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Orthodontics

Orthodontics or the practice of straightening teeth, has come a long way in the recent past. Research has revealed that by fixing problems in early age the need for braces is lessened.

One of the most noticeable benefits of orthodontic treatment is beautiful straight smile. Orthodontic treatment can also improve the facial appearance for a stunning straight smile contributing to your confidence and self image .

Orthodontic treatment may be undertaken at any age. However the age will impact the cost, complexity, type and duration of treatment.Orthodontics has come a long way in the recent past. Treatment modalities are now discussed as young as age 5 instead of waiting for all the adult teeth to come in!

There are generally four stages to Orthodontic Treatment

* Early Examination at around 7 to 8 years of age
* Early treatment at 7 to 11 years of age
* Adolescent treatment at 12 to 19 years of age
* Adult treatment at age 20 and above

What causes crooked teeth?

Most of the time, having crooked teeth or a malocclusion (bad bite) can be traced to genetics.This means that many orthodontic problems in children are usually inherited from their parents. Some common orthodontic problems found in children are crooked teeth, cross bites, large overbites, deep bites, open bites, under-bites, and jaw growth problems.

Other malocclusions stem from environmental factors, for example, harmful habits such as thumb sucking, finger sucking or abnormal swallowing patterns may cause protruded upper teeth, narrow jaws, or a large ‘overbite’. Early or late loss of baby teeth, mouth breathing, and accidents can also cause bite problems.

Where do you begin?

For every patient, there is an ideal time to start orthodontic treatment and our orthodontist will help you determine when that ideal time is. Depending on your child’s orthodontic needs, the goals of treatment will vary and may include making space for the permanent teeth to erupt, straightening crooked teeth, closing spaces between the front teeth, decreasing trauma risk associated with protruded, buck teeth, guiding jaw growth, correcting harmful habits and improving self-esteem.

Braces for Children

At Smiline we recommend t/hat children see an orthodontist by age 7, this is because some orthodontic problems are easier to correct when the child is younger. Waiting to get braces or starting orthodontic treatment after all permanent teeth have erupted may lead to difficulty in correcting some types of orthodontic problems. By age 7, most children will have begun growing in some permanent molars (back teeth) and incisors (front teeth) so that our orthodontist can evaluate if there is an existing problem.

How does your child get braces?

To straighten teeth, our orthodontist may place orthodontic braces on some of the erupted permanent teeth. In early treatment, the most common teeth that braces are put on are the first permanent molars in the back and the four incisors in the front. This is commonly called a 2x4 and is pronounced “two by four” because of the two bands and four brackets that comprise the braces.

Sometimes additional baby or adult teeth may be included in the braces to provide additional support for tooth movement. Limited treatment of a child still with many baby teeth remaining is often called Phase One or early orthodontic treatment. Phase Two treatment typically occurs when all baby teeth have fallen out. Since many goals of 'Phase One' early treatment include jaw modification, our orthodontist may recommend a special jaw modification appliance for your child. Some orthodontic appliances are fixed which means that they are permanently cemented in the mouth until we determine that it is the time to remove it. Other orthodontic appliances are removable and so it is the patient’s responsibility to place and remove the appliance.

ORTHODONTIC APPLIANCES COMMONLY USED IN CHILDREN ARE:


Bionator
An acrylic appliance which fits on the upper and lower teeth, postures the lower jaw forward.
A bionator is used to encourage lower jaw growth.
Bionator
Bite Plate
A fixed or removable appliance used to open a deep bite (decrease the vertical overlap of the
upper and lower incisors).
Bite-Plate
Bonded RPE
A palatal expander is used in addition to the metal framework that contains a plastic over
the biting surfaces of the back teeth. This type of expander is used to minimize bite opening
during expansion.
Bonded-RPE
Forsus
A system of push-rods and springs are used to posture the lower jaw forward and encourage
lower jaw growth.
Haas Expander
A palatal expander is used in addition to the metal framework that contains plastic shelves
which contact the palatal tissue.
Haas-Expandar
Headgear
A removable appliance is worn to restrict the growth of the upper jaw and improve
over-jet (overbite) problems. It normally consists of a face-bow that attaches to the teeth
and a strap that fits around the neck or head.
Headgear
Herbst
A fixed appliance is worn to improve the overbite by allowing the lower jaw to grow.
Herbst
Lip Bumper
A wire or piece of plastic connected to the lower molars which serve to preserve or create
space for other teeth.
Lower Lingual Arch
A fixed appliance used to keep the lower molars from moving forward.
Lower-Lingual-Arch
Miniscrew (Temporary Anchorage Device)
A metal screw placed in the palate or gum areas that serve to provide additional stability
when moving teeth. The screw is removed after the desired tooth movement has occurred.
MiniScrew
Nance
A fixed appliance used to keep the upper molars from moving forward.
Nance
Nightguard (Splint)
It is a removable plastic piece that is worn while sleeping to minimize harmful effects
of bruxism (grinding).
Nightguard
Pendulum
It is an appliance that moves the upper molars backward. A pendulum is used for creating
space to align the upper teeth and for improving ‘overjet’ problems.
Pendulum
Positioner
A removable appliance used to finalize tooth movements after the braces are removed.
Positioner
Quad-helix
A fixed appliance used to expand the upper or lower arch.
Quad-helix
Rapid Palatal Expander (RPE)
A type of palatal expander that usually has a screw which the patient or with someone's
assitance turn to widen the upper jaw.
Rapid-Palatal-Expander
Reverse-Pull Headgear (Facemask)
It is a removable appliance worn to encourage growth of the upper jaw in order to correct
a negative ‘overjet’ (underbite).
TPA
A fixed appliance used to keep the upper molars from moving forward or downwards.
TPA
Tongue Crib
An appliance used to prevent the tongue from thrusting forward.
Tongue-Crib
Tongue Spurs
Pointy metal spurs that are used to control a tongue-thrusting habit. Tongue spurs can
be bonded to the teeth or soldered onto an appliance such as a lingual arch.
Tongu-Spurs
Thumb Appliance
An appliance used to curb a thumb or finger sucking habit. The appliance makes it difficult
for the patient to keep the digit in the mouth.
Thumb-Appiliance
Twin Block
It is a two-piece appliance which consists of upper and lower pieces with ramps that guide the lower jaw forward when the patient closes the mouth. The twin block is used to encourage lower jaw growth.
Twin-Block
Teen and Adult Orthodontics
Since most permanent teeth erupt by age 13, most teenagers are ready for full orthodontic
treatment. If there is a significant jaw problem involved, our orthodontist may want to proceed with an orthodontic treatment so that it coincides with the growth spurt to maximize the effects of jaw modification treatment.
Treatment Options
When you are initially examined, we will check your teeth for any crowding, spacing, bite, or jaw problems and discuss with you the possible orthodontic treatment options. Dental braces are the most common treatment used for teens or adults to straighten teeth.

Sometimes top-braces or bottom-braces will suffice, but in most cases you will need braces on both upper and lower teeth. If you are concerned about looking like a “metal mouth,” there are aesthetic orthodontic options available such as clear braces or lingual braces which are attached to the lingual (tongue) side of the teeth.

Though jaw modification appliances such as headgears, palatal expanders, and functional appliances are used frequently on children, they are used less frequently for teenagers and even less for adults.

However, sometimes in addition to braces other orthodontic appliances may be used to improve bite problems or teeth movement. Although most problems may be treated with dental braces, for some people, braces alone cannot fix the problem.

In cases where the upper and lower jaws are not in balance together, the jaw disruption may require a surgeon to move the jaws into an alignment with a procedure called orthognathic surgery or jaw surgery. Braces are usually required in this procedure with a surgery taking place alongside.

Make an appointment today... we'll give you a reason to smile with confidence !