A molar tooth grows next to the milk tooth. What to do if the child's teeth grow in two rows? Underdevelopment of the jaw system

Most people think that crooked teeth can only be corrected and aligned during childhood or adolescence. But practice shows the opposite. Of course, before the age of 18 it is much easier to treat crooked teeth, but you can think about their health and beauty after 18. Do not neglect your beauty.

Of course, with age, you can meet a number of problems. Most people are embarrassed to wear braces just because they don't look very presentable. But in the 21st century dentistry, this type of bracket systems is already used, which is commonly called invisible. There is practically no difference in price between ordinary and invisible species.

What is the principle of operation of such braces?

Invisible braces work just like simple braces. The main component of such a system is special metal arc which is able to fix the shape of your teeth. Basically, the arc is made from an alloy of nickel and titanium (nitinol). Even after you heat such an alloy to the maximum temperature and inflict defects on it, it will still take its original form and shape as a result. Heat is the catalyst for the recovery process.

Types of braces that are almost invisible

A pleasant surprise when buying bracket systems will be the fact that there is a variety of them and the ability to choose those that suit you best. In turn, each type of braces has pros and cons. The type of bracket system is selected according to certain clinical results of the test.

So, let's take a closer look at the advantages and disadvantages of various types.

Lingual bracket systems

Due to the fact that they are located on the inside of the teeth, they are invisible to strangers.

Advantages:

Flaws:

  1. More thorough and complex cleaning and care of the bracket system;
  2. Deterioration of diction;
  3. The period of getting used to the design can last up to a month.

Indications for use:

Invisible braces can help with various dental anomalies and bite problems. Sometimes they are even more effective than the usual classic ones. Problems can arise only if the curvature is also accompanied by jaw defects.

Sapphire (ceramic) braces

Vestibular braces can also be made invisible. To do this, you just need to use a material that is most closely similar in texture and color to natural teeth. Mostly it is sapphire or ceramic.

Advantages:

  1. They are noticeable only when people around you are looking at you for a long time. For an ordinary acquaintance, they are almost invisible;
  2. The price is much lower than the price of lingual braces;
  3. Aesthetic factor: sapphire is a transparent material that is practically invisible on the teeth, and gives off a glare in the sun; ceramics is a matte material, so the shade of the braces will be matched to the shade of your teeth;
  4. To make the braces completely invisible to others, the arc can also be painted in the appropriate color;
  5. The effect of treatment with such braces does not differ from the effect of classic metal braces.

Flaws:

When wearing braces of this type, the disadvantages include the same problems that are observed when wearing all other types of braces.

Caring for braces that are almost invisible

As noted above, brushing your teeth with this type of braces is much more difficult than usual. When using a linguistic type construct, access to the construct is reduced. When using porcelain or ceramic - you need to pay maximum attention to their cleanliness, otherwise they may become dark.

Beyond what you have brush and special toothbrush, it is desirable for you to get an irrigator. This device is used to deliver water under high pressure to the teeth in order to remove deposits of any type from hard-to-reach places.

Steps for installing invisible braces

These braces take much longer to make than regular braces. The entire bracket system is made individually for a person. Basically, the entire manufacturing process takes place in a specially prepared laboratory. Sometimes production can take up to 1 month.

Before installing braces, your doctor must collect all the data necessary for this. It is imperative that you do x-ray and cast of both jaws. In order to choose a shade for ceramic braces, the Vita scale is used.

Before you install a bracket system, you first need to cure all infectious diseases, caries and undergo a proper dental examination. your dentist can advise you to have a professional comprehensive dental cleaning. This will be necessary to facilitate the further installation and care of the braces.

On the day when the bracket system will be installed, all the locks are first installed, only then the arc is installed. The time for which a person gets used to the system can last from 14 days to 1 month. It all depends on the design.

In modern dentistry, there are two main groups of braces: vestibular and lingual. The first ones are installed on the outside of the dentition, so that orthodontic treatment will not remain invisible to others even if spectacular translucent systems are installed. Lingual braces are an orthodontic system that is fixed on the inside of the dentition. This is the main advantage: due to their location, the locks remain completely invisible to prying eyes.

The photographs below show a mild clinical case where lingual braces were treated for 9 months.

Types of lingual braces

Today, there are many varieties of internal bracket systems from different manufacturers. The choice of devices is quite large, so that everyone can find the best option. All of them effectively help to eliminate the curvature of the teeth and cope with malocclusion completely imperceptibly to others, but at the same time, each lingual system has its own characteristics. Apparatuses differ depending on materials, manufacturing technology and cost. Consider the most popular invisible lingual braces.

STB

Bracket system from Ormco, USA. It has a rounded shape, made of metal. The thickness of STB lingual braces is 1.5 millimeters, while they provide accurate correction of the dentition and comfort in operation. The model does not have the main disadvantage of conventional lingual devices - large brackets on the side of the tongue. Caring for STB lingual braces is quite simple, so they are perfect even for children. The device practically does not affect pronunciation.


Incognito

An innovative German platinum-gold bracket system is made by Top Service based on a cast of the patient's teeth: first, a 3D model of the future device is designed, taking into account the smallest nuances of the jaw structure, after which the lingual system is produced by milling using special CAD / CAM technology. Incognito invisible lingual braces are hypoallergenic and ideal for any clinical situation.


Win

Another model produced by Top Service. However, unlike Incognito lingual braces, these internal braces are miniature and flattened. Standard Win lingual braces do not cause discomfort during wearing and are almost not even felt. The system is ideally adapted to the tooth surface and is suitable for eliminating pathologies of any complexity. In addition, the improved production technology of the device has significantly reduced the cost of the model in comparison with the Incognito lingual bracket system.


2D

Modern invisible braces from the German manufacturer Forestadent. They have a perfectly polished surface and a small thickness, which allows you to maintain diction and maintain wearing comfort. Also, one of the advantages of 2D lingual braces is the price, and in terms of efficiency they are not inferior to other models.


In Ovation L

Lingual metal bracket system of one of the largest companies in the dental market Dentsply. Main advantages: availability and versatility. The device is made from an alloy of cobalt and nickel and is sold completely ready, saving the patient from having to wait. The In Ovation L system is suitable for those who have to move their teeth within six millimeters.


Installation of lingual braces on teeth

The procedure for installing internal bracket systems is not particularly different from fixing traditional devices. First of all, the patient is waiting for the preparatory stage, during which he will undergo diagnostics, professional hygiene procedures and sanitation of the oral cavity (a set of medical procedures to eliminate diseases and inflammations in the oral cavity).

Based on the diagnostic results, 3D modeling of lingual braces is carried out, after which an orthodontic appliance is made in the laboratory, taking into account all the anatomical features of a person. The production of a lingual system will take from a month to one and a half.

When the apparatus is ready, the orthodontist proceeds to install the braces on the inside of the teeth. To put lingual braces, the following manipulations are carried out.

  1. The enamel is polished and treated with a restorative agent.

  2. On the inside of the dentition, special linings are attached, interconnected.

  3. Special locks, which are called braces, are fixed on the lining with dental glue. They set the desired direction of movement for each tooth.

  4. An orthodontic power arch is inserted into the braces, connecting them together.

  5. The arc is fixed on the locks with the help of elastic fasteners-ligatures (in ligature models) or with special clips located directly on the locks (in non-ligature models).

During treatment with lingual braces, the orthodontist periodically replaces the wires with new, more rigid ones in order to increase the load on the dentition. The period of wearing such a system is on average from one and a half to two years, but it is impossible to say exactly how long lingual braces are worn, because the terms may vary depending on the degree of curvature of the teeth and malocclusion, as well as the characteristics of the patient's body.

In some cases, do not put internal braces?

For a number of clinical cases, an invisible bracket system is the best treatment option. For example, lingual braces with a deep bite work much more efficiently than vestibular ones. However, there are a number of restrictions in which it is better not to put lingual braces on the teeth. Among them:

  • periodontal disease;
  • low dental crown;
  • dysfunction of the temporomandibular joint;
  • allergy to the materials from which the system is made;
  • bruxism;
  • too narrow jaw;
  • severe crowding of teeth;
  • age under 11 years old.

Lingual braces and diction

Installing an invisible bracket system is the best option in terms of aesthetics. However, many patients complain that diction deteriorates after the installation of lingual braces. When correcting the bite with lingual braces, in the process of getting used to the device, the patient may indeed have speech defects, especially when pronouncing hissing consonants. For braces that are placed on the inside, this is normal, it completely disappears after two to four weeks, after which the patient continues to lead a normal life.

Which is better: regular or lingual braces?

Compared to vestibular (external) braces, lingual braces have both advantages and several disadvantages:

  • Aesthetics: even the most attentive interlocutor will not guess that you are undergoing treatment with lingual braces.
  • Comfort: internal braces on the teeth do not cause damage to the lips and cheeks, as they do not come into contact with them.
  • Predictable result: the lingual bracket system is made on the basis of a 3D model, and the patient can see in advance what his smile will look like at the end of the treatment.
  • Hypoallergenic: the systems consist of alloys that do not cause an allergic reaction.
  • The ability to correct even the most difficult case of deep overbite.
  • Cause increased salivation during the period of adaptation.
  • May rub the tongue, especially in the first weeks after installation.
  • Violate diction (the problem is solved within a couple of weeks).
  • They have more limitations in comparison with the vestibular systems.
  • Require more careful adherence to oral hygiene procedures.
  • They have a high cost.

Most of the disadvantages of lingual braces are conditional, since the prices of devices and their level of comfort vary for different models of lingual braces.

Video about lingual braces

Is it possible to get lingual braces cheap?

Many patients are concerned about the question of whether it is possible to fix lingual braces without much damage to the wallet. These are quite expensive devices, most of which are made exclusively for the patient. However, there are options here.

Lingual braces for one jaw

First, it is worth discussing with the orthodontist whether it is possible to install braces on the inside of the teeth on one jaw. This may be in combination with the normal vestibular system or alone in uncomplicated cases. So, it is quite possible to install lingual braces on the upper jaw or only on the lower jaw in order to correct the unevenness of only one dentition, if the patient has the following problems.

  • Slight crowding without complications in the anterior jaw.
  • Slits in the anterior part of the jaw, while the lateral teeth close correctly.
  • Strongly erupted lateral teeth without antagonists.
  • Spaces to be closed after tooth extraction.

Partial lingual braces

In some cases, when the patient's teeth are crooked in a certain place, partial lingual braces can be dispensed with, which the doctor will fix not on the entire dentition, but only in the area where the local defect is planned to be eliminated. Partial lingual braces with installation will cost the patient almost half as much as the device for the entire dentition.

The final decision on whether it is possible to install a lingual bracket system only on one jaw or locally can only be made by the attending physician - taking into account the clinical picture and subject to a stable result.

Budget models of systems

Another way to save money when installing invisible braces on your teeth is to choose a budget system. The most expensive for today are lingual braces Incognito. However, other internal braces for teeth are just as effective as designs from the premium segment. They only differ in the materials of manufacture, the method of fixation and the size of the locks - braces. Table of approximate prices for popular bracket systems (per jaw):

In addition to the cost of the braces themselves, the final price of orthodontic treatment will also include diagnostics, installation, regular correction and removal of the lingual bracket system. For example, the cost of correcting a bite or crooked teeth with Incognito lingual braces will ultimately cost 300,000 - 400,000 rubles. And if you choose a more budget option, for example, Win or STB lingual braces, then the cost of treatment will be up to 230,000 rubles. So, if you wish, it is quite possible to install lingual braces inexpensively and become the owner of a dream smile.

The problem of malocclusion is familiar to many. But not everyone tries to fix it in early childhood, and the older a person gets, the more inconvenience this problem can bring.

But it's never too late to start treatment. But the problem is that many do not want to install braces because of the appearance. "Metal smile" few people like it. However, the development of dentistry does not stand still, the best solution to the bite problem is invisible braces.

Lingual braces are only visible when the mouth is opened wide. A photo

Lingual invisible braces

Lingual invisible braces (translated from Latin “lingua” - language) is one of the types of orthopedic system, which differs from corrective devices in that the installation takes place on the inside of the dentition, due to which they are completely invisible to others. This system helps to correct the violation of occlusion, as well as to correct the curvature of the dental units. In addition to its medicinal properties, the invisible bracket system is good because it is hardly noticeable from the outside. So what is so special about this system?

The main positive qualities of lingual invisible braces are, firstly, its complete invisibility; at the end of the treatment, there are no traces of its use; it is absolutely hypoallergenic, which allows it to be used by all patients; Hidden braces will help in correcting deep bite defects as effectively as ligature braces. Thanks to the rounded shape of the locks, there is no risk of injury to the tongue. The convenient form helps to quickly get used to it, in no more than a few days the feeling of discomfort will disappear.

But, like any other remedy, inconspicuous braces have some drawbacks: at first, after installation, there may be a problem with diction, however, and it disappears soon; the installation system of these braces is not easy, therefore the competence and experience of the doctor installing the system is mandatory; Also, the disadvantage of invisible braces is their high cost.

How invisible braces work

Regardless of the type of braces, the principle of operation is unchanged. The main element of lingual invisible braces is made of metal, which has the function of "shape memory". The material for this arc is nitinol, an alloy of nickel and titanium. When this metal is heated, at a critical temperature, it hardens and henceforth, with any defects, takes its original shape.

Varieties of invisible braces

Invisible braces can be:

  • plastic

Thanks to a wide range of types of invisible braces, everyone can choose the type of construction they need. Therefore, before installation, it is better to consult with a specialist and select the required type of design.

Invisible bracket system

Features of lingual constructions

This system is installed on the inner surface of the dentition, which allows them to be completely invisible, however, their healing function is standard. With the help of pressure exerted by metal arcs and braces on the teeth, they become in their correct natural position.

The manufacturing process is longer than with other dental structures, which allows for more accurate bracket sizing. On average, fitting a lingual system takes about a month.

Before starting the design, the orthodontist must make a careful examination of the oral cavity, take an x-ray and take a cast of the jaws. Next, the doctor fixes the locks and arches of the braces on the teeth.

The installation system of inconspicuous systems is a little more difficult than conventional designs. Due to the location of the arches of the braces on the inside of the dentition, the doctor has to work blindly.

After installing lingual invisible braces, the system needs systematic and thorough care. The patient will need to purchase a special brush to clean the inside of the dentition. Dentists also recommend using an irrigator - a device that, by means of a jet of liquid under pressure, thoroughly removes plaque and food debris from hard-to-reach parts of the braces.

Characteristics of invisible ceramic braces

Ceramics is one of the more popular materials used in modern dentistry. It is made from polycrystalline alumina.
Ceramic braces are not only reliable, but also much cheaper than lingual braces. They are the most common way to correct the bite, unlike the rest of the presented line.

Advantages of hidden ceramic braces:

  1. This type of braces protects the gums from irritation and chafing. Due to this, inflammation in the oral cavity will not develop;
  2. Thanks to the ceramic coating, the braces will not change color and stain due to tea or coffee;
  3. The color of the ceramic coating is selected according to the color of the teeth in an individual way;
  4. They bring minimal discomfort in everyday life, due to a good fit, a person quickly adapts to them;
  5. For the entire time of bite adjustment, pain is minimized;
  6. The strength of the ceramic system is similar to braces made of metal. Also a big plus of this system, in its aesthetic qualities;

Basically, invisible braces are made either entirely of ceramics, or by combining with some metals.

There are the following types of ceramic braces:

  • All-ceramic, with the highest aesthetic qualities;
  • Ceramic, fastened with a metal lock;
  • Ceramic using a metal groove - fastened using a ligature type of arc fixation;
  • Ceramic with a set of combinations "metal groove and metal lock".

Description of sapphire invisible braces

A hidden system for correcting malocclusion is also made from medical sapphire, which was specially grown for the necessary medical purposes. In addition to its corrective qualities, the sapphire bracket is used as a fashion accessory.

A significant aesthetic property of such systems is the "play of light" of the crystal. The crystal itself seems transparent, however, at the moment the rays of light hit it, it begins to play with modulations.

It was also provided for the white coloring of the connecting arches, so they became invisible against the background of the teeth.

Benefits of hidden sapphire braces:

  1. Pleasant aesthetic appearance;
  2. Have no effect on the pronunciation of the patient;
  3. Sapphire systems are more durable constructions than plastic or ceramic ones;
  4. Do not bear discomfort of the oral mucosa, safe for gums;
  5. There is no period of adaptation to this type of system;
  6. The bite correction process is painless.

Cons of using sapphire bite alignment systems:

  • The high cost of the system, which not all patients can afford. The approximate price for a sapphire system is approximately 100,000 rubles. The cost also depends on the strength of the curvature of the bite and on the clinic itself, in which the treatment takes place;
  • For some time after the installation of braces, some discomfort may be felt, however, these are not so painful and quickly passing symptoms.

To care for sapphire discreet systems, you need to use a specialized toothbrush for braces, as well as a brush. They help to easily get to the most inaccessible places, and it will not be superfluous to clean the system with a jet of water from the irrigator.

Invisible braces: photo

Plastic braces

Another type of invisible system is the plastic braces system. A big plus of this type of system is a greater variety of colors, allowing you to choose the exact shade that suits your teeth. There are also a variety of color plates designed for children. These plates not only help in correcting teeth, but are interesting for the child. Also in the positive aspects of this system is its affordability, unlike other types of hidden braces. They are virtually invisible on the tooth surface.

The negative qualities of this system are: fragility of braces. Since the plastic is not strong enough, it is easy to damage it when worn, which leads to unnecessary costs for repairing the product and wasting extra time waiting for spare parts to be ready, the approximate cost of one system is about 15,000 rubles; long period of wear of the system. Another tangible disadvantage of such a system is easy staining when interacting with food and drinks.

White designs

Another type of invisible corrective systems made of crystalline material. There are two types: monocrystalline and polycrystalline. This system is designed for patients who are in close contact with other people. The system is completely invisible on the teeth. Most often, a white arc is made, which is not visible visually. Such systems are installed for children at the age of 13, as well as for adults about 60 years old. Such a system must be worn for about two years. The cost of such systems can be about 30-40 thousand rubles.

An example of invisible braces

These invisible braces are ready to help you get rid of both deep and medium misaligned teeth. Which system to use is up to you, the choice is yours. But do not forget, a beautiful even smile is one of the main keys to success.

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Do you know how long the treatment of malocclusion with braces can last? Up to five years! Naturally, not everyone is satisfied with wearing an extraneous, clearly visible and outwardly not very attractive design during all this time. Yes, and in the most visible place. For patients with high requirements for aesthetics, we are ready to offer a special device for correcting malocclusion: invisible braces.

Invisible lingual braces are installed on the inside of the dentition, and therefore are visible only when the mouth is opened very wide. And if the treatment of malocclusion with conventional braces can no longer be called some kind of exotic - this method is very common and widely practiced in dental practice, then invisible braces are still considered as a very unusual device.

An alternative to them can only be plastic, ceramic and sapphire braces. But the first are not strong enough and durable, and the second and third are very expensive. Lingual braces do not suffer from these shortcomings, although they have their own: discomfort in the oral cavity during the adaptation period, diction is disturbed in a number of patients - all these problems resolve themselves within the first 2 weeks of wearing the system, after getting used to it.

Types of invisible braces

Braces invisible It's not a separate design. This is a whole class of braces, sorted into two large categories:

  • lingual, or internal braces, which are fixed from the side of the tongue and are completely invisible due to this from the side
  • ceramic vestibular braces, which are located on the outside of the teeth and are plastic, ceramic and sapphire. It uses the technology of disguising the bracket to match the color of the teeth, which makes them less noticeable (but upon closer examination, they are still quite visible).

INCOGNITO braces

Michel Cassagne:
Specialist in working with the Incognito bracket system.

ORTHODONTIST

Michel Cassagne is the only doctor in Moscow who has been trained in the USA on the use of Incognito braces.

Incognito - an elite bracket system, the leader in lingual orthodontics!

  • Gold alloy does not cause allergies.
  • Invisible. Fixed on the inside of the teeth.
  • They are made in the TOP-Service laboratory in Germany especially for you at the request of your orthodontist.

Different invisible braces differ from each other not only in design, but also in price. The cheapest option would be a plastic ceramic vestibular bracket. The most expensive and effective (both in terms of durability and aesthetics) is sapphire. Sapphire braces are a type of ceramic braces. The differences are in the structure of the material: ceramic brackets are made on the basis of polycrystalline material, while sapphire ones are made of single-crystal.

The disadvantage of plastic is also its ability to change its color over time (this happens under the influence of food dyes, juices, tea, coffee and cigarette smoke). Insufficiently high strength, coupled with a gradual change in the initially ideal color, causes frequent trips to the dentist: to replace, correct, restore individual braces.

Many clinics in Moscow offer the possibility of installing all types of invisible braces. At your service are highly qualified specialists from Europe, experts in aesthetic dentistry, for whom the very concept of "dentistry" sounds like "full correction of the bite and restoration of the attractiveness and aesthetics of a smile."

Appreciate the European quality and style,
without leaving Moscow

The convenient location of French dentistry and the availability of secure free parking make visiting the Clinic as simple and convenient as possible in a big city.

Location within walking distance
from Moscow City

Near metro station Ulitsa 1905 Goda

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