This is an automatically translated article.
The article is professionally consulted by Doctor of Dentistry - Maxillofacial - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.
Currently, there are many different orthodontic methods indicated for crowded teeth such as braces, porcelain crowns, surgery... Thanks to the modern development of dentistry, the number of indications tooth extraction is relatively minimized, the treatment time is usually short (from 12-18 months or longer depending on the tooth condition) and the orthodontic efficiency is high.
1. Treatment goals for crowded teeth
No matter which method is applied to orthodontic treatment, the ultimate goal is still towards a beautiful, even, bright white and healthy teeth.
Solve the right cause of crowded teeth to be able to treat thoroughly, return the patient to the balance and harmony of the face, minimize and improve the complications of the disease. The teeth are misaligned to the neighboring areas, especially ensuring the chewing and grinding function of the teeth.
2. Methods of correcting crowded teeth
2.1 Braces method
Among the orthodontic techniques, metal braces are the most commonly used technique in dentistry with absolute safety and still give the desired effect.
Metal braces are one of the popular orthodontic methods applied in dentistry today used for cases of underbite, wide tooth, misaligned teeth... Currently this method is considered as the foundation. foundation of modern orthodontic methods.
Materials used in braces are usually stainless alloys such as Nickel - Titanium with high strength, rigidity, stability with uniform force.
General advantages of metal braces methods:
Can treat many difficult cases such as crooked teeth, underbites, crooked teeth... As a safe orthodontic method, patients can operate Comfortable movement while wearing braces. Short orthodontic time: 1-3 years with traditional braces, 18-24 months with self-ligating braces. Compared with other methods of braces, metal braces have a lower cost, suitable for many objects. There are two common types of metal braces: traditional metal braces and self-ligating metal braces.
Traditional metal braces:
Traditional metal braces are a method of using brackets fixed on the teeth, the arch wire is located on the brackets to create a tightening force to help the teeth move. Instead of using nickel, this traditional method uses dental elastic to fix the arch wire into the brackets.
Advantages of the metal braces method:
The arch wire has high strength and tensile strength, so it is quite sturdy, reducing the risk of being popped and broken during the braces process. Orthodontic time is fast due to stable traction. Colorful lanyards are suitable for children. Low cost suitable for many objects. Cons:
This method uses metal brackets, so it has low aesthetics, sometimes it can cause a feeling of inferiority for the user. Although the elastic band used has high elasticity, but after time of use, these elastic bands are prone to bursting due to the friction of the wire in the brackets groove, causing the arch wire to slip from the teeth. Therefore, in this method, the patient often has to visit the doctor to correct the deviation of the bowstring. It is easy for foods to stick to your teeth, especially gummies, or even hard foods. Reduces the feeling of the user, which can lead to increased salivation during the initial period of braces. Sometimes being bitten on the cheek should create a feeling of discomfort and entanglement. Self-ligating metal braces:
Self-ligating metal braces is an innovative orthodontic method developed from the traditional metal braces method. This method is suitable for conditions such as misaligned teeth, uneven teeth, underbite...
Instead of using elastic bands as in the traditional method, self-ligating metal braces are designed with The latches can be opened and closed flexibly to help fix the arch wire in the bracket slot. These archwires can slide freely in the bracket groove to help maintain a more stable force, minimize friction, so the patient uses less pain, limiting the risk of slipping.
Advantages:
The method of using a free slide in the bracket groove should reduce friction, and at the same time help the doctor adjust and control the force of fixing the jaw better, the force used is lighter and the wire is less. more deformed. You do not have to visit the doctor regularly to re-adjust the arch wire during braces. Shorten the time of wearing braces, higher efficiency. The edge of the brackets is designed to be smooth, the face is small and round, so the user can eat comfortably and easy to clean. Cons:
Using brackets is quite thick, so it feels clumsy, entangled, uncomfortable. The cost is higher than traditional braces methods. Vinmec Times City International Hospital now has a new generation of orthodontic braces applied to cases of crowded teeth, wide teeth, protrusion, underbite, misaligned teeth, malocclusion, etc. the face has lost its aesthetic appearance, helping to adjust and regain the aesthetics of the teeth, smile and face by orthodontic treatment.
2.2 Porcelain crown method
Porcelain crown is one of the methods of cosmetic restoration of teeth that is well applied to cases of broken, stained, overcrowded, crowded teeth... The method of using porcelain crowns is made from high quality materials. Biological coating to cover crowded teeth for an even tooth with natural color, high hardness.
Advantages of this method compared to braces:
High aesthetic effect, natural color. Absolutely safe method, no pain, no damage, no irritation. High durability, can be up to 7-10 years, even 15 years depending on care, cleaning and daily living. See also: Aesthetic porcelain crown package
2.3 Orthodontic surgery Orthodontic surgery is a method performed with the aim of bringing back teeth that are not in the correct position. This method allows to move one or several teeth in the mouth without affecting the jawbone. An orthodontic surgery usually takes 3-4 hours.
Advantages of orthodontic surgery:
Safe technique, takes place in a shorter time. With high aesthetics, after surgery can also ensure the chewing function of the teeth. The effect achieved is permanent. Cons:
The cost of surgery is often higher than other methods. It takes time to rest and recover from surgery. There is a higher risk of complications compared with other methods. In addition to the above methods, depending on how crowded the teeth are, it is possible to give an indication of tooth extraction or not.
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