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How will you know if Orthodontic treatment is required?

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orthodontist pune

orthodontist pune

Orthodontics is considered to be the first specialty of dentistry that refers to the study and treatment of improper bites or malocclusions and crooked teeth. This difficulty in biting may be due to the following factors:

  • Irregularity of tooth
  • Disproportionate jaw relationships

Orthodontics is the branch of dentistry which helps in correcting teeth and jaws which are improperly positioned. Crooked teeth and the normal teeth do not fit together correctly. This makes cleaning of teeth difficult. Due to lack of proper cleaning the teeth are at a risk of being lost and this may result in tooth decay and also periodontal disease.  It may also cause excessive stress on the chewing muscles which will lead to headaches, TMJ syndrome and pain in neck, shoulder and the back. Crooked and improperly aligned teeth will also make one look less attractive.

An orthodontist is a specialist in the field of orthodontic treatment. The Oswal Dental and Oral Surgery clinic have specialized orthodontist in Pune. The orthodontist provides a complete and comfortable orthodontic care for the entire family. Their orthodontic treatment mainly focuses on either the dental displacement only or they can also deal with the control and modification of ‘dentofacial orthopedics’’ or facial growth. The special services of the orthodontist in Pune include:

  • Self legating braces
  • Adult Orthodontics
  • Aesthetic braces & MBT techniques
  • Functional jaw orthopedic appliances
  • Smile designing
  • Lingual braces
  • Orthodontic Implants
  • Preventive & Interceptive orthodontics
  • Cleft lip & cleft palate Orthodontic connections

How will a person know if Orthodontic treatment is required?

Only the dentist or an Orthodontist will be able to determine whether you will benefit from orthodontics. The conditions wherein orthodontic treatment is required includes

  • Overbite which is also called ‘buck teeth’ wherein the upper front teeth lies too forward or sticks out over the lower teeth.
  • Under bite which is also referred to as a bulldog appearance wherein the lower teeth are too far forward or the upper teeth are too far back.
  • Cross bite wherein the upper teeth does not come down slightly in front of the lower teeth normally when biting together.
  • Open bite wherein a space is formed between the biting surfaces of the front or side teeth when the back teeth bite together.
  • Misplaced midline wherein the center of the upper front teeth does not properly align with the center of the lower front teeth.
  • Spacing wherein gaps or spaces are formed between the teeth due to missing teeth or teeth which does not fill up the mouth.
  • Crowding wherein there are too many teeth to accommodate the dental ridge.

Methods of orthodontic treatment

Most of the orthodontist in Pune use braces and retainers to set the teeth of the patients perfectly.

Different types of appliances which are both fixed and removable are used to help in the movement of teeth, to retrain muscles which affect the growth of the jaws. The appliances which are used in the orthodontic treatment work by placing gentle pressure on the jaws and teeth. Based upon the severity of your problem and the condition of your teeth the orthodontic approach which best suits the patient can be determined.

The fixed appliances include:

  • Braces: These are the most common fixed appliances which usually consist of bands, wires and brackets. For a comprehensive orthodontic treatment, metal wires or ‘Jushi ‘are inserted into the orthodontic brackets. These metal wires are made from stainless steel or from a more aesthetic ceramic material. The wires inserted interact with the orthodontic brackets to move the teeth into the desired positions.
  • Special fixed appliances: These are used to control thumb sucking or tongue thrusting. These appliances are attached to the teeth with the help of bands. They are usually used as a last resort as it causes difficulty in eating.
  • Fixed space maintainers: In the case of premature loss of baby tooth, a space maintainer is used to keep the space open till the eruption of the permanent tooth. Here a band is attached to the tooth next to the empty space and a wire is extended to the tooth on the other side of the space.

The removable appliances include:

  • Invisalign and other removable appliances: This is another method of orthodontic treatment wherein plastic aligners are inserted to help in the movement of teeth. Additional appliances that are removable like plates, headgear, expansion appliances and many other devices may also be used to help in the movement of teeth and jaw bones.
  • Dentofacial Orthopedics: This orthodontic treatment includes functional appliances and is mainly used for children in the age group of 5 years to 14 years. This treatment mainly aims at modifying the dimensions of the jaw. This is usually followed by fixed multi-bracket therapy which mainly consists of full braces that are used to align the teeth and also to refine the occlusion.
  • Removable space maintainers: Some orthodontists also work on reconstructing the entire face rather than just focusing exclusively on the teeth alone. After an active orthodontic treatment course, the patients will be made to wear retainers. The retainers help to maintain the teeth in their improved and aligned positions while surrounding the bone reforms that are present around them. The retainers are initially worn full time for a period of a few days to a year. Later the patients are advised to wear the retainers partially which is typically during night time. They will continue this as long as the orthodontist recommends them to do so. It is best advised by many orthodontists for the patients to continue wearing the night time or part-time retainers for many years after the orthodontic treatment is done. This ensures that the teeth alignment is retained. In the case of Adult orthodontic patients they will most likely need lifetime retention to maintain their teeth intact.
  • Jaw repositioning appliances- They are also called splints which are worn on the top or lower jaw and help to train the jaw to close in a more favorable position.
  • Lip and cheek bumpers: These are designed to keep the cheeks or lips away from the teeth to relieve the pressure.

The orthodontist in Pune helps to treat patients who have problems like crooked teeth and also improper bites. The orthodontic treatment mainly aims to help in fixing the teeth of the patient and also set them in the right place by perfectly aligning them.

Diagnosis and treatment planning done by orthodontist

With regards to diagnosis and treatment planning, the orthodontists have to take into consideration the following points:

  • Recognition of the various characteristics of a dentofacial deformity or malocclusion.
  • They should be able to define the nature of the problem and also the etiology if possible.
  • They should be able to design a strategy of treatment which will be based on the specific needs and desires of the patients.
  • They should be able to present the treatment planning and strategy to the patients in such a way that the patients are able to understand it perfectly and also the ramifications of their decision.

With the help of orthodontic treatment the patients will be ensured of healthier teeth a more pleasing appearance and teeth which are most probably last for a lifetime.




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Dr. Nitin Oswal

Dr Nitin Oswal completed his B.D.S from Bharati Vidyapeeth Dental College & Hospital, Pune in 2003 & M.D.S in the field of Oral & Maxillofacial surgery from Dr Dy Patil Dental College & Hospital, Pune ( Pune University) in 2008. He has a practice restricted to Oral & Maxillofacial surgery and is a consultant at Sahyadri hospital , Inamdar hospital & Ranka hospital.
Dr. Nitin Oswal
Dr. Nitin Oswal
Dr Nitin Oswal completed his B.D.S from Bharati Vidyapeeth Dental College & Hospital, Pune in 2003 & M.D.S in the field of Oral & Maxillofacial surgery from Dr Dy Patil Dental College & Hospital, Pune ( Pune University) in 2008. He has a practice restricted to Oral & Maxillofacial surgery and is a consultant at Sahyadri hospital , Inamdar hospital & Ranka hospital.
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