User talk:Orthodontictalk

Orthodontic braces have changed in recent years. There are many conceptions about types of braces and how to find a orthodontist to treat you. we explains you the basic things that you should know before your orthodontic treatment.

Orthodontic Smile correction is for any age group

When most people think of orthodontic braces, they think of only for school or college students. But an increasing amount of adults are getting braces at the age of 40Plus too. As long as your teeth and gums and jaw bones are healthy, you can get your teeth in perfect arch and occlusion. One of the most important things to consider is the state of your gums and jaw bones. If you have unhealthy gums, a lot of gum recession, or bone loss, braces may not be recommended because the pressure exert your gums could cause unfavorable complications.

Why do people get braces in adulthood? Usually, their families could not afford braces when they were children. Now that they are adults, they want to improve their smile and their dental health. Some adults had braces as children or teenagers, but didn't wear their retainers, causing their teeth to become crooked again. And still others have more complicated cases, which may involve jaw surgery and braces.

Many people wonder how much dental braces will cost. The average cost of a two-year orthodontic treatment with metal braces is between Rs15000 to Rs1,50,000, depending on metal, metal self-ligating brackets or Ceramic or ceramic self-ligating brackets, lingual brackets(which is placed inner side of the tooth), or lingual self-ligating brackets. Clear aligners treatment costs about the same, or more. Payment is usually made through an initial down payment, and rest in monthly installments payments.  Your "Occlusion" is as important as the Perfect arch Shape and aesthetics smile.

Many people think that braces only make teeth perfect arch shapes. In fact, they accomplish a lot more than that. An orthodontist evaluates a lot of things when you go in for a consultation. Are your teeth straight? Do they meet properly? Does your tongue stick out of your front teeth? Does your jaw hurt or click? Do you have a lot of crowding or large gaps? Have you lost all your baby teeth? Are your teeth and gums healthy? Do you have problems breathing or speaking?

One of the most important things that orthodontists evaluate is your "Occlusion." This is the way that your top and bottom teeth meet when you open and close your mouth. Orthodontists are just as concerned with how your mouth functions as they are with making your teeth look great. After all, what good are straight teeth if you can't chew or speak properly, or if you get Temporal Mandibular Joint headaches?

Only Trained Orthodontist can preform perfect correction of smile

You may respect your family dentist or through some reference, and he or she may have told you that they can "Fix braces" for lesser cost than an orthodontist. Its very nice to hear- But its a mice like action which cause erosion and corrosion for your smile. On the our day today life, we have heard about many people who got braces fixed a regular dentist who didn't really understand or have experienced the incorporation of TIP, TORQUE & ANGULATION in a orthodontic brackets to create a smile. finally end up in complication and later referred to an orthodontist for more years of braces to correct the faulty work of the dentist.

Orthodontists are specially trained in tooth movement and jaw function; dentists are not. Yes, some dentists have taken a few course hours to learn how to do Clear aligners or other types of treatment. Would you get heart surgery from a gynecology doctor? Of course not! Orthodontists first go to dental school for 3years to complete there BDS ( Bachelor of Dental Science) and become dentist. Then they attend an Post Graduate Orthodontic program for two years to learn specifically about tooth movement, jaw function, and facial aesthetics. After that, they take a special exam to become Board Certified.

One Important Notice: when you choose an orthodontist, please make sure that he or she is by IOS(Indian Orthodontic Society)Certified. That way, you are assured that they are Successfully trained, and that their practice is expected to live up to standards.

Does this mean that a regular general dental surgeon should never do orthodontic treatment? No. Some general dentists have successfully treated many patients for simple tooth movement. It's all a matter of experience. Ask your dentist how many orthodontic cases he has done in the past year. Ask how complicated your case is. Remember, braces will not only straighten your teeth, they can change the function of your bite and the mechanics of your jaw. If your treatment is complicated and is not done properly, go to an orthodontist to finish the job, which will cost you more money in the long run.

Consultations: Re-consider as many as times you gain complete knowledge of treatment!

Many Patients get a referral to an orthodontist from their dentist, or from a friend. Most orthodontists do not charge for a consultation -- consultations are usually free! If you are not satisfied with one orthodontist, or want to get second or third opinions, it's OK to do so. Don't worry, you won't offend anyone! In fact, it's usually a good idea to get at least two or three opinions before going ahead with braces. This is especially true if an orthodontist has recommended that you get teeth extracted, or if your case is complicated. There are many ways to move teeth, and different orthodontists use different approaches. There is usually no "one right way." You need to evaluate what the different orthodontists tell you and decide what you are comfortable with and what you can afford.

During a consultation, an orthodontist will get to know you and take a good look at your teeth and your mouth. An experienced orthodontist will be able to tell you, with a fair amount of accuracy, what needs to be done: what types of braces you could wear, whether you need extractions, how long your treatment might be, and (ballpark) how much it might cost.

Once you have decided your orthodontist, you will need to get a mold(Impression)of your mouth done, and (OPG)panoramic x-rays (and sometimes also profile photos of your face). Using these tools, the orthodontist will be able to develop a treatment plan for you. Until he does that, he will only be taking an "educated guess" at what needs to be done to fix your smile. Once he has worked up a treatment plan, he will know exactly what needs to be done. At that point, you will come back to his office, and he will explain all the details, including the exact cost.

Types of braces are as important as you think Today you get, CLEAR ALIGNERS, AUSTRALIAN TECHNIQUE (BEGG) AND STRAIGHT WIRE TECHNIQUE, (LABIAL TREATMENT) OR (LINGUAL TREATMENT)

Not everyone go for Clear Aligners or similar "invisible braces treatments." only a percentage of them with mild correction are suitable for the plastic aligners. The reason is: some types of treatment just don't work as well with Clear Aligners as they would with traditional braces. And when I say "traditional braces" I don't mean all metal. There are many tooth-colored brackets on the market that are less conspicuous and work just as well as metal brackets. You need to trust your orthodontist if he tells you that he would not be able to treat you with Invisalign or other types of brackets you may have heard of. If you had your heart set on clear aligners or some other system, then ask why it won't work. It's OK to ask why, and it's better for you to fully understand the orthodontist's approach before your treatment begins.

With that said, you should also understand that these days, the companies that make orthodontic brackets and appliances spend a lot of money on advertising and marketing. Any good orthodontist will tell you the truth: it's not the brackets that make the difference, it's the technique and experience of the orthodontist who is treating you. Sure, some of the newer brackets have advantages because they are smaller, less noticeable, or don't require elastic "o-ring" ligatures. But that doesn't make them any better than other types of brackets.

Another thing to consider is this: orthodontists need special training to use some types of brackets. For example, an orthodontist must be trained by the company that makes Damon brackets before he can use them on his patients. Same for lingual ("behind the teeth") braces. If your orthodontist doesn't have the extra training in these specific products, he cannot offer them to you.

So don't get carried away with on one type of bracket or one type of treatment. Trust and test the experience of your orthodontist. If you don't like his approach, you can always get another opinion from a different orthodontist, or find one that offers the type of brackets you had in mind (Make sure you understand the difference type of braces).

Charges and treatment timings to be justified

Braces aren't cheap. If your braces are covered, even partially, by a dental plan consider yourself lucky. The average cost of orthodontic treatment is between Rs15000 and Rs1,50,000 plus, depending on type of braces and way of treatment. Clear Aligners offered by ESSIX, usually costs as much as traditional braces, and sometimes it costs more from Invisalign. Usually treatment costs more in major cities than it does in rural areas. You will not be expected to pay it all at once. Usually you pay separately for Impression Model and panoramic x-rays. Then when treatment begins, you pay a down payment of about Rs6000 for materials. The balance is usually put on a installments payment, where you pay thousand per month.

How long will you be with metal smile? That depends on your individual case. The average treatment is two years (24 months). There are methods for moving teeth faster, but before you choose those, get all the information you can about what the treatment will entail. There is one six month method, for example, that incorporates fairly painful jaw surgery to accomplish its goals. Know what you're getting into beforehand. Two years in braces may seem like a long time, but it will go by faster before you realize, and is often safer and more reliable than the newer quick methods.

Fix with the Pick

In a perfect world, you pick an orthodontist and stick with him for several years until your treatment is finished.

good care of your orthodontic teeth

when you decided to spend thousands and years of your time for your teeth, dont ignore your oral hygiene? When you have braces, you will need to brush your teeth several times per day, ideally after every meal. This may sound like a big pain, but you'll get used to it. In fact, you will want to brush your teeth often, because food gets stuck between your brackets, which can be really disgusting and cause bad breath and tooth decay. At the very least, you should swish your mouth with water after eating.

You can get an regular soft "V" trim orthodontic toothbrush and Inter dental brush. The important thing is to clean your braces thoroughly, making sure that there is no food debris on any of the brackets. You should also floss at least once per day. It isn't always easy, but there are many "floss threader" products on the market that help. Your orthodontist can show you how to brush and floss properly.

No Pain No Gain, Yes it will hurt for a while

Yes, it hurts to wear braces at first. It doesn't hurt to get them put on your teeth; the pain and pressure come a day or two later. Not only will your teeth feel sore, but the brackets will rub the insides of your gums and lips and cause mouth sores. This is not pleasant, but fortunately this stage only lasts a couple of weeks. Soon scar tissue forms inside your mouth and everything hurts less. To soothe the mouth sores, rinse your mouth with warm salt water several times per day, or use a mouth wash. Use Silicon gel based orthodontic wax or get a lip protector for braces. The initial stage of braces is not fun, but it passes soon enough. You will need to eat soft foods and chew very slowly and carefully. in a few months you get use to it very much.

Post Orthodontic "retainers"

After your braces come off, your orthodontist will make a mold of your mouth and produce a set of retainers. The type of retainer you need depends on your case. Sometimes, orthodontists recommend a bonded permanent retainer to ensure that your teeth do not move at all.

Aside from a permanent bonded retainer, there are two other types that most people get.

A Hawley Retainer is made of acrylic and metal soft wire. The acrylic goes behind your teeth and up against your upper palate; the metal soft wire is in front of your teeth. This is the most reliable type of retainer. Your orthodontist can "tweak" the metal to help finish any small refinements that still need to be done to your teeth.

An Essix Retainer is clear plastic and looks like an Invisalign aligner tray. Many people want this type of retainer, but it has very good advantages. Clear or ‘invisible’ retainers can be removed enabling you to brush your teeth and maintain excellent oral hygiene. They are less obtrusive and can even be removed if it’s a seriously important occasion e.g. a first date!

No matter what type of retainer your get, the most important thing is to wear it exactly as the orthodontist tells you. Most people need to wear their retainers 24/7 for at least 6 months, then switch to wearing it only at night when sleeping.

How long will you need to wear your retainer? Forever. That's right, forever. Your retainer ensures that your teeth will not move back into their old crooked positions. If you have been out of braces for several years, you can switch to wearing it only few nights per week. But if you stop wearing it totally, you will be asking for trouble.

Keep your retainer in a retainer case. Don't wrap it in a tissue. This is the most common way that retainers get thrown out. A new retainer costs around Rs2000 to Rs3000, so pay attention and take good care of it!

Remember that it is important to keep your retainers clean. Like your teeth, your retainers can get a buildup of bacteria and white plaque. You must clean your retainers every single night with a bacteria-killing product like Retainer Brite from ESSIX. These products are sold in local orthodontic dealers, You can brush your retainers with a toothbrush and toothpaste, but this will not adequately kill the bacteria. A good retainer cleaning product will ensure that your retainers stay clean and fresh smelling.

all detailed collected from internet.

Orthodontic Terminologies
Amalgam – This is a silver and mercury mixture that is used for fillings.

Arch – Collectively, this refers to either the teeth or the basal bone of either jaw.

Bonding – The process where a tooth-colored resin is applied to repair and/or change the color or

shape of a tooth, most often a front tooth

Bruxism – Refers to the involuntary “nervous” clenching or grinding of your teeth, especially at

night while asleep.

Caries – This is another term for tooth decay

Cavity – A small hole in your teeth that is caused by tooth decay.

Class I Malocclusion – (most common) Refers to when your bite is normal but your upper teeth

slightly overlap the lower teeth

Class II Malocclusion – Where your upper jaw and teeth overlap severely the bottom jaw and

teeth. This is also referred to as an “overbite” or “buck teeth”

Class III Malocclusion – Refers to when the lower jaw protrudes forward, causing the lower jaw

and teeth to overlap the upper jaw and teeth. This is also called an “underbite”.

Closed bite – (or “deep bite”) A malocclusion where the upper teeth cover the lower teeth when

you bite down.

Cosmetic Dentistry – The aesthetic improvement of the color and shape of teeth performed by a

general dentist

Crossbite – Is an abnormal bite relationship of the upper and lower jaw. The lower teeth/tooth

align toward the cheek or lip side more than the upper teeth or tooth.

Crowding – An Orthodontic problem caused by having too many teeth in two small of a space.

Crown – The part of your tooth above your gum. Also, a crown is referred to as a dental appliance that

replaces and covers the entire part of a tooth above the gum line.

Decalcification – The loss of calcium from your teeth, weakening your teeth and makes them

more susceptible to decay.

Dental Implant – This is usually a titanium cylinder that is surgically placed in the bone of the

upper or lower jaw to replace the root of a missing tooth

Dentition – Term to denote the arrangement of the teeth.

Denture – A synthetic replacement for all of your teeth in either your upper or your lower jaw.

Diastema – Refers to a space between two teeth.

Endodontist – Is a dentist who specializes in root canals and the treatment of diseases or

injuries that affect the root tips or nerves in your teeth.

Eruption – When a new tooth comes in, the tooth is said to erupt when the tooth breaks through

the surface of your gums.

Gingivitis – The mildest form of gum disease: inflammation of gum. The earliest sign is bleeding

gum and the first sign of periodontal (gum) disease. This is brought on by the bacteria in dental

plaque if it is not removed on a daily basis.

Impacted tooth – An unerupted tooth that is not able to come in normally or is stuck beneath

another tooth or bone.

Impressions – The first step in making a model of your teeth. You bite into a container filled with

algenate, which hardens to produce a mold of your teeth.

Implant – Usually a replacement for one or more missing teeth. The implant differs from a bridge

in that the implant is permanently attached into your jaw.

Lingual arch – Is an orthodontic wire attached from molar to molar in the inside of your teeth.

Malocclusion – (often called crooked teeth or a “poor bite”) refers to the improper fit and alignment of

the teeth and jaws. A common cause of malocclusion is teeth that have too much or too little room in

the jaw.

Mandibular – Term for the lower jaw

Maxillary – Term for the upper jaw

Open bite – A type of malocclusion where the teeth do not close or come together in the front of

your mouth

Orthodontics – Is a specialized field in dentistry, involving the diagnosis, prevention, and

treatment of bite abnormalities or facial irregularities.

Orthodontist – A dentist who has been specially trained to perform orthodontics.

Overbite – Is the vertical overlapping of the upper teeth over the lower teeth.

Overjet – Is the horizontal projection of upper teeth beyond the lower teeth.

Panoramic X-ray – An X-ray taken by a machine that rotates around your head to give the

orthodontist a picture of your teeth, jaws and other important information.

Periodontal – Referring to the gums.

Periodontist – A dentist who specializes in the treatment of diseases of your gums.

Plaque – A colorless, odorless, sticky substance containing acids and bacteria that causes

tooth decay.

Prophylaxis – Cleaning or polishing your teeth. It also means the prevention of diseases.

Proximal – Refers to the surfaces of teeth that touch the next tooth; the space between adjacent

teeth is the interproximal space.

TMD – (or Temperomandibular Disorder); the term given to the condition characterized by facial pain

and restricted ability to open or move the jaw

TMJ – An abbreviation for the “Temporomandibular Joint”. This is the joint where your lower

jaw connects to your skull.

TMJD – (or Temporomandibular Joint Disorder); refers to the condition characterized by facial pain

and restricted ability to open or move the jaw

Orthodontic Bracket Bonding procedure
When we talk about orthodontic brackets. we can different type available in indian market. these brackets are available as single patient kits. which comes in box packing or Blister kit packing. 20pcs of bracket and 4pcs buccal tubes.

All brackets were bonded and orthodontic treatment performed by the orthodontist.

Bonding procedure: Enamel surfaces of all teeth to be bonded were cleaned thoroughly with a polishing brush and pumice paste. Following rinsing with water spray, a lip expander, dri-angles and double saliva ejector were placed. Conditioning of 5-10 teeth was performed for about 90 seconds using 37 per cent phosphoric acid applied with micro brush or cotton pellets. The etching was extended over the entire tooth surfaces and close to the gingival margins.

After thorough rinsing with water and drying with an air spray until a white frosted appearance was observed, a thin layer of sealant was painted with micro brush over the etched surfaces of teeth.

This resin coating is very important, because it confers some degree of resistance to demineralization and makes removal of the brackets easier by end of the treatment and hold bracket on tooth to undergo treatment with ligated nickel titanium wires, resin gives the bond strength.

then brackets were bonded one-by-one.