If you are going to wear teeth with braces, you must first have a general dentist examination. Before orthodontic treatment, your oral hygiene should be raised to the best possible standards.
If there is caries in the existing teeth, it will be difficult to interfere with the caries during the braces treatment. It will be much healthier to complete your fillings before your dental caries progress.
If you have gum problems or bleeding gums, your gum disease should be treated and your gum health should be controlled. If you have calculus complaints, it is necessary to clean the teeth before orthodontics.
Otherwise, there will be problems in sticking the small buttons, which we call brackets, to your teeth. You may encounter frequent breakage or falling out of your braces. At the same time, your treatment may lose speed as your existing dental stones will restrict orthodontic movements.
What Will We Learn?
Things To Consider When You Go To The First Inspection
In your first examination with braces, priority will be given to comprehensive intraoral and extraoral examination procedures. For example, it can review your swallowing or breathing habits so far and give you advice. Crowding in the teeth, misposition, and spaces between the teeth will be evaluated one by one.
Crowding in your teeth is evaluated from different angles.
Your doctor will make a detailed examination of your teeth during the oral examination and will want to examine not only the visible parts of your teeth but also your tooth roots. He or she will need a panoramic X-ray to assess the suitability of your tooth roots for orthodontic treatment.
If you have an x-ray taken in the last 3 months, you will not receive an extra dose of radiation if you inform your doctor about this situation. Evaluation of the entire jaw structure, bone quality and suitability of tooth roots for braces treatment by panoramic x-ray is essential.
A healthy orthodontic treatment cannot be planned without a panoramic x-ray evaluation.
After examining your teeth and tooth roots, the specialist doctor will need a lateral cephalometric radiograph taken from the side of your head in order to detect the position problems of your jawbones in the head area.
Thanks to the Lateral Cephalometric X-ray, skeletal problems in your lower and upper jaw will be revealed.
With the cephalometric x-ray taken before orthodontic treatment, your teeth, jaws and head and neck region are analyzed in detail.
After the cephalometric analysis by your doctor, your orthodontist will reveal the forward-backward position of your jaws relative to each other or the vertical problems on dozens of parameters.
Remember, these parameters are analyzes that cannot be evaluated without x-rays and will definitely improve the quality of your orthodontic treatment.
Your upper or lower jaw stenosis problem will be determined clearly by posterior-anterior cephalometric x-ray, if needed. Diagnosis is the most important part of orthodontic treatment.
Correct diagnosis will ensure that you have fast, effective and permanent orthodontic treatment.
In addition, it may be necessary to benefit from three-dimensional tomography in individuals with advanced orthodontic tooth and jaw disorders.
In advanced skeletal anomalies, digital orthodontic treatment planning and three-dimensional photo analysis are performed with tomography.
If a skeletal problem is detected (jaw stenosis, lower jaw forwardness, upper jaw retraction, etc.), you may need to have jaw treatment during the treatment process, in addition to braces. Details will be shared with you during the examination by your orthodontist.
Intraoral and extraoral photographs are taken for before and after braces. These photos, which will allow you to compare before and after braces treatment, are very important.
Finally, digital intraoral scanning is performed before planning. Thus, the positions of all your teeth in the jaw are determined in 3D. All data is blended together and how your teeth will be at the end of the treatment is designed in a digital environment. Treatment routes are created according to your planning.
Intraoral digital recording is taken and all structures are transferred to the computer environment and added to the planning.
In order to get to know you better, your doctor takes your anamnesis. Your family history and general health have a high importance on the treatment plan.
Treatments that are not planned and/or applied by the Orthodontist, and mistakes made during the planning and treatment process often lead to irreversible results.
Face-priority orthodontic treatment planning is done carefully by the specialist doctor. Orthodontist is the only authorized person who can plan orthodontic treatment.
Every orthodontist is a dentist, but not every dentist is an orthodontist.
Things To Consider When Choosing Your Orthodontist
Orthodontic specialization requires a long and intensive training. The reason for the long duration of the specialization, which lasts about 4-6 years, is the necessity of planning a large number of different cases and completing the treatment of all patients.
In this process, the patients are followed with interest from the beginning to the end by the same orthodontic specialist, and it takes time for the result of the treatment to be approved by their own faculty member.
After successfully completing orthodontic patients, the candidate of orthodontics specialization receives the title of “Orthodontic Specialist” by the Ministry of Health after presenting his specialty thesis.
What Is Done During The Teeth With Braces Wearing Session?
In the bonding session of the orthodontic treatment, your orthodontist will clean your crooked teeth with toothpaste so that the surfaces to be bracketed reach perfect cleanliness.
Afterwards, your lips and cheeks will be removed with a retractor so that they do not come into contact with the teeth. The retractor will both increase your comfort and fully reveal your teeth.
The placed saliva ejector will provide isolation. Because perfect tooth-bracket bonding can only be achieved with saliva-free, cleaned and rinsed-dried teeth.
How Is Braces Attached With Direct Bonding?
After your front and back teeth are fully visible, some bonding processes are applied to match the surface, and the brackets are placed on the teeth one by one and the adhesive is hardened with a special light.
While brackets are placed on the incisors, canines and premolars from front to back, a tube or orthodontic molar band is applied to your 1st and 2nd molars.
In orthodontic treatment, all existing teeth in the mouth (except 20-year-old teeth) are included in the treatment.
Usually, the upper jaw teeth are bracketed first, and the lower teeth are bracketed in the following sessions. Bracing both jaws at the same time and starting wire therapy can be tiring for the patient.
The procedure is completed after the braces are passed through the brackets.
How Is Braces Attached With Indirect Bonding?
While direct bonding is applied directly one by one, in indirect bonding, previously taken tooth measurements from the patient are used. Brackets are placed in the laboratory environment to the tooth models created from the measurements.
Then, during the application, each of them is transferred to the patient at once. Thus, the bracket application session takes a very short time and the treatment starts more comfortably. Patient satisfaction is maximized.
How Long Does It Take To Put Braces?
The braces insertion session lasts between 20-40 minutes in direct bonding, while it does not exceed 5-10 minutes in indirect bonding.
How To Put Colored Braces?
After the braces are applied, the placed wire can be fixed between the braces with a brace rubber. In this way, the braces acquire colors. It is possible to make braces in any color.
Does It Hurt When Wearing Braces?
No, braces application is not a painful procedure. It certainly does not cause discomfort or sensitivity during application.
Will I have pain after the wire is inserted?
You will not have any pain immediately after the braces are placed, but as the teeth begin to move, you may feel pressure due to orthodontic tooth movement. This pressure may turn into mild pain in some individuals. The pain will go away on its own in a few days.
If you are experiencing severe pain, you can use a paracetamol derivative (minoset) as a pain reliever according to your doctor’s recommendation. It has been scientifically reported that the use of acetylsalicylic acid (Aspirin) derivative drugs will prolong the brace treatment as it will affect the bone formation-resorption metabolism in orthodontic treatment.
Wire-free Orthodontic Treatment Or Braces Treatment With Transparent Dental Plaque?
In traditional braces treatment, first the braces are attached to the upper jaw and then the lower jaw teeth are switched between 2 – 9 months depending on the crowding situation, and at the end, the lower and upper braces are removed together.
Due to its mechanical structure, braces first move the thin-rooted anterior teeth, and then the posterior thick-rooted teeth. In the treatment of clear aligner appliances, from the first day of your treatment, orthodontic force is applied to all crooked teeth in both the upper and lower jaws, while your anterior and posterior teeth begin to move together.
This situation, which is advantageous in clear aligners, allows you to get results significantly faster and earlier in this new system compared to braces.
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