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Orthodontic video consultations for children available. Call me on Skype or make an appointment on the ‘Znany Lekarz’ website.
Easier than you think!
The first days after applying the device to the teeth
Adults already on the first visit want to know what it is like to have a dental device attached to the teeth. Do your teeth hurt? What can you eat?
How to help yourself?
I will gladly share my knowledge
My patients have many questions about braces, care and treatment. I also often have to rectify their misconceptions and information that they have heard or found somewhere in the depths of the Internet. Why does it give me such satisfaction? Find out more about my motivations here.
I support you in the fight for a healthy smile!
Doctor, just don’t remove my teeth
However, we cannot always avoid removing teeth during orthodontic treatment. Why? Orthodontic braces are only able to move the teeth within the area of the alveolar bones – this means that they are not able to increase the size of the existing bone in which the teeth are located. Sometimes the size of the teeth is too large in relation to the bone in which they are located, resulting in significant congestion. In this situation if we simply fixed braces without removing teeth, teeth would become significantly bent, and the so-called “horse smile effect” could be produced, and, what is worse, such a large bending of the teeth would cause their displacement beyond the alveolar bone, i.e. beyond the bone in which they are located.
Another indication for extractive orthodontic treatment, apart from a very large crowding of teeth, is orthodontic camouflage. What is orthodontic camouflage? As I mentioned earlier, braces are only able to move the teeth, they are not able to move the jaw bones relative to each other. In adult patients with malocclusion – e.g. distoclusion (retraction of the lower teeth in relation to the upper teeth) with a large gap between the upper and lower teeth, there are two treatment options. The first option is orthodontic-surgical treatment, in the case of distoclusion consisting in the orthodontist’s preparation of teeth for extension of the mandible forward or just treatment with camouflage. As the name suggests, in the latter situation we camouflage the patient’s defect by moving their teeth. We then have no influence on improving the position of the patient’s chin, which in the case of a distoclusion is small and retracted.
Below I present a case of significant crowding, where 4 teeth were removed – we are in the process of treatment, the patient is very satisfied with the effect, despite the initial resistance to extraction