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Orthodontics - Treatment, Procedure And Side Effects

Last Updated: Sep 04, 2019

What is Orthodontics?

Dentistry has many branches, one of them is orthodontics. It corrects improperly positioned teeth and jaws and treats an abnormal bite. Teeth that are not fitted together and crooked teeth cause several problems. It is harder to keep clean and always has the risk of tooth decay and periodontal disease. Improperly positioned and crooked teeth cause extra stress on the chewing muscles leading to other issues like a headache, neck and shoulder pain. The appearance of a person gets hampered because of a crooked tooth or for teeth that are not in the right place. Orthodontics helps in having a healthier mouth, a better and pleasing appearance and teeth that would last a lifetime. Orthodontic treatment is based on certain diagnostic tools like special X-rays and pictures of your teeth. Orthodontics includes the treatment of various aspects of facial growth (dentofacial orthopedics) along with the development and shape of the jaw, as well. Previously, orthodontics was known as orthodontia. The term ‘orthodontia’ comes from the Greek word ‘orthos’ that means ‘straight, proper or perfect’ and the word ‘dontos’ means ‘teeth’. Orthodontics treatment helps in straightening crooked teeth, closes wide gaps between two teeth, improves oral functions and prevents excessive wearing out of the teeth.

What is the difference between orthodontist and dentist?

Orthodontist vs dentist: There are a greater number of variations than similarities. An orthodontist is a specialist who requires extra schooling as a dental speciality. The circumstance is like a specialist who acquires extra schooling to turn into a surgeon. Another distinction is that orthodontists spend significant time in helping patients with the arrangement of their teeth, improving their chomp, or fitting them for restorative supports and gadgets. If a patient has an overbite, a dental specialist will refer the person to an orthodontist.

What is included in orthodontic treatment?

Many varieties of appliances are used for orthodontic treatment. They can be either fixed or removable. The devices help in removing and positioning of the teeth, favorable they affect the jaw and restrain facial and chewing muscles. A gentle pressure on the teeth and jaw would help set the appliances. Removable Appliances:

  • Aligners: An invisible alternative to the traditional braces and can be removed while eating or brushing and flossing.
  • Lip and cheek bumpers: The bumpers relieve the pressure that lips and cheeks exert on the teeth.
  • Removable retainers: Being placed on the roof of the mouth, these prevent in allowing the teeth to shift in its previous improper position
  • Splints: It is also known as jaw repositioning appliances and trains the jaw to close favourable position.
Fixed appliances:

  • Braces: The most common fixed tool is the brace. It consists of bands, wires, and brackets. Bands are set around the teeth while the brackets are used to bond to the front of the teeth. The archwires are passed through the brackets and attached to the bands. The procedure tightens the wires and puts pressure on the teeth, forcing them to move to their proper position. Braces are adjusted monthly, and they come in colours for kids and bright styles for adults.
  • Fixed space maintainers: It is used to keep the area where the baby tooth is prematurely lost until a new tooth grows.

Who should see an orthodontist?

Persons with the following conditions can opt for the treatment.

  • Overbite: If the upper front teeth stick out over the lower teeth.
  • Underbite: If the lower teeth are too far forward or the upper teeth too far back.
  • Open bite: If there is a space between the biting surfaces of the front or side teeth when the back teeth bite together.
  • Crossbite: The upper teeth do not come down slightly in front of the lower teeth when biting together.
  • Crowding: When there are far too many teeth crowding your mouth.
  • Spacing: Sometimes a missing tooth leaves a space between the teeth.

What is the best age for orthodontic treatment?

Orthodontic treatment in early age

The American Association of Orthodontists suggests that kids get an orthodontic assessment by the age of 7. Early interceptive treatment, referred to as Phase I, is performed before the majority of the changeless teeth have emitted frequently between the ages of 7 and 10. The early assessment gives both convenient identification of issues and a more prominent open door for increasingly compelling treatment.

Orthodontic treatment for teens

Youngsters normally begin full orthodontic treatment between the ages of 12 and 16 once the greater part of their perpetual teeth has ejected. The full orthodontic treatment referred to as Phase II. If they got early treatment, they will position all the permanent teeth to expand their appearance and capacity.

Orthodontic treatment for adults

Orthodontic treatment during adulthood can drastically improve your own appearance and certainty. Child Care Dental and Orthodontics offer a few treatment alternatives for adults, including discrete and brisk Invisalign Express

What is the best time to get orthodontic treatment?

Studies propose that as well as can be expected to be accomplished when the child is in his/her developing age. Guardians should visit an orthodontist when the youngster is around 7 yrs old in order to get any interceptive orthodontic measures if conceivable. At this age, the block attempt of malocclusion can decrease the level of subsequent treatment. Fixed orthodontics can be performed for all ages. In any case, the best time to go for this treatment is 10-18 yrs.

Who is not eligible for the treatment?

People who do not have improperly positioned teeth or even if they do, it does not, however, affect their appearance. If a crooked tooth does not affect the oral functions, one need not undergo this treatment. Moreover, this treatment is not necessary when a person has grown and developed a better jaw naturally.

What are the side effects of orthodontic treatment?

  • Intra-oral or inside the mouth: Tooth decay is the most common if the patient is not careful about oral hygiene or if the treatment goes on for a length of time. Decalcification can occur on the tooth after the treatment leading to small white lesions. People wearing braces are more prone to decalcification.
  • Extra-oral or outside the mouth: It is uncommon but it includes infection from the metal nickel from the brace, or the patient might be allergic to latex, the material used in the gloves of the operator. Temporomandibular dysfunction may also occur.
  • Systematic side effects: There is a rare chance of having cross-infection if the instruments used in the treatment are not sterilized properly.

What are orthodontic benefits?

The advantages of orthodontics are difficult to measure and change from one patient to another. A couple of the most commonly referred to included:

  • Improves confidence
  • Enhances overall dental health
  • The orthodontist works with the general dental specialist to make a long-term plan of action
  • Can help patients of all ages
  • Innovation has improved to where not all gadgets are exceptionally recognizable.

What are the post-treatment guidelines?

After the orthodontic treatment is over, all crown surfaces are positioned, and dental bleaching is to be done next. It is because all teeth do not have the same colour, particularly when the braces come off. Especially the enamel does not have the same volume or mineralization for all its elements. There might be resin fragments adhered to the coating. After the treatment, some oral adjustments need to be done.

How long does it take to recover from orthodontic treatment?

The length of time required for the recovery depends on the continuity of the treatment. A regular follow-up would take a few months to recover, while a delay can lead to years of treatment with no proper outcome.

What is the average cost of orthodontic treatment in India?

The main cost of this treatment is that of the appliances used. The cost ranges from Rs. 5000 to almost Rs.50000 if you prefer invisible braces. In some dental clinics, the rates may be higher, ranging from Rs.90000 to approximately Rs.2 lakhs. Add on to it, the fees of the orthodontics which again varies from one to another.

How long the orthodontic treatment results last?

The procedure is efficient, and the end results are always good and lasting. If an orthodontist diagnoses the problem correctly, the results are stable. Orthodontics is a way to ensure long-term stability of the teeth.

What are the risks involved in orthodontic treatment?

Similarly, as with any intercession, orthodontic systems are related to certain risks. In any case, it must be called attention to that legitimate treatment planning, development and religiously following your orthodontist home care instruction can impressively diminish these issues. A part of the issues related to orthodontic treatment are:
  • Tooth decay: An orthodontic patient is progressively inclined to dental rot as supports make it hard to keep your teeth clean. It is significant that careful oral cleanliness is kept up; alongside this, your dentist may likewise recommend fluoride mouth rises to prevent caries.
  • Root resorption: If excessive force is applied to teeth, it might bring about root resorption and even loss of teeth. It is significant that the dental specialist applies moderate and supported force on teeth.
  • Loss of periodontal support: The trouble in keeping up oral cleanliness additionally may cause separation of the periodontal tendon of your teeth. Once more, it is significant that legitimate oral cleanliness is kept up.

What are orthodontic alternative treatments?

Transalveolar transplantation of maxillary canines is an alternative to orthodontics. Fixed orthodontic appliances were used for fixation after which transplanted teeth were firmly affixed in the new position.

Key Highlights

Safety: Medium

Effectiveness: Medium

Timeliness: High

Relative Risk: Medium

Side Effects: Medium

Recovery Time: High

Price Range: RS. 5000 - Rs. 2,00,000


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Written ByDr. Vikram Singh AtwalPCAD,MCID Implant,BDS,Advanced AestheticsDentistry
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