Orthodontic treatment and facial aesthetics
Modern orthodontic treatment, apart from eliminating functional disorders of the temporomandibular joint, take into account the factor of facial aesthetics. It deals not only with problems associated with tooth decay, chewing, swallowing, and speech disorder but also with purely aesthetic aspects, which is an important psychosocial factor. Both factors are taken into account at the stage of diagnosis and treatment planning.
At what age?
Teeth straightening and bite correction can be performed at any age. However, treatment approaches are different.
Even during the first year of life, a child can reveal signs of congenital pathology, abnormalities of dental hard tissues and associated complications in the process of dentofacial system development. To ensure the proper development of teeth and normalize the functions of the temporomandibular joint, a dentist will select special orthodontic, myofunctional, and mechanical devices suitable for children. Therefore, it is recommended having a child's first orthodontic consultation as soon as possible.
The methods of adult patients’ treatment are different. Nowadays, the most popular orthodontic option is wearing braces. In recent years, patients with periodontal problems, significant changes in tooth position, and occlusal traumas can also receive orthodontic care. Tooth displacement occurs due to periodontal disease or when the balance among the factors that maintain physiologic tooth position is disturbed; it is defined as pathological tooth migration, which may be caused by periodontal attachment loss.
Distal occlusion is the cause of posterior tooth loss. The main characteristics are bite loss, anterior teeth increased load, periodontal attachment loss, the formation of tremas and diastemas.
Like all biological structures, bone tissue undergoes continuous formation and destruction. During life, bone modelling (growth in width and length) and remodelling (internal restructuring) occurs. This knowledge made it possible to carry out orthodontic treatment.
Orthodontic treatment goals:
- Achieving proper tooth alignment, proper root parallelism and improvement of contacts.
- Improved occlusion, the position of incisors and their overlap.
- Preparation for rational and aesthetic splinting or prosthetics.
- Creating favourable conditions for blood flow to the gums for long-term remission.
When to start orthodontic treatment:
- No bleeding or gum abscess.
- Perfect hygiene.
- No periodontal pockets.
Recently, self-ligating (ligatureless) braces have gained popularity. The design allows changing the archwire and adjusting the device faster and easier, deliver force more efficiently, accelerating the whole process of malocclusion correction. In addition, this design reduces pain and, to a much lesser extent, causes gingival and periodontium damage. Moreover, the o-ring concept provides easier oral care. The advantages of passive self-ligating braces are noticeable during the levelling phase. We work with Clarity SL and SmartClip braces.
Lingual braces as an orthodontic treatment option
Our clinic has introduced a new, rapidly developing trend in orthodontics, the system of invisible lingual braces “Incognito”.
Advantages of the system
Lingual braces, unlike the vestibular ones, are made to fit onto the inside surface of the teeth, that is, during the entire period of treatment remain invisible.
A distinctive feature of the Incognito system is that the braces are much smaller than other lingual braces. Consequently, the system minimizes the discomfort, slight speech impairment, and tongue-rubbing associated with braces, and the adaptation period is much faster.
The braces and arcs of the system are designed specifically for each patient, in accordance with unique features of the jaws, teeth and specific pathologies. This system applies modern CAD/CAM technology allowing a doctor to predict the result before treatment begins. A virtual 3D representation of the planned result is scanned using a 3D scanner, followed by the process of the design of the computer-simulated brace.
Braces are gold-plated and are custom-made for a better fit. Gold alloy essentially reduces the risk of allergy.
During the initial stage of levelling, the patients begin to notice that some teeth alignment has already taken place. By the treatment completion, excellent outcomes are achieved applying minimal mechanical force.
In our clinic, we use the Incognito system for the treatment of crowded teeth with no skeletal abnormality. Braces are bonded from canine to canine or from premolar to premolar. Teeth straightening takes 4-8 months.
In our clinic, we use different types of lingual brace systems.
In complicated cases, additional devices are applied both for lingual and vestibular treatment.
An orthodontist determines the length of time a person wears braces considering individual patient needs.
Accurate and thorough orthodontic diagnosis, the use of various treatment methods, modern equipment and professional competence of a doctor are the key to successful treatment.