Orthodontics – tooth adjustment
Orthodontics is a special branch of dentistry that deals with diagnosing and preventing orofacial disorders. The most common cause of such irregularities is a hereditary growth and development disorder. For the treatment to be successful, it is necessary that the doctor is professionally acquainted with the stages of growth and development so that he/she may identify what is at a certain age normal and what is not. In the event that some portions of the face grow faster than others during development, disproportion and malocclusions are formed.
What causes improper bite?
There are several causes of improper bite, and influence on irregular positioning of the teeth against the jaw and its movements is something they all share. These can cause numerous functional problems with speech and swallowing, and they can often affect the overall appearance of a person’s face. This disorder can be genetically hereditary or caused by some traumas, and even by prolonged thumb sucking in children, or by a premature loss of primary, baby, teeth.
Orthodontics and when to start the treatment
If there are doubts regarding the appearance of the disorders or genetic predisposition, it is recommended that an early diagnostics is conducted already at the age of 8-9. The examination verifies whether the teeth are growing regularly and in accordance with the child’s age. All of the teeth are permanent in adolescents, and if a problem is identified, it will be easiest to solve it at this age. Problems in adults are somewhat more complicated and the elimination of the problem often requires team work of several specialists in different areas of dentistry. Due to the inability to maintain good oral hygiene, improper bite is the most frequent cause of dental caries and periodontal pathology in adults.
Orthodontics – why is treatment so important?
In the long run, proper treatment and problem solving eliminates many disorders that can be caused by malocclusions. When all our teeth are regularly placed, it is easier for us to take care of our teeth and the risk of gum disease is reduced. In cases that are not treated, irregular position of the jaw can cause difficulties in speech, swallowing and even in proper food digestion.
Orthodontics – what does therapy include?
Depending on the patient’s age, there are different methods of fixing the existing problems. At the earliest age a successful therapy can be implemented by:
- functional appliances
- myofunctional appliances
- fixed orthodontic appliances
When the problem is identified as early as at the age of 5 (thumb sucking, pushing teeth with the tongue…), myofunctional appliance therapies are very successful. The child quickly quits this bad habit before it becomes a more serious problem. If anomalies already exist, therapy is organised through several hours of wearing the appliance. These appliances must be active and removable, and later on they are replaced by functional ones. Adolescence is the perfect time to start wearing fixed appliances (braces).
When to start wearing fixed braces?
For the fitting and for fixed braces therapy there are no limitations as to the age of the patient. Therapy is generally easier and faster applied in younger patients because in older ones there is an entire range of factors that might produce unfavourable effects on the very course of treatment. The length of therapy can also depend on the type of brackets used. When a decision to wear self legating brackets is made, the odds are high that a correction can be made within as much as a year and without tooth extraction.
We also offer self legating brackets that significantly reduce the conspicuousness of the appliance in cases when patients feel uncomfortable wearing the appliance. At our office we use the highest quality aesthetic brackets made by the leading German and American manufacturers.
When do we advise fixed braces treatments?
If certain teeth (usually canine teeth) haven’t grown within the expected period of time, it is necessary to fit fixed braces and to even expose a part of the crown by a surgical procedure. Then the bracket is fitted on the tooth that we extract and place it in a regular line. In adult patients who have in one way or the other lost certain teeth, some mild teeth displacement into empty spaces can occasionally occur and prosthetics is rarely enough to make results aesthetically and functionally acceptable. In such cases fixed braces can restore teeth in their place, and, if necessary, placing implants can permanently resolve the problem.
When it comes to serious skeletal anomalies, there might be a need for a surgical intervention on the jaw. In such cases, a therapy plan is drafted in cooperation with the Clinic for Maxillofacial Surgery at the Faculty of Dental Medicine in Belgrade in order to provide the patient with the best possible care.
Orthodontics – what types of brackets are there?
MND Dental offers the majority of brackets that exist in today’s market in Serbia, as well as in the world. Since quality is our primary goal,primary goal, for our associates we have selected renowned manufacturers form Germany and America (Ten Brook, Dentsplay, Forestadent, Damon system…). All of the models come with standard metal brackets, as well as aesthetic systems in different variations. Self legating appliances are very popular because they combine aesthetics and complete functionality.
The usual duration of therapy is approximately a year and a half, whereas check-ups are scheduled for each few months (sometimes more often), thus making treatments easier for patients from abroad.
Most of the brackets meet the aesthetic demands, as well, but if you insist on inconspicuous appliances, we can offer you the latest digital systems such as “eClinger“.