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Orthodontics

Who is Orthodontist (Orthodontist)?

An orthodontic specialist is a specialist dentist who is interested in diagnosis and treatment of tooth dislocations and disorders of the jaw. In order to become an orthodontist, it is necessary to take 4 years of specialized training after 5 years of dental education.

What is a malocclusion?

Malocclusion is defined as "bad closure" in teeth. Sometimes in childhood jaws can not grow properly and the teeth can not be sorted properly. This causes the lower and upper canine teeth to be curved, juxtaposed or jawed. Malocclusion is not a disease, only jaws or teeth are not in their normal position. Advanced malocclusions may affect functions such as eating and speaking, and may make it difficult to clean teeth. Individuals may have different malocclusions. Some of them are:

Upper candelabra growth
Growth retardation in upper cane
Bottom sieve development
Growth retardation of the lower screen
Forwardly positioned front teeth
Deviousness
Embedded tooth
Tooth defect
Deep closing
Open close
Cross-close
diastema


What causes malocclusion?

Premature loss of milk teeth: Loss of milk teeth due to rottenness at a young age and failure to protect the placeholder and the location of the milk teeth cause the developing permanent teeth to close.
Genetic factors: Jaw disorders, hereditary tooth deficiencies, buried teeth, narrow upper jaw, problems of perturbation can also be inherited to the child.
Ear-nose-throat problems: tonsillitis, nose and nose; constant breathing, poor shape of jaw bones, deep and narrow scars, and can lead to space problems that are necessary for proper placement of teeth.
Bad habits: Bad habits such as tongue pushing, finger sucking, using a long pacifier or bottle, tongue sucking, lip sucking, pen bite, nail eating can also cause orthodontic disorders in the teeth and jaw structures.
Congenital anomalies: Some congenital anomalies including the facial region (lip palate, hemifacial microsomes, Apert syndrome, Cruzon syndrome) can cause problems in the alignment of the teeth, sometimes asymmetrical appearance in the teeth.
Permanent tooth loss: If permanent tooth cavities pulled due to caries in adult age are not treated prosthetically, tipping in neighboring teeth may cause narrowing of the void in the void, alteration of chewing habits and difficulties in making an implant or bridge.


What problems do teeth and jaw disorders cause without orthodontic treatment?

It is difficult to clean the teeth in the presence of jolt. Bad closure (malocclusion) due to jaw dislocation or tooth alignment problems can cause abrasions on tooth surfaces, chewing, difficulty in functioning, and overloading of bone and gingival structures supporting teeth. When not treated, many problems can become more serious over time, leading to more complicated treatment needs.

When should the first orthodontic examination be done for children?

For children, it is advisable to go through orthodontic control before the age of 7 years. At these ages, the orthodontist can catch problems in the development of the jaw and teeth when milk teeth are still in the mouth of the child. Early diagnosis is important because some orthodontic problems are much easier to treat when diagnosed early. Some of the jaw-related disorders can be solved before the child's growth period is over. Most patients' orthodontic treatment begins between the ages of 9 and 14, when children grow up quickly.

Who can see orthodontic treatment?

Orthodontic treatment can be done at every age. In the past, there was a misconception that orthodontic treatment was applied only to children. Today, the number of adult patients who want to be treated orthodontically is quite high. Age is not a negative criterion for orthodontic treatment. Healthy teeth can be moved at any age.

What is needed for orthodontic examination and planning?

For diagnosis and treatment planning before orthodontic treatment, first clinical examination should be done. The smile is determined by profile examination, jaw examination in the jaws and defect in the teeth. Orthodontic X-ray is required to determine the treatment plan and course. The acquired X-ray (s) are evaluated and clinical findings and X-ray findings are combined and a clear treatment plan is developed.

What preparations are necessary in the mouth before orthodontic treatment begins?

Before orthodontic treatment, teeth cleaning, decay treatment must be done before the orthodontic treatment. The regular toothbrushing habit of the person should be acquired before the orthodontic treatment starts.

What are orthodontic appliances?

1. Fixed orthodontic appliances (Bracket)

The most commonly used method in orthodontic treatment is to place brackets on the teeth. Brackets glued with special material on the teeth the teeth are moved by applying force to the teeth. Today, there are various types of brackets made of metal or transparent materials. Brackets are placed on the front surfaces of the teeth. There are also bracket types placed on the back surfaces of the teeth. Movable appliances Movable appliances are appliances that can easily be inserted and removed by the patient to solve simple problems. It is preferred in light crowdedness, in light stiffness. Orthodontic appliancesThe orthodontic appliances that repair the jaw disorders, as well as external fixation of the teeth, and support from outside the mouth. Functional apparatuses Functional apparatuses utilize the forces created by the person's jaw muscles, which in turn transmit these forces to the teeth and jaws to help ensure a proper closure. There are fixed types as well as pluggable types. Transparent plaques may be used for minor orthodontic disorders or for preservation of the condition after active orthodontic treatment. They are transparent plates that can be inserted and removed by the patient. These plaques are produced by your doctor in accordance with your personal plan. There are no brackets or wires in the mouth. However, this system is not suitable for every orthodontic disorder. What foods can go through during the orthodontic treatment? The first few days of treatment may be more difficult than before. Pain may occur during chewing. In this period, soft foods are recommended when there is sensitivity in the teeth. Foods such as ice cream, yoghurt, pudding, soup, boiled potatoes, bananas, soft foods, milk are recommended for casual chewing. As long as the brackets are in the mouth, the patients who are receiving orthodontic treatment should pay attention to their cats and drink. Otherwise, the bracket (s) may break off the tooth, causing the prolongation of the duration of the treatment. Food that should not be consumed during the treatment: Crispy-crispy foods: Popcorn, chips etc. Foods: Caramel, gum, Turkish delight, Foods such as nuts, almonds, sugar, etc., which are eaten with a crunch: apples, plums, carrots, sandwiches, boiled corn etc.Silic drinks: acidic soda, gaseous fruit juices etc. How to maintain good oral care during orthodontic treatment they need. Food residues accumulate on brackets, wires, tapes, and other fixings, so cleaning of the bracket teeth is more difficult than normal tooth cleaning. The best way to prevent tooth decay and gum disease in this period is to brush your teeth after every meal and main meal. The best treatments for good oral care during orthodontic treatment are: Brush your teeth after every meal and snack. Use an interface brush to remove stuck food deposits. brushing after brushing should be used to reduce bacterial use Fluoride toothpaste and soft bristle toothbrush should be preferred Regular checks should be continued with the general dentist throughout the procedure What problems are encountered if teeth are not brushed well during orthodontic treatment Prophylaxis of tooth and gingival health requires more care during orthodontic treatment, creates an environmental change in the indoor environment. It is easier to attach food to the extensions of the applets and brackets. Food accumulation accelerates the accumulation of toothpick, which we call plaque. The presence of plaque increases the number of acid-producing bacteria on the teeth. If the plaque is not cleaned, there will be staining on the tooth surface, deterioration of the enamel layer, and decay in the tooth. What are the duties of the patient during orthodontic treatment? The patient is firstly responsible for the protection of tooth and gingival health. For this reason, the patient needs to perform oral care in the best possible manner. Orthodontic appliances with a certain durability on the teeth, excessive and sudden load can lead to breakage or breakage of the appliances, so the patient has to comply with the rules of eating and drinking. The physician's recommendation should be applied throughout the treatment to ensure rapid progress of treatment and to achieve the desired result. Appointments should not be interrupted. At the end of treatment, the strengthening appliances should be used during the period recommended by the physician. How often should orthodontic treatment appointments occur? Orthodontic treatment appointments are arranged according to the condition of the patient. Appointments in patients with fixed orthodontic treatment range from 4-6 weeks. In special cases where more frequent control is required, appointments are made accordingly. How long is otodontic treatment? Orthodontic treatment continues until the aimed result is achieved. Individual differences affect the treatment process. In addition, the severity of the problem, the differences in the teeth and jaw structures, the health of the teeth and gums, the interest of the individual to treat and the care of the mouth also create differences in the course of treatment. Orthodontic treatment may be needed between 6 months and 3 years at different times. Treatment for most people, 1, 5 to 2 years. What are the risks in orthodontic treatment? Pain and pain do not occur during placement of the brackets. During the first 3-4 days of treatment, tenderness may occur during bite. You may have lips, cheeks and wounds for a few weeks until you get used to the apples. Some appliances may bring a strong fortune to speech the first two days. Nutrient residues around orthodontic appliances can lead to plaque build-up on the teeth, which can cause damage, staining, tooth decay, and irreversible damage to teeth. It is also a risk that the teeth return to their old positions despite the treatment. To reduce the risk of this risk most of the reinforcement of the treatment should not interrupt the treatment.Disciplinary treatment of some orthodontic disorders in the correction of teeth may need treatment. Orthodontic treatment should be decided by a trained orthodontic specialist.The treatment is passive treatment applied to prevent the return of teeth after the end of active orthodontic treatment. In order to be able to preserve the result obtained by the treatment, `strengthening appliances` are used. At this stage, attachable or removable fixation devices are applied. Teeth also show a natural change over the years, just like the aging of the human body. Enhancement therapy is necessary to keep the change process to a minimum. The significance of this turnaround ensures that your treatment is permanent. It is the responsibility of the person at his / her own risk and should be treated with care to preserve the health of the teeth and gums if fixed appliances are applied. Orthognathic surgery. lower and upper jaw related disorder is a surgical method that helps correct deformities that occur in the resultant chewing functions and facial aesthetics. Orthodontist and surgeon work together in this treatment. The teeth are orthodontically corrected and then the jaws are repositioned by surgery. Orthodontic disorders requiring orthognathic surgery: In cases where the lower jaw is more normal than normal. When the lower jaw is more normal than normal. When the upper jaw is more normal than normal. When the upper jaw is more normal than normal. In severe frontal closure disorder, in the event of an extreme long or short face, if the gums and jaws develop asymmetrically, orthognathic treatment consists of two phases, orthodontic treatment and surgical procedure. Pre-operative preoperative orthodontic treatment is performed. Before surgery, necessary evaluations are made to determine whether the operation should be applied to single or double jaw. With orthognathic surgery, the jaws are brought to the proper position. Single or double jaw operations are performed according to the prescribed treatment plan. After completing 2-4 week recovery period after the operation, orthodontic treatment continues for a while. At this stage, final detail corrections are carried out. The duration of treatment depends on the severity of the disorder and the duration of the post-operative healing. How is the lip-palate (DDH) treated and how it is treated? The lip-palate is caused by the merging defect of the baby's face area for various reasons. It can be seen in every 1000 births in the society. It can be the lip, the palate, or both. These clefts may be unilateral or bilateral. The treatment of the infant with lip palate (DDH) begins immediately after birth. Appliances applied in infancy are aimed at both facilitating feeding and shaping cleft palate parts. When a clear correction is obtained in the slit parts, the nose shaping process starts and for this nose piece is added on the existing appliance. Patients receive treatment once a week, the treatment of unilateral HFD patients is 3-4 months, and the treatment of bilateral HFD patients is 4-5 months. By orthodontic treatment, the clefts are brought close to each other and then nose and lip operations are performed. Starting from the age of 7 to 8, simple orthodontic treatments are started as needed. In cases where the growth of the upper jaw is insufficient, the treatment is started at an early age and the development of the upper jaw is stimulated. Additional operations for the dental arch may be needed for the adjacent teeth to last 10-11 years. This condition is detected during orthodontic treatment and the patient is directed to the surgery which performs the operations for the bone tissue to be implanted into the dental arch. The necessary orthodontic preparation is done by applying fixed appliances until this rotation. In order to correct the jaw disorders during adult ages, it may be necessary to take forward the operation of the upper jaw with orthodontic treatment. Orthognatic surgery or distraction methods advancement of enenine and establishment of occlusion are among the treatment targets. Orthodontic treatment takes a long time in patients with palpable palate. Although all orthodontic treatments are completed, final aesthetic and functional treatments are provided with prostheses in cases such as tooth defects, dental deformities. Sleep apnea Sleep apnea is a frequent recurrent sudden respiratory arrest in sleep. As a result of breathing pauses in the sleep, the amount of oxygen in the body decreases and the amount of carbon dioxide increases. The role of the orthodontist in the treatment of sleep apnea is the role of the orthopedic surgeon who has a sleep apnea in the middle can be applied to attach the lower neck to the front to create a wider respiratory route. The patient must have had a medical examination before deciding on the use of the appliance. In patients diagnosed with sleep apnea, the physician and orthodontic specialist may determine whether or not the person will benefit from the treatment of apraxia.

 


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