Orthodontics

Your crooked and misaligned teeth can be corrected to perfection. We have different types of braces to fit your needs.

The 3 stages of orthodontic treatment:

• Space is created in mouth for arrangement of teeth.
• The braces are attached to teeth for tooth movement.
• Braces are replaced with retainers.

Why do we need braces or orthodontic appliances?

• Not everyone is gifted with a Hollywood smile
• For some the size of the jaw is larger than the teeth size ,resulting in teeth with spaces.
• For those whom the jaw size is smaller, the teeth happen to be crowded or overlapping.. This also occurs due to childhood decay which might have resulted in loss of space.
• For some with mouth breathing habits (due to deviated nasal septum or chronic allergies) the face seems to be long.
• For some the teeth are forwardly placed, it may have been a result of habits like thumb sucking or tongue thrusting.   They may not be able to close their lips fully. This may also result in an open bite where the front teeth do not meet together.

Whatever the problem, it can be corrected and set right through some appliances and braces. The science of “straightening your teeth” is called orthodontics and the doctor who corrects it is called and “orthodontist”.

Why should you go for braces or aligners

• Teeth that are overlapping and “ crowded” are difficult to clean, putting you at a risk of cavities and gum disease.
• Many times the overlapping teeth can cause decay in the adjacent tooth too.
• Teeth that are protruding are often prone to injuries.
• Spacing in between teeth leads to early bone loss, and loss of support, causing early loss of teeth.
• Jaw growth discrepancies may affect the jaw joint (TMJ) causing a chronic pain or Temporo Mandibular Disorder (TMD).
  Teeth alignment problems cause decay, bad breath and gum disease.
• Teeth alignment also affect the facial appearance.

When should treatment begin?

Ideally the orthodontic treatment should begin between the ages 10 and 14. This is when a child’s head and mouth are still growing and teeth are easier to straighten, treatment duration will be 8 months to 16 months based upon the severity of the condition. Certain jaw growth problems can be handled simply in mixed dentition period, before the permanent teeth erupt hence the treatment can begin at an early age of 6.

But it’s can be done at any age “ better late than never”.
In some children with habits like mouth breathing, thumb sucking, these can be corrected with orthodontic appliances.

Types of Braces

There are different types of braces. The most common are metal or ceramic braces attached to the front surface of the teeth. “Lingual” braces attach to the back of teeth. They are hidden from view.

STUDY MODEL / ORTHO IMPRESSION/IMPLANT IMPRESSION

A diagnostic cast of an impression of the dental arches. The study model serves as the basis for construction of dental appliances, dentures, or orthodontic treatment.

METAL BRACES / TRADITIONAL BRACES

These are most economical type of braces .
The metal braces used at Nidhi white dental are of the highest quality, usually 3M , American  orthodontics or Damon or their equivalent. We use technique the straight arch-wire technique which is scientifically proven and has a sound research back up with long term success rates.

The braces have basically three components:

• Brackets, which is fixed to the tooth,
• Wire which exerts the force and the component that holds them together.

The braces are made of stainless steel and are strong. The wires are made of Nickel titanium . The braces are fixed to the teeth using a colorless or tooth colored resin paste. The wire is then placed in the groove of the metal brackets and then fixed by tying (ligating) them . Small silicon bands are used for ligating the wire to the brackets. Sometimes thin stainless steel wires are also used.

Advantages of Metal Braces:

• Economical
• Strong
• Can be adapted for any type of corrections
• Can be combined with additional functional appliances
• Have a very long track record (evidence based medicine)

Disadvantages of Metal Braces:

• They are visible
• Require rigorous maintenance since they are stuck to the teeth for the entire treatment period.
• If maintenance is poor, can lead to demineralization of the tooth at times.
• The non-self ligating variety of requires regular check ups.
• Eating habits will have to be modified.

LESS VISIBLE BRACES – CERAMIC BRACES (TOOTH COLOURED BRACES)

These are the ceramic or tooth colored replicas of the metal braces. While the function and the method of action are the same, they are less visible and are easier to clean.

Advantages of ceramic braces:

• Tooth colored.
• Less visible.
• Can be adapted to correct most malocclusions except the ones where the bite force on the braces might be heavy.
• Require less rigorous maintenance than traditional metal braces.

Disadvantages of ceramic Brackets

• They are not completely invisible.
• Require maintenance ,additional tooth brushing techniques and appliances since they are stuck to the teeth for the entire treatment period
  If maintenance is poor, can lead to demineralization of the tooth at times.
• The non-self ligating variety of requires regular check.
• May not be suitable where patient has a deep bite and the braces may encounter heavy bite force.
• Chewy food like caramel and hard cracker like food have to be avoided.

Braces – Ceramic Self Ligating – GEMINI

Tooth coloured brackets wherein the force from the wires are transferred to the tooth through the bracket that is stuck to the tooth. A small silicon band is used to keep the wire in contact with the braces. In self ligating braces the brackets are so designed to lock the wire by themselves.

Wilkodontics /surgically assisted ortho/ corticotomy

This method has been suggested to enhance tooth movement and, consequently, reduces orthodontic treatment time as a whole. It is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting and the application of orthodontic forces.

INVISIBLE BRACES – LINGUAL BRACES

Braces have conventionally been fitted to the front of the teeth , making them visible during the entire course of the treatment. Since this may be awkward and not suitable for some, the braces that can be fitted to the inside of the tooth called the lingual surface, was developed.

These lingual braces are custom made at the lab. Every component of the braces is pre-positioned and sent as a set. This set is then placed over the teeth and light cured. Being custom made, these braces are slightly more costly than their labial (lip side) conventional braces.

Lingual Dental Braces Advantages:

• Less visible.
• Crafted individually for every patient.
• Visible change in a short time.
• Reliable correction of all types of incorrect tooth positions.
• Suitable for all age groups.
• NO risk of decalcification on the front tooth surface.

Lingual dental braces Disadvantages:

• May need time for adaptation for some people.
• Needs preparation time, cannot be started right away.
• Since they are fixed to the teeth for a time period, rigorous maintenance needs to be followed.
• Some food may need to be avoided.

All types of lingual braces available at Nidhi white dental:

• Upper lingual and lower labial ceramic braces
• Standard lingual
• Comfort lingual
• INCOGNITO (3M)

SELF LIGATING BRACES

Orthodontists move teeth through the use of specialized metal or ceramic braces, which permits the application of steady pressure over time to move teeth into their ideal positions. With traditional braces, there are three main components that are used to make this possible. The brace (brackets) itself, which is placed on the tooth, the arch wire, which runs through each brace and applies corrective pressure to the teeth, and a “tie” (typically made from elastic material) which connects the arch wire to the brace to transfer the force from the wire to the tooth through the bracket. These ties are usually visible like a rubber-band around bracket. They sometimes accumulate food and are difficult to clean. Sometimes they snap, or move, which is why frequent check-ups are necessary.

Sometimes they snap, or move, which is why frequent check-ups are necessary.

However, the new, Self-Ligating braces eliminate the need for elastic or metal ties, and instead use a permanently installed “click-lock” like mechanism to hold on to the wire
Self-Ligating braces offer a number of benefits compared to traditional braces.

• Treatment is faster
• They are easier to clean than brackets with elastics
• The number of visits to the dentist is considerably reduced. you may need to see the dentist only once in 3 months.

Self ligating braces are also made of ceramic/ tooth colored materials for lesser visibility.

CLEAR ALIGNERS

For those who cannot go through the process of fixing braces to their teeth we have the aligners.

These aligners are:

• Transparent
• Removable
• Easy to wear
• Can be self handled

Prepared by CAD CAM and 3D printing technology
This method of treatment allows the teeth to be aligned without having to wear braces. These are transparent covers that are placed over the teeth and clicked on .They need to be custom fabricated for the individual. The final treatment result is predictable and perceivable through the soft ware. For more information please visit our page on “INVISALIGN”

Retainers

Following orthodontic treatment retainers are given to hold the tooth in new position to avoid movement of teeth to the previous position.

Habit Breaking Appliance / Lip Bumper / Oral Screen / Upper Hawleys with tongue Spike/ trainers

Thumb sucking, mouth breathing, nail biting, lip sucking habits need to be broken after the age of 4 years. The paediatric dental specialist can design a special appliance and custom make it for the child to help break the habit.

Hawley’s Appliance Per Arch/ Essix retainer

Removable appliance for minimal tooth movement/ retain teeth in position following orthodontic treatment.

Reverse Pull Headgear/ Face Mask Therapy

Jaw growth disturbances can be corrected during the growing stage of the child by using simple appliances to stimulate or inhibit facial bone growth to give the desired facial proportions.

Arch Expansion Appliance

Jaw growth disturbances can be corrected during the growing stage of the child by using simple appliances to stimulate or inhibit facial bone growth to give the desired facial proportions.

Myo functional appliances / Activator / Bionator / Catalans / Frankels / Twin Block

Jaw growth disturbances can be corrected during the growing stage of the child by using simple appliances to stimulate or inhibit facial bone growth to give the desired facial proportions.

Face Mask / Head Gear with RME

Orthodontic headgear is used to control the growth of the maxillary and mandibular bones during orthodontic treatment. The most common treatment headgear is used for is to correct anteroposterior discrepancies.

Gnathological splint I

It is a conservative, safe and an effective mode of therapy for TMDs caused by occlusal discrepancies (fulcrum/interferences)

Posterior bite plane

A removable dental appliance used to cover the occlusal surface of teeth to prevent their contact and, over time, close an open bite.

Anterior Bite Plane/Inclined Plane

A removable dental appliance used to cover the occlusal surface of teeth to prevent their contact and, over time, open a deep bite.