Questions and Answers

 

Why is it necessary to do an orthodontic treatment?

At what age can orthodontic treatment be carried out?

What´s a pre-orthodontic treatment?

Is there any limitation for doing an orthodontic treatment?

What happens if this proportions are not addecuate?

Nowadays more orthodontic treatments for adults are demanded. Is there any contraindication?

Which is then the goal of an orthodontic treatment?

What are the causes of orthodontic problems?

How are orthodontic problems corrected?

Are there orthodontic appliances that are less noticeable?

How long does orthodontic treatment last?

How do I brush my teeth when I am wearing the orthodontic appliance?


 

Why is it necessary to do an orthodontic treatment? 

 

Although the main reason for the demand of an orthodontic treatment is usually the aesthetics, and while having a nice smile with properly aligned teeth is associated with a positive status to all levels of society, especially in this era when the aesthetic is given a high value, there are other reasons for orthodontic treatment, and all of them are related to health.


For example, in case of dental crowding to avoid having a lower susceptibility to decay, in case teeth are protruded to prevent them from trauma, avoiding exacerbate periodontal problems, prevent digestive problems due to not having a good chew and swallow in case of important malocclusions; and for not creating or perpetuate joint or muscle problems in the temporomandibular joint.

 

 

 

At what age can orthodontic treatment be carried out?

The biological process involved in moving the teeth is the same at any age. Children and adults can benefit from orthodontic treatments. It is recommended that children have an orthodontic check-up at around seven years of age. There are cases when it is necessary to carry out previous orthodontic treatment at this age, and other cases when it is more convenient to start once the child has a full set of teeth (11-13 years old).

The treatment may last a little longer for adults. As adults" bones no longer grow, some corrections cannot only be carried out using orthodontic appliances.


 What´s a pre-orthodontic treatment?

This treatment must be carried out at an early age when identifying certain problems in the deciduous dentition, it may be, for example, a crossbite or other occlusal problems that justifies acting on them to prevent further problems in the future.


In these cases, a treatment has to be tried to guide in the best way the biting. Once the eruption of the last teeth is done, and in a second step, conventional orthodontic would be done.

 

Is there any limitation for doing an orthodontic treatment?

Yes. As the implantologist needs a certain amount and quality of bone, the orthodontist also needs appropriate ratios of the jawbone in the three planes of space. The upper and lower jaw must have proportions within certain parameters. In orthodontics we do not only focus on teeth. The sit bones where the roots are in are essential.

 

What happens if this proportions are not addecuate?

 When these bone proportions are clearly outside the norm, the orthodontist can straighten teeth but then he/she can not get a good bite. The orthodontist can not do those two arcades mesh perfectly together. In these cases, to solve the problem properly, it will take a multidisciplinary approach. Previous diagnosis and treatment by the orthodontist in conjunction with the oral surgeon, orthognathic surgery will be necessary in each case, with the goal of making both arches match, giving the orthodontist the final adjustments to the occlusion.

 

Nowadays more orthodontic treatments for adults are demanded. Is there any contraindication?

None other than that can have a teenager. Basically, the treatment is the same, although there may be more limitations, especially since there may be abscence of teeth or periodontal disease more or less established, that usually requires previous treatment. Also, additional treatments may be required, such as dental implants or fixed prostheses for occlusal rehabilitation treatment, which is the ultimate goal of a good orthodontic treatment.

What are the causes of orthodontic problems?

An orthodontic problem is "a lack of correct occlusion". Some causes of incorrect occlusion may be missing teeth, having more teeth than normal, misaligned jaws, or teeth that do not grow straight.

Most occlusion problems are inherited, although they can also be acquired, mainly due to accidents, early or late loss of milk teeth, or as a result of children sucking their thumbs for long periods.

 

Which is then the goal of an orthodontic treatment?

The key is to get a proper occlusion. Contrary to what is generally demanded, an aesthetic result of an orthodontic treatment is not the main objective for the orthodontist, but achieving a good functionality. Either way, if you get a good occlusion, aesthetics usually goes hand. Let's get a good occlusion and we will find a nice smile.


 

Treatment is normally adapted to each specific case, making the suitable device or appliance. There are many different types of appliances that can be used.

Once the orthodontic appliance has been fitted, the "active treatment" stage begins. The appliances are adjusted regularly to ensure that the teeth are moving correctly and efficiently in the right direction.

The time required for orthodontic treatment varies from person to person. An important factor in the duration of the treatment is how well the patient cooperates, following the instructions given by the orthodontist.

 

Are there orthodontic appliances that are less noticeable?

The orthodontic appliances used today are much less noticeable than those used a few years ago. The brackets (the components that act as handles for the archwire) are attached to the front of the teeth, and can be in a metallic colour, white, or transparent.

In some cases, the brackets can be fitted to the back of the teeth (lingual braces). The wires used are made of state-of-the-art materials that constantly put pressure on the tooth, moving it more quickly and more comfortably for patients.

 

How long does orthodontic treatment last?

Although the average treatment time is 24 months, this will vary for each patient. Treatment for adults normally takes a little longer than for children. Other factors are the seriousness of the problem, the health of the teeth, gums and bones, and whether the patient follows the orthodontist’s indications.

Although orthodontic treatment requires a solid commitment for a period of time, most patients believe that the benefits make up for the time dedicated.

 

How do I brush my teeth when I am wearing the orthodontic appliance?

Once you are wearing an orthodontic appliance, you will have to brush your teeth for a little longer and take more care, as there will be more spaces where plaque can be accumulated.