How does orthodontic treatment work?
To shift teeth position, restrain muscles and influence jaw growth, the orthodontist may recommend different types of devices, either fixed or removable. These devices make an impact by inducing a gentle force on the jaws and teeth. The level of the condition determines the best orthodontic approach that will be effective for the patient.
Fixed orthodontic appliances include:
Braces
This is the most common type of fixed device. Braces comprise of bands, wires and/or brackets. Bands are attached to the teeth and serve as anchors, while brackets are usually attached to the front surface of the tooth. The archwires run through the brackets and are connected to the bands.
When the archwire is tightened, tension or pressure is placed on the teeth to shift them to their proper place slowly. Every month, the orthodontist will adjust the braces to achieve the desired outcome, which usually happens after a few months or years, depending on the severity.
Recent developments have ushered in smaller and lighter braces that are less conspicuous. There are brightly colored braces for kids and transparent styles that many adults prefer.
Fixed space maintainers
In the event of the untimely loss of a baby tooth, a space maintainer helps keep that gap intact until the permanent tooth forms. A band is connected to the tooth near the cleft, and a wire is stretched to the tooth on the other side of the gap.
Special fixed appliances
These help curb tongue thrusting or thumb sucking. The device is linked to the tooth using bands. Since they can be inconvenient when eating, they should only be employed when there are no other means available.
Removable orthodontic appliances include:
Aligners – These are alternatives to conventional braces for adults. Orthodontists recommend serial aligners to shift the teeth in a fashion similar to fixed devices but without metal wires and brackets. Aligners are practically invisible and can be removed before eating, flossing or brushing.Removable space maintainers – These devices have the same purpose as fixed space retainers. They are manufactured with an acrylic base that attaches to the jaws and has wire extensions between the affected teeth to keep the gap open.Jaw repositioning devices – They are also called splints and are placed on the top or lower jaw to help push the jaw to meet in the proper position. Orthodontists usually recommend them for temporomandibular joint disorders (TMJ).Palatal expander – This device is employed to widen the arch of the upper jaw. It comes in the form of a plastic plate that sits over the mouth’s roof. The outward force that the screws place on the plate pushes the joints in the palate bones to extend in length, expanding the palatal area.Lip and cheek bumpers – They are made to put a barrier between the lips or cheeks and the teeth. The muscles of the lips and cheeks can put undue pressure on the teeth, and the bumpers help alleviate the stress.Removable retainer – These are placed on the mouth roof and help hinder the teeth from shifting to their previous position. They can also be adjusted to prohibit thumb sucking in children.Headgear – This device comprises of a strap that goes on the back of the head and connects to a metal wire or face bow. Headgear inhibits the development of the upper jaw and holds the back teeth firmly in position while the front teeth are drawn backward.