Ortodonti

Ortodonti

Pano

What are the Methods Used in Treatment?

What are the Methods Used in Treatment?There are a wide range of methods and apparatus used to correct orthodontic and orthopedic irregularities in children. The primary principle in orthodontic treatments is to remove the cause of the problem. For example, the first method of treating children that have gaps between their front teeth due to mouth breathing is to find the reason why mouth breathing occurs (receiving help from an otorhinolaryngologist can be necessary at this stage) and to eliminate the cause. The removal of the cause of the problem should prevent it from developing further and becoming more severe. Meanwhile, the gaps are corrected using dental plates that regulate tongue habits and the implementation of various tongue exercises. There are similar approaches to treatment for every problem that may occur. 

Two types of apparatus are generally used in orthodontic treatments; namely, internal and external apparatus. External apparatus (chin-cups and headgear) are generally used for correcting skeletal problems or for providing support for internal apparatus. Internal apparatus fall into two categories; removable apparatus (dental plates) and fixed apparatus (dental braces, brackets). Dental plates are usually used for correcting narrow jawbones or as space maintainers, while brackets are used for more complex treatments such as filling gaps and the correction of the angles of the axis of teeth.  

External apparatus such as headgear and  neck braces may be used in cases where orthodontic problems are accompanied by orthopedic (skeletal) problems. These apparatus guide the development of the skeletal structure and are very successful in eliminating the need for surgical interventions that may otherwise be required in adulthood. These apparatus are generally worn for 18 hours a day and have both orthodontic and orthopedic effects.  

Other methods used in orthodontic treatments for children include the use of fixed apparatus (dental braces, brackets). Brackets are bonded on the teeth with specialized adhesives and remain bonded to the teeth until the completion of the treatments. The advantage of these apparatus is that they mobilize teeth at a much faster rate. An orthodontist will make the final decision regarding what type of treatment mechanics shall be used for the treatment of your child.  

What are the Factors to be Considered During Treatment?

The orthodontic treatment process is tolerated much easier by children compared to adults. Children receiving treatment can study, play games, engage in sports and arts activities. Although patients may feel a bit of pain and a sense of clenching in the first few days of the treatment, the teeth and oral tissues rapidly get accustomed to these stimuli and adapt to the apparatus as if they don't exist. The improvement of the state of the teeth not only provides aesthetic and functional benefits, but also helps to eliminate the psychological problems experienced by children due to the appearance of their teeth.  

How Long Does it Take for Orthodontic Treatments to be Completed? 

The most important factor to be taken into consideration in cases where fixed apparatus are used is that it is of utmost importance to maintain sufficient oral hygiene. Braces have indentation and protrusions that complicate the sufficient cleaning of teeth. While it is sufficient to brush teeth for a duration of 2 minutes under normal circumstances, patients who wear braces must brush their teeth for a duration of 3-4 minutes. Consumption of hard food items may cause braces to break or degrade. In order to prevent this from happening, seeds of fruits should be removed and hard food items should be sliced before consumption. It is important for parents to support their children in order for them to easily adapt to orthodontic treatments. The first order of business is to guide children for them to form a brushing habit. Furthermore, parents should also check that their children wear their dental plates at the required times.  

Treatments applied on children usually take effect in tandem with their growth. While skeletal treatments may last around 1-3 years, the treatment of simple overlapping or crowding problems may take much less time. During this phase, patients must visit their dentists for examination once every 4-6 weeks and have the necessary adjustments made on their braces.  

In order for the apparatus that can be removed by the children (dental plates, chin-cups and neck braces) to be effective, they must be worn for about 18-20 hours a day. Your orthodontist will determine the final amount of time necessary to wear such apparatus according to the severity of the problem. Wearing the apparatus for shorter periods of time than required results in the slowing of the reformation of the teeth and may sometimes hinder the treatment process. Thus, patient compliance is of utmost importance in orthodontic treatments. Another problem that is frequently encountered in the use of removable apparatus is that patients may sometimes lose their dental plates. When dental plates are removed for eating, they must always be placed in their boxes and must definitely not be wrapped in tissues and put into pockets.