Orthodontic Emergencies

Fixed Orthodontic Treatment

The treatment performed with small force transmitters called "brackets" attached to the teeth is called fixed orthodontic treatment. As the name suggests, brackets are fixed on the teeth by the orthodontist and cannot be removed by the patient during the treatment. Brackets are basically divided into two groups: metal and ceramic (porcelain). Although both types of brackets have their own advantages, both types of brackets can be used effectively in adults and children. After the brackets are glued on the teeth, they are connected to each other with "arch wire". "Shape memory" archwires, produced with advanced technology from a mixture of nickel and titanium, try to bring the teeth into the desired shape. After the brackets are applied to the teeth and the wires are placed, the teeth begin to move. In the first 72 hours, there will be sensations such as tightness, pressure, numbness and inability to press on the teeth, these sensations are the harbingers of the first movement in our teeth. During this period, minor irritations may be observed on the cheeks and lips. Oral tissues will get used to the wires and brackets in a short time and your discomfort will disappear completely by the end of the first week.

Movable Appliances

They are appliances that can be installed and removed by the patient, consisting of wires that allow holding in the mouth with an acrylic palate. These appliances are used to perform simple tooth movements, to widen narrow jaws in children, and in some cases, to prepare for treatment before fixed treatment or to reinforce it after treatment. The wearing time of removable appliances will be determined by your orthodontist.

Functional Appliances

They are special appliances that patients can mostly put on and remove themselves at a young age before puberty, in order to correct the deteriorated relations of the lower and upper jaw relative to each other (skeletal problems). . It is used with fixed orthodontic appliances, especially in cases where the lower or upper jaw is behind or forward.

Orthognathic Surgery (Orthodontics + Surgery)

Surgery in addition to orthodontic treatment in cases that cannot be corrected with orthodontic or orthopedic treatment. corrections are applied. Defects in the jaw and face may be congenital or may occur later due to accidents and diseases. The incompatibility of jaws with each other and with respect to the face causes both aesthetic, functional and psychological disorders in patients. These disorders can be corrected with developing technological applications and plastic surgery applications.

Orthognathic Surgery (Orthodontics + Surgery)

Orthodontic or orthopedic therapy

Many orthodontic problems can be solved by yourself at home. It is possible to list the frequently encountered problems and their solutions as follows

Pain

At your first appointment, while you are sitting in the patient chair, no procedure will be performed that will hurt you. However, after the braces are installed, there may be mild pain that lasts for at most 1 week.

The severity and duration of the pain vary depending on your body's response and your pain threshold. These pains may recur for a shorter period of time and less frequently on the day of the one-month check-up. If you have pain during the first session and subsequent checks, you can take a painkiller to relieve the pain. Warm gargling with salt water is also soothing. For this, a little salt placed on the tip of a teaspoon in a tea glass will be sufficient.

Stinging of the brackets or tubes:

It is possible that the brackets or other apparatus that we stick to your teeth may sink into your cheek, tongue or lip. may be the subject. It takes some time to get used to this situation. Usually, at the end of the first week, you will feel like you have nothing in your mouth.

In order to make this one-month adaptation period more comfortable, your doctor will give you a gum-like substance called orthodontic wax. Take a lentil-sized piece of this wax with your hand and stick it to the bracket corresponding to the stinging area.

As a result of such an application, the angular parts of the bracket will become rounded and the stinging sensation will decrease. However, you cannot use these candles until the end of treatment. Your lips and cheeks need to get used to this situation. If you do not have a candle with you, you can do the same with a piece of gum.

Call your doctor if there is a stinging area like a needle.

Broken band or bracket:

If If the broken bracket is still attached to the arch wire, do not try to remove it. At your next check-up, your doctor will If he deems it necessary, he glues the bracket again.

Arch wire penetration

As a result of the arch wire coming out or extending, it may sink into the cheek or lip. If the arch wire has come out of the tube of the rearmost tooth, try to place the removed wire in the same place again. If you cannot reattach the wire to the same place, then cut it with clean nail scissors or glue wax.

Sometimes, the ends of the small wires that we attach the arch wire to the brackets change direction during brushing and sink into the cheek or lip. To prevent stinging, it will be enough to push the wire with the eraser at the end of a pencil. Or you can put wax in this area again.

Shaking in the teeth

With orthodontic treatment, all teeth exposed to force will experience shaking in the later stages of the treatment. It's normal. This condition will pass over time after the treatment is completed.

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