Orthodontist Consultation Bandung

Orthodontics is a branch of dentistry that specializes in treating patients with improper positioning of teeth when the mouth is closed (malocclusion), which results in an improper bite. Orthodontics also includes treating and controlling various aspects of facial growth (dentofacial orthopedics) and the shape and development of the jaw. An orthodontics specialist is called an orthodontist. When can orthodontic treatment start?Treatment will not usually commence until the child is about 12 or 13 years old; when the adult teeth have come through and developed fully. In some cases treatment may start a couple of years later if teeth problems had not become noticeable beforehand.Children with a cleft lip and palate may require orthodontic treatment before their adult teeth have developed completely.Assessment - the orthodontist will assess the state of the patient's teeth and make a prediction on how they are likely to develop without treatment. The following diagnostic procedures will be performed:A full medical and dental health historyA clinical examinationX-rays of the teeth and jawPlaster models of the teethAfter the assessment is done, the orthodontist will decide on a treatment plan. There are two types of orthodontic appliances: fixed and removable ones.

How Do Braces Work?In their entirety, braces work by applying continuous pressure over a period of time to slowly move teeth in a specific direction. As the teeth move, the bone changes shape as pressure is applied. Braces are made up of the following components: Brackets are the small squares that are bonded directly to the front of each tooth with a special dental bonding agent or are attached to orthodontic bands. Brackets act like handles, holding the arch wires that move the teeth. There are several types of brackets, including stainless steel and tooth-colored ceramic or plastic, which are often selected because they’re less obvious. Occasionally, brackets are cemented to the back of teeth, in order to hide them from view.Orthodontic bands are stainless steel, clear, or tooth-colored materials that are cemented to the teeth with dental bonding agents. They wrap around each tooth to provide an anchor for the brackets. The clear or tooth-colored bands are more cosmetically appealing options but are more expensive than stainless steel. They are not used in all patients. Some people have only brackets and no bands.Spacers are separators that fit between teeth to create a small space prior to placement of orthodontic bands.Arch wires attach to the brackets and act as tracks to guide the movement of the teeth. Arch wires can be made of metal or be clear or tooth-colored.Ties are small rubber rings or fine wires that fasten the arch wire to the brackets. They can be clear, metal, or colored.A buccal tube on the band of the last tooth holds the end of the arch wire securely in place.Tiny elastic rubber bands, called ligatures, hold the arch wires to the brackets.Springs may be placed on the arch wires between brackets to push, pull, open, or close the spaces between teeth.Two bands on the upper teeth may have headgear tubes on them to hold the facebow of the he

In order to prevent the teeth moving back to their original position, may be worn once the treatment with braces is complete for the patient depending on their specific needs. Retainers help in maintaining and stabilizing the position of teeth long enough to permit reorganization of the supporting structures after active phase of orthodontic therapy. If the patient does not wear the braces appropriately for the right amount of time, the teeth may move towards their previous position. For regular traditional braces Hawley retainers are used. They are made of metal hooks that surround the teeth and are enclosed by an acrylic plate shaped to fit the patient's palate. For invisalign braces an Essix retainer is used. They are similar to the regular invisalign braces and is a clear plastic tray that is firmly fitted to the teeth that stays in place, and does not have a plate fitted to the palate. There is also a bonded retainer where a wire is permanently bonded to the lingual side of the teeth, usually the lower teeth only. Doctors will sometimes refuse to remove this retainer, and it may require a special orthodontic appointment to have it removed.