Wednesday, January 30, 2013

Overbite Correction Using a Functional Appliance



In a growing patient with a significant overbite caused by a short lower jaw, a functional appliance can be used.  The appliance holds the lower jaw forward for 10-12 months until the teeth and jaws have adapted to the new, correct position.  Braces are worn in conjunction with the functional appliance and continue to be worn after the appliance is removed to finalize bite correction and tooth alignment.  This patient was treated for a total of  2 years and 5 months.

 
Before

 
After
 
 
Profile photographs below show improved facial balance resulting from functional appliance treatment and braces.  The Lower jaw is moved forward to correct the bite. 
 
Before

 
After
 
 
In the intra-oral photographs below, you can see that before treatment, the lower jaw is back.  The upper front teeth are flared forward and there is a space between the top teeth.  After treatment, the lower jaw has come forward and upper teeth angulations and spacing is corrected
 
Before
 
After
 
Before
 
After
 
 
Before
 
After


The X-rays show the relative position of the jaws and teeth before and after treatment.

Before
 
After


Cases such as this demonstrate why it is so critical to have children evaluated by an orthodontist at a fairly early age.  If this patient were not treated in her youth while she was still growing, this type of result could not be achieved.  Adults with this type of malocclusion require jaw surgery to reset the bones in order achieve similar results.  











 











 
 





Friday, January 11, 2013

How To Take Care of Braces






There are a number of reasons why someone might need braces on their teeth, despite the stigma that once came with having them. From crooked, gapped or crowded teeth, to overbites and underbites, the idea is to wear them for as long as is necessary to fix the condition and not a moment longer. As expensive and inconvenient as these devices can be, the best way to avoid wearing them any longer or having to get them repaired is to take proper care of them from the start. This can be accomplished with a few good oral hygiene habits and a touch of common sense.

1.) Brush carefully

If you ever took brushing for granted in the past, you'll need to develop some more consistent and meticulous brushing habits. Brushing after every single meal is one of the best ways to avoid trapping food particles and bacteria that might cause cavities. It might hurt a bit at first to brush, but this should go away after the first week. Keep in mind that there are special toothbrushes designed specifically for this purpose, allowing you to get into those hard-to-reach places.

2.) Floss regularly

Although flossing might seem incredibly difficult with braces, it's actually more important than ever before, since there are that many more places where food can get caught. Ask your dentist or orthodontist about flossing techniques to help you get behind the main arch wire and up to the gum area. There are also special flossers available to make this easier.

3.) Stay away from certain foods

Your orthodontist will give you a list of foods to stay away from that you should pay special attention to. This is likely to include hard, sticky, chewy and crunchy foods. Hard foods like nuts and hard candies can actually damage the wires and most of the others on the list can get easily stuck in places that are hard to reach. In addition, it is often recommended that you stick to soft foods for the first few days, avoiding tough meats, raw vegetables and hard bread.

4.) Wear a mouthguard when necessary

This applies primarily to athletes who participate in contact sports where there might be a chance of getting hit in the mouth. Wrestling, martial arts and football are a few examples of activities where there's a greater chance of either damaging your orthodontics, or possibly even causing injury to the soft tissues of the mouth.

5.) Don't miss any dental appointments

Your orthodontist will expect to see you regularly, to check your progress. Treatment time varies from one patient to another and these follow-up appointments are necessary to make any adjustments and further recommendations, based on how well your particular treatment is progressing. If there is any damage to your braces, this is the time to get it fixed. Most orthodontists will take care of any normal or common repairs, but don't expect them to cover damage due to neglect or missing appointments. Remember not to miss any non-orthodontic dental appointments, either.

The length of time you have to wear your braces can range from a few months to a couple years, or more. Until it's time for them to come off, it's important that you take better care of your teeth than you ever have in the past and treat your orthodontics with the very same care, as though they were a part of your own mouth. Think of them as an investment not only in financial terms, but also in terms of what they will do for your appearance in the years to come.