Orthodontics

WHAT IS ORTHODONTICS?

ORTHODONTICS (Greek orthos = correct, perfect, odontos = tooth) is a dental specialist branch of medicine that studies the growth and development of the jaws, teeth and orofacial region as a whole. It also studies developmental disorders and possible causes of irregularities, and treatment of irregularities.

Orthodontics includes the diagnosis, prevention, and treatment of malocclusion (irregularity of position and connection of teeth). Orthodontic treatment is not only important for a beautiful smile, even though a beautiful and healthy smile is of vital importance in contemporary society and is indicative of a person’s confidence, but also for the welfare of the whole dental system. Irregular positioning of the teeth or the incorrect relation between the teeth and jaws can lead to problems with the joints and muscles of mastication. The uneven distribution of masticatory elements leads to uneven teeth wear and damage of the entire paradonta (bones, gums, and ligaments). Huddled teeth make cleaning difficult and are essentially conducive to caries and periodontal disease.


FIRST EXAMINATION BY AN ORTHODONTIST


The first appointment with the orthodontist should be at the age of seven. At this age it is possible to correct some minor irregularities, and to predict any future ones.


Early (interceptive) orthodontic therapy

The goal of an early treatment is to prevent the development of anomalies, which are difficult to correct later. Intervention at an early age can prevent later extraction of permanent teeth, and can correct imperfections that prevent the normal growth and development of the jaw, such as reverse bite or cross-bite. Also, at this age we can help your child to stop the unpleasant habits (such as sucking fingers and lips, breathing through the mouth, infantile swallowing). Therapy consists of the implementation of various appliances, depending on the problem.



ADULT PATIENTS

In contemporary orthodontics there is no age limit for orthodontic treatment. No significant difference can be seen between the tooth movements in adults and children. In adults, the treatment is conducted exclusively by fixed appliances. Since no orthopedic jaw movements can be performed with adults, orthodontic surgery is used only in serious cases.

ADULT THERAPY can be divided into:

•  Pre prosthetic orthodontics – to bring your teeth into the best position for prosthetic methods to be successful. We create enough space for implants or terminate the space created by removing the teeth.
Surgical orthodontic treatment - preparing a patient for orthodontic surgery (in cases of prognathism, maxillary prognathism,)
Therapy that prevents the development of periodontal disease or treat already developed periodontal disease – we help to close the gaps between teeth, realign protruding teeth, draw retruded teeth, undertake orthodontic bone regeneration (by moving the teeth, we regenerate and build new bone in defective areas)
THERAPY FOR TRAUMATIC OCCLUSION AND ACCELERATED WEAR OF TEETH
AESTHETIC THERAPY (aesthetics promote better functioning relations)



SPECIALIST EXAMINATIONS AND DIAGNOSIS

At the first visit to our specialist orthodontist a detailed examination and an analysis will be undertaken and an impression of the teeth will be modelled and studied. Using the analysis of the model, including teleradiograph analysis, the specialist orthodontist can make an accurate diagnosis and treatment plan. A set of intra-oral and extra-oral photos are taken in order to compare the relationship of the teeth and jaw, and appearance before and after the therapy.



TREATMENT WITH FIXED ORTHODONTIC APPLIANCES

In contemporary orthodontics most disorders relating to tooth and jaw positioning can be resolved after the full development of permanent teeth (from ten to thirteen years of age) with fixed orthodontic appliances. This is the orthodontist’s appliance which is placed on the teeth using an adhesive technique. It consists of braces and wires that realign the teeth.

Fixed orthodontic appliances, with respect to the material, can be:
- metal
- Aesthetic (composite, ceramic, sapphire)

Fixed orthodontic appliances with regard to the mechanism of action, i.e. the way in which the wire is attached in brackets are divided into:
- Conventional (binding, ie, the wire in brackets is connected with ligature wire or bands)
- Adhesive – self-ligating (braces which have a mechanism that closes the wire in brackets by itself)



ADVANTAGES OF THE SELF-LIGATING BRACKETS ARE:

•  Significantly reduced time of wearing brackets (reduced friction between the wire and brackets using less force)
More comfortable therapy - without pain (due to reduced friction and less force)
Reduced need for common check-ups
Easier to maintain oral hygiene
Significantly less need for extraction of permanent teeth even at high compression (Huddled teeth)


In our clinic, except conventional fixed orthodontic treatment (metal and plastic), we use the most advanced systems of self-ligating bracec and and the most elastic thermoactive wires: IN-OVATION, DAMON CLEAR, QUICK, and T1. This significantly helps the patient wearing the brackets and halves the time of wearing fixed orthodontic appliances compared to conventional methods.


LINGUAL TECHNIQUE

Advanced technology has enabled the development of small rounded self-ligating brackets that are placed on the inner side of the tooth, and revolutionised fixed orthodontic treatment.

ADVANTAGES OVER THE LABIAL TECHNIQUE:

•  Invisible (because of the position on the inner side of the teeth)
Much more efficient (because of the position of the bracket closer to the center of rotation of the tooth), hence much faster therapy (3 to 6 months)
Comfortable for the patient (and small rounded brackets do not interfere with the tongue)
Easy to clean (with no impact on the salivary glands)


In our clinic, we use the most advanced In-Ovation L lingual braces, which can be applied on all teeth in the arch, or only on the six front teeth.




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25.03.2013.

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