What are the benefits of orthodontic treatment?

• Orthodontic treatment helps to align teeth beautifully, correct bite, reduce problems such as crowded teeth, protruding teeth, or gaps between teeth. It also makes cleaning easier, reduces the risk of cavities and gum inflammation, and boosts confidence in your smile.
• There are many types of orthodontic treatment, such as metal braces, ceramic braces, lingual braces, clear aligners (Invisalign), the Damon system, and pediatric orthodontics. Each type is suitable for different dental problems and needs.
• Orthodontic treatment at Vibhavadi Hospital offers attentive and reliable service, with expert dentists, modern technology, precise treatment planning, and personalized standards tailored to each individual.

Orthodontic treatment involves adjusting the position of teeth and jaws to create an optimal and aesthetically pleasing alignment. Orthodontics isn't just for cosmetic purposes; it also addresses chewing problems, crowded teeth, protruding teeth, and other long-term oral health issues.

This article will explore the benefits of orthodontics, the different types available, the advantages and disadvantages of each, and how to prepare for treatment and care after wearing braces, ensuring a smooth, effective, and successful treatment experience!

What is orthodontics?

Orthodontics is the process of adjusting the position of teeth and jaws to achieve proper alignment and function. This is done using specialized tools such as braces or clear aligners. Orthodontics helps to align teeth correctly, improve bite alignment, boost confidence in smiling, enhance chewing efficiency, reduce tooth wear, and help prevent oral health problems such as cavities and gum disease.

In addition, it can correct crowded teeth, gaps between teeth, or jaw imbalances, making speech, chewing, and cleaning easier. This leads to better long-term oral health and positively impacts the wearer's appearance and self-confidence.

Who is suitable for orthodontic treatment? What are the benefits? What types of teeth should be straightened?

Orthodontic treatment isn't just for aesthetics; it also helps correct tooth alignment, chewing problems, and long-term oral health. Those who should consider orthodontic treatment often have the following conditions or problems

• Munching, crooked, or misaligned teeth; teeth that are difficult to clean and at risk of decay.
• Gapping or uneven teeth; excessively spaced teeth that can affect chewing and smile.
• Protruding teeth; lower teeth overlapping upper teeth / deep bite / open bite; bite problems that lead to incomplete chewing.
• Difficulty chewing or jaw pain; helps improve jaw function.
• Tooth shifting due to long-extracted teeth that weren't replaced with dentures or orthodontics.
• Premature or delayed loss of baby teeth (in children); prevents permanent teeth from erupting in the wrong position.
• Those who want to boost their confidence in their smile and personality; promotes confidence in speaking and smiling.
• Teeth that become crowded or spaced again after orthodontic treatment in childhood; helps realign teeth.
• Helps improve speech clarity in some cases; corrects pronunciation of certain words.
• Reduces the risk of future decay and gum disease; makes cleaning easier.
• Children with jaw structure problems or mismatches should have their jaws corrected to allow for normal growth.

Those who are not suitable for orthodontic treatment include individuals with severe gum disease, extensive and untreated cavities, those with certain oral health problems that need to be addressed first, and individuals with certain medical limitations, such as severe temporomandibular joint (TMJ) disorders. Consult a dentist before deciding on orthodontic treatment.

How many types of orthodontic treatment are there?

Orthodontic treatment is the process of adjusting the position of teeth and jaws to create a beautiful alignment and correct malocclusion. Besides improving your smile, it also helps with chewing and long-term dental health. Currently, there are several orthodontic methods to choose from, depending on suitability, including

1. Metal Braces

Metal braces are the most popular and traditional form of orthodontic treatment. They use metal brackets attached to the surface of each tooth, and an archwire is passed through the brackets along with elastic ligatures to control the force that moves the teeth according to the treatment plan. This method is suitable for those with crowded teeth, crooked teeth, protruding teeth, or malocclusion who desire clear and precise results. The average treatment time is approximately 18-36 months, depending on the complexity of the case.

Advantages

• Provides precise tooth movement, suitable for difficult and complex cases.
• It is the standard method frequently used by dentists, and the results are well-predictable.
• The appliance is strong and durable, less prone to breakage.
• It is the most cost-effective method compared to other types of orthodontic treatment.

Limitations

• The braces are visible, which may affect self-confidence.
• May cause initial irritation to the lips and cheeks.
• Meticulous oral hygiene is required to prevent cavities and tartar buildup.
• Regular visits to the dentist are necessary for adjustments to the braces.
• Some soreness or tightness may occur after the braces are adjusted.

2. Ceramic Braces

Ceramic braces use tooth-colored or clear ceramic brackets, making the appliance look more natural and closer to the natural tooth color. The wire passes through the brackets and is secured with elastics, similar to metal braces. Suitable for adults or those who care about aesthetics but still want precise tooth correction. The average treatment time is approximately 18-36 months.

Advantages

• The appliance color blends seamlessly with the teeth, looking natural and inconspicuous.
• Effectiveness is comparable to metal braces.
• Suitable for those who need to consider their appearance, such as working adults.

Limitations

• More expensive than metal braces.
• May change color if not properly cared for.
• Slightly more fragile than metal braces.
• Requires meticulous cleaning.

3. Lingual Braces

Lingual braces involve attaching orthodontic appliances to the back of the teeth (tongue side), making them virtually invisible from the outside. The orthodontist attaches the appliance to the inside of each tooth, inserts the wire, and adjusts the tension according to the plan. Suitable for working professionals, adults, public figures, or those who don't want others to see their braces. The average treatment time is approximately 24-36 months.

Advantages

• The braces are well-hidden and virtually invisible from the outside.
• The results are similar to traditional metal braces.
• Suitable for patients who still need brackets but cannot tolerate visible braces.

Limitations

• Relatively high cost; custom-made aligners are required.
• Initial tongue irritation may make speaking difficult.
• More difficult to clean.
• Treatment time may be longer in some cases.
• Requires a highly skilled specialist orthodontist.

4. Clear Aligners

Clear aligners are a very popular alternative to Invisalign. They use custom-designed clear aligners, created using 3D computer systems. The aligners are changed periodically every 1-2 weeks to gradually move teeth, reducing pressure. They can be removed for eating or brushing. Suitable for those who prioritize aesthetics, a convenient lifestyle, and consistency in wearing them. The average treatment time is approximately 12-24 months, depending on the complexity of the case.

Advantages

• Almost invisible, aesthetically pleasing, and natural-looking.
• Can be easily removed for eating/brushing.
• Easy to clean. Reduces stains and cavities.
• Less pain.
• Allows for normal daily life.

Limitations

• High cost
• Requires discipline, wearing 20-22 hours/day.
• Frequent removal or failure to follow the plan may result in ineffectiveness.
• Very complex cases may sometimes require combination with other techniques.

5. Self-Ligating Brackets

Self-ligating brackets are a type of orthodontics that does not use rubber bands to hold the wires together, resulting in lower friction and gentler tooth movement. Popularly known as the Damon brand, the orthodontist attaches brackets to the teeth, inserts a wire, and allows the wire to move on its own. Suitable for those who want better results and greater comfort. Results are typically seen in 12-30 months.

Advantages

• Self-ligating system reduces friction, resulting in gentler tooth movement.
• Many cases are treated faster than traditional methods.
• May be less painful.
• Requires fewer dentist visits than traditional methods.
• Available in both metal and ceramic.

Limitations

• More expensive than regular metal brackets.
• Not all cases are treated quickly.
• You need to see a dentist with specialized experience.
• Brackets are still attached to the front teeth.

6. Early Orthodontic Treatment

Early orthodontic treatment for children involves examining and adjusting teeth from a young age, using fixed or removable appliances such as expanders or retainers to align the teeth or jaws. The process involves assessing dental problems, attaching appliances, and monitoring according to the plan. It is suitable for children aged 6-12 years who have some permanent teeth already erupted, or have crowded teeth, crooked teeth, or malocclusion. Results are typically seen within 12-24 months.

Advantages

• Better control and modification of jaw growth.
• Reduces the risk of future surgery.
• Reduces the complexity of orthodontic treatment later in life.
• Helps facial and jaw shape develop appropriately.
• Increases child's confidence sooner.

Limitations

• Requires close supervision and monitoring.
• The child must cooperate.
• Some cases may require repeat treatment later in life.

Tools Used in Orthodontics

Orthodontic treatment involves more than just wires and brackets; several types of tools are used to move teeth according to the dentist's plan.

1. Brackets

Small pieces attached to teeth to hold the orthodontic wire in place. They act as control points for tooth movement. They come in various types, such as metal, ceramic, or lingual.

2. Archwires

Wires threaded through the brackets, pulling or pushing teeth to move according to the plan. They have varying degrees of flexibility and strength, used to adjust the tension over time.

3. Elastic Ligatures

Small rubber bands that secure the wire to the bracket, holding it in place. They come in various colors and must be replaced at each dental visit.

4. Elastics/Rubber Bands

Elastic bands connected between the upper and lower teeth to help adjust the bite and align the upper and lower teeth. They must be worn daily as instructed by the dentist.

5. Springs & Auxiliaries

Used to push teeth apart or pull them into place, suitable for cases of crowded teeth or gaps. Helps teeth move faster.

6. Molar Tubes/Bands

Attached to the molars to hold the main wire and lateral elastics. Sometimes a metal ring around the molars, helping to fully transfer the force from the wire and elastics to the molars.

7. Palatal Expander

Used to expand the palate or upper jaw. Suitable for children or those with narrow jaws, creating space for teeth to align properly.

8. Retainers

Worn after orthodontic treatment is complete to maintain the tooth position. There are removable types, such as Clear or Hawley, and fixed types (attached to the inside of the mouth).

9. Clear Aligners (e.g., Invisalign)

Removable clear aligners, changed every 1-2 weeks. Helps teeth move according to the plan. Convenient, easy to clean, and invisible from the outside.

10. Orthodontic Wax

Used to prevent irritation from brackets or wires. Applied to areas that rub against the gums or cheeks. Used temporarily for comfort.

Preparing for Orthodontic Treatment

Orthodontic treatment requires time and cooperation from the patient. Preparing yourself physically and mentally will help ensure a smooth treatment process, reducing pain and potential problems.

• Initial Oral Health Check Before starting orthodontic treatment, a check of your teeth, gums, and jaw should be performed to assess any problems that may affect the treatment.
• X-rays and Impressions for Treatment Planning X-rays and impressions help the dentist plan the orthodontic treatment accurately.
• Oral Clearance (Pre-Treatment) Eliminate oral germs, such as scaling and treating cavities, before starting orthodontic treatment.
• Adjusting Oral Care Habits Learn the correct way to brush and floss to prevent cavities and gum inflammation during orthodontic treatment.
• Understanding the Treatment Plan with Your Dentist Clearly understand the duration, type of orthodontic treatment, and the treatment steps to prepare yourself.
• Dietary Preparation Know which foods to avoid, such as sticky, hard, or difficult-to-chew foods.
• Avoiding Forbidden Foods Before Starting Orthodontic Treatment Adjusting your eating habits before starting orthodontic treatment reduces the risk of damage to the orthodontic appliances.
• Preparing for Retainers After Treatment Understand how to wear and care for retainers after treatment. To prevent teeth from shifting back
• Schedule regular dental appointments. Strictly follow your treatment plan for wire adjustments and follow-up.
• Prepare yourself mentally. Be prepared for initial pain and to adjust to having the appliance in your mouth.

Orthodontic Treatment Process

After the preparatory steps, initial assessment, and oral clearance (e.g., treatment of cavities, gum inflammation, or impacted teeth), the dentist will take X-rays and impressions or perform a 3D oral scan to create a dental model and accurately plan the orthodontic treatment. The treatment process involves the following steps

1. Attaching the chosen orthodontic appliance

The orthodontist will attach brackets, braces, or clear aligners according to the planned schedule to begin the tooth movement process. Each type of appliance is adjusted to suit each individual's dental condition.

2. Adjustment appointments or aligner changes every 4-8 weeks

Adjusting the wires or changing the aligners stimulates tooth movement according to the plan. Regular appointments help maintain the desired results and minimize pain.

3. Finishing Phase

Once the teeth are close to the target position, the dentist will make adjustments, such as aligning the teeth for a beautiful, straight smile and perfecting the bite.

4. Removal of orthodontic appliances

Once the teeth are beautifully aligned and the bite is correct, the orthodontic appliances are removed. The dentist will clean your teeth and check their condition before proceeding to the next step.

5. Wearing a Retainer

Retainers help maintain the position of the teeth and prevent them from shifting back. Teeth that have just been straightened are still prone to movement, so wearing a retainer diligently is crucial.

6. Follow-up Appointment After Braces Removal

The dentist will schedule periodic check-ups to monitor the tooth position and assess oral health. If tooth movement occurs, the retainer can be adjusted in a timely manner.

Post-Orthodontic Care

After orthodontic treatment, proper oral care is crucial to maintain beautiful tooth alignment and minimize problems such as cavities, gum inflammation, or appliance damage. Correct care will help prolong the effectiveness of your orthodontic treatment.

• Brush your teeth twice a day, but you may need to spend more time brushing. Adding cleaning after meals will help reduce food debris and bacteria, preventing cavities and gum inflammation.
• Floss or interdental brushes daily to clean between teeth and under wires that a regular brush can't reach.
• Avoid hard, sticky, and crunchy foods to reduce the risk of wires or brackets coming loose or being damaged.
• Manage soreness or irritation. Use orthodontic wax or pain relievers as directed by your dentist.
• Eat soft foods initially, such as yogurt, soup, or porridge, to reduce pressure on your teeth and gums.
• Attend all scheduled appointments with your dentist for wire adjustments, checkups, and monitoring of tooth movement.
• Wear elastics as prescribed by your dentist. If elastics are used, wear them for the prescribed hours to ensure proper tooth movement.
• Avoid sugary drinks and soda. Reduce cavities and tartar buildup.
• Use fluoride mouthwash regularly to help prevent cavities and strengthen tooth enamel.
• Maintain gum health. Gently massage your gums and brush carefully to reduce the risk of gingivitis.
• If a wire pokes you or a brace comes loose, contact your clinic immediately to prevent injury and tooth misalignment.
• Keep your lips and mouth moist. Use lip balm and drink plenty of water to reduce dryness and cracking of the lips.

Advantages and Disadvantages of Orthodontic Treatment

Orthodontic treatment isn't just for aesthetics; it also helps correct bite alignment, reducing long-term dental and jaw health problems. Orthodontic treatment has both advantages and disadvantages that should be considered before making a decision

Advantages of Orthodontic Treatment

• A beautifully aligned smile Orthodontic treatment helps align teeth beautifully, resulting in a better smile and increased confidence when speaking or taking photos.
• Corrected bite A proper bite allows for efficient chewing, reducing pressure on the teeth and jaws.
• Reduced risk of cavities and gum disease Well-aligned teeth are easier to clean, reducing the accumulation of food debris and bacteria.
• Prevention of future jaw problems Orthodontic treatment may help reduce the risk of jaw pain or long-term bite problems.
• Improved speech The alignment of teeth affects speech. Orthodontic treatment helps improve the clarity of pronunciation of words.

Disadvantages of Orthodontic Treatment

• Relatively high cost Orthodontic treatment can cost tens of thousands to hundreds of thousands of baht, depending on the type of treatment and duration.
• Longer time to see results Orthodontic treatment takes several months to several years, depending on the complexity of the teeth.
• Possible pain or irritation There may be some initial pain or irritation, especially after wire adjustments. Those wearing braces may experience soreness or irritation in their gums and cheeks.
• Strict oral hygiene is crucial. Braces make cleaning teeth more difficult, and neglect can lead to cavities or gum inflammation.
• Teeth may shift back after treatment if retainers are not worn as directed; teeth may revert to their original position, becoming crowded or misaligned.

Things to Know Before Getting Braces

Orthodontic treatment is a dental procedure that requires time and ongoing care. Before deciding to get braces, it's important to understand several key points to prepare yourself physically and mentally, minimizing risks and side effects, and achieving the desired results.

• Braces take 1-3 years and results aren't immediate. Tooth movement is a gradual process, so patience and following your dentist's instructions are crucial.
• Tooth extraction may be necessary in some cases. If teeth are severely crowded, removing a few teeth may create space for the remaining teeth to align beautifully.
• Oral hygiene must be cleared before starting treatment. Cavities, gum inflammation, and impacted teeth must be treated before beginning treatment.
• Initial pain or irritation is normal during the adjustment period with the wires or braces. Prepare by using orthodontic wax or soft foods.
• Extra oral hygiene is required. Brush correctly, floss, and use mouthwash to reduce the risk of cavities and gum inflammation.
• Avoid certain foods – hard, sticky, or crunchy – as they can damage the wires or brackets.
• Regular follow-up appointments with your dentist are essential for monitoring tooth movement, adjusting the wires, and checking your oral health.
• The cost depends on the type of orthodontic treatment. Metal braces, ceramic braces, Damon aligners, or Invisalign all have different costs depending on their complexity and duration.
• Orthodontic treatment isn't just for aesthetics; it's about improving dental health, correcting bite alignment, reducing cavities, gum inflammation, and future jaw risks.
• Retainers must always be worn after treatment. They help maintain tooth position and prevent shifting, preserving long-term results.
• Orthodontic treatment is suitable for all ages – children, adults, and seniors – as long as oral health is good.

Does getting braces hurt?

Getting braces often involves some initial pain or irritation after the braces are fitted or the wires are adjusted. However, most of the pain is short-lived and can be relieved with orthodontic wax, soft foods, or pain medication as prescribed by your dentist. You'll get used to it in just a few days.

Are there any risks associated with getting braces? What should I be careful about?

Getting braces carries minimal risks, but it's important to maintain good oral hygiene to prevent cavities and gum inflammation. Avoid hard or sticky foods that could damage the braces, and wear retainers as directed to prevent teeth from shifting back.

How long does it take to see results after treatment?

The duration of treatment depends on the complexity of the teeth and the type of braces used. Minor crowding may take around 6-12 months, while severe crowding, gaps, or protruding teeth may take 1-3 years. Regular follow-up appointments with your dentist are crucial for effective treatment and visible results.

Does getting braces really change your face?

Braces can adjust your smile and some aspects of your facial shape. Straighter teeth can boost your confidence, and in some cases, it may make your jaw and lips appear slightly more balanced or slender. However, facial reshaping depends on each individual's facial structure.

What type of orthodontic treatment is best for crowded, protruding, or spaced teeth?

For crowded or crooked teeth, metal, ceramic, Damon brackets, or aligners can be used to straighten them. Protruding teeth often require the use of elastics in conjunction with certain types of brackets or aligners. Spaced teeth can be closed with orthodontic wires or aligners. The choice of method depends on the complexity and convenience for the patient.

Why do some people need a second round of orthodontic treatment? What causes a second round of treatment?

Some people need a second round of orthodontic treatment because they didn't wear their retainers after the first treatment, causing their teeth to shift back, or due to changes in the jaw and teeth after growth, as well as problems that weren't addressed the first time. A second round of treatment is usually shorter than the first if the problem isn't too complex.

Orthodontic Treatment at Vibhavadi Hospital

If you are looking for orthodontic treatment but are unsure where to go, Vibhavadi Hospital offers personalized treatment plans. This begins with a thorough dental assessment using dental impressions or 3D oral scans, along with X-ray analysis to achieve targeted results in both straightening teeth and improving long-term oral health. The hospital also offers other dental services, from general oral care and pediatric dentistry to cosmetic dentistry, providing comprehensive oral care under friendly and attentive service for every treatment step.