after eating such food teeth must be brushed. Pipette should be used in the use of acidic beverages. Continuously breakage of tooth wires is a factor that extends the duration of treatment.

Risks Of Orthodontic Treatment
As in all medical treatments, there are some risks in orthodontic treatment as well.
Tooth decay and gum disease : For patients, who are not good oral care, tooth decay and gum disease are unavoidable.
Depending on braces, injury of the tissues of the mouth and ingestion of any material can occur.
Root resorption: Although a very rare condition that may occur during treatment.
Growth during and after treatment: Growth can contribute positively to treatment but also may affect adversely.
Duration of treatment may be extended due to the patient's growth, often broken wires and the patient's lack of cooperation during the treatment period .


What Should Be Considered After Orthodontic Treatment?
Tooth movement during orthodontic treatment, tend to relapse after treatment. The reason for wanting to return the former states of the teeth is because gum has flexible fibers. Keeping proper teeth after orthodontic treatment is as important as treatment itself. For this reason, it is important to use retention appliance after treatment. If retention appliance not used properly, relapse is inevitable. In addition, after treatment the control of third molars should be considered as an important concern. If you have a impacted third molars, they should definetely be extracted.

 


 

 

 

 

Does Orthodontic Treatment Damage Teeth?
During orthodontic treatment, if you obey rules that your doctor tell and you are careful to follow oral care, you will not have chances of encountering a problem.


Is Orthodontic Treatment Expensive?
Orthodontic treatment is a long-term treatment. Orthodontic treatment fees varies according to the difficulty of the cases, treatment duration, treatment techniques to be applied and the choice of braces.

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