TREATMENTS

Orthodontics - Teeth

What is orthodontics?

Orthodontics is a word that originates from the words "ortos" which means straight in Latin and "dontos" which means tooth. In other words, Orthodontics is the expertise that deals with the diagnosis and treatment of the irregularities of the dentist's teeth, jaw and facial system.

Who is the orthodontist?

Orthodontist is a specialized dentist who can diagnose and treat the irregularities of the dental facial system. After completing the dentistry faculty, he will become an orthodontist after completing his or her doctorate program in orthodontics for four years or more. With this training, the orthodontist learns to examine the tooth jaw face system in three dimensions, to prevent the anomalies that may occur and to learn how to treat the anomalies that have formed. Physicians who have successfully completed this training can use the orthodontist title.

Is orthodontic treatment necessary?

The necessity of orthodontic treatment varies depending on the patient's anomalies. However, it should be well known that orthodontic treatment is not simply an aesthetic treatment that corrects the contraction of the teeth. Orthodontic treatment improves both the inclinations in the teeth and the jaw incoherence; It is a form of treatment that helps prevent future gum disease and problems in the lower jaw joint and also helps to correct the chewing function and the distorted speech.

When should I bring my child to the orthodontic examination?

It is recommended that every child be checked by an orthodontist at an average age of 7 to 8 years after the child's permanent incisive teeth are driven, or at a younger age if a problem is detected in the general dentist.

When should I take my child to orthodontics?

• The upper front teeth are excessively ahead or lower than the lower front teeth.
• When the teeth are in the closing position, the upper teeth cover the lower teeth excessively (deep closing)
• If the upper front teeth are behind or in front of the lower front teeth
• The gap between the upper front teeth and the lower front teeth does not touch each other during the biting (open closure)
• Perforated or turned teeth
• Finger sucking habit continues after 6-7 years of age
• Difficulties in chewing
• Slide the right side to the left side while chewing and biting the lower jaw
• Gaps between teeth
• Inability to breathe comfortably, to observe related problems of speech and ambiguity

What is the point of milk teeth in terms of orthodontics?

Milk teeth that will continue to stay in the mouth until the age of 6, whose age is about 2.5 years old, are 20 in total. Until the age of 12, all the milk teeth in turn leave their places in their permanent teeth. In this period of change, large bruises and premature milk tooth losses in the teeth of the milk cause the tooth to move to the back of the teeth.

When should orthodontic treatment be started?

The age of starting orthodontic treatment depends entirely on orthodontic probing. Orthodontic treatment can be divided into 2 compartments taking into account growth and development.

1- Protective-preventive orthodontic treatment: Eliminating the factors that may play a role in the formation of orthodontic disorders is called preventive orthodontic treatment. There are various apparatuses which are used to protect the places of the permanent teeth which will continue to the places of the milk teeth in cases where the milk tooth has been pulled or where there is no other remedy than shooting. Such appliances will prevent premature tooth loss due to premature dairy tooth loss. In addition, avoiding bad habits such as finger sucking and wrong swallowing can prevent future orthodontic disorders.

2- Corrective orthodontic treatment: Correcting the orthodontic disorder, which has come to the market for any reason, by using orthodontic appliances. Orthodontic treatment can be evaluated in three groups according to the characteristics of anomalies.

A. Treatment of dental disorders (confusion): These types of disorders are corrected with fixed orthodontic appendages (braces and tellers). There is no age limit for orthodontic treatment of dental disorders. The age of the patient only affects the movement and duration of the treatment. Individuals who are permanently fertilized are eligible for this treatment.

B. Early treatment of skeletal disorders: The treatment of skeletal disorders is based on the orientation of the growth with orthodontic appendages applied. For this reason, patients need to be growing individuals in order to correct skeletal disorders. As a result of treatment of these types of disorders, there are significant positive changes in the face profile of the individuals. Early diagnosis of skeletal anomalies provides important advantages for patients.

C. Late-stage treatment of skeletal disorders: Dental disorders can be corrected with orthodontic treatment in adult individuals who have completed development with skeletal and dysplasias, while orthodontic-surgical cooperation is required for skeletal structure and hence facial dysfunction. Orthodontic - surgical interventions in these types of disorders give positive results.

Can orthodontic treatment be practiced in adults?

The developing technology makes possible orthodontic treatment in adulthood that can not be done as a child; It makes people smile more happily with their regular teeth. If the teeth and periodontium are healthy, the treatments involving the teeth can be made at almost any age. But the anomalies that concern the jaw bones can only be done at an older age by surgery.

Is it possible that the brackets do not show up?

Orthodontic treatment can be done with transparent brackets or orthodontic treatments can be done with lingual orthodontics applied to the side of the brackets.

Does orthodontic treatment cause pain?

There is no pain during bracket attachment. However, there is a period of adaptation during the first 3 to 10 days in the treatment of the wire. Pressure is felt because a force is applied to move the teeth. But after a certain period of time, this is familiar. As pain is a consequence of tenderness, it is also taken precautions when wires are attached. Either mouthwash or painkiller is given to allow the adaptation period to be bypassed.

What should I do if I have a toothache?

If you have pain, you can use any acetylsalicylic acid derivative (such as aspirin) that is not painkillers.

Is there a certain time?

The duration of orthodontic treatment varies from case to case. For example, if a pediatric patient has a skeletal disorder, that is, the upper tine is behind the lower tine, the treatment can last for about 2.5-3 years. However, if the child has no skeletal disorder and only the teeth are distorted, treatment may start from 3 months to 6 months or 2 years.

What are the possible causes of orthodontic disorders?

1- Genetic factors: It is important that individuals with skeletal disorders have a similar anomaly in the past. Hereditary tooth deficiencies, narrow upper jaw, congenital problems can also be inherited to the child. In this case, the emergence of orthodontic problems is inevitable. What needs to be done is; Is to take the child to the regular dental control starting from the milk dentition period.

2- Ear, nose and throat problems: They may cause problems in the formation of jaw bones such as tonsillitis, nose and nose, continuous mouth breathing, and may cause tooth-rolling disorders.

3- Bad habits: bad habits such as finger sucking, using a long pacifier or bottle, tongue sucking, lip suction, pen bite can cause orthodontic disorders in the teeth and jaw structures.

4: The facilities provided by the preventive medicine may not be utilized; For example, the bruises in the teeth of the teeth have not been treated with the "how will they change" mentality, the teeth have been pulled out before time, fluorine and fissure protective applications may have been ignored.

5: Some muscle disorders can also cause orthodontic problems. Movement toward spaces can result in end-overcrowding and unceasing permanent teeth. For this reason, it is very important for the teeth of the teeth to stay healthy in the mouth.

Benefits of orthodontic treatment

• More beautiful and impressive smiles
• Better functioning of the teeth
• Increased self-confidence in the patient through correction of jaw and dental problems
• Correction of the cheeks makes the teeth easier to clean, which reduces the number of caries and gum problems
• Correction of some speech problems that develop due to correcting the teeth
• Guidance to keep permanent teeth in proper position in children and decrease in future problems
• Healthy teeth and gums in long walks

Rules to be followed during orthodontic treatment

• Do not break metal or porcelain knobs called brackets
• Considering more oral hygiene than normal individuals, ie more frequent and longer toothbrushing
• Do not drink soda, soda, etc. during the treatment. ACID; As well as the adhesive used to glue the brackets and tapes, will cause them to melt and tear off over time.
• Food should be chewed in the area of ​​the back teeth by dividing into small pieces with a knife or hand rather than being bitten.
• Some foods are more careful to eat
• Noodles (olives, cherries, plums, etc.) must either be eaten or very carefully eaten by removing the seeds.
• Foods such as sugar, chocolate, jellybeans that stick too much to chewing gum or teeth should be slower and more cautious.
• Use of elastics and medicines to be given by your doctor during treatment
• It is necessary to stick to your appointments.


Prof. dr. İbrahim YAVUZ
Orthodontic Specialist

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