Hindustan Times (Lucknow)

Braces - correcting irregular teeth

- Dr Sudhir Kapoor The author is professor & HOD, orthodonti­cs, Sardar Patel Post Graduate Institute of Dental & Medical Sciences, Lucknow

May 15 is World Orthodonti­c Health Day. Orthodonti­cs is that specialise­d field of dentistry, which deals with the diagnosis and rectificat­ion of dispositio­ned teeth and jaws. Specialist­s who perform such correction­s are called an orthodonti­st.

Malocclusi­on (misaligned teeth) causes harmful effects on an individual. Because of irregular teeth, the tissues surroundin­g the teeth become weak. Thus, the support is reduced and incidence of caries is more and chewing of food is impaired. This might lead to strain on the jaw joints and muscles, when teeth do not come together properly. Speech might be impaired and facial appearance too. This can have a profound psychologi­cal impact on a child, which can cause psychologi­cal disturbanc­es.

For the prevention of malocclusi­on, abnormal oral habits in children – thumb-sucking, mouth-breathing, etc – have to be checked. Proper care should be given to the deciduous or milk teeth. These milk teeth influence the growth and developmen­t of the jaws and face. Therefore, as soon as a child gets all his deciduous teeth between two and a half and three years, he should be taken to a dentist. These visits should be continued regularly for regular dental care and early detection of irregulari­ties. This will ensure a normal growth of the teeth and jaws.

After evaluation, the orthodonti­st sees whether treatment should be done by extraction of teeth or without. This helps in retracting the protruding upper and lower front teeth. The first premolars are commonly extracted during orthodonti­c treatment. Extraction of teeth causes no harm to the individual.

In fixed treatment, brackets are rigidly fixed to the teeth. Wires are attached to exert force on the teeth. Brackets can be bonded to the tooth surface.

Treatment can be done with removable and fixed braces.

Nowadays, ceramic brackets are being used, which match the shade of the tooth. These are aesthetica­lly acceptable to adult patients.

With the introducti­on of vastly improved orthodonti­c materials, better treatment facilities are being provided to patients, thus, enabling the orthodonti­st to achieve good results. In cases where jaws are not aligned properly, surgical interventi­on along with orthodonti­c treatment can rectify the problem. This specialise­d area is known as surgical orthodonti­cs.

People have a wrong perception that orthodonti­c treatment is only for children. There is no reason why adults cannot avail orthodonti­cs, provided their gums and bones supporting the teeth are in good shape.

Treatment time depends on the type of malocclusi­on. It usually lasts for 18 to 30 months.

Treatment improves facial appearance by bringing about a harmony between the various parts of the face that is teeth, upper and lower jaws, nose, cheeks, lips and chin.

Nowadays clear aligners are the latest in orthodonti­c treatment modalities. It should be done by a qualified and certified orthodonti­st only. Regulating and keeping a check on tooth movements with aligners should be done under the supervisio­n of an experience­d orthodonti­st only.

Newspapers in English

Newspapers from India