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Orthodontics

FIXED ORTHODONTICS

Orthodontic Appliance a device fixed to the teeth using adhesive material that applies force to the teeth and their supporting structures to produce changes in their relationship to each other and to control their growth and development. Used in orthodontic therapy to move the teeth into esthetically or physiologically better positions, such as better alignment within the dental arch or with the opposing dentition; also used in the treatment of fractures or injuries to the maxilla, to stabilize or immobilize the teeth and jaws.

HEADGEAR & FACEMASK

Headgear is typically used in growing patients to correct overbites by holding back the growth of the upper jaw, allowing the lower jaw to catch up. Headgear needs to be worn approximately 10-14 hrs to be effective in correcting the overbite, usually anywhere from 6 -18 months depending on the severity of the overbite and how much a patient is growing.

ORTHODONTIC HEADGEAR

Facebow : first, the facebow (or J-Hooks) is fitted with a metal arch onto headgear tubes attached to the rear upper and lower molars. This facebow then extends out of the mouth and around the face. J-Hooks are different in that they hook into the patients mouth and attach directly to the braces.

Head cap : the second component is the head cap, which consists of a number of straps fitting around the head. This is attached with elastic bands or springs to the facebow. Additional straps and attachments are used to ensure comfort and safety (see photo).

Attachment : the third and final component - typically consisting of rubber bands, elastics, or springs - joins the facebow or J-Hooks and the head cap together, providing the force to move the teeth backwards..

FACEMASK OR REVERSE-PULL HEADGEAR

is an orthodontic appliance typically used in growing patients to correct underbites (technically termed Class-III orthodontic problems) by pulling forward and assisting the growth of the upper jaw (maxilla), allowing it to catch up to the size of the lower jaw (mandible). Facemasks or reverse-pull headgear needs to be worn approximately 14 to 16 hours per day to be truly effective in correcting the underbite, usually anywhere from 12 to 18 months depending on the severity of the bite and how much a patient is growing.

REMOVABLE ORTHODONTICS

Removable Appliances work by simple tipping movements of the crowns of the teeth about a fulcrum close to the middle of the tooth. They also allow differential eruption of teeth, for example by using bite planes. They differ from fixed appliances, which are capable of complex movements of multiple teeth, including bodily movement, root torque and rotation.

DENTOFACIAL ORTHOPAEDICS

Dentofacial Orthopedics is the process of normalizing the growth of a patient's bone structure and repairing any imbalances of the face and jaws. This process often involves a two-phase treatment and often begins when the patient is around 7 or 8 years old.

Dentofacial Orthopedics for Children

Children are often the best candidates for receiving dentofacial orthopedic therapy. Beginning at a young age, orthodontist will examine and monitor your child's growth to determine when treatment starting treatment will be most effective. If your child begins orthodontic treatment before all adult teeth have erupted, it is known as phase-one treatment. During phase-one treatment, your orthodontist will use treatments designed to correct your child's jaw growth and make sure that the jaw bone is properly aligned before beginning the second phase of treatment, which usually involves braces to straighten the teeth.

Dentofacial Orthopedics for Adults

Dentofacial orthopedics is also used to treat adults; however, this process may involve surgery. In children, the jaw bones are still forming and have not completely hardened, making it easier for orthodontists to control bone growth and tooth movement. Adults, however, are no longer growing, and their jaw bones have hardened making it more of a challenge to adjust the bite and move teeth into proper alignment if the facial bones are misaligned. Surgery may be used to adjust the jaw bone and establish the proper bite alignment before beginning a braces treatment. With dentofacial orthopedics, adults can still achieve the beautiful smile they've always wanted. To learn more about dentofacial orthopedics, and to find out if this type of treatment is right for you, please contact our practice and schedule an orthodontic consultation

ACCELERATED ORTHODONTICS

This is an emerging school of treatment .This form of orthodontics provides the same results as traditional braces,but in much lesser time reducing treatment times between three and eight months.This is achieved by combination of many adjunct techniques.Some are related to biomechanics of tooth movement, appliance prescription,surgical approach,low level laser therapy,pharmacological approaches

ORTHOGNATHIC SURGERY

Orthognathic surgery is surgery to correct conditions of the jaw and face related to structure, growth, sleep apnea, TMJ disorders, malocclusion problems owing to skeletal disharmonies, or other orthodontic problems that cannot be easily treated with braces. It is also used in treatment of congenital conditions like cleft palate. Bones can be cut and re-aligned, then held in place with either screws or plates and screws. Orthognathic surgery is performed by either an oral and maxillofacial surgeon, plastic surgeon, or ENT in collaboration with an orthodontist. It often includes braces before and after surgery, and retainers after the final removal of braces. Orthognathic surgery is often needed after reconstruction of cleft palate or other major craniofacial anomalies. Careful coordination between the surgeon and orthodontist is essential to ensure that the teeth will fit correctly after the surgery. The surgery might involve one jaw or the two jaws during the same procedure. The modification is done by making cuts in the bones of the mandible and / or maxilla and repositioning the cut pieces in the desired alignment. Usually surgery is performed under general anaesthetic and using nasal tube for intubation rather than the more commonly used oral tube; this is to allow wiring the teeth together during surgery. The surgery often does not involve cutting the skin, and instead, the surgeon is often able to go through the inside of the mouth.

LINGUAL ORTHODONTICS

The term "lingual” refers to the inside (tongue or palate) surface of the tooth. Lingual braces are attached to that inside surface unlike traditional braces which are fixed to the outside of the teeth. With the braces positioned on the inner surface, it makes them practically invisible and provides cosmetic orthodontic treatment without the distraction of typical braces.

Why choose lingual braces?

If you are self conscious of your appearance and would not feel confident wearing traditional braces, lingual braces are an excellent choice. You are concerned about wearing braces that are visible, lingual treatment might be the right choice. If you present frequently to audiences or clients and want to maintain a professional image while getting a great smile, lingual braces would also be good for you. An orthodontist who specializes in lingual braces can evaluate your needs and help you decide if lingual orthodontic treatment is right for you and your lifestyle
CLEAR ALIGNERS
Clear Aligner is a clear removable cosmetic appliance designed for minor teeth movement of patients 14 and older. Clear Aligner technology can straighten teeth that are crowded, rotated, tilted forward, backward using exact impressions taken by dentist and custom-made, Clear Aligner are fabricated from the impressions at each and every 6 week treatment interval. This technique has proven to be effective in clinical studies at universities and private practices worldwide. Thousands of dentists are treating patients with Clear Aligner and you can too.Now, by using a propriety formulation, Clear Aligner have become even more effective as they are so much more comfortable and less traumatising to the teeth, dental roots and associated surrounding bone to achieve orthodontic movement at its highest level. The CLEAR-ALIGNER splint allows you to speak and laugh as normal. During treatment you can speak and laugh - because the CLEAR-ALIGNER splint is made out of clear transparent material, thus allowing a good and confident feeling. With the CLEAR-ALIGNER you will be unaware of its presence, giving you normal mouth feeling. The CLEAR-ALIGNER splint guarantees a good, nearly familiar mouth feeling. Without screws and wires, it is smooth and comfortable to wear. When eating or cleaning the teeth whenever you want - remove the splint easily and without difficultly.

INVISALIGN

Adult "invisible braces" (which are not really braces at all, but clear plastic retainers) are a new technique for adults to obtain the results of braces without wearing braces! This technique, which is effective only for mild to moderate crowding, utilizes a series of retainers (computer generated or lab constructed) that are worn sequentially until the desired correction is achieved

TRAINERS

The Pre-Orthodontic TRAINER is a prefabricated, single size, dental positioner, computer designed to incorporate myofunctional and tooth positioning characteristics. It comes ready to use, requires no impressions and no molding. This allows it to be implemented from 6 years of age while the permanent teeth are erupting and the child is still growing (prior to orthodontic treatment). The Pre-Orthodontic Trainer improves the face as well as the teethby correcting the myofunctional habits that cause the malocclusion. The TRAINER¨ is made from a non-thermoplastic polyurethane. The material has both flexibility and inherent memory. The premoulded upper and lower labial bows have a similar effect to that of orthodontic archwire. That is, they are premoulded to the parabolic shape of the natural arches and adapt to large and small arches alike. As with archwire, the TRAINER does not require to be different sizes, only distal length varies, which can be trimmed accordingly to the distal position of the first permanent molars. The labial bows combined with anterior tooth channels afford a constant force on misaligned anterior teeth to assist in the correction of their position. There is a starting TRAINER¨ made of a soft and very flexible material for maximum compliance. This also allows it to adapt to the most severely misaligned teeth. The starting (blue) TRAINER imparts only light force on the teeth, then after 6-8 months the firmer (pink) TRAINER, which imparts a much higher force on the misaligned anterior teeth, is implemented. This is the principle behind the straight wire technique, starting with a light wire then progressing to firmer wire as the teeth come into better alignment. (only 1.7gm of force is required to move an anterior tooth 5) Computer design technology has allowed this principal to be incorporated into the TRAINER.

Corticotomy

Corticotomy assisted orthodontics is a unique blend of orthodontic mechanics with alveolar decorication and alveolar augmentation procedure. This technique is3-4 times faster than conventional methods thereby bringing down the treatment duration .These are surgical interventions limited to cortical portion of alveolarbone