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What Is Orthodontics?

An orthodontist is a specialist who treats people with misaligned teeth and jaws. They have special training to fix these problems, which can interfere with eating and speaking.

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Orthodontic Treatment

Orthodontics is a specialized field of dentistry that focuses on diagnosing, preventing, and treating misaligned teeth and jaws. When teeth and jaws are properly aligned, they can function more effectively, and patients can enjoy a healthier mouth with fewer problems like tooth decay and gum disease.

During treatment, we use appliances that apply pressure to the teeth and help them move into their correct positions. Braces are the most common appliances, but we also offer clear aligners and headgear. If a wire becomes protruding and causes discomfort, you can try using the eraser end of a pencil to push it back into its original position. Otherwise, put a small amount of orthodontic wax on the wire to protect your mouth.

Braces

Braces use the principles of physics and biology to gently straighten your teeth. The pressure they exert over time gradually shifts your teeth into more desirable positions, and the bone underneath changes shape as well.

Metal braces consist of brackets that are bonded to the front surface of each tooth. A metal wire, called an archwire, runs through the horizontal slots in the brackets. The orthodontist can adjust the tension in the archwire to apply targeted pressure to each individual tooth.

The brackets may be made from stainless steel, ceramic or a clear material. The ligatures, or elastic ties, that connect the archwire to the brackets are either stainless steel or elastic (sometimes known as “rubber bands”). They come in various colors and can be changed at each appointment.

Retainers

Retainers are a custom device that orthodontists prescribe following treatment to prevent teeth from shifting back into their old alignment. They are usually worn full time for a period of 4-6 months, then at night thereafter.

There are various types of retainers, including removable retainers like Essix retainers, which are clear and easy to keep clean, Hawley retainers, which include an acrylic piece that sits on the roof of the mouth with wire that wraps around the front of your teeth, and permanent retainers (also known as bonded or fixed retainers) that are affixed to the back of the teeth.

If you lose or damage your retainer, it’s important to schedule an appointment with your orthodontist as soon as possible. A lost or damaged retainer can give your teeth the opportunity to relapse back into their old positions, undoing all of the hard work from your orthodontic treatment.

Clear Aligners

Clear aligners are a discreet treatment option that uses transparent, custom-made plastic trays to straighten teeth. Your orthodontist can recommend the best system for your needs based on a thorough evaluation of your teeth and gums.

Aligner trays apply pressure to the teeth, which repositions them over time, allowing for more natural movement of the bones and gums. This results in more comfortable treatment and faster correction than with traditional braces, without requiring metal wires or brackets.

The first step in clear aligner treatment involves a dental assessment including digital impressions and scans. This helps your orthodontist map out the progression of your teeth moving, so you can expect a more precise result. Wearing the trays as instructed and visiting your orthodontist for regular monitoring will help ensure that you get the best possible outcome.

Invisalign

Invisalign uses a series of clear, removable aligners that straighten the teeth by applying gentle pressure. You’ll wear each set of trays for about two weeks before switching to the next, until your teeth are in the final position.

The aligners are nearly invisible, so they’re an excellent option for adults who are self-conscious about the appearance of metal braces. They also allow you to eat and drink what you want without worrying about food stuck in your braces (and the bacteria that grow in those crevices).

The pressure exerted by the trays can cause some mild discomfort, similar to traditional braces, but this should subside after a few days with each tray change. Some patients experience enhanced tooth sensitivity, which can be managed with toothpastes designed for sensitive teeth.

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