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07.10.197319.09.2021 by alexxlab

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Coping with a Misaligned Jaw Pain

Q. 1 My jaw is out of alignment and my teeth do not mesh; in fact, they’re maybe 2 inches apart. I have a massive overbite. I went to my dentist and he said I need a jaw realignment. Are there any alternatives? He also said my jaw has collapsed. What does that mean? He said my insurance won’t pay for the kind of surgery I need to have. How can I go about relieving the chronic pain? I’ve had it for quite a long time now.

— Stephanie, Missouri

Dentists refer to a patient’s bite using the term “occlusion.” Occlusion means how the teeth meet during the opening and closing of the jaw. There are a number of factors that relate to occlusion, which include:

Your temporomandibular (TM) joint and whether it is healthy
The health of the musculature around your jaw that works to open and close the lower jaw. Also important to consider is whether the muscles are in spasm or not.
The binding surfaces of your teeth and how well they’re able to simultaneously meet when you bite down
Whether there is wear or flattening of the cusps of your teeth
Whether there is pain when you bite down
Whether the teeth are loose

These are many of the factors your dentist will consider, but I am sure there are more that relate to your occlusion. It is critical that you see a dentist who is very knowledgeable about occlusion and one who can take proper X-rays of your teeth and possibly your TM joint so you get a solid, definitive diagnosis before you begin treatment. If your teeth are not meshing and they are 2 inches apart, then you do have a serious problem that must be addressed by a dentist, whether that means seeing someone in private practice or at a dental school or hospital, which may be more affordable. Your overbite is a sign that things are not right, and of course having your teeth 2 inches apart is a big factor.

There are many treatments available to you once you receive a proper diagnosis and get a full evaluation with X-rays. Some possible treatment options include:

Orthodontic therapy to realign your teeth with braces. This can help bring your teeth back into the proper positions in the arches of the upper and lower jaws.
Wearing occlusal or bite appliances to try to relax the muscles and joint so you can reestablish your bite at the right levels
Special surgery to cut the jaws and realign them back into place
Bite adjustments that help your teeth to simultaneously meet at as many contact points as possible
Behavioral therapy and relaxation therapy to try to relax the muscles around your joints

A misaligned jaw is something that should not be postponed as far as treatment is concerned. You must see a very competent dentist or dental specialist who understands occlusion and oral joint issues. You should be sure to get a full diagnosis with proper examination and X-rays, asking questions of the dentist if he or she is unclear. If this is not the type of care you’ve received so far, please seek out someone in your area at either a dental school or hospital who understands and treats patients like yourself. And although your dentist said this treatment would not be covered by insurance, you should also check directly with your insurance provider to make sure you understand the terms of your dental insurance policy.

Q. 2 When I lie down on my side, I often feel immense jaw pain and pressure on my teeth, especially on the upper left first molar. What could be the problem?

— Nikki, Texas

The easiest way to find out what’s causing the jaw pain and pressure is to see your dentist and get a full set of X-rays, an examination, and a diagnosis. A very large cavity could be pressing on the nerve in your first molar, or that molar might need root canal therapy because the nerve has died. These problems would be most obvious on an X-ray.

The problem could also be caused by grinding and clenching if you have a crown or filling on that tooth and the bite is not quite right. Grinding and clenching on a high spot could cause pain in the tooth. A sinus infection can also cause pain in a tooth because the sinuses are very close to the top of the roots of the upper molars. There may be neuralgia, or nerve pain similar to that of muscle spasms, in the area as well. Because there are so many possibilities, it is hard to know, without seeing you in person, exactly what’s causing your jaw pain. A competent dentist can determine whether the jaw pain has a dental origin or not. If not, then you must consult a physician to see what other kinds of problems might be causing the pain.

Q. 3 My daughter just got braces. Last night her jaw started hurting and felt “weird. ” She had me take a look, and it seemed as if the jawbone was sticking out of her mouth. The orthodontist says she had a muscle spasm. Could that be right?

— Melissa, Kansas

Obviously, it’s hard to say exactly what is going on without seeing your daughter. An important factor to consider is how recently the braces were placed in her mouth (and/or how recently they may have been tightened). It’s very common to experience pain for at least one to three days after having new braces inserted or after having braces tightened. A muscle spasm is definitely a possibility because pain can bring on many reactions. If it was indeed a muscle spasm, it would have had to occur in the muscles surrounding the upper and lower jaw and neck, and could have resulted from the pain of the tightening of the wires or from clenching or grinding as the teeth shift.

Once teeth are moved in the mouth as the braces do their work, the bite is thrown off and the tops of the teeth do not interdigitate with each other. A muscle spasm is clearly a possible result of this, but I would certainly check with the orthodontist involved and have him or her examine your daughter.

Q. 4 What are some ways to reduce or prevent jaw clenching?

Jaw clenching often occurs because of the following:

Anxiety
Stress response
Anger
Weightlifting
Gum chewing

Some people are aware that they are clenching their teeth, while others realize only later that their teeth ache or that the muscles around their upper and lower jaws are tight.

One can reduce jaw clenching by seeing a dentist to determine the underlying cause and develop the right treatment plan. This treatment can include:

Psychological counseling
Night or day appliances to relax muscles or keep teeth apart
Anti-anxiety medications
Meditation or yoga
Evaluation of the occlusion (bite)

As I always advise, it is important to seek out a dentist who is knowledgeable in the area of the bite, or occlusion. You may need to see an orthodontist in conjunction with your regular dentist, or even a therapist.

Q. 5 I had a lower jaw tooth pulled several weeks ago and I have been in constant pain ever since. My dentist says I have a dry socket, which he packed with some type of medicine. That helped for a while, but now the pain is almost unbearable again. What can I do to speed up the healing? How long do I have to suffer with this pain?

– Daisy, California

On average, caps (dentists call them crowns) last about ten years. Many last a lot longer but 25 years would be considered excellent longevity. If crowns do last this long, it is a tribute to a top-rate dentist. Today, new caps or crowns are made with thinner, stronger, and more cosmetic porcelain material. Some crowns are still appropriately made with a metal/gold foundation. Your dentist’s recommendation to replace crowns is a judgment call based on decay, fracture of the old crown, poor cosmetic look, or loose teeth that need splinting or joining together. In your case, there may be other reasons to replace them of which I’m not aware.

If you don’t trust your dentist, then go for a second opinion from a highly regarded dentist. Let the new dentist give you a fresh opinion without bias from the previous dental plan. Removing crowns is routine work for dentists. Your dentist will drill them off and make temporary crowns immediately while giving you a local anesthesia for your comfort. Impressions are taken and a color shade is picked to match your other teeth; the impression is then sent to a dental lab, where the crowns are made to order. In a short period of time, your dentist will see you for a follow up visit to permanently cement them in place.

Learn more in the Everyday Health Dental Health Center.

The Misaligned Jaw: Symptoms and Treatment

Misaligned Jaw Symptoms and the Shape of Your Face

Almost everyone has a crooked or uneven jaw that affects the shape of their faces. Additionally, the symptoms can compromise how we feel and how we look. The good news is that realigning your jaw is no longer painful, does not require surgery or have the dentist drill down your healthy teeth, and it can be done in about a month using JawTrac® Alignment and VENLAY® Restorations.

Where did my upper teeth go? They did not go anywhere; they just wore down as the overbite got deeper, aggravating jaw misalignment, resulting in health problems and premature facial aging.

A Perfectly Aligned Jaw

A perfectly aligned jaw is one where the teeth and the jaw work harmoniously together without stress on either the temporomandibular joint or uneven pressure on the bite, allowing you to chew, yawn, talk, breath and sleep without any clicks, pops, or discomfort.

A misaligned jaw may be triggered by a multitude of reasons, often caused by simple wear-and-tear. Inevitably, as we age, the teeth start wearing down, or we may lose teeth due to injury or neglect. Any preexisting and untreated bite conditions, such as an overbite or underbite, would cause undue wear on tooth enamel and accelerate the misalignment. As the TMJ tries to cope with ongoing changes in the bite, it no longer functions as intended, resulting in lower jaw pain, headaches, and even posture problems. Mildly stated, we probably all have misaligned jaws as none of us can escape aging.

Lower Jaw Pain and Jaw Muscle Pain

Lower jaw pain is usually the result of clenching and grinding. Jaw muscle pain is a secondary part of the problem with the bite not functioning in harmony with the TMJ. Head, neck and jaw pain contribute to the overall stress on the body, and over time it can decrease the quality of life. Misaligned jaw correction can be accomplished without drugs, surgery and without drilling away your teeth because:

A misaligned bite is a leading reason for faces to look older, especially when the teeth wear down. The face lost support from the right jaw position which is also getting pushed towards the patient’s ears. The jaw gets pushed back by the deep overbite, the face gets shorter from the tooth wear and, now the entire face looks older. This premature aging process is reversed with anti-aging Face Lift Dentistry®.

One of the reasons that a patient is not sleeping well is because they have lost room for their tongues. Why? The teeth have worn down to such a degree that their jaw closes too far and the jaw is pushed back towards the patient’s ears when they close their teeth together. The teeth are too short for the structure of the jaw and the TMJ position, so the patients face gets shorter, they don’t sleep very well, they are not as energized and you cannot see their upper teeth when they talk.

Smile Dentistry and Veneers are Just a Band-Aid – Smile dentistry is just a bandage because the bite is the problem and it never gets corrected. Instead, the patient gets porcelain veneers that cause the lower teeth to wear even faster, and the veneers make the bite deeper. The most important reason that veneers are just a Band-Aid is that they don’t correct the bite and they don’t improve the jawline or the shape of the patient’s face. VENLAY® restorations do it by improving the shapes and biting surfaces of your teeth to align the jaw and the TMJ.

Orthodontics – Braces are designed to straighten the teeth. Wearing orthodontic braces three times does not get the lower jaw aligned with the TMJ. How would the dentist know were to place the jaw? Dr. Muslin uses JawTrac®, and this has made his results far more predictable. He has the patient test the new jaw position so the patient can see and experience the new shape to their faces. He can see the new jaw position with JawTrac® which greatly improves the predictability of his care. On your first appointment, you will see the shape of your new face.

When a patient has straight teeth and still has jaw problems most of the time the subsequent jaw position is not aligned with the TMJ. There is a physical conflict between the jaw position and the TMJ. The teeth are straight, but the bite is misaligned. Patients with an uneven jaw tend to clench and grind their teeth more often. The solution is to get your jaw aligned without drugs, surgery, trauma and get it aligned quickly.

The best way to get a misaligned jaw corrected is for the dentist to have the knowledge, rather than just guess, the position of the lower jaw. Most of the time, the dentist really does not know where the jaw should be located; he or she simply try temporary teeth, or night guards or a smile guide. As one patient said, “it was tap, tap, tap,… and then the dentist would grind on the temporary teeth hoping I would find some comfort”.

Efficient movement and functionof the human body require muscle balance and strength. When muscles are balanced, normal amounts of opposing force between opposing muscles keep the bones centered in the joint during motion. When muscles become imbalanced due to poor posture, stress, repetitive movement or injury, the body compensates by making one muscle more dominant. When your muscles are unbalanced, your entire kinetic chain is disrupted and this affects all movement patterns and can lead to pain and injury.

An imbalance in your temporomandibular joint can cause headaches, dizziness, nausea, teeth grinding, limited jaw movement, muscle soreness and can change the alignment of your jaw. When your jaw alignment is off, the effects ripple through your entire body. These problems result in the symptoms of TMJ disorder (TMD) and can even negatively affect your posture. Conversely, poor posture can negatively affect your temporomandibular joint by placing unnecessary pressure on the area.

It’s unknown if poor posture is the cause or result of TMJ disorder, but there’s no question there is a close relationship, therefore, the entire craniomandibular system must be evaluated for thorough treatment. The craniomandibular system is comprised of the head, neck, and shoulder girdle. So that means this system includes your temporomandibular joint, facial and neck muscles, ligaments and nerves.

Neuromuscular dentistry is a treatment philosophy intended to correct misalignment of the jaw at the temporomandibular joint to produce a balanced bite and body. In this practice, teeth, muscles, nerves, and the joint are all taken into consideration in how they function alone and together. Just like a personal trainer or physical therapist would assess and correct any muscle imbalances by looking at the entire picture to determine root cause, Dr. Alhadef will provide a comprehensive evaluation to identify the cause of your jaw imbalance.

Another interesting consideration is that research shows there is an association between malocclusion (misaligned teeth) and oral habits and craniofacial structure. Malocclusion can begin in early childhood due to oral habits such as non-nutritive sucking, tongue thrusting, or mouth breathing. While some of these things are a result of the craniofacial structure at birth due to genetics, others can be mitigated by parental influence, such as limiting or eliminating pacifier use past infancy. Malocclusion can impact the position of the jaw which has a ripple effect throughout the entire body. Some of these effects may not be noticeable until adulthood when most TMJ disorder symptoms arise, although some people have symptoms in the teenage years.

How great would it be to experience relief without medication or surgery? Dr. Alhadef can help you with that. He will find your proper bite by using a transcutaneous electrical nerve stimulation (or TENS) unit to relax the muscles. He can then locate where your bite is most relaxed and design a custom fit orthotic for you. Dr. Alhadef will let you know how many hours per day (or night) you will need to wear the appliance to correct the issue, as well as other treatment to resolve the problem long-term.

Most people don’t think about their jaw joint, also known as the TMJ (temporomandibular joint), until something goes wrong with the way it works. Problems with the jaw’s alignment can cause seriously painful side effects such as headaches, tinnitus, as well as facial and ear pain. These painful symptoms are often associated with the condition known as TMD, or temporomandibular dysfunction. Non-surgical treatment for pain related to a misaligned jaw is possible with TruDenta! Keep reading to learn more about the condition and TMJ therapy available in New Albany OH at Shirck Orthodontics.

Most common in women and people between the ages 20 to 40, TMD may be caused by stress, an injury (like head trauma or a blow to the face), or a dental misalignment. When one of these factors affects the alignment of the jaw, pressure is placed on the TMJ with every bite, yawn, and word spoken. Over time, that pressure adds up to a lot of stress on the jaw — and the painful symptoms of TMD are not far behind.

Finding a non-surgical treatment for pain related to TMD is important, as the National Institute of Dental and Craniofacial Research discourages the use of surgery to correct TMD. This is why at Shirck Orthodontics, Dr. Shirck doesn’t just treat your symptoms. Instead, he offers a long term solution that can give you your life back! But you don’t have to take our word for it — we will gladly provide you the names and contacts of patients that have gone through treatment with TruDenta at Shirck Orthodontics and can attest to the results. We will also provide a free treatment session so you can see for yourself the relief you can feel after just one session.

Upon completion of the evaluation, Dr. Shirck will determine if a course of treatments with TruDenta is right for you. During treatment, Dr. Shirck takes a whole-body approach that uses state-of-the-art technology (including ultrasound, cold laser, microcurrent, and trigger point manipulation techniques) to treat TMJ and migraine disorders. The treatment reduces pain and inflammation from the very first session, with the ultimate goal of providing long-lasting relief from the symptoms of TMJ disorder.

Every joint in the human body is designed to move in a specific way, and the jaw joint is no exception. As such, you will experience discomfort, pain and other issues when a joint fails to move as it should. Since the TMJ (jaw joint) is one of the most complex and hardest working joints in the human body, a misaligned jaw is usually a major cause for concern. Incorrect jaw alignment is when the top and bottom teeth are not aligned. The result of which they do not meet comfortably. Besides being uncomfortable and extremely painful in some cases, misaligned jaws can have adverse effects on your dental health.

Issues can have both physical and emotional effects. Aside from causing chronic pain and discomfort even when the jaw is motionless, severely misaligned teeth can interfere with your ability to breathe, talk, sleep and eat. Additionally, crooked teeth and misaligned bites can cause oral health concerns and self-consciousness. Both of which can have more of a negative impact on people’s confidence, self-respect, and overall well-being.

Orthodontists usually encourage their patients to pursue non-invasive treatment options first. Besides being one of the most conservative options, braces can help fix overcrowded or crooked teeth, malocclusions, and misaligned jaws, making them the go-to treatment for jaw alignment issues. In this procedure, brackets are cemented to the teeth and connected with a wire that is tightened after a specific period. This will gradually move the misaligned jaw and teeth back into position. In general, it can take a year or more to correct a misaligned jaw. Early in the process, your orthodontist might take x-ray scans. Then develop molds to determine the best brackets for your teeth.

When the misalignment is too advanced for this mode of treatment, orthodontists can use headgear-braces to achieve satisfactory results. The protraction headgear is used to move the upper jaw forward while the retraction headgear is used to move it backward. In addition to external and internal wires, both types come fitted with straps that go over the head and neck. Patients are required to wear these headgears for around 12-14 hours daily.

For many patients, reaching around an orthodontic device to clean their teeth might prove challenging. However, your chances of attaining healthy, cavity-free teeth after treatment will be much higher if you use a fluoride-based toothpaste, brush twice daily, and floss once a day. While it can be a serious condition, jaw misalignment can be treated permanently. With the availability of so many treatment options, straight, beautiful teeth and a properly aligned jaw are easy to regain.

When it comes to jaw alignment issues, I tell parents that treatment is not always necessary at a young age, but it is important to get evaluated early.
A common problem I see in teenagers and adults is that their upper and lower jaws do not line up properly, from front to back, side to side, and, to some degree, up and down. Most of the skeletal structures are well established by the time you are a teenager, so if the jaw is in the wrong position you have to decide if you want to correct the jaw-to-jaw relationship—often through surgery—or camouflage it. However, if the jaw alignment is evaluated at a young age, I can recommend different types of preventative treatments before the jaw is, so to say, “set in stone” to the altered position.
The most common problem is when the upper jaw is too narrow, and since the lower teeth cannot sit inside the arch of the upper jaw, they tend to slide to one side. This issue can be treated with an expander to address the resultant asymmetry before it happens. In other cases, where not only is the chin off center but one side of the face is taller than the other, it is very complex to treat later in life. However, in a young child we can position the jaw symmetrically and hold it in that place, similar to how curved spines are treated in children with scoliosis.
Depending on each case, I use either dental appliances that are removable or some that are glued in to hold the jaw in the correct position.
Other jaw alignment problems are the result of breathing issues due to tonsils and adenoids, so if that is the case I refer them to a specialist in otolaryngology (ear, nose and throat). If you cannot breathe through your nose, you tend to drop your jaw down to open up the airway or push it forward, which can cause open bites and underbites.
By screening for these problems when a child is three to six years old, you can correct the underlying problems and avoid more issues later in life.

The first three points and their implementation – the field of theoretical orthodontics, associated with geometry, metallurgy, strength of materials. It takes into account various factors of the human body – the structure and characteristics of teeth, bones, cell division, genetic control of protein synthesis, hormonal regulation of cell metabolism, as well as many processes, the influence of which is not fully understood.

Choosing and fixing braces is a complex creative process. There should be no rush or stress in it, but a good mood, concentration, patience are required. At the dawn of orthodontics, special rings with braces soldered to them were used to eliminate dentoalveolar anomalies. Installing them was a tedious and multi-step process for both the doctor and the patient.Then the structures were directly glued to the enamel of the teeth. This method is still used today. It is called “direct fixation” and is good because there are no preliminary preparations, which saves the doctor’s time. The method also has disadvantages:

Experienced specialists also have difficulties. The emerging confidence does not compensate for the limited vision: the orthodontist mostly sits to the side of the patient and it is difficult for him to look at all the teeth from the correct angles, and therefore positioning errors often occur.Inaccurately positioned constructions can cause side effects such as opening of the bite, the formation of gaps between the teeth, as well as deterioration of their initial correct position.

An alternative to direct fixation – the so-called indirect installation, in which the braces are first fixed to the plaster model, and then, through a special mouthguard, they are simultaneously glued to the teeth. The method is widespread in the West, but in Russia, doctors are only now beginning to understand all its positive qualities.It is the indirect fixation that we have chosen and introduced into our practice. It has become part of a philosophy that combines quality, reliability and comfort.

In our clinic, during orthodontic diagnostics, we receive complete information about the condition of teeth, gums, bones. The patient is examined by a periodontist, a dentist-therapist, a 3D computer examination is carried out, a series of photographs are taken in all projections, and plaster models of teeth and jaws are made. Information from various specialists is summarized and summarized, analyzed by the orthodontist and gives him the necessary information to create an individual treatment plan.

After determining the strategy for eliminating dentoalveolar anomalies, the doctor chooses braces, taking into account the individual characteristics of each person and the mechanical errors of the system. Then, the coordinates of the position of future structures are applied to the plaster model, which are found by analyzing the smile and closing the teeth, taking into account the state of the bone tissue, gums, soft tissues of the oral cavity.

The second most important stage is the installation of braces. It is impossible to overestimate the importance of correct fixation of structures for obtaining even teeth, a beautiful smile and correct bite. The more precisely the fixtures are glued, the better the end result will be and the easier the process of obtaining it. Since 2006, we have only used the indirect commit described in this article.Having conducted many training seminars and workshops on installing braces for orthodontists, I became convinced of one very important fact. The vast majority of specialists, starting to fix devices on a plaster model, having the opportunity to make all preliminary markings and carefully examine the teeth from all angles, are 100% convinced that they could not provide such an attentive approach using a traditional direct installation.

Of course, the technology is more laborious for the clinic and the doctor, but we do not charge an additional fee for this stage, since the most accurate fixation of the braces will save our time and labor and will eventually pay for itself.Moreover, our price list is arranged according to the “All inclusive” system, that is, the fee is taken not for visits, but for the final result. For more information about the payment system for orthodontic treatment, see the article “How Much Does a Beautiful Smile Cost”.

In connection with the active development of 3D-technologies, indirect installation in recent years has evolved into a technique for computer-mediated positioning of braces. Their general essence lies in the fact that diagnostic plaster models or directly the patient’s teeth are scanned in such a way that information about their anatomy and location is digitized.Three-dimensional virtual models of the patient’s oral cavity are obtained. Then the final result of the treatment is modeled, after which the so-called setup models appear. On them, virtually braces are installed in the most accurate positions. Then this information is translated by means of computer prototyping technologies into physical portable mouth guards, with the help of which the structures are installed by the doctor on the patient’s teeth.

– Bracket -systems are recommended to be installed from 11-12 years of age and throughout life. The most important thing is that there are indications for orthodontic treatment, the teeth and the surrounding soft tissues of the periodontium are prepared for the start of treatment. Many people think that bite can be corrected only in childhood or adolescence. In fact, this is not the case, and age is not an obstacle.In modern society, a wide, beautiful smile determines the image of an accomplished, prosperous person leading a healthy lifestyle.

More than 80% of the world’s population have dental anomalies (crooked teeth, malocclusion). The unattractive appearance of the teeth and face has an adverse effect on the psychological formation of any person, contributes to the emergence of an inferiority complex, deep mental trauma, limits the possibilities of social adaptation, and prevents a good career.The presence of not only healthy, but also beautiful teeth, their preservation until a ripe old age is a sign of a high quality of life. So in Sweden, for example, orthodontists demonstrate cases of orthodontic treatment of patients 70-90 years old! It should be borne in mind that the treatment of adults is longer, it is necessary to use light physiological loads on the teeth (the growth and formation of the dentoalveolar system is completed, age-related changes and general diseases of the body). Until the age of 12, we do not recommend installing a bracket system for the simple reason that at such a young age the enamel of permanent teeth has not yet fully formed, and if careful oral hygiene is not observed, the teeth are at an increased risk of diseases, including caries.And imagine what will happen if braces are fixed on not strengthened teeth, the use of which requires responsible and special care.

– Braces began to be used 200 years ago, their task is to change the shape and size of the dentition, align the teeth. These are devices that are fixed on the surface of the teeth, and a metal arch, which is held in the grooves (of these devices) using ligatures (metal wires).The most important thing in the bracket system is the arch, which is given a certain shape, ideal for the dentition of a particular person. It is fixed in braces and, willy-nilly, acquires the curves of crooked teeth. But, since the arc is made of special materials – shape memory alloys, it tends to take its original position, while moving each tooth in a given direction. The arc, unfolding the teeth, aligns and normalizes their position.

Now the new generation of ligature-free braces has begun to be used, this is a modern approach to the treatment of patients with dental problems and bite anomalies .The arc is not tied to them, but is closed with special plates. At the same time, the arc is freely located in the groove, there is no strong attraction of the arc to the groove, there is no large friction force, the force of impact on the tooth decreases, the teeth and surrounding tissues of the jaw are less injured, pain reactions disappear, the risk of various complications decreases, such as, for example, resorption of bone tissue. At the same time, high-tech elastic arches move teeth in three planes at once. Thus, it is possible to correct the position of the teeth, align the dentition, and improve the profile of the face.But if the patient has a skeletal form of pathology – too small, or, on the contrary, the jaw is too large, braces alone will not help here, and orthodontist together with the surgeon must develop a joint comprehensive treatment program.

– Orthodontics , as an integral part of dentistry, becomes important for the normalization of the growth and development of teeth and jaws from childhood to the end of the growth of the maxillofacial complex, the prevention of dentoalveolar anomalies, for the normalization of the position of teeth and occlusion in adult patients.Curvature of the teeth is most often associated with an incorrect bite. The child is born with infantile lower retrognathy (displacement of the lower jaw back). This is determined by human physiology, which facilitates the passage of the fetus through the birth canal of the mother. And improper artificial feeding with the use of round nipples inhibits the development of the jaw and training of the masticatory muscles, which in the future may lead to an incorrect bite , and as a result – curvature, crowding of teeth, underdevelopment of the jaw, violation of facial aesthetics.Therefore, in our institute, orthodontists carry out early prevention of dental anomalies, we advise young mothers which nipples are best for their baby … I would recommend the NUK nipples (Germany), which have an ergonomic shape, the use of which contributes to muscle training, the development of the jaws and the formation of the correct act of sucking and bite in the child. Many mothers do not pay attention to the fact that the baby has incorrect posture, or he often sucks his finger, or has the bad habit of holding his tongue between his teeth, or there is no free nasal breathing due to diseases of the ENT organs (adenoids, etc.).etc.). So all these factors, in addition to hereditary ones, can also lead to the pathology of the dentition.

– Required! If the patient wants to correct the crooked position of the teeth and put himself a bracket system, first of all, he must come to the dentist’s office and check the condition of the teeth and oral cavity. And only after all possible problems have been eliminated, the patient comes to us. First, a comprehensive examination is carried out by a doctor – orthodontist , which includes a clinical examination, X-ray examination, manufacturing, calculation and analysis of diagnostic models of the jaws, drawing up a treatment plan.

– The technical potential of modern orthodontic appliances is extremely high. Modern materials offer improved physical characteristics, aesthetics, and methods provide for the treatment of malocclusion with inconspicuous devices. An inevitable result is an increase in the number of adult patients.

Treatment priorities have changed today.Earlier, 20 years ago, treatment with the removal of several teeth and alignment of the dentition was very common. But at the same time, the aesthetics of the face often improved: the profile of the face became concave and ugly, the lower or upper lip could sink inward, and the face as a whole became unattractive and looked several years older. Today, the main task of an orthodontist is not only to align the position of the teeth, but also to improve the aesthetics of the face, normalization of bite , and a beautiful smile.
The aim of modern orthodontic dentistry is: improvement of facial aesthetics, dental aesthetics, functional occlusion and position of the lower jaw, stability of treatment results, healthy periodontium. Correcting the position of the teeth significantly improves the hygienic state of the oral cavity, reduces the risk of caries and periodontitis.

Often young people come to our Institute who have previously undergone orthodontic treatment with the extraction of several teeth, even dentition, but with asymmetric, ugly facial proportions.Such patients require complex treatment – orthodontic and surgical. Together with the surgeon, we are developing an algorithm for an integrated approach that is most effective for skeletal deformities of the jaws, facial asymmetry, congenital malformations of the face and jaws (cleft lip and palate – “cleft lip and cleft palate”, syndromes, etc.)

It so happens that the patient is not satisfied not with the position of the teeth or dentition, but with the profile of the face (oblique chin, “bird’s face”, “adenoid type of face”). We have our own patent invention – a functional non-removable telescopic device made of titanium alloy, a modification of the Herbst apparatus, with the help of which the lower jaw can be orthodontically extended forward and the overall profile of the face can be improved, keeping in this position constantly while maintaining all the functions of the patient (opening the mouth, speaking , chewing).With this device, which maintains the normalized position of the lower jaw, together with the use of braces that align the teeth, we have cured many patients without surgery. At the same time, the duration of orthodontic treatment does not increase.

– How long does it take to wear braces?

– Orthodontics plays a leading role in ensuring the normal functioning of the dentition, taking into account the occlusion (bite), the state of the temporomandibular joint and the psychoemotional status of the patient.Success depends on the severity of the pathology of the dentition, the correct treatment tactics, the logical thinking of the orthodontist, and the use of adequate technical means. On average, the duration of active treatment with the use of braces is one and a half to two years. But with the wrong diagnosis and treatment, this process can take up to several years. I was approached by people who went with braces for four and seven years! The pathology of bite is not only an aesthetic problem, it also leads to aggravation of diseases of the temporomandibular joint, headaches, and to a violation of the general psychoemotional state of a person.
When carrying out orthodontic treatment, cooperation between the doctor and the patient is important (compliance with the recommendations of the orthodontist, the mode of using the apparatus, careful oral hygiene). After the completion of active treatment, when the doctor removes the braces, a special retention device must be worn to consolidate the result. Its use time is at least two times the wearing time of the braces. And if the patient has periodontal disease, osteoporosis and other general diseases, then in order to maintain the achieved results of orthodontic treatment, I recommend using the retention device regularly.They are of two types – non-removable, which are installed by a doctor, and removable, made of silicone or other materials and intended for use while sleeping.

Braces are available in gold and sapphire

– There are so many braces now available that you can get confused. Please tell me which ones are the best?

– There are metal braces, ceramic, gold, sapphire … I cannot give an unequivocal answer, because treatment can be carried out using any braces.On the one hand, metal braces are more hygienic, more reliable, and there are fewer complications such as separation or detachment of the bracket. Ceramic and sapphire braces are more fragile, but, as many patients believe, they look more aesthetically pleasing due to their transparency. But at the same time, the arcs still remain noticeable, since they are metal like the ligatures tied around the braces.

People of public professions – TV presenters, showmen and others, due to the duty of their work, cannot always wear conventional vestibular (fixed on the outer surface of the teeth) braces, and prefer lingual braces that are attached from the inside and therefore do not pay attention to themselves in any way.Although, you know, every orthodontist believes that braces can only decorate, and wearing them is prestigious! This is a social factor in the modern culture of people.

– I would not say that. Lingual braces have the advantage of not being visible, but from a therapeutic point of view, this is a more time-consuming and complex process. And, if it is not important for the patient which braces to fix, I will recommend to him the new generation braces – Damon 3 – System.They are quite aesthetic, because the half of the bracket is transparent, and there is no ligature, reduced size of the bracket, low friction forces in the system, a slight less traumatic effect on the moving teeth and surrounding tissues, which greatly reduces the duration of treatment, less pain, more comfort for the patient. which, in general, improves the quality and effectiveness of treatment. Nowadays, modern technologies appear that make it possible to use – a lingual system, made for each patient individually in a special laboratory.

– But it probably costs much more?

– More expensive or cheaper – the concepts are very vague. Everyone decides for himself. If parents are trying to cure their child, to give him a beautiful smile for life, they do not save, but, on the contrary, invest in their child, in his comfort, in his future. Otherwise, a notorious person may grow up, hesitating to say a word, hiding his smile … A beautiful smile is both a psychoemotional factor, a health factor, and a social factor.Investing in orthodontic treatment is the best investment for a lifetime, health, beauty, image, individuality. The leading role in the external appearance of a person belongs to the face, and on the face – to the smile. If it is believed that the eyes are the mirror of the soul, then a smile is a reflection of the heart.

Back

Distal bite is characterized by a pronounced posterior position of the lower jaw.Sometimes, this position is due to her underdevelopment or excessive growth of the upper jaw. Outwardly, this manifests itself even in the lines of the patient’s profile – the chin is small, has a deep sublabial fossa, the jaws look disproportionate. Braces may not be enough to correct this malocclusion. In such cases, Herbst’s fixed orthodontic apparatus comes to the rescue.

Its use allows you to restrain the growth of the upper jaw, correct the position and size of the lower jaw, rebuild the work of the temporomandibular joint (TMJ) and the muscles of the dentoalveolar system. Under the influence of the apparatus, the lower jaw takes the required position. With constant exposure, the apparatus leads to the fact that the ligaments are stretched, the muscles get used to working in a new mode, which corresponds to the correct position of the jaws.

The entire treatment regimen for a particular patient is created stage by stage by the orthodontist while drawing up the orthodontic treatment plan, after the patient undergoes orthodontic diagnostics.This treatment plan is discussed with the patient and finally approved before the orthodontic treatment begins. Therefore, our patients fully and completely understand what awaits them in the course of treatment and at what stage one or another additional orthodontic equipment, including the Herbst apparatus, will be used.

Observe the integrity of the apparatus, inspect it regularly and carefully. The patient should be alerted to the looseness of the parts, the curvature of some element. If you find such defects, you need to contact your orthodontist as soon as possible, because the apparatus may malfunction and you will not be able to move your jaw. Particularly dangerous is the breakdown of telescopic parts, which can injure the oral cavity and larynx.

We took off the device for expansion recently, and everything is in order, we visited the pediatric dentist, no damage appeared during wearing. Although the child coped with the hygiene himself, about once a week we monitored how everything was going, helped her to clean with an electric brush.At the first stages, every evening she herself cleaned the apparatus with an irrigator, the doctor warned us that food could get stuck there and because of this, inflammation could arise. But, apparently, everything was so tightly fitted there that there was no inflammation, everything went without any trouble. And when everything had already expanded a little, she began to feel when the food was stuck, and she herself controlled it. Initially, we came for a completely different device – for removable plates. First, they are half the price, and we only had to put them on top.And secondly, we simply did not know about such a device. But Dr. Bekasov offered us a device for expansion, and I never regretted that we took it! During these 9 months we had no scandals, tears, discomfort. They put it on – that’s it, it’s worth it and you don’t forget to put on anything. Before that we wore records and we know what it is. She didn’t put on the record for a day, started spinning, and again slides back. Naturally, we did not meet the deadline for wearing. So if we went for the cheaper option, then in 9 months we would not have received the result that we see now.Although earlier we were simply not offered such an option, we were treated in another clinic, apparently, there were no such technologies there. Initially, we agreed that we twist the device for three months and after the last twist we wear the device for another six months in order to fix the result. Expectations completely coincided with reality. The child did not complain of pain even when twisting, I was surprised. Again, comparing with a removable plate, in order to twist it, it must be removed. Naturally, it becomes wider, and the child needs to put it on again, but she does not get up, the child is in pain.Therefore, it was necessary to turn not a full turn, but half, and, accordingly, this also affects the duration of treatment, not to mention that it is discomfort for the whole family. And then it’s all in your mouth! When we twisted, the child did not have any questions. Whether the apparatus itself was so designed, she felt that she was getting tighter, but that it was painful – no. Everything was fine with Dr. Bekasov. Before the next visit, the child said “let’s go to my favorite doctor.” And when we arrived, the doctor looked, said that everything was in order, we continued to tighten up, we were not doing anything else.That is, the examination lasted straight for a few minutes, the daughter began to say that it was not fair, and she needed to see more :))) In general, the contact was excellent. The doctor always smiled, answered all questions. Even while we were choosing the plate and the moment when to put it specifically, the doctor spent about an hour, probably only for discussion. That is, not that I showed you everything, and you go there and think. He also got into a situation where we did not have the opportunity to carefully monitor the hygiene in the country in the summer, and we agreed to postpone everything until autumn.It was also very pleasant that the doctor got into the position and offered an acceptable option for us. A very attentive attitude – not something that should be set, but then whatever you want. We discussed how best to proceed, how critical what we have now is, and what options we have. When making a decision, there were a lot of nuances, and all of them were successfully sorted out by the doctor. The doctor is very attentive. About the device, advice to other parents – do not even hesitate. This is so much better than removable designs, I can say for sure, we had the experience of wearing both.

Curvature of the teeth, noticeable gaps between the teeth – all these defects make a smile ugly, make a person feel shy and smile less often when communicating with other people.The situation can be corrected by special orthodontic constructions – braces, which are successfully used to correct bite anomalies of varying complexity. But not all patients are ready to wear noticeable and rather uncomfortable braces, the process of adaptation to which takes a long time.

Bite aligners are invisible, compact, lightweight and therefore do not cause any discomfort to the patient.The process of adaptation to them occurs in the shortest possible time – after a couple of hours of wearing, the nozzles cease to be felt in the oral cavity. They do not cause diction disorders, do not cause painful and unpleasant sensations, do not interfere with conversation, laughter. The fixation of the products is strong, you do not have to worry that the mouthguard will fall out of the oral cavity during an overly active dialogue.

Attractive budget cost option. How effective thermoplastic aligners will be in aligning the occlusion – the answer to this question can only be given to the patient by the orthodontist, after the examination and diagnostic measures. The peculiarity of this type of cap is in the unique properties of the material of their manufacture: at certain temperature indicators, it becomes soft and elastic, due to which it adheres tightly to the dental surfaces and ideally repeats the natural shape of the teeth.When making a mouth guard, a thermoplastic is applied to the patient’s teeth and so an impression is taken, which is further modified if necessary.

Individual mouthguards have a fundamentally different production technology. The patient comes to the specialist’s office and the doctor takes an impression from his teeth. The impression is transferred to a specialized laboratory, where, using computer technology, individual tips will be made for the entire course of treatment.Individual mouthguards are more comfortable to wear, the process of adaptation to them is faster, and, accordingly, the price for them is higher than for constructions made of thermoplastic.

By the time of wearing, there are two types of caps – round-the-clock and night. Round-the-clock products are used to correct the bite and are worn, without removing, almost 24 hours a day. It is allowed to take off the trays for no more than two hours, for hygienic procedures and rinsing and cleaning the structure itself.If this rule is violated, the effectiveness of the correction decreases, and the overall duration of treatment with mouth guards increases.

The decision on the advisability of wearing mouth guards to align the bite is always made by the doctor, after examining the patient and performing a number of diagnostic measures.The specialist will establish the complexity of the defect, take into account the structural features of the patient’s jaws, and if no contraindications to the use of caps are identified, an impression is taken from the patient’s teeth.

The taken impression is transferred to the laboratory, where it is used for modeling the future design. According to the model, sets of mouth guards will be produced, which the patient will change during the course of treatment. When the mouthguards are ready, the patient comes to the clinic again, where the fitting of the structure is carried out and the specialist gives detailed advice on how to wear and care for the mouthguards correctly.

There is nothing difficult in caring for aligners for teeth straightening, but you should definitely follow all the recommendations given by the doctor. During meals, the trays are removed, and before putting them on again, you need to thoroughly and efficiently clean the dental surfaces, and rinse the pad itself with running water. For the time when the mouthguard is not used, it is put into a special container for storage.

Correct bite is a guarantee of maximum contact between the teeth of the jaws, which ensures the normal development of the muscles of the facial skeleton. Aligning individual teeth without correcting occlusion can disrupt the work of the facial muscles and lead to negative consequences: a change in profile, periodontal and digestive system diseases, functional disorders of the temporomandibular joint.

This method involves the installation of braces on a problematic dentition, consisting of locks and a power arch connecting them. The correction arch in the bracket system has a “memory” effect, thanks to which it tries to regain the shape set during manufacture, and thereby exerting a uniform effect on the teeth, returning them to the anatomically correct position.To fix and regulate the tension force of the arc in the braces, ligatures are used, which can be either elastic or metal. Recently, ligature-free systems are becoming more and more popular, where the arc simply snaps into the locks.

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