Orthodontic Braces

Dr Anurag gupta

At Maximüs SpécialistTM Dental Cënter orthodontic treatment finds special emphasis because of the presence of an experienced, two time national award winning orthodontist, Dr Anurag Gupta. Orthodontics are most effective if started early, thus no matter your age, seeing an orthodontist can be a good decision towards finding that perfect smile.

The orthodontic examination:

During your visit there will be several diagnostic methods used to exam your bite, including an exam, pictures, x-rays, and impressions. Dr Anurag will examine your previous dental history, perform his or her own assessment, and obtain the required pictures they need to come up with an orthodontic treatment plan that will work best for you. Once the orthodontist has finished with their assessment, he or she will go over the plan with you. You will be able to discuss how long the plan will take, and what options you might have – such as choosing metal braces, clear ones, invisible braces or functional (jaw) appliance as in kids.

Types of Braces:

  • Metal braces (Regular braces)
  • Clear braces (Ceramic braces)
  • Invisible Braces
  • Express Braces (Self Ligating braces)
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Length of Treatment

On average an orthodontic treatment takes about two years, after which you will need to wear a retainer for some time to help keep your teeth in place. Different aspects will affect the length of your treatment, including your initial condition, age, how much work you personally need done, and how well you follow your orthodontic treatment plan. The younger you are generally the quicker the treatment can progress if you follow the instructions precisely. However, some adults will find that their orthodontic treatments progress more quickly because they are able to follow the directions more consistently. Treatment with jaw appliance ranges from 6 months to 14 months depending on severity and indication. After the jaw appliance stage the patients are re-evaluated with X rays, photographs and impressions. It is then determined whether the patient need to undergo braces treatment for settling the teeth in their new position.

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Non extraction braces was instituted for Surbhi 13/F an excellent results were achieved in 18 months

Correction of Mouth breathing and irregular teeth with Dental braces;  Master KB 14/M

Total treatment time : 24 Months

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CASE 1- upper teeth forwardly placed

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CASE 2- irregular upper and lower teeth

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The most common sign and symptoms which bothers the parents or patients themselves are:

  • Forwardly placed front teeth
  • Crowded upper and/or lower teeth
  • Irregularly placed teeth
  • Bad bite/ unusual bite
  • ‘Dracula-like’ teeth
  • ‘Bugs-bunny’ teeth
  • Missing or non-erupted teeth

While many of these tooth alignment problems are potentially harmful for your tooth structure and gums, the patients suffering from these generally are:

  • Conscious about their unsightly smile
  • Suffer from low esteem
  • Are not confident while interacting with others.
  • Kids feel that something is wrong with them and they stay away from peer group.

There are many types of orthodontic problems which may show as the following:

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Myth: There is misconception among common people and many dentist that orthodontic treatment is beneficial only after 12 years of age, after the eruption of second permanent molars. Thus they consult orthodontist after 12 years of age only.

Fact: While some cases need to wait till 12 years of age before getting orthodontics started. There are a vast majority of cases who actually have an underlying jaw problem and need to get treatment started early for correction of their jaw problem. Later when the growth of jaws stops, much cannot be done about the jaw problem. Options become limited to extractions of certain teeth to correct the alignment. Whereas early intervention might lead to avoiding extractions.

Dr Anurag Gupta believes that the first orthodontic consultation of a child should be as early as 7-8 years of age.

Parents should note, that the American Dental Association recommends that by the age of seven, all children should have an orthodontic evaluation.

The Jaw problem

Many times there may be an underlying jaw discrepancy, wherein the growth of upper and/or lower jaw may be inadequate or excessive. These problems are not easily apparent and recognizable by common people. Only a trained orthodontist with help of proper reports will be able to detect and inform you about jaw problem.

When a jaw problem is present, it may be:

Class II: The upper jaw may be ahead, and/ or the lower jaw may be small or behind. Parents find that the upper front teeth are forwardly placed.

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Class III: The upper jaw is small, and/or the lower jaw is ahead or big. Parents find that their child is having irregular upper teeth and lower teeth may be in front of the upper teeth (reverse bite).

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If such is the case then the intervention should be directed towards correcting the jaw problem first. The tooth alignment takes a second priority in such cases.

Various jaw appliances treatments

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Front teeth in reverse bite case 8 yrs old boy

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