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Treatment & Management of Braces
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There are a lot of ways that tooth enamel (hardest substance in the body) can wear off – decay and erosion being the most common. While decay is an infectious process with bacteria playing a significant role, erosion is nowhere associated with bacteria. The tooth gets ‘eroded’ in small amounts with the various food substances that you eat. These include the sodas that wash down the burgers and pizzas, the various sports drinks that are used to boost performance, the lime and oranges that are constantly sucked, and other acidic and sugary foods.
It does not mean you should not have an occasional soda or a sports drink or a citrus fruit. It is the constant and overuse of these that is damaging. The oral pH goes to a very acidic level (below 5.5) with these which then leads to demineralization of the enamel. The environment that is usually produced by the bacteria is caused by the acidic and sugary foods.
In some cases, acids could come from an internal source too. People with gastroesophageal reflux disease may have the acid coming from the esophagus, which also can lead to erosion.
However, there is nothing to be disheartened about as the lost enamel can be replaced to restore both tooth function and appearance. The most commonly affected teeth are the inner surfaces of the upper incisors and the biting surfaces of the lower molars. The result is tooth sensitivity, darker teeth, and increased chances of tooth decay and fracture.
Repair Mechanisms: Treating erosion has two components to it – to repair the lost tooth structure and to prevent further damage. The second is equally or rather more important than the first one.
Restorations: In mild cases of erosion, the lost tooth structure can be rebuilt with composite resins or glass ionomer cement which usually restores lost tooth structure to its earlier version. Usually done in one sitting, it should not take more than an hour. The results would last longer if further erosion is prevented.
Crowns: In cases where a lot of tooth structure has been lost and the remaining enamel weakened, a new crown will need to be done. This offers protection against further decay and also restores esthetics and function quite effectively.
Avoid overuse of acidic, sugary drinks like sports drinks and aerated beverages.
Avoid sucking on oranges as they prolong the effect of the citric acid on the tooth.
Include toothpaste and rinse with fluoride.
Improve dairy intake, thereby providing sufficient calcium.
Follow oral hygiene habits including brushing, flossing, and regular dental visits.
Lost tooth structure unfortunately cannot be regained; however, further loss can be prevented.
If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
My sister's teeth are little bit outside from her mouth. Her age is 26. She had undergone for braces for more than 2 years but I feel there is no improvement in her. I want to know whether it is treatable or not. If yes then what are the risk factor and cost of treatment.
I have pain in my teeth from last 2 days after eating ice cream so please tell me what should I do now?
My teeth are yellow. In the corner of the teeth thre is white and bad smelling things which is not removed very well?
I am 21 year old female. I am having frequent mouth ulcers in lower lip area from past 2 or 3 months. I consultedconsulted Dr. who gave me medicines and said it is a viral infection. I have completed the course of medicine twice still there is no relief. I am not able to eat properly. Kindly advise.
Hi. I have a gum disease where my gums starts bleeding. I believe it's coz of tartar accumulation. However I do brush twice a day and get the tartar removed from dentist nearby since my gums distorts during the time. However after a month of removal, the process starts again. What should I do to completely get rid of this gum disease? please I have been following this practice for last 5-7 years.
I am suffer with holes on corner teeths and I won't to eat some cold and sweet items, what should I do?
Is activated charcoal good to whiten tooth. Which type of charcoal to be used for whiteness of tooth.
My gums otherwise appear to be Okay. They do not bleed on brushing or eating solid hard substances. But when I get up in the morning, I find saliva type fluid is collected in my mouth, which appear to be slightly pale in colour. I suspect it to be some type of discharge from my gums. I have got myself checked from PGI Chandigarh. They say my gums are healthy. Please suggest me appropriate lab tests to diagnose the problem. I shall be highly obliged.
Few people are lucky enough to be born with a set of perfectly aligned teeth. This fact and the pursuit for beautiful smile led to the development of braces. Traditional braces did help realign teeth, but are uncomfortable and affect a person's appearance while they are in use. Ceramic braces are less noticeable as the brackets are clear or tooth coloured. Invisible braces are the latest in dental realignment therapy. They are virtually invisible and are not associated with any dietary restrictions unlike the earlier forms of braces.
Invisible braces are also known as aligners. Aligners are similar to mouth guards in appearance, but are custom built to fit tightly around the patient's teeth. These slip over the teeth and are designed to be removed and replaced every fortnight. Aligners may also be removed for eating, brushing and flossing. Each set of aligners vary slightly so as to move your teeth forcefully and correct your bite.
Treatment time of invisible braces depends on how much the teeth needs to be moved. In most cases, treatment takes between 10 months to 24 months. Aligners are also often used by adults who wore braces as children to correct slight displacement of teeth. In such cases, treatment could take as little as 10 weeks.
However, not everyone can get invisible braces. Aligners are custom built to fit tightly over teeth. This makes them unfit for use on children teeth as their teeth are constantly growing and developing. This is typically used for patients suffering from mild to moderately crowded teeth or those who have minor spacing issues between teeth. It can also be used as a follow up form of treatment for traditional braces.
Invisible braces are also slightly more expensive as compared to traditional braces as they are custom fitted.
The first step towards getting invisible braces is an X-ray, dental photographs and impression of the patient's teeth, gums and bite. These are then used to create a digital 3D representation of the patient's teeth in their current positions and their desired positions. The in-between stages are then created by moving the teeth .25 to .33 millimeters in each stage. The number of intermediate stages depend on the extent teeth need to be moved. Each stage is representative of an aligner to be worn for 2 weeks. If a tooth needs to be pulled away or rotated, a small, composite attachment may be bonded to the tooth.
The biggest advantage with invisible braces is that they can be worn without making a person self-conscious.