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Braces (Orthodontia)

A common problem leading to orthodontic treatment (braces) is called malocclusion (when your teeth don’t align properly). Some common causes of malocclusion include crowded teeth, extra teeth, missing teeth, or misaligned teeth and/or jaws. For most patients, their need for braces is inherited although some may be caused by accidents, early or late loss of baby teeth, or thumb sucking over a long period of time.

Patients of almost any age can benefit from treatment for orthodontic problems. Typically, braces are placed on the teeth between the ages of 10 and 14. This is the period of development in which the head and mouth are still growing and teeth are more accessible to straightening. More and more adults are also wearing braces to correct minor problems and to improve their smiles.

The job of orthodontia is to align the teeth and jaws to improve your bite and consequently change your smile. Generally there are four types of braces; metal, clear, lingual (“invisible”), and Invisalign. Today’s braces are generally less noticeable than ones in the past. Brackets, the part of the braces that hold the wires, are bonded to the front teeth. These brackets can be metal, clear, or tooth-colored. Wires that are used for braces today are also less noticeable. Today’s wires are usually made of titanium that exerts a steady, gentle pressure on the teeth, making the tooth-moving process faster and more comfortable for patients. Usually Dr. Hopgood will be able to determine your child's need for future orthodontic treatment by age seven.

Orthodontia is a multi-stage process. First, an examination is performed to make an accurate diagnosis. Other procedures that are usually performed within the first visit are discussing your dental and medical history, impressions of your teeth to make plaster “study” models, photos of your face and teeth and x-rays of your mouth and head. A custom treatment plan includes treatment options best suited to correct your problem. On the average, braces are adjusted monthly to evaluate movement and efficiency of the appliance. The time required for orthodontic treatment varies from person to person, but the average is anywhere from 18-24 months. Treatment times vary on the severity of the problem and how well the patient cooperates during treatment.

After your braces have been removed, you are typically required to wear a retainer so that the teeth stay in the current positions.

During treatment it is necessary to periodically re-tighten the interconnecting wires. This causes mild pressure on the brackets and/or bands to shift teeth or jaws gradually into a desired position. Your teeth may feel slightly sore or “tender” after such a visit, but the discomfort is short lived.

Hygiene Issues with braces

While wearing braces, avoid all sticky foods such as caramels, gum, etc. and foods such as sweets, chips, and soda. Sugary and starchy foods allow bacterial plaque to produce acids that can cause tooth decay and promote gum disease. Cut healthy hard foods like carrots or apples into smaller pieces. Failure to do so can cause wire damage and loosen brackets. Avoid hard and crunchy snacks such as popcorn, nuts and hard candy.

Oral hygiene is extremely important while wearing braces. Poor oral hygiene can cause enamel staining around brackets or bands. Brush carefully after every meal with a fluoride toothpaste and a soft-bristled brush. Floss between the teeth and under wires with a floss threader. Have your teeth professionally cleaned every three to four months to keep your gums and teeth healthy.

Advanced Dental Concepts
Richard D. Hopgood D.M.D., M.A.G.D.
296 Lowell Street
Andover, MA 01810
Telephone: 978-475-2431
Email: info@andoverdmd.com