The purpose of orthodontics for each patient is different. Most of the goals of orthodontics are as follows:
To keep the teeth aligned, orderly, beautiful and intact
to be able to chew effectively
so that teeth, gums and related organs are in good health
so that the face has a beautiful figure and proportions
Therefore, patients who will receive orthodontic treatment „It is imperative to identify the problems you have and what needs to be addressed,“ because the treatment regimen also depends on what the patient wants to solve, for example:
Patients with good alignment and no chewing problems but feel that their teeth are protruding. If considering in terms of occlusal and tooth alignment, there is no indication for orthodontic treatment. But when considering the problem of protruding teeth This patient can undergo orthodontic treatment to correct protrusion problems.
Patients with jaw abnormalities such as having abnormal occlusal teeth with a chin distorted to one side In case the patient wants to correct the distorted chin Orthodontic treatment alone may not be enough to correct a distorted chin. and it is necessary to have braces in conjunction with orthognathic surgery On the other hand, if the patient thinks that the crooked chin is not a problem and wants to correct only the malocclusion, In this case, it may be possible to treat with orthodontics alone.
However , orthodontic treatment plans It does not depend on the problem that the patient wants to solve alone. but also depends on many factors such as
Oral health, such as the health of the gums and teeth or loss of teeth. For example, a patient has a very crowded tooth but has severe gum disease. In this case, braces can only be started once the gum disease has been cured. and patients can take good care of their gum health The orthodontic treatment plan for this patient will have to consider the condition of the orthodontic bone and will limit the treatment further.
Physical limitations, such as the amount of bone sockets or the amount of deformity of the jawbone, for example, the patient comes with problems with the lower teeth straddling the upper teeth, which is caused by a protruding lower jaw bone In this case, orthodontic treatment alone would not be sufficient to solve the problem of the lower teeth straddling the upper teeth in this patient and the patient would need to have braces in conjunction with jaw surgery.
cost limitation Most orthodontic treatments are non-reimbursable for the eligibility requirements. causing the burden of expenses to be borne by the patient or the parents themselves The cost of orthodontics varies depending on the type of treatment, the type of equipment. or the need to use accessories, for example, a patient with lower teeth straddling the upper teeth and a protruding chin which requires orthodontics in conjunction with orthognathic surgery But this patient has limitations on the cost of surgery. Therefore, the only form of treatment will be orthodontic treatment. The orthodontist will re-evaluate whether the lower teeth over the upper teeth can be corrected with orthodontic treatment alone or not. If possible, this patient can undergo orthodontic treatment for the sole purpose of correcting the lower teeth over the upper teeth. but will have the same extended chin when the treatment is complete
time constraint In most cases, orthodontic treatment takes a long time (may be several years), so the patient must be confident that he can receive treatment continuously for the period prescribed by the orthodontist.
Therefore, before starting orthodontic treatment All patients must have a correct and complete understanding of the treatment plan, treatment methods, and treatment goals. In case of doubt or uncertainty just starting the treatment process especially orthodontics together with tooth extraction or orthodontics in conjunction with surgery
The last point, and the one that is as important as other matters, is the patient’s „co-operation“ throughout the treatment. „The outcome of the treatment depends a lot on the cooperation of the patient.“ Patients need to be treated regularly, keep braces from damage and keep teeth and gums clean, including braces, in case removable braces are required. or other additional tools such as rubber teeth or a tooth extraction tool outside the mouth Patients must have discipline to wear those tools strictly according to the orthodontist’s orders.
At what age should teeth be braces?
Orthodontic treatment can be performed at various ages from childhood to adulthood. which may be roughly divided as follows:
1. .Treatment in children with mixed teeth, aged 8-12 years.
Treatment during this period will be performed in cases where the patient has a disproportionate disproportion of the upper and lower jawbone. occlusal teeth that have a negative effect on the correct growth of the jaw and occlusal, such as deep occlusal or occluding teeth that bump in certain areas before causing the patient to move the jaw to an abnormal position to meet the teeth But if there are no such abnormal symptoms, treatment may begin during the time the permanent teeth are complete.
Treatment can be done by inserting a removable tool, a traction device outside the mouth. or in some cases, the tool may be firmly attached. This is because the patient is still able to grow a lot during that period. Stimulation or inhibition of jaw growth will affect the success of treatment. May need to continue treatment in the permanent teeth set. But it will make treatment easier.
2. Treatment in permanent teeth Age from 12 years old or after the permanent teeth are complete
Most of the treatment is using a bracket attached to the tooth surface in order to align the teeth beautifully and จัดฟัน to chew effectively. Tooth extraction may also be required and other tools may be required, which will be considered by the doctor on a case-by-case basis.
3. Treatment at the age of 20 years or more because this group of patients often have jaw deformities. We have to wait until the growth stops before we can continue the treatment.
4. Treatment in adulthood in combination with other dental treatments such as opening a cavity to insert dentures or correcting bumps in patients with gum disease