Normally, when mouth is closed, upper teeth must be in front of lower teeth. In case of otherwise, in other words, if lower teeth are in front of upper teeth, it is called "cross bite".
- In cases where frontal teeth stay at excessively frontal point and lips do not touch each other,
- In cases where teeth are not aligned properly or when they overlap,
- In cases where teeth have wide gaps,
- If there are big gaps between lower frontal incisors and upper frontal incisors and teeth are positioned very far from each other, in other words, in cases which we call openbite,
- If there are big gaps between frontal incisors,
- If you have difficulty in chewing or vocalizing some letters although there is no certain crowding in your teeth,
- If your child sucking thumb or teat although he/she is over 4, you should visit a dentist.
In children who have lost milk teeth before its time and especially in cases of milk molars missing as the result of extraction or impact in age group of 6, you must take your child to dentist.
Why Do Ortodontics Problems Occur?
- Skeletal problems such as inborn plate-lip clefts cause deficiencies in teeth growth.
- Genetic problems running in the family may cause missing teeth in persons and it is detected in Orthodontics examination.
- Persistent biting of pencil, sucking thumb, and rolling the tongue between teeth may cause deformities in dental structure.
- Early missing of milk teeth
Such reasons may cause need of Orthodontics therapy in persons. Treatment process is related with the general condition of the patient and it is probable to last for 1 or 2 years depending on walksplints to be used in dental problems. In problems arising out of skeletal system of the patient, age factor is significantly important and it is stated by the specialist physicians that treatment period of the patient may increase up to 3 years. In treatment process, patient is called for control with intervals of 4 or 6 weeks and activation application considered necessary in dental braces is performed.
What is Age Limitation in Ortodontics Therapy?
Persons from all age groups may get ortodontics treatment. A certain increase is seen in number of adults having ortodontics therapy in recent years. Therapies called preventive ortodontics therapy are applied especially in children in the age group of 8 and 15. Before starting ortodontics therapy, the permanent teeth of the child are required to erupt. Permanent teeth start to erupt in the ages of 6-7 and it continues until 12-14. Therefore, ortodontics therapy must be started after the age of 12.
Therapy period varies by teeth structure between 8 and 24 months.
Walksplints Used in Therapy
• Removable Bracket: They are the walksplints which can be removed by the patient. It is applied in simpler cases in early therapy.
• Functional/Orthopedics Apparatus: They are the walksplints which can be removed by the patients in early ages before maturity in order to correct relationships of lower and upper jaw (orthopedic problems) Mostly, it is used with fixed orthodontics walksplints.
• Orthognathic Surgery: Disorders in jaw and face may be inborn as well as may arise later depending on accidents and diseases. Misalignment of jaws to each other and face causes both functional and psychological disturbances in patients. In such cases, Orthognathic Surgery is applied.
• Ortho-Aligner: Ortho-Aligner is a method applied without splinting bracket to teeth in some orthodontics deformations as an alternative therapy. Sensitive measurement tools are used for torque and angle control on models. Thus, it is ensured that teeth move within physiological limits. Then, movement of 1 mm is confirmed with computer software. Thus, measurements made are controlled again. After measurements are taken, rotations of certain rate are applied on teeth. So, teeth reach to the desired position within a certain time. 3 separate plaques are prepared for each model corrected. Plaques' dimensions are 0.5mm - 0.625mm – 0.75mm. These plaques ensure that teeth move by 1 mm in totally by getting small forces.
It may be corrected by using transparent plates designed in computer environment. These transparent plaques produced in various number by the status of the teeth are exchanged once in 2 weeks and desired movement is provided.
During orthodontics therapy, patient must pay more attention to oral care because additional walksplints added into the mouth make the care difficult. Cavities start to be formed in teeth which are not cleaned well. At first, they are in form of lesions of white points and then they become cavity by progressing. In teeth which are not cleaned well, tooth gums swell depending on plaque accumulation, start to bleed, then infection advances to the bone surrounding the teeth and may cause more serious periodontal problems. When such problems are taken into consideration, it is required that oral hygiene must be at the top point before orthodontic therapy. Before treatment, patient must have gained the habit of regular brushing of teeth. The patients getting orthodontic therapy must brush their teeth after each meal during the therapy and the patients using removable walksplints must brush their walksplints as well as their teeth.