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Orthodontics

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Orthodontics, formally Orthodontics and Dentofacial Orthopedics, is the first specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth. In the latter case it is better defined as "dentofacial orthopaedics".

Everyone appreciates the importance of a winning smile. It makes a pleasing appearance, promotes self-esteem, and is valuable to social and career success

By aligning teeth and improving the harmony of the lips and face, it can improve one’s general attitude toward life. Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. Teeth in correct alignment are easier to clean, and that can make them more resistant to decay and less susceptible to gum disease and tooth loss. Alignment may also prevent tooth and jaw discomfort that can come from uneven wear.

The goal of orthodontic treatment is to create a beautiful smile and a good bite—meaning straight teeth that mesh well with the teeth in the opposite jaw and look great. 

Orthodontics can be broadly cateogarised as

An ounce of prevention is better than pound of cure.

As the name implies it is the action taken to preserve the integrity of what appears to be the normal occlusion at a specific time. It requires the ability to appraise normal dentofacial growth and development and the recognition of deviations from normal.

Some of the procedures undertaken in this are:

  • Parent education
  • Caries control
  • Care of deciduous dentition
  • Maintenance of quadrant wise tooth shedding time table
  • Check up for oral habits and habit breaking appliances if necessary
  • Space maintenance

Space maintainer is a device used to maintain the space created by the loss of deciduous tooth.

Band and Loop:
Lingual Arch:

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The phase of the science and art of orthodontics employed to recognize and eliminate potential irregularities and malpositions in the developing dentofacial complex”. Hence by employing interceptive procedures it is possible to prevent establishment of full fledged malocclusion that may require long term orthodontic treatment at a later stage. Certain procedures under the preventive and interceptive fields overlap but the timings are different. However interception always recognizes the existence of a malocclusion or malformation whereas prevention is aimed at preventing the malocclusion or malformation from occuring. It includes procedures like

  • Serial Extraction
  • Correction of Developing Cross Bite
  • Control of Abnormal Habits
  • Space Regaining
  • Muscle Exercises, etc.

They are procedures undertaken to correct full fledged malocclusion. Broadly the appliances can be classified as Mechanical or Functional.

Mechanical

These exert mild pressure on teeth and their supporting structures in a pre-determined direction with the help of active components which are part of appliance itself.

Fixed
Removable



Myofunctional

These are loose fitting appliances that harness the natural forces of the orofacial musculature which are transmitted to the teeth and alveolar bone through the medium of the appliance.

Twin Block


Orthopedic appliances

These utilize the forces applied to the teeth to affect the nearby skeletal structures.

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They are surgical procedures that are undertaken in conjunction with or as an adjunct to orthodontic treatment.They are carried to remove an etiologic factor or to treat severe dentofacial deformities that cannot be treated by orthodontic therapy alone.

Treatment in children or teenagers who are still growing may yield results that may not be possible once the face and jaws have completed their growth. A healthy bite and good looking smile is as important at age 60 as it is at age 16. Even though adults are no longer growing, they can also enjoy improvements that come from orthodontic treatment. Your age is not a consideration for orthodontic treatment. Healthy teeth can be moved at any age.


If you recognize any of these signs or concerns in your child or yourself, it might be time to schedule a consultation with an orthodontist.

  • You want a beautiful smile
  • You feel a great smile will improve your self-esteem and self-confidence
  • Early or late loss of baby teeth
  • Difficulty in chewing or biting
  • Mouth breathing
  • Sucking the thumb or fingers, or other oral habits
  • Crowded, misplaced or blocked-out teeth
  • Jaws that shift, make sounds, protrude or are recessed
  • Speech difficulty
  • Biting the cheek or biting into the roof of the mouth
  • Protruding teeth
  • Facial imbalance or asymmetry (features out of proportion to the rest of the face)
  • Grinding or clenching of teeth
  • Inability to comfortably close lips

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