Raymond M. Sugiyama, Orthodontist practicing in San Francisco, CA
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Orthodontics - Braces
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What is orthodontics?
Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.
What are some possible benefits of orthodontics?
- A more attractive smile
- Better function of the teeth
- Increase in self-confidence
- Reduced appearance-consciousness during critical development years
- Increased ability to clean the teeth
- Improved force distribution and wear patterns of the teeth
- Better long-term health of teeth and gums
- Guide permanent teeth into more favorable positions
- Reduce the risk of injury to protruded front teeth
- Aid in optimizing other dental treatment
What are some signs that braces may be needed?
- Upper-front teeth protrude excessively over the lower teeth, or are bucked
- Upper-front teeth cover the majority of the lower teeth when biting together (deep bite)
- Upper-front teeth are behind or inside the lower-front teeth (underbite)
- The upper- and lower-front teeth do not touch when biting together (open bite)
- Crowded or overlapped teeth
- The center of the upper and lower teeth do not line up
- Finger- or thumb-sucking habits which continue after six or seven years old
- Difficulty chewing
- Teeth wearing unevenly or excessively
- The lower jaw shifts to one side or the other when biting together
- Spaces between the teeth
What is Phase I and Phase II treatment?
Phase I, or early interceptive treatment, is limited orthodontic treatment before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.
Would an adult patient benefit from orthodontics?
Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Twenty to twenty-five percent of orthodontic patients today are adults.
How does orthodontic treatment work?
Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the archwire that connects them are the main components. When the archwire is placed into the brackets, it applies pressure to move your teeth to their new, more ideal positions.
How long does orthodontic treatment take?
Treatment times may vary, on the average, treatment can take from eighteen to twenty-four months. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment schedule.
Do braces hurt?
The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the archwires you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.
Will braces interfere with playing sports?
No. It is recommended, however, that patients protect their smiles by wearing a mouthguard when participating in any sporting activity. Mouthguards are inexpensive, comfortable, and come in a variety of colors and patterns.
Will braces interfere with playing musical instruments?
No. However, there may be an initial period of adjustment. In addition, brace covers can be provided to prevent discomfort.
Should I see my general dentist while I have braces?
Yes, you should continue to see your general dentist every six months for cleanings and dental checkups.
