braces?
公開日:2022/05/11 / 最終更新日:2022/05/11
How long does it take to have braces?
The treatment time will vary depending on the problem of occlusal teeth. Generally, patients are scheduled every 1 month to adjust the instrument. In normal cases, it takes about 1 year and a half – 2 years and in very severe cases it may take 3 – 4 years, after which it enters the stabilization phase.
After the teeth are aligned beautifully and can chew effectively The doctor will remove the firmly attached tool. Then change to a tool to maintain the position of the teeth, which may be a fixed or removable tool, as the case may be. The incubation period is approximately 2 years. In case of removable apparatus, the first year should be worn by the patient all the time except when eating and brushing, and in the second year it should be worn only at night. If not used, the teeth tend to move back into their old position. Unfortunately, many difficult, painful and costly past treatments will be wasted.
Do braces hurt?
Tooth stiffness is a common symptom of orthodontic treatment. When teeth are exposed to force from braces, inflammation occurs in the tissue between the tooth and the socket bone, จัดฟัน (his response) which is a normal body mechanism and the mechanism that causes the tooth to reposition. This inflammation is the reason why we feel pain and stiffness in our teeth.
The pain of toothache begins several hours after adjusting the braces and lasts for about 2-4 days, after which the pain will go away on its own. Each patient, even though they received the same treatment regimen.
In the case of severe tooth pain We can take painkillers. The appropriate pain reliever for orthodontic patients is “Paracetamol” because other painkillers inhibit the movement of teeth and slow down orthodontic success.
In the case of severe pain such as cerebral pain, toothache when eating hot or cold food or toothache until unable to hit the tooth The patient must inform the orthodontist immediately. Because these pains may be caused by reasons other than the force of orthodontics. and need further treatment
side effects from orthodontics
Rocking teeth during orthodontic treatment
When teeth are subjected to force from braces This causes the ligaments that hold the tooth to the bone and the bone surrounding the tooth decay to create space for the tooth to move and reposition as we want. It is the breakdown of the bones and ligaments that lead to rocking teeth. or in patients with periodontitis before However, after we stop giving braces and then The tooth socket and ligaments will repair themselves, causing the tooth decay to disappear on its own. “
toothache
As described in the section “Does braces hurt?” Toothache pain is a common occurrence with orthodontic treatment. after adjusting the braces The patient will have tooth stiffness for about 2-4 days and the stiffness will go away on its own. However, if the pain is very severe or having pain that lasts longer than usual The patient needs to inform the orthodontist immediately.
dissolving root
Root dissolution about 1-2 mm at the tip of the tooth root. It is a side effect that we often see after orthodontic treatment. Because root dissolution is a consequence of the process of building and disintegrating bone around the tooth and the coccyx (which is the key mechanism by which the tooth repositions), a small amount of root dissolution does not affect the strength of the tooth. after orthodontic treatment
However, we found more than normal root dissolution in some patients. The factors affecting the dissolution of the root can be from The appearance of the root canal is pointed or bent, the treatment takes a long time to heal, or some physical abnormalities such as patients with thyroid hormone deficiency, etc.
Another factor that we tend to experience more than normal root dissolution is A tooth that has been impacted before, therefore, ” a patient with a history of impacted teeth, such as a fall and a tooth hit the floor. or had an accident It is necessary to inform the orthodontist as well.” During orthodontic treatment, these patients had radiographs of the tooth with a history of impact every 3-6 months to monitor for more root dissolution. or not
dissolution of bone sockets
The tooth socket is the bone that surrounds the root of the tooth. This is the part that will definitely need to be changed in the event that we change the position of the teeth. Usually, we will find a slight dissolution of the socket bone about 0.5-1 mm after orthodontic treatment.
Like many previous topics We can find more than normal dissolution of the bone sockets in some patients. There are many factors related to the dissolution of the tooth socket, such as the strength of the gums. ” We found that patients who were unable to clean their gums and teeth well And with inflammation of the gums and periodontal organs, there is a greater chance that the bone sockets will dissolve than those who clean the mouth well and do not have gingivitis.”
In addition, the thickness of the socket bone and the amount of tooth displacement also affect the dissolution of the socket bone. Therefore, the orthodontist will use the amount of the patient’s tooth socket (as seen on the radiograph) as one of the factors in determining the treatment plan. Because if the tooth changes position beyond the tooth socket bone to adapt, there will be a great dissolution of the tooth socket bone as well.
In addition to the four topics mentioned above “There are also other side effects that can be seen such as tooth decay, gingivitis or swollen gums. However, these problems can be prevented with good oral hygiene” , which will be discussed later in the section. “Oral health care”
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