What a difference straight teeth can make! A great-looking smile can boost your self-confidence and have a positive impact on social and professional opportunities. Orthodontic treatment is the original smile makeover tool — and you will be happy to know that you're never too old to take advantage of it. But it isn't all about looks: Properly aligned teeth help you to bite, chew and even speak more effectively. They are also easier to clean, which helps keep your mouth free of tooth decay and gum disease.
The amazing thing about orthodontics is that it harnesses the body's natural ability to remodel its own tissue. With the application of light, constant force, orthodontic appliances gently reshape bone and move teeth into better positions. Some examples of these appliances are traditional metal braces, inconspicuous clear or tooth-colored braces, and clear aligners, a relatively new option for adults and teens.
Bite Problems and How to Fix Them
Orthodontic treatment can resolve a number of bite problems, which often become evident by around age 7. These include underbite, crossbite or excessive overbite, where upper and lower teeth don't close in the proper position; open bite, where a space remains between top and bottom teeth when the jaws are closed; and crowding or excessive spacing, where teeth are spaced too close together or too far apart.
To correct bite problems, teeth need to be moved — but doing that isn't as hard as you might think! Teeth aren't fixed rigidly in their supporting bone; instead, they're held in place by a hammock-like structure called the periodontal ligament, which is very responsive to forces placed on the teeth. Orthodontic appliances move teeth by careful application of light, constant pressure. This force can be applied via metal wires that run through small brackets attached to the teeth (braces), or via the semi-rigid plastic of clear aligners.
Orthodontics is for Children — and Adults
Having orthodontic treatment in childhood is ideal in order to take advantage of a youngster's natural growth processes to help move the teeth into proper alignment. Like the rest of the body, the teeth and jaws are now changing rapidly. So at this time it's possible (for example) to create more room for teeth in a crowded mouth by using a “ palatal expander ” to rapidly widen the upper jaw. This phase of growth modification can shorten overall treatment time and ensure the best result if additional orthodontic appliances are needed.
But remember, healthy teeth can be moved at any age, so you've never “missed the boat” for orthodontic treatment. In fact, about one in five of today's orthodontic patients is an adult. Several new technological developments — including tooth-colored ceramic braces, clear aligners and invisible lingual braces — have made orthodontic appliances less evident, and enhanced the treatment experience for grown-ups. Before treatment, adults are carefully examined for signs of periodontal (gum) disease, which will be brought under control before treatment begins.
Types of Orthodontic Appliances
When you imagine someone wearing braces, you probably picture small metal brackets bonded to the front of the teeth, with a thin wire running through them. This time-tested style remains very popular — but it's no longer the only option. Clear braces use brackets made of ceramic or plastic which, except for the slim archwire, are hardly visible. Lingual braces are just like traditional metal braces — except they're bonded to the back of your teeth (the tongue side) so that no one can see them.
Removable clear aligners are an alternative to fixed orthodontic appliances. They consist of a series of clear plastic “trays” that fit over your teeth exactly; each one moves your teeth a little bit, until they are in the proper position. Whether fixed or removable, each type of appliance may have advantages or disadvantages in particular situations. After a complete examination, the best treatment options for you will be discussed.
Retention & Post Orthodontic Care
Once your orthodontic treatment is completed, it's extremely important to wear a retainer as directed. That's because teeth naturally tend to drift back to their original locations — which is the last thing you want after you've gone to the trouble of straightening them! Wearing a retainer holds your teeth in their new position long enough for new bone and ligament to re-form around them, and helps keep your gorgeous new smile looking good for a lifetime.
When you hear the word “orthodontics,” what comes to mind? Probably a young teenager whose teeth are covered by a latticework of metal. There are indeed many orthodontic patients who fit that description. However, there now exists an increasingly popular alternative to traditional metal braces: Invisalign® clear aligners.
As the name implies, Invisalign clear aligners are made of almost invisible polyurethane plastic. Rather than being cemented or bonded to the teeth as metal or clear braces are, clear aligners are completely removable — for important social occasions, for eating, and, most importantly, for tooth-brushing and flossing. This advantage can also be a disadvantage: It means you must resist the temptation to take your aligners out more than is advised. Here are some other advantages of the Invisalign system:
- Improved Oral Hygiene — With an orthodontic appliance that is removable, you will be able to clean your teeth much more easily than if you were wearing metal braces.
- A Discreet Look — If you consider your orthodontic treatment to be a private matter, or simply feel that metal braces don't fit with your self-image, a practically invisible form of orthodontic treatment might suit you.
- More Dietary Choices — To protect metal wires and braces, some diet modifications are necessary. With clear aligners, you can still bite into an apple or a crispy pizza crust.
- Comfort — The thin, flexible material of which Invisalign is made will not irritate the soft tissues of the mouth, as metal wires and braces can.
- Teeth-Grinding Protection — If you have a teeth-grinding or clenching habit, clear aligners can function as thin nightguards that will protect your teeth from excessive wear.
Clear aligner technology has been improving over the years and can correct many malocclusions that once would have been too complicated for this form of treatment. Yet there are still some situations for which traditional braces would still be best. This can be discussed in detail with you.
How Invisalign Works
Invisalign clear aligners work the same way traditional braces do: by applying carefully controlled forces to teeth to move them into a better position. But they are not made of metal; instead, they are made of clear, flexible plastic.
Here's how it works: Specialized computer software is used to design a plan for moving your teeth from their current positions into the best possible alignment. This movement will be broken down into perhaps several dozen stages. For each stage, the Invisalign company will manufacture two plastic mouth “trays” or “aligners,” one to fit over your top teeth and one for the bottom. You will wear this first set of trays for two weeks, for a minimum of 20 hours per day. You will then move on to the next set of aligners in your series to accomplish the next stage of gradual movement. You will keep doing this until your teeth are correctly aligned.
In the past several years, two features have been added to make Invisalign a more appropriate orthodontic treatment method for teenagers. Special “eruption tabs” hold the appropriate amount of space open for molars that have not fully grown in. Invisalign for teens also comes with “compliance indicators” built into the aligner material, which fade with wear. This allows parents, dentists, and the teens themselves, to make sure the trays are being worn as prescribed. Treatment with Invisalign can only be successful if this is the case.
Caring for Your Teeth During Invisalign Treatment
As mentioned above, one of the main advantages of the Invisalign system is that the trays can be removed for easy cleaning. So please don't neglect to do this! You'll need to brush your teeth after every meal or snack so that food and plaque do not get trapped in the aligners, which could promote tooth decay and gum disease. Your aligners, too, will have to be cleaned regularly; you can do this by brushing them and then rinsing them with lukewarm water.
Also, please keep in mind that while wearing clear aligners is very different from wearing braces, the importance of retaining your post-treatment results is exactly the same. You'll want to be sure to wear your retainer(s) exactly as prescribed after your treatment is completed to protect your investment in a beautiful new smile.
The Magic of Orthodontics Proper alignment of the teeth is basic to “Smile Design.” Their position dictates how they work together and affects the way you look and smile. Only orthodontic treatment can move teeth into the right position. Simply put, when things look right, they probably are right. Learn the basics of smile analysis and design and whether the magic of orthodontics will work for you... Read Article
Clear Aligners for Teenagers Teens who regard traditional braces as restrictive, confining, and obstructive to their lifestyles now have another choice for orthodontic treatment: clear aligners. This advanced dental technology, originally geared toward adults, has recently evolved to treat a greater variety of bite problems in younger people. These improved orthodontic appliances can help teens function normally during a difficult phase of life... Read Article
Orthodontics for the Older Adult Healthy teeth can be moved at any age, so there's no such thing as “too old” for braces. In fact, nowadays about one out of every five orthodontic patients is an adult. Yet this figure represents only a small portion of adults who could actually benefit from orthodontic treatment... Read Article