Orthodontics

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Orthodontic Care in Escondido

Orthodontics is a branch of dentistry specializing in the diagnosis, prevention, and treatment of jaw, face and bite irregularities (malocclusions). 

Orthodontics is specifically concerned with diagnosing and treating tooth misalignment and irregularity in the jaw area.  Initially, orthodontic treatments were geared toward the treatment of teens and pre-teens, but these days around 30 percent of orthodontic patients are adults treating malocclusion.

What is Malocclusion?

Malocclusion is a technical term for teeth that don’t fit together correctly.

Malocclusions not only affect the teeth, but also the appearance of the face. Most malocclusions are inherited; however some are due to acquired habits such as thumb sucking and tongue thrusting. The spacing left from an adult tooth being extracted or an early loss of a baby tooth can also contribute to a malocclusion. Orthodontic treatment can correct malocclusion by working with an oral health care provider known as an Orthodontist, who has typically completed two to three years of additional training beyond dental school. 

Other Common Issues Treated by Orthodontics

Here are some of the common conditions treated with orthodontics:

  • Anteroposterior deviations – The discrepancy between a pair of closed jaws is known as an anteroposterior discrepancy or deviation.  An example of such a discrepancy would be an overbite (where the upper teeth are further forward than the lower teeth), or an underbite (where the lower teeth are further forward then the upper teeth).

  • Overcrowding – Overcrowding is a common orthodontic problem.  It occurs when there is an insufficient space for the normal growth and development of adult teeth.

  • Aesthetic problems – A beautiful straight smile may be marred by a single misaligned tooth. This tooth can be realigned with ease and accuracy by the orthodontist.  Alternatively, orthodontists can also work to reshape and restructure the lips, jaw or the face.

Orthodontic Treatment

There are many advantages to achieving well-aligned teeth, including easier cleaning, better oral hygiene, clearer speech and a more pleasant smile.  Though orthodontic treatment can be effective at any age, the American Dental Association suggests that an orthodontic assessment should be performed around the age of seven to determine if early orthodontic treatment, or braces for children will be effective.  The earlier orthodontic treatment begins, the more quickly the problem can be successfully resolved. However around a 1/3 of orthodontic patients are adults with braces.

Recent years have brought about many changes within the dental industry, specifically with regards to orthodontic treatment and care.  Now more than ever patients are experiencing fewer incidences of cavities and missing teeth due to the heightened awareness of fluoride use and preventative dentistry.   This increasing awareness on the health and look of a patient’s smile has fueled the desire for many to seek out orthodontia not only as a medical necessity, but for cosmetic reasons as well.   

Whether it’s traditional braces or custom made removable appliances, orthodontics can help you have the healthy, straight, beautiful smile you’ve been waiting for!

Give us a call today and schedule your orthodontic consultation!

Orthodontic treatment is highly predictable and immensely successful.  Depending on the severity of the malocclusion (bad bite) or irregularity, orthodontic treatments may occur in either two or three distinct phases.

The benefits of correcting misaligned teeth are many.  Straight teeth are pleasing to look at and greatly boost confidence and self esteem.  More importantly, properly aligned teeth enhance the biting, chewing and speaking functions of the jaw. 

The Phases of Orthodontic Treatment

Generally, orthodontic treatment takes between six and thirty months to complete.  The treatment time will largely depend on the classification of the malocclusion, the type of dental devices used to correct it and the perseverance of the patient.

Here is a general overview of the three major stages of treatment:

Phase 1 – The Planning Stage

The orthodontist makes an exact diagnosis in order to realign the teeth in the most effective and expedient way.  The first several visits may comprise of some of the following evaluations:

  • Medical and dental evaluations – Dental and physical problems tend to go hand in hand.  Problems in the oral cavity can lead to (or be caused by) medical problems.  The goal of this evaluation is to ensure that prior medical and dental issues are completely under control before treatment begins.

  • Study model (castings/bite impressions) – The patient is asked to bite down into a dental tray filled with a gel substance that hardens around the teeth.  The trays are removed from the teeth and filled with plaster to create models of the patient’s teeth.  Study models enable the orthodontist to scrutinize the position of each tooth, and how it relates to the other teeth.

  • Panoramic X-rays – X-rays are fantastic tools for viewing potential complications or pre-existing damage to the jaw joint.  X-rays also allow the orthodontist to see the exact position of each tooth and its corresponding root(s).

  • Computer generated images – Such images allow the orthodontist to treatment plan and examine how specific treatments may affect the shape of the face and symmetry of the jaw.

  • Photographs – Many orthodontists like to take “before, during and after” photographs of the face and teeth to assess how treatment is progressing, and the impact the treatment is having on the patient’s face shape.

Phase 2 – The Active Phase

All of the above diagnostic tools will be used to diagnosis and develop a customized treatment plan for the patient.  Next, the orthodontist will recommend custom orthodontic device(s) to gently move the teeth into proper alignment.  This orthodontic appliance may be fixed or removable.  Most commonly, traditional fixed braces are affixed, which utilizes individual dental brackets connected by an archwire.  Lingual braces are also fixed, but fit on the inside (tongue side) of the teeth to make them less visible.

Removable devices are an alternative to fixed braces.  Examples of removable devices include the Invisalign system, headgear and facemask.  These devices are designed to be worn for a specified amount of hours each day to expedite treatment.

Whatever the orthodontic device, the orthodontist will regularly adjust it to ensure adequate and continual pressure is being applied to the teeth.  It is essential to visit the orthodontist at the designated intervals and to call if part of the device breaks or becomes damaged.

Phase 3: The Retention Phase

When the teeth have been correctly aligned, fixed braces and removable devices will be removed and discontinued.  The most cumbersome part of the orthodontic treatment is now over. The orthodontist will next create a custom retainer.  The goal of the retainer is to ensure that the teeth do not begin to shift back to their original positions.  Retainers need to be worn for a specified amount of time per day for a specified time period.  During the retention phase, the jawbone will reform around the realigned teeth to fully stabilize them in the correct alignment.

If you have any questions about orthodontic treatments, please contact our office.

Available Orthodontic Solutions in Escondido

Orthodontics is a technologically advanced field which offers many sophisticated solutions to malocclusions and other cosmetic problems.  The orthodontist will generally perform a visual examination, panoramic x-rays and study models (bite impressions) in order to assess the exact nature of the discrepancy.

When a diagnosis has been made, there are a variety of orthodontic treatment options available.

Here is an overview of some of the most common treatments:

  • Fixed orthodontic braces – A metal or ceramic dental base is affixed to each tooth, and a dental wire is inserted through each base.  The orthodontist is able to gradually train the teeth into proper alignment by regularly adjusting the wire.  When the desired results are achieved, the fixed dental braces are completely removed.

  • Removable appliances – There are a wide range of removable appliances commonly used in orthodontics, including headgear that correct overbites, Hawley retainers that improve the position of the teeth even as the jawbone reforms, and facemasks which are used to correct an underbite.

  • Invisalign® – This is a newer, removable type of dental aligner that is completely transparent.  Invisalign® does not interfere with eating because of its removable nature, and mechanically works in the same way as the traditional metal dental braces.  Not all patients are candidates for Invisalign®.

If you have any questions or concerns about orthodontics, please contact our office.

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