Therapy with a fixed orthodontic appliances
The amount of time necessary to wear braces is between one to three years, depending on the severity of the case.
The longest treatment can be found with severe congenital anomalies such as: prognathism (the lower jaw is too extended), cover bite (the front teeth are inclined inwards), open bite (when there is an unequal space between the upper and the lower teeth), the extraction of impacted teeth (a tooth that has remained in the bone).
Braces consist of brackets stuck to teeth and metal wires which move teeth. Brackets can be conventional – they are connected to brackets by elastic or metal ties and self-ligating – they are connected with wires by a piston. Hygiene can be kept more easily by self-ligating braces (metal or aesthetic) and also the therapy is better and faster due to smaller resistance which occurs between a wire and a bracket.
Damon system is the best (passive) self-ligating system of teeth moving. Wires are a part of the fixed appliance made of the most contemporary metals which enable continuous mild forces and are changed at each check-up.
After wearing a fixed appliance is an important stage which maintains the teeth in their orthodontically corrected position. Retainers can be fixed or mobile. Fixed consist of wires stuck to the interior surface of the upper and lower front teeth. Mobile are made of transparent plastic and are comfortable for wearing. After removing a fixed appliance at least one retainer type is obligatory and in some anomalies and adults, both are recommended.
Teeth should be brushed after each meal. Teeth with brackets cannot be easily cleaned and more food particles can be trapped which leads to decay and gingivitis. If you see blood during brushing it means that the gums are inflamed and need to be brushed more thoroughly. Brushing should be regular and efficient! For cleaning places which cannot be easily accessed, you can use special orthodontic brushes, dental irrigators and mouth washes.
A patient wearing an orthodontic appliances has different oral hygiene practices than the usual ones. The area around the appliances and under the wire should be cleaned thoroughly with a toothbrush.
You should patiently brush in different directions and position the brush at an angle so that the bristles can reach the entire surface of the teeth between the wire and the brackets.
Regular and special orthodontic toothbrushes can be used for brushing. Orthodontic toothbrushes are shaped differently and are designed to facilitate the cleaning of parts under the wires and brackets.
Interdental toothbrushes can also be of considerable help in maintaining oral hygiene since it is almost impossible to clean interdental space with a regular toothbrush when a patient has a fixed appliances.
Fixed appliances for regulation of teeth and jaws consist of: cement rings, stuck brackets and flexible arches connected to brackets by rubber or metal ties. First days after the appliance is put or tied or when arches are changed at the orthodontic check-up, pain can be felt in a form of teeth tingling and discomfort. At that time, sores may develop due to sharp parts which can be relieved by coating these parts with softened wax for several hours.
A patient has to avoid hard and tough food (biscuits, bacon), particularly in the beginning before he/she gets used to dosing force. Biting apples or sandwiches have to be replaced by cutting them into smaller pieces. Sticky candies (e.g. kiki, bronhi or mamba), chocolate as well as food rich in sugar have to be completely avoided!
Treatment by fixed orthodontic appliances requires increased hygiene; careful brushing after each meal, since food can be easily trapped and brushing is difficult. Food remains and plaque tend to form along the gumline and cause the inflammation. That is why there are accessory means for dental cavity hygiene, like special brushes and super floss for the fixed orthodontic appliance.
The fixed appliance can be damaged if a patient does not follow doctor’s instructions. If a part breaks or becomes loose, it should be kept and the clinic should be contacted before the regular check-up.
A patient’s patience as well as cooperation are necessary in a sense of regular and punctual visits to a doctor, thus enabling optimum and fast success.
Correction with a fixed appliances
Correction of the reverse overlap of the upper left lateral incisor with braces on both the upper and lower jaws with self-ligating braces.
Correction with headgear and a fixed appliances
Bilateral crowding of upper canine teeth was successfully treated with the use of headgear in combination with braces on both the upper and lower jaws.
Correction using the Damon System
Dental crowding, narrow upper jaw treated with braces in both jaws with Damon system.
Correction with the Delaire Mask
Prognathism was corrected by using the Delaire Mask in combination with a fixed appliances on both jaws.