Teeth straightening procedure is done to correct the tooth cavities or decays. It can also be done when you are unhappy with the shape or position of your teeth. The most commonly used technique of teeth straightening is the use of braces. There are many kinds of braces available to choose from depending on your choice and situation. You must get an x ray of your teeth and proper medical consultation to decide which one suits you. There are fixed orthodontic braces, lingual braces, damon braces and many others. You can get your teeth straightened even without braces. The use of veeners, fitting a crown and composite bonding are a few options if you do not want to invest your time and energy in getting and managing braces. People with much more critical issues may go for dental surgery.
An x ray of your teeth is taken and studied in detail before zeroing in on the best option for you. It is wise to get braces at a young age. Braces may take quite some time to put your teeth in the correct position but are a foolproof treatment to all your dental woes. Fixed orthodontic braces are the most commonly used braces. It may take two to three years depending on the required movement in teeth. Lingual braces are more aesthetic compared to orthodontic braces. A system of wires is tightened around the teeth and gradually straightens them. It is tightened at the back of the teeth making it invisible from the front. They are ideal if you want your teeth fixed without anyone noticing. Damon braces are a fairly new alternative to fixed orthodontic braces and lingual braces. They are said to be a friction free method of teeth straightening. They do not have plastic ties, which cause irritation, making them more comfortable than others. Veeners and crowns are an aesthetic solution to the problems of crooked teeth. They are just fixed over the problematic teeth and give a false impression of straight teeth. Composite bonding is the most economical and painless method of teeth straightening. A tooth coloured resin called a composite is fixed over the crooked teeth and it is the most natural looking process there can be. Dental surgery is not for people who face crookedness in one or two teeth. If the root of your problem is in your jaw or your jaw is not positioned correctly, you must go for dental surgery. Surgery will leave you with lifelong effects.
People who suffer from the problems of teeth crookedness may go for any of these treatments. Choose the one according to the severity of your problem. Take proper medical guidance before deciding on one.
Most of the people with crooked teeth problems can get these treatments done but it is always wise to consult an experienced orthodontist and find the best treatment suitable for you.
Braces may need quite a lot of looking after. They can cause mild irritation in your mouth and jaw pain for a few days until you get used to their presence. There may also be occasional bleeding in the initial days. Composite bonding is a very cheap and natural looking method of getting your teeth fixed but the material used in the process may not be very long lasting. It may get stained and chip or break after a few years.
You must make regular appointments with your orthodontist after getting the treatment that suits your situation. It is important to keep a regular check on the condition of your teeth. Brushing after every meal with a brush made up of soft bristles is recommended if you get braces. You should keep your teeth clean all the time. Flossing every day helps. Make sure that nothing is stuck in your teeth for long. Avoid sticky foods like caramel, taffy and chewing gum.
Braces may take up to 3 years, depending on the severity. You may need just 2-3 days to recover after getting treatments like composite bonding, veeners and crowns. Dental surgery may take about a week to become completely normal.
Fixed orthodontic braces may cost between ₹18000 - ₹35000. The cost of lingual braces is on the higher side. It may be between ₹72000 - ₹190000. Dental surgery may cost anything between ₹60000 - ₹150000 depending on your need. Cost of composite bonding may range from ₹7000 - ₹20000 per tooth.
The results of braces and dental surgery are permanent. They last throughout the person’s life. Fitting of crowns or veeners and getting composite bonding may last only a few years.
There are no treatments available for teeth straightening that you can do by your own. You must follow good oral hygiene and inculcate this habit in your children at a young age in order to avoid these treatments.
Rs 18,000 - Rs 1,50,000
Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.
Reversal of cervical lordosis explained
The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.
When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.
Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.
In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.
Reversal of cervical lordosis causes
The spinal curvature in the neck is constantly in flux to some degree.
Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:
Scoliosis can affect the normal lordotic curvature in the neck.
Cervical spondylolisthesis is a major source of reversed lordotic curvature.
Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.
Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.
Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.
Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.
Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.
Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.
In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.
Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.
While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.
The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post head injury
Poor sitting/working postures
Congenital spinal curvatures
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine
Anatomy: straight vs. Curved
I've always heard that it was good to stand up straight.
stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.
Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.
When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.
Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.
In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.
Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:
Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.
Drinking a cup of tea everyday as it helps in keeping the gums and teeth healthy as it contains high amounts of flouride and flavonoids which prevent harmful bacteria from sticking to the teeth.