Abnormalities of position, establishment and development of teeth and jaw bones can be corrected at any age. It is for this reason that orthodontics is divided into three different areas.
Guides teeth to the correct position, even before finishing their growth, after identifying the problems through a careful diagnostic phase. Treatment should start very early, even on baby teeth.
Corrects bad positioning of teeth as well as the distances between teeth or their antagonists, deviations, inclinations, rotations, mal positioning in reference with the mouth muscles, tongue and lips. It can also be carried out after complete teething.
Correct inclinations, rotations or extrusions (abnormal growth) of teeth that no longer have their opposite support. This treatment can also recreate the space lost due to very early tooth extraction. The aim is to “prepare the ground” (thickness, spaces and appropriate heights) for prosthetic restructuring.. There are mobile braces, worn for certain hours a day, fixed non-removable, braces, attached to the teeth by means of small plates (brackets) and bands, connected by orthodontic wires as well as mixed,( fixed and mobile) braces that use components of different strengths, and sometimes include extra-oral traction.
In adult patients and only in carefully selected cases, it is possible to use orthodontic treatment with invisible orthodontic devices.
There are two possible ways:
Lingual orthodontics makes use of real, fixed orthodontic devices which are often attached to the lingual surface of the tooth. Such devices are completely invisible and extremely comfortable, since they are very thin and do not have protrusions.
As for traditional orthodontics, periodic checks will be required for the regulation of the device. At the same time, the patient will have to pay particular attention to hygiene of the mouth which is more demanding than that of the conventional device.
The timing of treatment do not differ from that of traditional treatment; indeed, in some cases they are even shorter.
This treatment involves the use of a series of thermoplastic transparent aligners to be worn in sequence. Such devices have been made possible with the use of CAD CAM technologies and their application in dentistry.
Treatment with aligners is preceded by a study of a three-dimensional virtual model that allows the dentist and the patient to see, on computer, what the end result will be before even starting treatment. A view of the patient’s initial and final mouth, a computerized system of prototyping which produces a series of physical models on which aligners are imprinted and which will then worn by the patient.
Treatment time does not differ from that of the conventional method. Never-the-less, at present, it is still the most expensive treatment due to the high costs of prototyping.
On the other hand, in addition to invisibility of the device, the hygienic advantages that this method offers are not to be underestimated.
In order to achieve satisfactory results, the patient must collaborate when using the aligners and instructions given by the specialist should always be followed rigorously.
Dr Stefano Beonio Brocchieri, also specializes in Gnathology is the Orthodontist at our surgery. From a simple filling to the design of the prosthesis, all processing on the teeth at our surgery is performed according to this specialized branch which is based on the concept of individuality, following standards of precision and functionality.