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Braces and Orthodontics Treatment

Not every one of us blessed with a perfect smile. Some people grieve over misaligned, crooked, improper and protruding teeth. This not only affects personal and professional life but also has a negative impact on oral health.

Well for resolving this issue, BRACES are the perfect solution…

Fortunately, there are many orthodontic teeth straightening solutions available that will leave you with beautifully straight teeth and confidence to smile more. Have you noticed how many adults are wearing dental braces of late?

This is because braces are no longer synonymous with being a teenager, but are a fast-growing trend among adults. Despite the belief misconceptions of some that braces only work only on a growing jaw, this is not so. They can be used on a person of any age, even elderly people, with just as much success.

Who Need Braces?

Most people think braces are just for teenagers but actually, they can help to align the teeth properly for adults as well. This main reasons for wearing braces include…

Crooked teeth: Your timely observation is the key to detect them. Adverse habits in children even after 4years of age should be observed by you and the dentist should be consulted. A dentist will check and take the concerned X Rays and quote the exact cause.

Improper bite: Missing or broken teeth, trauma to the face or facet joint or stress from clenching or grinding of the teeth can result in an improper bite.

Protruding teeth: Children usually have an upper front tooth protruded as a result of genetics. They become worse if a child has a habit of sucking on their thumb or their pacifier for many years, if they have developed poor chewing habits or if they have the nervous habit of tongue thrusting against their teeth.

Problems with tooth eruption: Early or delayed eruption of teeth can lead to misalignment.

Missing teeth: A significant space in the arch results in a disturbance in the appearance of the face and smile.

When is a good time to start braces?

In the majority of people who have crooked teeth but the normal growth of their jaw, treatment can commence when most of the permanent teeth are out. This usually occurs around the age of 11 to 13 years.

More adults here are seeking orthodontic treatment to improve their appearance, as well as oral health and function, but some of them don’t prefer due to pain or because they think they are too old for it.

What are Braces?

Braces also referred to as clips/orthodontic brackets, are a mechanical device that is used in the correction of misaligned teeth. The braces usually contain 3 main components – wings, base, and the slot. The base looks like a small pad which will be attached to each tooth.

Different Types of Braces:

Most of us are unaware of the fact that braces don’t just come in metal or black forms. In fact, there are 4 different types of braces that include – metal, ceramic, invisible aligners and lingual braces. Let’s have a clear idea of these types below…

1.Conventional Metal Braces

Conventional metal braces are brackets made of stainless steel which are fixed to the teeth’s external surface. An arch supporting wire runs through the brackets and is held in place by elastic bands. These bands can exert pressure on the teeth and gradually, drift the teeth into their new position.

Metal braces are the cheapest, most durable and most effective in treating badly misaligned teeth. They are clearly visible on the teeth. You may be self-conscious when you smile. The metal wires and braces may trap food particles and hurt your gums during the initial adjustment phase.

2. Ceramic Braces

Ceramic braces are tooth-colored braces affixed to the teeth’s outer surface. They are usually recommended for the upper front teeth. Ceramic braces are more natural-looking. They can chip or break. They are harder to remove, stain easily and take longer to straighten your teeth than traditional metal braces.

3. Lingual Braces

Lingual braces are like metal braces except that they are custom-fitted to the back surfaces of teeth instead of the front, so no one knows you are wearing braces. They are 100 % invisible. Lingual braces may affect your speech and hurt your tongue. They trap food particles easily and are harder to clean. It is important to practice proper oral hygiene.

4. Invisible Aligners

Of all the braces, aligners, are the most aesthetically pleasing. They are invisible and can be removed before eating or brushing your teeth. They are comfortable and easier to clean. Aligners may cost more than traditional metal or ceramic braces. They are not suitable for severely crowded or misaligned teeth.

After having braces on for a year or two, you may have stains around the brackets. That is the reason it is so important to clean your teeth properly when you have braces.

The Procedure of Braces/Orthodontic Treatment

Typically, orthodontic treatment takes from 6 to 8 months depending on the types of dental devices used, classification of malocclusion, and amount of bone support. Based on teeth irregularity, this treatment may occur either in 2 or 3 different phases.

We have mentioned a clear overview of these treatment stages…

Stage 1 – The Planning Phase

In this stage, the orthodontist will analyze and diagnose the present situation to find out the best possible way to realign the teeth. During the initial visits, a dentist performs following evaluations…

Medical and Dental Evaluations – Usually, dental problems can be a trigger factor for many physical problems. Problems in the oral cavity can be a reason for a lung infection, cough, fever, and several other medical issues. The main motive of this evaluation is to find out any medical issues that are directly caused by dental issues. This ensures the medical condition of the person is completely under control before the conception of the orthodontic treatment.

Taking Impressions or Making a Study Model – In this evaluation, the patient is asked to bite down on a dental tray which contains gel substance which hardens in a few minutes. Later the removed tray will be filled up with plaster – which helps in creating the model of patient’s teeth. This model will help the dentist in analyzing the position of each tooth, gaps between the teeth and other factors.

Panoramic X-rays – X-rays are beneficial in analyzing potential complications, finding out any pre-existing internal damage in the jaw. They help the orthodontist in analyzing than the position of each tooth and their roots.

Images Generated by Computer – These images help the orthodontist in designing the treatment plan and analyze how the custom treatment will affect the symmetry of jaw and shape of the face.

Photographs – Some orthodontists like to take before, during and after photographs of the teeth as well as the face to understand how well the treatment is going and impact of it on the patient’s face.

Stage 2 – The Active Phase

After analyzing the present situation by considering the diagnosis performed in stage 1, a customized treatment plan will be presented to the patient. Later, the orthodontist will recommend the customized orthodontic device for proper teeth alignment. This appliance can be either fixed or removable. Traditional fixed braces stay fixed and use individual dental brackets connected by a wire. Lingual braces are also fixed but they have also placed another side of teeth which makes them less visible. Whatever the device might be, the dentist has to adjust the pressure as per the requirement. It is important to visit an orthodontist at regular intervals so that if the device breaks or damaged then it can be resolved as soon as possible.

Stage 3 – The Retention Phase

Once the teeth are properly aligned, either removable or fixed braces will be removed completely. The most troublesome part of wearing braces is over by this stage. Now, the orthodontist will create a customized retainer – which ensures the teeth do not shift back to its original positions. This device has to be kept on the teeth for a specific period of time daily. In this phase, the jawbone reforms around the realigned teeth in order to fully stabilize the corrected alignment.

Precautions and Special Considerations To Consider
Before The Braces Treatment
  • Scaling or complete deep cleaning is important
  • Removal of any damaged or decayed teeth
  • If necessary, get a root canal treatment done
  • Removing any abnormally erupting third molars
  • Get fillings if required
During The Braces Treatment
  • Never bite using front teeth
  • Any food/vegetable or fruit should be cut into small pieces before eating
  • Avoid eating sticky foods
  • Maintain proper oral hygiene
  • Eat food rich in protein, calcium, and others.
  • Avoid drinking too much cold and hot beverages
Post Braces Treatment
  • Wear the retainer as mentioned by the orthodontist
  • Visit the Our Rama Dental Clinic dentist regularly for oral prophylaxis
Some Frequently Asked Questions About Orthodontic treatment :
Is there any alternative for orthodontic braces?

Yes, there are alternatives that include removable appliances, myofunctional appliance, crowns and aligners. But whether you are suitable for it or not will be decided by your orthodontist.

Why are my teeth misaligned or irregular?

Well, this can be caused due to several reasons that include…

  • Habits like sucking thumbs
  • Disproportion in jaw and teeth
  • Genetics
  • Accidents
  • Trauma and others.
Am I a bit old to get it done?

Nope. Age is just a number to get orthodontic treatment. Most people think that braces are just for teenagers but that is not true. Anyone regardless of age with bone and jaw support is suitable for getting braces.

Who is eligible for braces?

People who are eligible include…

  • People who have pain in joint in front of the ear
  • Who have space between their teeth
  • Who have crowded teeth
  • Who have irregularly placed teeth
  • For people who want a beautiful smile
  • People who have forwardly placed teeth
  • Who have incompetent lips
Who are not eligible for braces?

Special children, a patient with gum diseases and epilepsy are not suitable for braces. They have to consult an orthodontist to find out other alternatives to align their teeth.

What should I ask the orthodontist before getting the treatment?

Here are some of the common questions asked by individuals…

  • Will I need braces for sure?
  • How will braces correct my problem?
  • How long should I be wearing braces?
  • Is it possible to schedule appointments at my convenient times?
  • How much does it cost?
  • What are the payment methods?
  • Does the insurance cover this treatment?
  • How much do I have to take out of my pockets?
Are there any food restrictions to consider while wearing the braces?

Yes, it is important to avoid eating certain foods to prevent damage. We have included them below for your reference.

When you bite on certain foods like hard candy, corn on the cob and nuts, they will damage the braces.

Other foods like raw carrots, crushed ice, pretzels, and popcorn can damage the brackets and wires.

It is always recommended to stay away from sticky items like caramel, taffy, sticky rice, gum as they get stuck between the components of braces and teeth – which are difficult to clean with regular brushing.

Eating wrong foods and ending up with repairs and damages of braces can be costly. And it can also prolong the duration of wearing of braces.

Keep a count on how much carbohydrates you are eating. Because they break down into sugar which creates an appropriate environment for bacteria in the mouth to thrive and lead to tooth decay.

Make sure to maintain proper oral health and keep the teeth and brackets clean. If food gets trapped in it then it can lead to tooth damage and cavities.

Is it necessary to get regular checkups while I have braces?

Yes, it is very important to get regular checkups. During these visits, the dentist will clean between the teeth and braces, adjust the pressure and checkout for any wire damage. This helps in achieving the results as early as possible.

Is the orthodontic treatments different for adults?

As the teeth have stopped growing, the treatment for adults may last a bit longer. This actually means that it will be a bit harder to force the teeth to move in a specific direction. Based on the situation, you may have to wear them for 18 months to 3 years. Moving on, you may have to wear a retainer after the treatment to keep the teeth from moving back.

What the best age to start braces?

In the majority of people who have crooked teeth but the normal growth of their jaw, treatment can commence when most of the permanent teeth are out. This usually occurs around the age of 11 to 13 years. More adults here are seeking orthodontic treatment to improve their appearance, as well as oral health and function, but some of them don’t prefer due to pain or because they think they are too old for it.

About the Clinic:

If you have dental issues, Rama Dental Clinics is the name you can trust as we are one of the best dental hospitals in Hyderabad. Equipped with modern technology at the hands of highly-skilled dentists, Rama Dental Clinics will resolve all your dental problems ranging from Root Canal, Braces, Laser Dentistry, Emergency Dentistry, and Cosmetic Dentistry. In fact, we are one of the best for orthodontic treatments in Hyderabad. Contact us to schedule an appointment for more information.

Our Team

Dr. V. Shashi Kanth
MDS, Oral & Maxillofacial Surgeon, Implantologist, Professor
Dr. V. Srilatha
Cosmetic Dental Surgeon
Dr. Dinesh
Cosmetic Surgeon and Root Canal Specialist