How many braces should be worn - the timing of wearing braces
Mar 05, 2018
The appointment of braces in the process of orthodontic treatment consists in correcting the curvature of the teeth and changing the occlusion. Braces using an arc attached to each tooth in the tooth row, move them in the specified direction. The duration of the treatment process is determined by many factors. To determine how much you need to wear braces, you should know what stages of treatment the patient will overcome before his teeth begin to decorate his smile.
The task of the orthodontist in correcting the occlusion consists in aligning the teeth, and in achieving this goal, provided that there is no discomfort to the patient. It is not easy to turn the growth of teeth that have deep roots in a new direction. This will require a set of measures and a long time to implement them.
Any treatment should begin with an oral examination( OPTG), the appointment of studies if necessary( TWG).Based on this, a general plan of measures is drawn up at this diagnostic stage of treatment. It includes sanation of the oral cavity.
According to statistics, almost 90% of Russians need to sanitize the oral cavity, which is a medical and preventive measure, the purpose of which is to prevent the development of dental diseases. Sanitation helps to eliminate infectious foci and improve the dental-jaw system. It should be understood that any source of infection in the oral cavity inevitably leads to the disease of internal organs, and toxins produced in the mouth by bacteria lead to a decrease in the body's immunity, a decrease in well-being and, consequently, the occurrence of serious diseases. The bacterial nature of the development of caries first destroys the enamel of the teeth, and then leads to their final loss. Caries often becomes the cause of the occurrence of angina in children, which acquires a chronic form at a speed, and then it can cause rheumatic damage to the heart, joints, development of atherosclerosis. To prevent this, timely diagnosis and treatment is required, which is achieved by sanation of the oral cavity.
The restoration includes the following components:
- panoramic image of both dental rows;
- professional hygiene measures;
- the implementation of treatment measures according to the plan drawn up with the involvement of specialists - periodontist, surgeon, therapist, orthodontist;
- if necessary: setting up a dispensary account;
- preventive inspections according to schedule.
The preliminary stage of the alignment of teeth is completed by the removal of molded dentition on both jaws and the best variant of the bracket system is made from these casts.
Stage of active wearing of braces
From now on, the patient must psychologically prepare himself for gradually getting used to, and then for a long time to wear on his teeth certain structures that will have a mechanical effect on the bone tissue of the dento-maxillary section.
Braces, like new shoes, require patience to get used to them. Initially, they press and rub their lips, cheeks, distort the diction, then they require careful care, and most importantly - the braces generate such complexes in us! Awkwardness at work, stiffness in the circle of friends, despondency alone. ..
But braces are not shoes, even the most expensive, and shooting them daily is not so simple and not possible. The only way out is to survive the adaptation period.
By the way, you can protect the mucous from wounds with braces by using special wax for braces. And in the most difficult cases of difficult adaptation, when the patient is not ready for the long wearing of braces, the doctor, together with a psychologist, will pick up and suggest alternative ways of changing the occlusion, such as aesthetic restoration( masking the diastems and three - gaps between front and any other teeth)or the use of more gentle transparent cap.
Approximate time, how many braces should be worn for the patient, can be calculated only by the attending physician-orthodontist. This period is determined by many factors - the age of the patient, the state of the dento-jaw system, the degree of defectiveness of the bite of the teeth, features, quality and level( generation) of the bracket system, as well as the reaction of teeth to the impact of braces.
The duration of wearing devices that correct defects in the dentition, primarily depends on the complexity of the clinical case. For example, a maximum period will be required to treat a cross or open bite of the teeth.
Provided a competent and professionally organized diagnostic and preliminary stages, with qualitative installation of braces and not complex defects of teeth, the results can be noticeable after a few months. At this stage, the treatment may even be complete, not requiring subsequent fixation of the result. And still more often the first months of correction become for the doctor only a reference point for definition of duration of treatment of the concrete patient. And then we take into account the time associated with the reinstallation of structures, the possible replacement of a soft arc with a more rigid one, reinforcement of the system with additional ligatures and traction.
The duration of treatment with metal( non-removable) braces is almost twice as large as in plastic( removable) bracket systems. Self-regulating braces( "Damon") can shorten the treatment period by half or even three times, when the final correction of the bite can be achieved only after 1 year. The fact is that the Damon braces have a lower coefficient of friction with the arc.
The forced acceleration of the teeth alignment process, in addition to causing the patient too uncomfortable and painful sensations, can lead to zero to all previous efforts to correct the bite due to the fact that there is a thunderstorm of returning the teeth to the previous - the wrong place.
Wearing braces can last from one and a half to three or more years. The minimum period is six months. For the period of treatment, preventive examinations and consultations of the attending physician, correction or even replacement of the bracket systems for changing the direction or strengthening the effect on the teeth during their alignment must be mandatory.
Compliance with oral hygiene, impeccable, patient and regular care of the bracket system, compliance with the doctor's recommendations regarding the patient's nutrition, must be mandatory and unconditional. Braces do not tolerate neglect. It should be like a relationship to an expensive costume or a favorite evening dress that requires the attention of their owner. They should not only be protected from hard food, but also a pleasant preventive conditioner.
containers At the end of the active period of mechanical impact on the teeth, when their position became as expected, the consolidation of treatment results will be required. The period of such fixing is called retentional by the name of retentional arches or cap.
The expected duration of getting rid of defects in the dentition can only be determined by an orthodontist with an inevitable error in a couple of months.
The average duration of treatment on braces, established experimentally, is as follows:
- cosmetic defect - up to 1 year;
- cosmetic defect, functional defect, bite - up to 2 years;
- a complicated orthodontic treatment, surgery - 2-3 years.
This stage is completed by scraping the remainder of the adhesive material, polishing the enamel of the teeth. With this task you can cope for one visit to the doctor. This stage is the most long-awaited, foreshadowing the euphoria from the reaction of others, physical relief in the mouth and pleasure from your own smile. Now everything! Good luck.