My Baby Has a Very Slight Case of Decalcification
Transpalatal Bar / Nance / Lingual Arch
The transpalatal bar / Nance / lingual curvation appliances are used in the upper and lower arches to maintain space. Primarily, they are placed in patients who are in transitional dentition (not all adult teeth have erupted), to hold infinite in the arch for the permanent teeth to erupt. In cases where it is appropriate to employ this appliance, it will be role of the beginning phase of orthodontic treatment.
The transpalatal bar / Nance is a metal bar fastened to the tongue side of the upper beginning molar bands, and form-fitted along the roof of the mouth, and information technology may or may non have acrylic. The transpalatal bar helps to maintain the width of the dental curvation. We commonly use this appliance for patients who take an impacted permanent tooth, and exposure of that tooth is suggested.
The lingual arch is a metallic bar that is fastened to the tongue side of the lower showtime molar bands, and class-fitted backside the teeth. This appliance is recommended when baby teeth are lost prematurely, so the space may exist maintained.
Biteplane
The biteplane is an appliance used to reduce a deep overbite, whereby the upper front teeth overlap the lower front end teeth excessively. It works by preventing the patient from biting downwardly all the way on his or her dorsum teeth. This allows the back teeth to sally naturally, which reduces the overlap of the front end teeth.
The biteplane is made of wire and acrylic, which can exist removable or cemented in place by an orthodontist. The removable biteplane is most effective when worn all the time. The quality of our cease event and completing handling on time is dependent upon the patient wearing the biteplane consistently.
Cardinal Points
- Wear the biteplane all the time, except when brushing or eating.
- Utilize caution when eating; some teeth may exist hitting edge to edge.
- Exist certain to keep the biteplane clean by brushing it at to the lowest degree in one case per twenty-four hour period.
Bitesplint
A bitesplint is a custom-fit rubber mouthpiece worn on the lower teeth. A bitesplint is primarily used to help in the correction of a crossbite (upper teeth within of lower teeth), and is worn along with upper braces. This appliance prevents the patient from biting completely, and that allows for the molar or teeth in crossbite to be moved into the correct position.
Key Points
- Wear the bitesplint all the time, except when eating or brushing your teeth.
- Be very conscientious when eating. Your teeth may be hitting border to edge and prone to chipping.
- Brush your bitesplint at to the lowest degree once per day.
- Don't drink soda or eat candy while the bitesplint is in place.
Fixed Lingual Retainer
Fixed lingual retainers are wires bonded behind the upper and/or lower front teeth, on the day the braces are removed. The lower wire is bonded in place to stabilize the lower front teeth during the retention phase of treatment. This wire remains in the mouth for at least two years, but ideally should remain as long as the patient is able to keep the back side of the lower front teeth clean.
When a fixed servant is used in the upper arch, it is usually backside the two upper front end teeth. This is typically used for patients who had a large space between the front teeth before orthodontic treatment. The upper fixed lingual retainer should remain in identify for every bit long as possible, or until your general dentist recommends information technology exist removed.
Forsus Springs
Forsus springs are used in cases where the upper teeth are forwards of the proper fit with the lower teeth. They take almost the same effect as prophylactic bands and are primarily used when patients take proven to be uncooperative with rubber band and/or headgear wear.
They are Non a substitute for headgear though. If headgear wear is poor, then Forsus springs may offer an acceptable compromise. Forsus springs are used as a second resort because rubber bands are usually more than comfortable to wear and permit for easier brushing.
Forsus springs are used in conjunction with upper and lower braces and are placed by an orthodontist. They are held in place by tubes on the upper molars and fastened to the lower archwire. The springs work EXTREMELY well because they are not removable and ensure a abiding force on the teeth.
Key Points
- Forsus springs will crusade some discomfort the first few days.
- They are normally worn for three to 4 months.
- Castor advisedly effectually the springs to go on everything clean.
- Be particularly cautious with your nutrition to avoid bending or breaking the springs.
Braces
Braces are the mechanism we use to "go a handle on the teeth." In other words, they merely provide an attachment with which nosotros tin can take hold of and move the teeth. Traditionally, full braces involve bands that are placed on the tooth teeth (which wrap entirely around the molar) and brackets bonded to all other teeth. A special blazon of glue is used to bond the brackets to the teeth. It is only strong plenty to keep the braces on during handling, only must be weak plenty so the braces can exist removed when treatment is complete.
Oral hygiene, including tooth brushing and flossing, is EXTREMELY of import during orthodontic care. Braces attached to the teeth provide many more than places for food particles and plaque to accumulate. This debris is like shooting fish in a barrel to remove with thorough and proper brushing and flossing. Without proper hygiene, the patient is at risk for developing decalcification (white marks) on the teeth, cavities, and puffy, overgrown gum tissue.
The photo above illustrates one type of braces we offer. Different colored "ties," which hold the archwire to the bracket, may be chosen at each appointment. For mature teens and adults, we too offer ceramic brackets. These brackets are less noticeable because they are the same colour every bit your tooth. Recall, though, that the archwires going through the brackets will still be visible.
Headgear
This appliance is used when there is a difference in growth between the upper and lower jaws, such that the upper teeth and jaw are likewise far forrad of the lower teeth and jaw. This status is often responsible for the appearance of protruded upper front teeth or "cadet teeth" and can besides crusade an excessive vertical overlap of the front teeth or "deep bite."
This appliance may also exist used to prevent the upper back teeth from slipping forrad during infinite closure in patients who accept had extractions for bite correction. The headgear uses the back of the neck (see photo) as an "anchor" to correct this relationship. The inner function of the headgear slides into tubes on the side of the first molar teeth.
Key Points
- Habiliment the headgear at least 14 hours per mean solar day. In other words, after school, later dinner, and all night every bit you sleep.
- The more consistently yous wear your headgear, the less total time yous will ultimately demand to vesture it.
- Patients who wear their headgear appropriately can usually exist finished with it within a year.
- Exist gentle when removing and inserting the headgear. Should a molar band become loose, delight telephone call as before long as possible to have it repaired.
- Delight recall to bring your headgear to our part on every visit for any needed adjustments.
Lower Spring Retainer
In cases where at that place is plaque and calculus build upwardly and/or there is a hygiene problem with swollen gums, it may exist recommended that a lower spring retainer exist used. Nosotros also use this retainer when there has been a small-scale amount of relapse in tooth movement.
This is a small removable wire and acrylic retainer that fits over the lower forepart teeth. The lower spring retainer may be used simply to concord the alignment of the teeth or to correct slight rotations or crookedness.
Palatal Expander
In the field of orthodontics, no appliance is more effective at expanding the maxillary (upper) curvation. A palatal expander is our outset choice for patients who require an increase in the width of the upper dental curvation. This not simply corrects crossbites, simply it creates needed space when at that place is crowding.
Palate expanders utilize 2 or four teeth to anchor themselves in identify, and by turning a small spiral (shown in the center) nosotros are able to attain expansion of the upper jaw by equally much equally 3/4 of an inch! The goal of the appliance is not but to movement the teeth apart, simply also to move the bones of the palate apart.
Since a palate expander is primarily an orthopedic apparatus (influencing the growth of bone), the younger the patient's historic period when information technology is used, the more rapid and more stable the correction. When a patient reaches the stage we telephone call skeletal maturity (approximately age 16 for girls and for boys around the age of xviii), the two basic that contain the upper jaw fuse, and expansion through orthopedics is extremely difficult without surgical assistance.
Fundamental Points
- Expansion is usually completed inside two to three weeks.
- The expander must stay in place for almost half-dozen months. This allows time for the bone to heal in. If the expander is removed too soon, the bones and teeth volition plummet back in.
- It is completely normal, and fifty-fifty desirable, for a infinite to form between the ii upper front end teeth during expansion. It is a sign that the two bones that make up the palate take been effectively separated.
- Keep your expander clean with conscientious brushing.
Reverse Pull Headgear
A reverse pull headgear is used to right skeletal Class Three malocclusions, which means the upper jaw is less prominent than the lower jaw. In other words the upper jaw is behind, or the lower jaw is forrad. A dental "underbite" normally accompanies this jaw relationship. This ways the lower front teeth are in front of the upper front teeth.
The goal of the opposite pull headgear is to encourage forward growth of the upper jaw, which can correct the underbite and improve facial appearance.
It is near common to use this appliance at a very young age; in fact, the younger, the better! In some cases which would eventually crave jaw surgery, it can exist avoided past proper and consistent utilise of the headgear.
Key Points
- Success with reverse pull headgear depends on your cooperation.
- It's crucial to habiliment the headgear at least 14 hours a day. Habiliment information technology after school, after dinner, and all dark long. The more than consistently y'all vesture your headgear, the less full time yous will ultimately need to wear it.
- Delight remember to bring your reverse pull headgear to the office on every visit for whatsoever adjustments that may be needed.
- Should yous run out of rubber bands or take a tooth band get loose, please call usa every bit shortly as possible.
Rubber Bands
Rubber bands are the primary mechanism we utilize to move teeth and so they fit together correctly top to bottom. They can exist worn in any number of configurations. Rubber bands are attached using hooks that are office of the brackets or the bands.
E'er remember that braces merely give us a way to "catch onto" the teeth. Information technology is the safety bands and wires that motility the teeth. The rubber ring phase of treatment is the one that takes the longest in the average patient. Please keep in mind that the safety bands but move teeth; yet, if you take whatever discomfort in your jaw articulation, please let u.s. know.
The quality of our terminate result and completing treatment on fourth dimension is dependent upon the patient post-obit instructions for wearing rubber bands precisely. In almost instants, this ways all the fourth dimension. For those who seek maximum aesthetics, we have molar-colored rubber bands. For those who want to make a way statement, we have fun colors.
Separators
Separators are minor condom or metallic rings that are placed between the contacts of the teeth. Their purpose is to create space between the teeth to allow for the placement of bands on the molar teeth.
The separators are placed five to 10 days prior to the start appointment. Initially, they may crusade some minor discomfort. Patients sometimes say it feels like a slice of meat stuck between their teeth.
During this period, we ask the patient to avoid sticky or chewy foods to prevent them from becoming dislodged. You volition need to check them periodically, and if they fall out, delight contact our function to determine if they will need to be replaced.
Turbo Brackets
Turbo brackets are appliances used to reduce a deep overbite, whereby the upper front teeth overlap the lower front teeth excessively. These appliances piece of work by preventing the patient from biting down all the way on his/her back teeth; this allows the back teeth to sally naturally, thus reducing the overlap of the front teeth.
The turbo brackets are small metallic brackets cemented behind the two upper front end teeth. They are extremely constructive because they cannot be removed. Even so, they may cause difficulty during eating, at first. We recommend eating soft foods during this transition, and expect you may the back teeth to come together over the form of a few months.
Cardinal Points
- Permit united states know if you play football or wrestle, because the turbos should not be in place during heavy-contact sports.
- Residuum bodacious that your back teeth will touch again.
- Effort not to grind or champ on your turbo brackets.
Upper Retainers (Removable)
The sideslip cover or Essix retainer (articulate plastic) is the beginning initial servant that virtually patients receive on the day the braces are removed. The skid comprehend servant is to be worn at all times until the patient receives a Hawley retainer.
These retainers effectively maintain the alignment of teeth, while simultaneously allowing for controlled, infinitesimal movement of teeth which orthodontists call "settling." When worn as instructed, the bite actually improves in the critical first few weeks after the braces are removed.
Retainers are truly as of import as braces in the long-term result of orthodontic handling. And YES, retention is a lifelong commitment. Shifting and crowding of the teeth take been shown to exist part of the normal crumbling process. Your retainers allow yous to keep your youthful smile long after nature intended.
Recollect, though, that your teeth will be their straightest the day your braces are taken off. It is normal to accept some slight changes in alignment fifty-fifty with flawless servant wear. To keep these changes to an absolute minimum, wear your retainer(s) every bit instructed.
Delight follow our use, intendance, and maintenance instructions carefully. We will propose you of any special instructions for your particular example.
Source: https://www.kbraces.com/types-of-appliances
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