BRACES RETAINERS: (orthodontics)
In today’s ever COSMETIC ORIENTED SOCIETY, ORTHODONTICS is a very important field.
SO WHEN ARE BRACES AND RETAINERS RECOMMENDED?
In general, the ideal occlusion is when the upper teeth overlap the lower teeth, and the lower molars and canines are aligned slightly ahead of the uppers when closed. There are many other factors, but that's the general picture.
Braces are needed when teeth need to be moved for a variety of reasons.
They are more common in adolescents, but these days many adults are getting them as well. They are not only an esthetic concern, but can help prevent TMJ problems and can definitely help position teeth to be restored properly.
Often times BRACES or RETAINERS will not be placed until a majority of the PRIMARY TEETH have fallen out (about 10-12 yrs of age), but ORTHODONTISTS often times do like to see patients BEFORE this happens.
This is necessary because if they see a developmental problem EARLY, sometimes they can HELP CORRECT it early, which may make actual BRACES stage less involved.
Braces are normally only placed on permanent teeth, but sometimes phase 1 treatment is recommended. Some of the potential benefits include:
CLEAR OR METAL?
Obviously there is an esthetic difference, but normally takes LONGER to move the teeth wearing the CLEAR ones than wearing the METAL ones. The clear ones also may be a bit more expensive, but it's your choice.
Damon braces use different types of wires which can help short treatment time. They also do not utilize ties, which are normally tightened each appointment with conventional braces, so it reduces the pressure on your teeth.
In-Ovation braces is a brand of clear braces which advertises that it can move teeth faster than metal ones, so you may want to ask your orthodontist about it. In-Ovation also does not use elastic or metal ties, so they tend to be easier to keep clean.
The most esthetic obviously, but it is usually used for less complicated cases. You have your impressions taken in the beginning, and a series of clear invisalign aligners are made. You wear them basically all day except for when you are eating and brushing your teeth, and move to the next retainer in the series as your teeth move.
You normally will change to the next aligner every 2 weeks and need to be seen every 6 weeks or so to make sure your teeth are tracking properly.
Sometimes buttons, or little tooth colored attachments are bonded to your teeth to help exert pressure in the proper directions, or your teeth may need to be adjusted to achieve the best results.
The benefits include:
It is very important to brush and floss effectively when you have braces. Braces tend to accumulate plaque and calculus, which if not removed, will cause cavities and or decalcification.
Below is a series of photos demonstrating proper home care.
SPACE MAINTAINERS, which are placed in children who have lost primary teeth prematurely. The space may need to be maintained in order to allow room for the permanent tooth to erupt. After the permanent tooth erupts, the space maintainer can be removed.
The second picture below is also sometimes referred to as a lower lingual holding arch.
These are the clear plastic retainers, and also hold the teeth position fine. Your orthodontist will probably recommend one or the other, but they both serve the same purpose. As long as you wear your retainers (whichever you get), your teeth will stay straight.
Your BRACES probably cost THOUSANDS of dollars, DO NOT THROW THAT AWAY BY NOT WEARING YOUR RETAINERS!!!
Initially it is recommended to wear them EVERY NIGHT, but after while you only need to wear them 2-3 NIGHTS per MONTH.
ON A DIFFERENT NOTE…
BRACES/RETAINERS can be used to help RESTORE a seemingly HOPELESS tooth via,
This is used when a tooth is fractured off at or below the gumline, and more tooth needs to be exposed in order to restore. The tooth will need to be
ROOT CANALED first, but after that is done, the ORTHODONTIST will attach a wire to the tooth, place a few ORTHODONTIC BRACKETS, and have that tooth EXTRUDED out of the socket as many MILIMETERS as needed. This is often done in CONJUNCTION with PERIDONTAL (gum) SURGERY.When the tooth is EXTRUDED with braces retainers, often times the gum will come with the tooth. Therefore, the gum may need to be cut back to where it is on the adjacent teeth.
After the tooth is extruded the proper amount, it will probably need to be HELD at that position for a few months, to allow the bone to form under the root. If this is not done, the tooth may attempt to return to its original position.
Q: What if bands or brackets come loose?
A: Call your orthodontist to let them know what happened and to schedule an appointment. If any parts have fallen off, bring them to the appointment to be rebounded or recemented.
Q: What if the archwire or headgear is broken, or a hook or ligature is lost?
A: These problems can cause teeth to shift in the wrong direction and should be fixed as soon as possible.
Q: What if a wire is sticking out or poking the mouth?
A: Either use wax from your orthodontist, or call your orthodontist to let them know. These do not take long to fix and they should be able to get you in almost whenever is convenient.
Q: What if the mouth feels sore?
A: Your mouth will normally be sore after most orthodontic appointments due to the braces being adjusted and the pressure being placed on the teeth needed in order to move them. Warm salt water rinses or pain relievers such as Tylenol or Advil can help.
Q: Are braces ok if you play sports?
A: Let your orthodontist know, but this is not a problem.
Q: Are braces ok if you play a musical instrument?
A: Let your orthodontist know if you play a wind instrument, but this is also not a problem.
Q: Do you need to take any extra vitamins during treatment?
A: Vitamin C can help to restore and heal bone in addition to maintaining healthy gums, so check with your orthodontist to see if any supplements are needed.
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