ORTHODONTICS

First of all, bite pathology results in increased load on teeth while chewing. In the course of time, approximately in the age of 30-40 years, the teeth become flexible, dental cervix uncovers, and intervals between teeth appear. Parodontosis begins. In addition, bite pathology leads to the diseases of temple-mandibular joint. Symptoms of these diseases are headache, clicking while mouth opening, pain in masticator muscles. Bite pathology also leads to cosmetic defects: deformation of facial profile, ill-looking smile, crooked teeth. Which orthodontic apparatus may cure the bite pathology? Orthodontic apparatuses are divided into two categories: removable and non-removable. Removable apparatuses the patient puts on by themselves and wears determined number of hours per day. The most effective are double-jawed apparatuses. They are used for treatment of children with milk bite or mixed bite. These apparatuses are worn 12-13 hours per day, mostly nighttime. These apparatuses allow to start the treatment at the early stages of bite forming and to correct coarse defects, to help the children to overcome the nervous habits, which worsen the bite. But they provide no possibility to arrange the teeth ideally and to fully compensate the bite pathology. Non-removable apparatus is the bracket-system. Currently this system is the most progressive technique in orthodontics. There are metal, colorful, plastic and ceramic brackets, brackets for outer surface of the teeth, brackets for inner surface of the teeth (lingual bracket-system). How to make a right choice?

   

Why should we treat bite pathology?

 
Really, why so many orthodontists offer to correct your bite? We can discuss this topic for a long time, but we will try to answer in brief and accessible way. Our answer will look as lecture summary of medic student. Firstly, bite pathology leads to increased load on teeth during chewing. In the course of time, in the age of 30-40 years (golden years), you start to notice, that your teeth become flexible, dental cervixes expose, intervals between teeth appear. Open the doors parodontosis has arrived. This is the first horror. Bite pathology leads to the diseases of temple-mandibular joint. A lot of people are familiar with the symptoms of these diseases: headaches, pain in masticator muscles. Let alone cosmetic defects: deformation of facial profile, ill-looking smile, crooked teeth. In our opinion, all above mentioned is worth finding the time, willpower and funds to visit an orthodontist. 


      Which orthodontic apparatuses may cure the bite pathology?


There are lots of orthodontic apparatuses by many authors. Let us not list the authors, let us discuss the matter of treatment. All apparatuses, which your orthodontist may recommend for you, can be divided into two categories: removable and non-removable. Removable apparatuses the patient puts on by themselves and wears determined number of hours per day. The most important thing for them to be worn in your mouth, not in a box, otherwise they will not be of any help. The most effective are double-jawed apparatuses. They are used for treatment of children with milk bite or mixed bite. These apparatuses are worn 12-14 hours per day, mostly nighttime. We would want to reassure you, that after usage of such apparatuses you will forget about the bite pathology and crooked teeth of your child forever, but we will not. Everything in this life is relative, and treatment with double-jawed apparatuses makes no exception. Benefits of these apparatuses are the possibility to start treatment at early stages of the bite forming and to correct coarse defects, to help the children to overcome the nervous habits, which worsen the bite. Minuses - they provide no possibility to arrange the teeth ideally and to fully compensate the bite pathology. Now let us talk about non-removable apparatuses. Many of you have heard about them, and, possibly, have tried to wear them. This is bracket-system. Currently this system is the most progressive technique in orthodontics. At the first appointment orthodontist, like a magician, will put out of the box and show you brackets by different firms-producers, made of different materials. Try not to feel dizzy. You will see metal, colorful, plastic and ceramic brackets. There are brackets for outer surface of the teeth, brackets for inner surface of the teeth (lingual bracket-system). How to make a right choice? Of course, if you do not want for everybody to know, that you visit orthodontist, you will be recommended to use lingual bracket-system. Usually, it is installed for adults, because this apparatus requires clear execution of all doctors recommendations. Do not persuade the doctor to install to your 12-years-old son inner bracket-system, because he is ashamed to smile and to talk to girls-class mates. Ceramic brackets have the same coefficient of light reflection, as saliva. This enables them to mask on the surface of the teeth and to become less noticeable. In general, nowadays colorful brackets come into fashion. Their color may be changed every time. Material, which they are made of, does not influence the course of treatment, so you may fearlessly improvise and chose one which you like. 


       Are there any feelings of discomfort and pain during the treatment with bracket-system?

 
Of course, a beauty needs sacrifice. There are no types of orthodontic treatment without feeling of discomfort. The orthodontic procedures themselves are painless, so you may bravely sit into the dentists chair and open your mouth. You will start to feel discomfort several hours after the visit to orthodontist and fixation of the system. What kind of discomfort? Pain while biting, injury of mucous tunic or lips by fixed brackets. Duration of the unpleasant period 3-5 days. Further treatment and teeth movements are painless. 

       How long does the treatment with the bracket-system last?

  A lot of patients want to get snow-white and even teeth in several months. They can get snow-white teeth, but even no. Miracles do not happen and orthodontist is not a magician. You have to get used to the fact, that usually orthodontic treatment lasts from 1 to 2,5 years. The duration of the treatment depends not on a doctor, but on a complexity of the bite pathology. As elsewhere, there are rules and exceptions in orthodontics: the treatment may be two-staged. For example, firstly you child will wear removable apparatus, secondly brackets. The treatment may also be complex. For example, surgical correction may to be added to the apparatus correction of the bite pathology. 

       Why should we treat bite pathology?

 
Why in some cases in orthodontic treatment some teeth need to be extracted, and what happens with intervals, which occur after such extraction? Really, in some cases doctor-orthodontist may recommend to you the treatment with the extraction of some permanent teeth. Sometimes the patients get really worried about it. They can be easily understood a person has only 32 teeth (some have 28), and nobody wants to extract healthy teeth. You do not want to do it! I assure you, that the doctor does not want it either. In such case the choice has to be made: have full set of crooked teeth and bite pathology, or reduce the number of teeth, and by this even the rest of the teeth and to correct the bite. We have already discussed the results of the bite pathology. Think over all pluses and minuses at home, in calm atmosphere. You may also consult other orthodontist to get convinced of the necessity of recommended treatment. But, I would not advice to change the clinic in search of the doctor, who will treat you without extraction. I want to underline, that orthodontists are not magicians, they work with specific situations, and they cannot do impossible things. Of course, in some cases the doctor-orthodontist may start the treatment without teeth extraction and unselfishly struggle for preservation of all teeth for 6-8- month. But this struggle may end in the same extraction. In any case the conscious of the orthodontist will be clean he has made everything possible and impossible in the process of treatment. Now let us talk about the intervals, which appear after the teeth extraction. These intervals are used by the orthodontist for evening the rest of the teeth or for the bite correction. One may be confident that in the end of the treatment no intervals will be left. The teeth will be even and beautiful. 

      Do the brackets damage the enamel?

 
This is the most frequent question. The brackets and the material, which they are fixed on, do not damage your enamel. The problem lies in the following. Rests of food and microorganisms get under the brackets and provoke cavity. Rests of food very easily accumulate around the brackets, because they are an additional retention point. You will definitely have cavity, if you do not clean your teeth. This does not mean that you have to clean your teeth from morning to evening without any sleep and rest. 2 times per day is enough: in the morning, after breakfast, and in the evening, after supper. It is necessary to make professional cleaning of the mouth cavity once in 6 months. Usually this procedure is made by parodontist. In every self-respecting clinic you will be taught how to clean your teeth properly and how to use additional hygienic means for mouth cavity. 


      How often should I visit a dentist?

 
You had a bracket-system fixed. You left the clinic happy and satisfied. Then you may congratulate yourself with the growth of number of your relatives. From now on your orthodontist in charge entered their list. Usually the treatment lasts for 1,5-2 years, and you have to visit the doctor every 3-4 weeks. But such long-term communication will have good results. Be sure, that in half a year your doctor will know how your children succeed in school, your plans for holidays, and your problems with garden. You have to understand, that even when you have already finished to correct your bite and dentistry, the life goes on, and your doctor-orthodontist, who will further take care of you teeth, makes everything for it to be successful. Remember about it and never say good-bye to him.