Orthodontics

Fixed orthodontic braces achieve a proper proportion of the jaws, an optimal teeth line as well as an ideal position of teeth in them. Therapy with the help of fixed braces solves problems such as:

• Dominant (protruded) upper jaw – distal bite
• Protruded lower jaw – progeny
• Lack of room in teeth lines (“dense teeth”, “crooked teeth”)
• Excess of room in teeth lines (gapped teeth)
• High Gothic palate
• Overlapped, rotated, inclining teeth
• Supernumerary tooth - mesiodens
• Hypodontia (missing teeth)

The decision on whether fixed braces is an ideal solution for you will be made after a detailed anamnesis clinical review, functional analysis the analysis of study models and x-ray as well as of face photographs.

Fixed braces are differentiated by the material they were made of:

• Metal braces – contemporary sophisticated technology has come out with a new generation of metal braces which are of smaller size,  less conspicuous and increasingly meet esthetic standards. Elastic bands that fix wire to the brace can vary in so the braces can look interesting and fun. Patients can choose colors of the elastic bands themselves at obtain a new color at every dental check and so get new looks.

• Esthetic braces - we apply are completely transparent. Many patients insist on having the invisible braces on a tooth, which is ensured with these braces and which gives them the self-confidence to smile during the therapy

• Lingual braces - are the same as traditional metal braces, except that the brackets and wires are placed on the inside of teeth, so that they cannot be seen in a smiling patient.

Functional appliance conveying the power of the tongue, mouth and cheek power to the teeth and the jaw bring about the correction in the irregularity of the bite. They are applied in patients who need a further stimulation of the jaw growth.  

They can be:

• Removable– patients position and remove them themselves from the mouth. They are made of acrylates. They are ideal for the period of intense growth (adolescence).

For instance, in children with insufficiently developed lower jaw these apparatuses are successful in solving the problem of irregular bite.  By stimulating the growth they set the jaw in its ideal position. This therapy also helps to achieve the harmony in a child’s facial features.

• Miofunctional appliance – made of silicon.  Ideal for eliminating bad habits: breathing through mouth, tongue pressing, thumb sucking etc. In addition they lead to the correction in the irregular bite and tooth position.  Given the fact that they are made of an elastic material, children accept them gladly.
   
• Fixed appliances – after the completed period of intense growth, they are used in combination with fixed braces for the correction of the irregularity in bite. 

Mesiodens is a supernumerary tooth present in the midline between the two central incisors.

In most cases this tooth never comes out. The possibility of its existence is denoted by the presence of the diastema between the crowns of the upper incisors which are leaning one to the other (the presence of convergent diastem).  The definite diagnosis is made only after the x-ray analysis and depending on localization the therapy can be planned.

In addition to the widening of the incisor’s roots meziodens can also be an obstacle to the appearance of the other adjacent permanent teeth.

The therapy understands the extraction of the mesiodens  and then positioning the teeth in the appropriate position in the teeth row by means of the fixed braces or removable orthodontic appliance. 

The presence of the remaining decidous teeth in adult patients is a common occurrence nowadays. The milk teeth are smaller, of a different color and shape from the other teeth and thus affect the esthetics of the smile. The presence of the remaining milk teeth can be the result of impaction (detention) of a permanent tooth in the bone.

The presence of the impacted tooth is usually detected by a dentist after an x-ray. The patient reports an absence of a tooth in the esthetic zone and generally that is the moment when they learn about the presence of a tooth which failed to grow.

The most common impacted teeth are canine teeth. In the former time the therapy of the impacted teeth understood a surgical extraction. It was not only the harmony of the smile that was affected but also some irregularities were caused in the bite. Nowadays the impacted tooth can be very successfully positioned in the tooth row by means of fixed brace. The canine teeth are the ones which give the smile a character and have an important chewing function. That is why it is crucial to perform detailed diagnostics and position those teeth in a proper position in the tooth row by means of fixed braces.