The headgear uses the back of the neck (see photo) as an “anchor” to correct this relationship. This appliance may also be used to prevent the upper back teeth from slipping forward during space closure in patients who have had extractions for bite correction. This condition is often responsible for the appearance of protruded upper front teeth or “buck teeth” and can also cause an excessive vertical overlap of the front teeth or “deep bite.” This appliance is used when there is a difference in growth between the upper and lower jaws, such that the upper teeth and jaw are too far forward of the lower teeth and jaw. Remember, though, that the archwires going through the brackets will still be visible. These brackets are less noticeable because they are the same color as your tooth. For mature teens and adults, we also offer ceramic brackets. Different colored “ties,” which hold the archwire to the bracket, may be chosen at each appointment. The photo above illustrates one type of braces we offer. Without proper hygiene, the patient is at risk for developing decalcification (white marks) on the teeth, cavities, and puffy, overgrown gum tissue. ![]() This debris is easy to remove with thorough and proper brushing and flossing. Braces attached to the teeth provide many more places for food particles and plaque to accumulate. ![]() Oral hygiene, including tooth brushing and flossing, is EXTREMELY important during orthodontic care. It is just strong enough to keep the braces on during treatment, but must be weak enough so the braces can be removed when treatment is complete. A special type of glue is used to bond the brackets to the teeth. Traditionally, full braces involve bands that are placed on the molar teeth (which wrap entirely around the tooth) and brackets bonded to all other teeth. Be especially cautious with your diet to avoid bending or breaking the springs.īraces are the mechanism we use to “get a handle on the teeth.” In other words, they merely provide an attachment with which we can grab and move the teeth.Brush carefully around the springs to keep everything clean.They are usually worn for three to four months.Forsus springs will cause some discomfort the first few days.The springs work EXTREMELY well because they are not removable and ensure a constant force on the teeth. They are held in place by tubes on the upper molars and attached to the lower archwire. Forsus springs are used as a second resort because rubber bands are usually more comfortable to wear and allow for easier brushing.įorsus springs are used in conjunction with upper and lower braces and are placed by an orthodontist. If headgear wear is poor, then Forsus springs may offer an acceptable compromise. They are NOT a substitute for headgear though. They have almost the same effect as rubber bands and are primarily used when patients have proven to be uncooperative with rubber band and/or headgear wear. This appliance is recommended when baby teeth are lost prematurely, so the space may be maintained.įorsus springs are used in cases where the upper teeth are forward of the proper fit with the lower teeth. The lingual arch is a metal bar that is attached to the tongue side of the lower first molar bands, and form-fitted behind the teeth. We commonly use this appliance for patients who have an impacted permanent tooth, and exposure of that tooth is suggested. The transpalatal bar helps to maintain the width of the dental arch. The transpalatal bar / Nance is a metal bar attached to the tongue side of the upper first molar bands, and form-fitted along the roof of the mouth, and it may or may not have acrylic. In cases where it is appropriate to use this appliance, it will be part of the beginning phase of orthodontic treatment. Primarily, they are placed in patients who are in transitional dentition (not all adult teeth have erupted), to hold space in the arch for the permanent teeth to erupt. The transpalatal bar / Nance / lingual arch appliances are used in the upper and lower arches to maintain space.
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