Orthopedics and orthodontics
Aligned teeth in harmony
Orthodontics is the part of dentistry that deals with the correction of teeth position. Today adult orthodontics is as frequent as children orthodontics.
Some cases can be treated with removable appliances, and other ones with fixed appliances. In general, the sooner a problem is discovered, the easier it will be to treat it. It is advisable to visit children since 4 years of age, to detect or prevent possible important alterations in the future.
People who can be treated orthodontically sometimes can benefit from the treatment of other related problems, like changes in the position and growth of the maxillae, in the facial profile or on the global posture of the face and body.
Techniques have evolved spectacularly, even with the use of microimplants to facilitate some movements, using white or transparent braces made with sapphire, lingual braces which are invisible from the outer part of the mouth, or the already known treatments with invisible splints, like Invisalign®
Microimplants (or microscrews) are small devices which can be screwed in bone to increase anchorage in orthodontic treatments. The development of these devices makes it possible to make orthodontic’ movements and achieve results which were unthinkable a few years ago. The placement of the microimplants is painless and does not interfere with everyday life.
It is paramount to place, after orthodontic treatment, a fixed retainer known usually as a fixed splint and also a transparent removable essix to use during night time, to avoid the relapse of treatment.
For all those things, it is very important to diagnose in an individualized way every case. In the unit of Orthodontics and Dentofacial Orthopedics of the Clinica Dental Padrós-Creus Muntaner, we have the upmost computer programs to evaluate face profile and the teeth, and diagnose the combined functional problems in three dimensions. We can also evaluate simulations of the prediction of the final result of treatment.
With the computerized evaluation of the cast models and the photographic and video elements, and applying the ideas of the DSD we will design a new smile, and recommend the best technique to achieve it.
Among the last advancements which we have added, we have the Dolphin Imaging 3D program. Until not too long ago the orthodontic problems could only be diagnosed with 2D elements (x rays, photographs). Today it is possible to study the case with greater exactitude, as we can detect the 3D dimension of structures like the roots of the teeth, the bone thickness, the position of included teeth, etc. For that we apply 3D analysis on images taken by CBCT (Cone beam tomography).
Among aesthetic or invisible techniques, some classic removable appliances, including Inman’s Aligner or Mew’s Biobloc.
Inman’s aligner is able to align anterior teeth offering a rapid treatment and, for this reason it may be the best option for relapse in adults.
It is a logic alternative, because it works rapidly and efficiently. Many cases can finish in 6-16 weeks.
To be able to finish orthodontic treatments quicker, whatever the technique used, we can use the Acceledent® system. This curious instrument, through a series of comfortable vibrations applied every day, is able to finish the cases between 30 % and 40% before. Normally this device needs to be worn around 20 minutes every day.
Orthognathic surgery includes the necessary surgical techniques to place the mandible and the maxilla in the best position, so that combined with precise orthodontic manoeuvres will be able to obtain an ideal result for a good mastication, facial aesthetics, etc.
Those problems are relatively frequent. It is considered that between 8% and 12 % of the population have those dentofacial disharmonies, Orthognathic surgery is usually performed in patients who have already finished growth.
The procedure is done between the orthodontist and the specialist surgeon, who will be in charge of mobilizing the bone structures to achieve a correct positioning between the maxillae, and a good aesthetics.
Around one day after surgery, the orthodontist starts to apply the orthodontic forces, usually with elastics and wires, and proceeds to the finishing of the case, which is usually achieved between 6 and 12 months after surgery.