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Treatment Listing > Orthodontics - braces

When do we have orthodontics?

Orthodontics is considered as a large field in modern dentistry. If you have crooked teeth, procumbency, prognathism, etc you can think of orthodontics.

Some circumstances that you need consult from a orthodontist:

1) Crowded teeth
A few years ago, the crowded teeth cases like this, orthodontists will do extractions without any mercy, because they think there is no place to sort your teeth! Today, it has been different. In terms of a facial bone and soft tissue deficiency, your doctor will create orthodontic bone and soft tissue to go along with teeth to create a beautiful smile! In cases of cramped teeth, canine teeth, teeth deviation, orthodontists only perform some extractions.

With latest technology, crooked teeth don’t need to have extractions. Having teeth extraction in this case will affect your beauty after treatment.

2) Procumbency
Procumbency is called Class II in Malocclusion according to Angle. Class II problems can be caused by insufficient growth of the lower jaw, an over growth of the upper jaw or a combination of the two. The treatment for this case may involve tooth extractions.

A successful case of teenage ages. Orthodontists performed orthodontics based on the development of adolescents without any tooth extraction. It can be a mistake and affect a child’s face if having toothe extraction at early age.

3)  Prognathism
Prognathism problems are usually due to an overgrowth in the lower jaw, undergrowth of the upper jaw or a combination of the two. Prognathism will lead to overjet and retrognathism.

Procumbency is called Class III Malocclusion, usually seen in Asian. The treatment for this case may involve tooth extractions.

4) Midline discrepancies
Imagine that there is an invisible line split your face into 2 sides, it is called midline. When you smile, your upper jaw needs to have a balance between left and right, otherwise, you are having midline discrepancies. It is severe if people can detect the differences between 2 sides.

For lower jaw midline, it is unlikely to be regconized, so it is not important in orthodontics.

5) Deep bite
Deepbite is when the patient's lower teeth are overlapped by the upper teeth and the lower incisors come into contact with the gingival tissue in the upper arch of the jaw.

Deep bite can causes some consequences such as tissue injuries. In long-term time it can affect incisors. Deep bite limit lower jaw movement which makes patients hard to eat or chew and Temporo-Maxillary Joint disorder.

6) Open bite
An open bite occurs when the front upper and lower teeth are forced outward such that the upper and lower jaws never touch whether the mouth is open or closed.

Open bite causes difficulties in chewing, pronouncing and abrasion to some teeth. Open bite is caused from thumb sucking, tongue thrust.

7) Crossbite
Crossbite is a form of malocclusion where a tooth (or teeth) has a more buccal or lingual position (that is, the tooth is either closer to the cheek or to the tongue) than its corresponding antagonist tooth in the upper or lower dental arch.

Left incisor crossbite on (left), Posterior (right), Unilateral cross-bite (under) can cause troubles in chewing, pronouncing and affect severely to Temporo-Maxillary Joint. Crossbite can make your smile less attractive. 

8) Congenital missing teeth
Depending on your situation, the doctor will consider adjusting your teeth  to close that gap, or extend that gap for Implant or teeth restoration.

The loss of maxillary incisors and lower left 2nd molars congenitally is very common. Canine teeth can move to missing space which is considered as an aesthetic prolem. Orthodontical dentist will adjust canine back its position in order to have enough space to replace missing teeth with implants or bridges. For 8-10 – year-old children, parents should take their child to the doctor and detect congential teeth as soon as possible.

9) Hidden teeth
Hidden teeth usually are incisors or canines. Depending on circumstances, dentists will offer a sugery to take out your tooth by orthodontics or remove it completely to make an implant or bridges.

Hidden incisors can be a aesthetic problem. This is due to injury in decidious stage which traps permanent teeth eruption. An orthodontist needs an operation to pull the tooth out and adjust the incisors.

Hidden canine after treatment. Orthodontists will use braces to adjust your teeth. Please note that baby teeth can still exist on the upper jaw. If your child’s a canine has been replaced in 6 months while the others still doesn’t erupt, you should pay dental clinic a visit to detect problems and have early treatment.

10) Tilting teeth due to missing or inadequate teeth.

Orthodontic treatment is needed to create spaces for artificial teeth.
Because of congential missing teeth, the others tend to move into the spaces which cause tilting teeth. In this case, dentists will offer orthodontic treatment to adjust all the teeth back to position, then applying an new implant.

Common manifestation of tooth loss without prosthesis. The adjacent and opposite teeth will move into missing spaces which causes difficulties in implanting. You need to meet an orthodontist to adjust these teeth (in 4 – 6 months) or remove it totally. In this case, pulp removal may be needed.

In conclusion, with modern technology, orthodontics can operate many things such as aesthetics, functionality, restoration support, facial changes. Using light forces in treatment will reduce pain and discomfort for patients. If you want to have a beautiful smile, be patient and you will succeed.

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