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Orthodontics (Brace Treatment)

Orthodontics is a branch of dentistry that deals with the diagnosis and treatment of dental and facial irregularities. Unlike the general practices of dentistry, it is a branch that involves more specific treatment procedures and must be performed by specialists.

Why Orthodontic Treatment?
Misaligned teeth can cause especially aesthetic appearance, along with many other disorders. Crowded teeth are more difficult to clean, so the tendency of tooth decay and gum disease increases.  When the teeth do not close properly, problems may occur in the jaw joint and muscles that provide jaw movements . Deformations in the teeth cause speech disorders and some sounds may not be made properly.

With orthodontic treatment at any age, functional and aesthetic problems are corrected and the person’s quality of life increases.

Causes of Orthodontic Problems;

  • Genetics
  • Breathing through the mouth
  • Thumbsucking
  • Long-term pacifier use
  • Early milk tooth extraction and no placeholder application
  • Wisdom teeth

Before starting the orthodontic treatment, all other treatments (filling, extraction, gum treatment, etc.) should be completed. In this process, your orthodontist will carry out your caries risk analysis and guide you to the necessary preventive treatments.

What to Expect During Orthodontic Treatment?
The most important point in orthodontic treatment is providing oral hygiene.    Our brackets and braces create retaining areas around our teeth, making our teeth dirtier. Therefore, oral and dental care should be done in more detail. To avoid problems in the teeth and gums, the surrounndings of the brackets must be thoroughly cleaned. For this purpose, orthodontic tooth brushes are specially designed for orthodontic patients. Your orthodontist will inform you about the details of tooth brushing, flossing and oral care.

What to Do After Orthodontic Treatment?
After correcting the teeth with orthodontic treatment, the active treatment ends. Teeth are cleaned after the brackets are removed. Preservation of the result obtained by orthodontic treatment is just as important as the treatment itself. For this purpose, fixed or movable protectors are made.

The fixed protectors are constructed in the internal surfaces of the front teeth to fix the teeth to each other
. . These protectors are made out of special wires, they do not interfere with speech and tooth brushing and are applied to the inner surfaces of the teeth invisible from the outside. Movable protectors are made of thin and transparent materials prepared by taking the size of the teeth.These transparent protectors are also invisible from the outside and can be removed if desired. Your orthodontist will decide which of these two types of protectors is right for you.

At What Age Should I Bring My Child to Orthodontic Examination?
It is better do the first orthodontic examination of the child when he/she is 6 -7 years old, when , the top and bottom front teeth erupt. In this period, problems related to the development of jaws and permanent teeth can be noticed. With early diagnosis, skeletal disorders which are more difficult to treat in the future can be treated easily and situations that require tooth extraction can be prevented. In addition, treatment period can be shortened and treatment costs can be reduced.

How long does orthodontic treatment last?
The duration of orthodontic treatment depends on many factors. However, the most important factor affecting the duration of orthodontic treatment is the severity of the orthodontic problem. The average duration of treatment is 12-18 months, but the duration of treatment may vary between 6-30 months, depending on the severity of the problem.

Are there foods that should not be consumed during orthodontic treatment?
During the treatment, acidic beverages and foods such as gum, sweets, caramel should be avoided..  During the treatment rigid foods such as apples, quince, carrots should not be eaten by biting. It is more appropriate to consume these kinds of food in small pieces. It is also advisable not to eat foods that are consumed by biting such as sandwich, toast and hamburger-type. Foods such as nuts, walnuts, chickpeas and nutrients that cannot be eaten without removing the seeds such as cherries, plums, olives should not be consumed during the treatment.

How Often Should Orthodontic Appointments Be? Is the Orthodontic Treatment Period Shorten by More Frequent Appointments?
Appointments are arranged according to the patient’s condition. The frequency of appointments in patients undergoing fixed orthodontic treatment ranges from 4 to 6 weeks. In special cases where more frequent checks are required, appointments are arranged accordingly.

Are there invisible Braces?
In recent years, the use of porcelain braces that are in tooth color , which attracts less attention than metal braces, has increased. In addition, lingual brackets which are placed on the tongue-facing surfaces of teeth have been developed .

Depending on the treatment process, you and your doctor can decide which material (metal or porcelain bracket) to use.

What is Invisalign?
In suitable cases without using brackets and braces, with the use of transparent molds crooked teeth are corrected. The patient-specific molds, which will be changed every two weeks, should be used for approximately 20 hours per day. The duration of treatment varies from 2 to 24 months depending on the case.  During this time, the aligners should be removed only when eating, drinking or brushing teeth.

Approximately two weeks after the treatment, a new aligner is inserted, there are minor differences between the new and previous aligner that will straighten the teeth. Wearing aligners is a step to make the teeth look better.

Does Any Stain Remain on My Teeth After Removing the Braces?
If the teeth are brushed correctly and regularly during orthodontic treatment, there will be no stain on the teeth. The colorations which are called staining are the starting points of caries when brushing is insufficient.

Do the Braces Affect Speech?
Braces do not directly affect speech. A slight change in speech may be observed during the one week adaptation period after braces are inserted.

Removable Apparatus
This apparatus consisting braces, can be removed and put on by the patient and are held in the mouth with the help of acrylic palate
These apparatus are used for simple tooth movements, dilation of narrow jaws in children and in some cases for the purpose of preparation for treatment and after treatment for reinforcement. Your orthodontist will determine the installation time of the removeable apparatus.

Functional Apparatus
In order to correct the distorted relation of the lower and upper jaws (skeletal problems), this is a special apparatus that can be inserted and removed by young patients themselves. It is used with fixed orthodontic appliances especially in cases where lower or upper jaw is behind or in front.