Orthodontics

1- Who is an Orthodontist?

An orthodontist is a dentist who specializes in the diagnosis and treatment of tooth and jaw irregularities.

In order to become an orthodontist, it is necessary to finish the faculty of dentistry first and then complete the orthodontic specialization or orthodontic doctorate program. Only dentists who have successfully completed this specialty or doctoral education can use the title of “Orthodontic Specialist”.

 

2- How is Orthodontic Treatment Performed?

Orthodontic brackets are made of materials such as metal, ceramic, sapphire, glass and plastic.

The braces attached to the brackets slowly move the teeth into the correct position by applying a continuous and gentle force in a controlled manner. It’s a great time to get braces because we’re past the days of having metal bands placed around each tooth. Wires, on the other hand, are less noticeable than they used to be, but thanks to the developing technology, they move the teeth faster, giving patients less discomfort.

 

3- Why should I have orthodontic treatment?

Crowded teeth are difficult to clean and maintain. Crowding can lead to tooth decay, increased gum disease and tooth loss. Other orthodontic problems other than crowding can cause abnormal wear of the tooth surfaces, inadequate chewing, unwanted contact with the gum tissue, and incorrect positioning of the bone or jaw joints that support the teeth. These can lead to chronic headaches and face/neck pain.

If you want to smile freely with your own teeth, you should first start researching orthodontic treatment.

 

4- How long does the treatment take?

Duration of treatment typically ranges from 1-3 years, depending on the patient’s mouth structure, facial structure, severity of the problem, and incorporating expedited orthodontic treatment into the doctor’s and patient’s treatment plan.

The patient’s careful use of the elastics, intraoral or extraoral devices given by his doctor is an important factor in the realization of effective treatment. Regular follow-up of the patient’s appointments and early treatment procedures can reduce the course of treatment up to six months.

  

5- When should I have my child examined by an orthodontist?

The World Orthodontic Society recommends that every child over the age of seven visit an orthodontist. At this age, children have milk teeth and permanent teeth together. This makes it easier for the orthodontist to diagnose tooth and jaw problems at an earlier age and to correct them without the need for surgical intervention.

 

6- What are the advantages of early orthodontic treatment?

  • Regulates and guides jaw development to help your child’s permanent teeth come in properly.
  • It regulates the widths of the upper and lower tooth curves.
  • Creates more space for crooked teeth.
  • It can eliminate the need for permanent tooth extraction in adulthood.
  • It helps to improve abnormal habits (finger sucking, pencil biting) and dental speech problems.

 

7- How can I understand if my child needs orthodontic treatment?

It is not always easy for parents to know whether their children need orthodontic treatment. Some of the items listed below may make it easier for you to decide whether your child needs to see an orthodontist.

  • Early or late fall of milk teeth
  • Difficulty biting or chewing food
  • Mouth breathing
  • Having the habit of thumb or thumb sucking
  • Presence of crooked, improperly erupted or impacted teeth
  • Making a sound when the jaw is opened and closed
  • The closure of the lower jaw by sliding it to the side or not closing at all
  • Presence of jaws and teeth that are out of proportion to the rest of the face
  • Having crooked front teeth around the age of seven or eight

 

8- What is Orthognathic Surgery?

While orthodontic treatment corrects the position of the teeth in the mouth, surgical orthodontics or orthognathic surgery corrects jaw irregularities to improve the patient’s ability to chew, speak and breathe, and improve their facial appearance. In other words, it corrects the relationship between your upper and lower jaw bones. Moving the jaws also moves the teeth so braces are always used in conjunction with orthognathic surgery.

 

9- When can orthognathic surgery be performed?

Jaw enlargement is usually completed by the age of 17 in girls and 18 in boys. Growth must be completed before chin surgery is performed. However, pre-operative braces can be started one to two years before these ages.

 

10- How is Orthognathic Surgery Treatment Planned?

During your orthodontic treatment, which usually lasts 6 to 18 months, you wear braces and visit your orthodontist for any scheduled changes to your braces. As your teeth move with braces, you may think your bites are getting worse, not better. However, when your lower and upper jaws are aligned correctly during orthognathic surgery, your teeth and occlusion will come into their proper positions.

The surgical procedure is performed under general anesthesia in the hospital environment by the team determined by your orthodontist (orthodontist, maxillofacial surgeon, plastic surgeon, general anesthesiologist) and can take between 1-6 hours depending on the type. In lower jaw surgery, the jawbone is separated from the back of the last tooth in your lower jaw arch and the part carrying the teeth is moved forward or backward as needed. In maxillary surgery, the jaw can be repositioned forward-backward or downward-upward. Some movements may require separation of the jaws and bone addition/removal to achieve proper alignment and closure. Other facial bones that contribute to alignment may also be repositioned or increased.

You can go back to school or work two weeks after the operation with single jaw surgery. In double chin surgery, this process takes up to 6 weeks. If they are within 6 to 12 months of the required recovery time (about four to eight weeks), your wires will be removed.

 

11- What are the Bracket Types, what are the differences between them?

  • Metal Brackets

Metal brackets are the most commonly used bracket type. Your teeth are straightened using metal brackets and braces made of high quality stainless steel. With metal brackets, you can use colored elastics for a more unique and colorful smile.

 

  • Covered Brackets

There is no need to use wires or elastic ligatures in capped brackets, this reduces the friction effect on the tooth. Capped brackets can be made of metal, ceramic, or sapphire. They are the same size as metal brackets, but instead of a wire or elastic ligature, a special clip accompanies the archwire and helps set the teeth in place. The clip helps reduce the amount of pressure placed on the tooth and this allows us to see you once in 6 weeks.

 

  • Ceramic Brackets

Ceramic brackets are made of transparent materials and are therefore less noticeable on your teeth than metal brackets. Ceramic brackets are generally used in young people and adult patients with cosmetic concerns. Although they are visually less obvious, since ceramic brackets are larger and more fragile than metal brackets, more attention should be paid to oral hygiene and eating and drinking rules that must be followed during the treatment.

 

  •  Lingual Brackets

Lingual brackets are attached to the back of the teeth (the parts facing the tongue surface) and are therefore “invisible” when you smile. Lingual brackets are 100% customized to fit the shape of your teeth. Lingual braces are an option to consider for athletes, models, actors/actresses, woodwind musicians, and adult professionals.

 

  • Transparent Plate – Invisalign

Invisalign is a set of invisible, removable and comfortable clear aligners/aligners so no one knows you are in the process of treatment. So you can smile more during and after the treatment. It is an application made with Invisalign 3D computer imaging technology and proven to be effective.

 

12- Why should I choose Invisalign?

The Transparent Plates are not only invisible, but also removable, so you can eat and drink whatever you want during the treatment. Brushing and flossing is not a problem. They are also comfortable and do not contain metals that can cause wear in the mouth during treatment. The absence of metal and wires means you’ll spend less time making adjustments at your doctor’s clinic. Invisalign also lets you see your own virtual treatment plan when you start, so you can see what your teeth will look like when your treatment is complete.

 

13- How will Invisalign fix my teeth?

You wear each set of clear aligners for about two weeks, removing them only when you eat or brush your teeth. When you replace each aligner with the next aligner in the set, your teeth will move – week by week and gradually – until they reach the final position set in your treatment planning. In the meantime, the plaque will exert a pushing force on your teeth. You’ll visit your doctor about every six weeks to make sure your treatment is progressing as planned. Total treatment time typically lasts 9-15 months and the number of aligners fitted during treatment is between 18 and 30, although both numbers vary from case to case.

 

14- I have a wire in my teeth, what should I pay attention to now?

 

15- What can I eat after my braces are fitted?

  • Dairy products – soft cheese, pudding, milk-based drinks
  • Breads – soft bread, pancakes, nut-free muffins
  • Grains – pasta, soft cooked rice
  • Meats – soft cooked chicken, meatballs
  • Seafood – tuna, salmon
  • Vegetables – mashed potatoes, boiled foods
  • Fruits – applesauce, banana, juice
  • Snacks – ice cream, milkshakes, soft cake

 

16 -Forbidden foods after my braces are fitted

  • Chewable foods – bagels,
  • Crispy foods – popcorn, chips, ice
  • Sticky foods – caramel candies, chewing gum
  • Hard foods – nuts, hard candies
  • Foods that need a bite – corn, apples, carrots

 

17- Will I have pain when my braces are inserted?

Your teeth may be a little sensitive or sore when braces are first put on. This is completely normal and not permanent. It starts as a slight pain in the evening after your braces are placed and disappears within four days. To relieve pain, dissolve a teaspoon of salt in a glass of warm water and gargle with this solution for a few minutes (do not swallow the salt water).

If the pain is more severe and does not go away after rinsing the mouth, you can also try using a pain reliever other than Aspirin. Although uncommon, your lips, cheeks, and tongue may become red and irritated for a week or two as they get used to the braces. We would be happy to give you some wax that you can put on your braces to reduce sensitivity. If you need some wax, please let us know.

 

18- Alas! My Teeth Are Shaking!

Do not worry if you start to feel that your teeth are shaking, moving; this is normal. In order for the braces to put the teeth in the correct position, they must first loosen your teeth. After your teeth are repositioned, gradually the wobble will pass.

 

19 -My Bracket – My wire is broken, what should I do?

Your braces or braces can become loose or break. If this happens, contact your doctor as soon as possible so the current situation can be checked and repaired. If any of your wires come off, remember to keep it and bring it with you to the clinic. You can temporarily fix a braces that pierced your cheek, lip or tongue. With the help of tweezers or a pencil eraser, push the wire into place very slowly and carefully. If your broken or displaced braces are causing irritation to your lips or cheeks, put a ball of wax or softened sugarless gum on the broken brace for pain relief until you see your doctor.

 

20- How should I brush my teeth after I have braces?

After the braces are attached, the teeth should be brushed regularly for at least 4 minutes after each meal with an orthodontic brush and an interface brush. The bristles of the orthodontic brush are in the shape of the letter “v”. The brush is placed with the deepest part of the letter “v” on the bracket and brushed along the entire tooth arch as the train goes on the track. This process is applied to the front surface, upper surface (the part facing the gum) and the lower surface (the part facing the cutting and chewing edge) of the teeth with the bracket placed, each tooth being brushed 2-3 times. Afterwards, the back surfaces of the teeth are brushed from the gum to the tooth with a normal toothbrush. Following this, the chewing surfaces of the teeth are brushed and the brushing process is completed. Interface brushes are used to clean the residues between the wire and the teeth after brushing the teeth as described above before going to bed at night. The tip, which looks like a pine tree, is convenient to use. There is no need to apply paste to the interface brush. Replacing it with backups once a month will increase its effectiveness.

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