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Orthodontics

Orthodontic treatment is suitable for patients with bite problems, including gaps between teeth, crowding, misalignment, protruding teeth, underbite (protruding lower jaw), and edge-to-edge bite. These conditions can lead to chewing difficulties and, in some cases, involve structural issues of the jaw that affect tooth alignment and occlusion.

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Today, orthodontic technology has advanced significantly to meet various patient needs, including shorter treatment duration, reduced discomfort, and improved aesthetics. Patients should carefully study and understand the differences between each type of orthodontic treatment before making a decision.

Causes for Orthodontic Treatment

  • Protruding front teeth: One of the most common reasons patients seek orthodontic treatment. It often occurs when the jaw cannot accommodate all teeth, causing them to protrude forward.

  • Underbite (lower teeth overlapping upper teeth): This results in a protruding chin and abnormal bite, leading to inefficient chewing.

  • Crowded or misaligned teeth: Commonly caused by a narrow jaw that cannot accommodate proper tooth alignment, leading to overlapping and irregular positioning.

  • Asymmetrical teeth alignment: Occurs when upper and lower teeth shift against each other, resulting in uneven alignment. This can cause multiple issues, from irregular tooth arrangement to improper chewing function.

  • Impacted teeth (wisdom teeth): Large molars that cannot erupt normally may push against adjacent teeth, leading to misalignment.

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Metal Braces

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This is one of the most popular orthodontic options, mainly because it is the most affordable among all choices. It involves attaching fixed metal brackets to the teeth, along with elastic bands used to gradually move the teeth into proper alignment.​

Patients are required to visit the dentist monthly to adjust or change the elastic bands. The overall treatment duration depends on each individual’s oral condition and the complexity of the case.

Damon Braces

 

Damon braces are an option for patients who are concerned about discomfort during orthodontic treatment. This system uses a specialized self-ligating technology that does not require elastic bands. Instead, the archwire is held in place by a built-in mechanism on the brackets, reducing excessive friction and unnecessary pressure on the teeth.

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Metal Braces Procedure​

  • The dentist will take X-rays and dental impressions to evaluate the overall bite and tooth alignment. A treatment plan will then be created, including an estimated duration and cost for the patient to consider.

  • Patients are usually advised to complete other necessary treatments beforehand, such as wisdom tooth extraction, root canal treatment, or fillings, to prevent complications like tooth decay during orthodontic treatment.

  • Metal brackets are bonded to the teeth, and archwires are used to gradually move the teeth into the desired position.

  • Monthly appointments are required to monitor progress, change elastic bands, and adjust the wires.

  • Once the teeth are properly aligned, the braces are removed, and a retainer is provided to maintain the results and prevent relapse.

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Clear Aligner​

Clear aligner is one of the latest orthodontic technologies and has become increasingly popular. The clear aligners are virtually invisible, making them suitable for everyday use without being noticeable. Invisalign treatment packages are available in several options, depending on the number of aligners required for the treatment,

Clear aligner Treatment Procedure​

  • The dentist will take X-rays and dental impressions / intraoral scanning to thoroughly assess the alignment of your teeth.

  • Your records will be sent to the laboratory to develop a personalized treatment plan.

  • The lab will return a detailed treatment plan to the dentist, including the number of aligners, estimated cost, and treatment duration, which will then be explained to the patient.

  • The dentist will schedule an appointment for you to receive your custom-made clear aligners, along with instructions on how to use and care for them.

  • Follow-up visits are scheduled every 2–3 months to monitor progress and provide new sets of aligners until treatment is complete.

  • Once the teeth are properly aligned, the aligners are discontinued, and a retainer is provided to maintain the results and prevent relapse.

Metal Braces

Advantages : 

  • The most affordable option

  • Popular among teenagers, as elastic colors can be changed for aesthetic preferences

Disadvantages :

  • Difficult to maintain oral hygiene

  • May cause significant discomfort or irritation, including soft tissue injury from wires

  • Tooth extraction may be required in some cases to create space for alignment

  • Longer treatment duration compared to other orthodontic options

Self-ligating Braces

Advantages : 

  • Shorter treatment time compared to conventional braces

  • Less discomfort than traditional braces

  • Fewer dental visits required

  • Easier to maintain oral hygiene, reducing the risk of tooth decay and gum disease

  • Often does not require tooth extraction

Disadvantages :

  • Significantly higher cost compared to metal braces**

Clear Aligner

Advantages : 

  • Shorter treatment duration

  • Comfortable to wear and does not interfere with daily life

Disadvantages :

  • More expensive than other orthodontic options

  • Not suitable for complex cases; best for cases requiring minor tooth movement

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Oral Care During Treatment

  • Brush your teeth in the morning, after meals, and before bedtime using fluoride toothpaste.

  • Use dental floss to clean between teeth.

  • Avoid hard or crunchy foods, as they may damage the orthodontic appliances.

  • Avoid sticky foods, as they can get stuck in the braces and make cleaning difficult.

  • Avoid biting directly into fruits; it is recommended to cut them into small, bite-sized pieces.

  • Do not misuse your teeth, such as biting erasers, biting nails, or opening bottle caps.

  • Attend all scheduled appointments so the dentist can adjust the orthodontic appliances as planned.

  • Schedule scaling and dental check-ups every 6 months to prevent gum inflammation.

  • If the wire is poking the cheek, apply orthodontic wax to the end of the wire and visit your dentist.

  • In case of emergencies, schedule a dental visit as soon as possible for proper management.

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