Orthodontists
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Orthodontists
Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, and misaligned bite patterns. It may also address the modification of facial growth, known as dentofacial orthopedics. Abnormal alignment of the teeth and jaws is very common. Nearly 50% of the developed world's population, according to the American Association of Orthodontics, has malocclusions severe enough to benefit from orthodontic treatment: although this figure decreases to less than 10% according to the same AAO statement when referring to medically necessary orthodontics. However, conclusive scientific evidence for the health benefits of orthodontic treatment is lacking, although patients with completed orthodontic treatment have reported a higher quality of life than that of untreated patients undergoing orthodontic treatment. Treatment may require several months to a few years, and entails using dental braces and other appliances t ...
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Jaw Surgery
Orthognathic surgery (), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, other orthodontic dental bite problems that cannot be easily treated with braces, as well as the broad range of facial imbalances, disharmonies, asymmetries and malproportions where correction can be considered to improve facial aesthetics and self esteem. The origins of orthognathic surgery belong in oral surgery, and the basic operations related to the surgical removal of impacted or displaced teeth – especially where indicated by orthodontics to enhance dental treatments of malocclusion and dental crowding. One of the first published cases of orthognathic surgery was the one from Dr. Simon Hullihen, Simon P. Hullihen in 1849. Originally coined by Harold Hargis, it was more wide ...
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Orthodontic Headgear
Orthodontic headgear is a type of orthodontic appliance typically attached to the patient's head with a strap or number of straps around the patient’s head or neck. From this, a force is transferred to the mouth/jaw(s) of the subject. Headgear is used to correct bite and support proper jaw alignment and growth. It is typically recommended for children whose jaw bones are still growing. Unlike braces, headgear is worn partially outside of the mouth. An orthodontist may recommend headgear for a patient if their bite is more severely out of alignment. The device typically transfers the force to the teeth via a facebow or J hooks to the patient's dental braces or a palatal expander that aids in correcting more severe bite problems or is used in retention of the teeth and jaws of the patient. Need for treatment and concurrent corrections Headgear is most commonly used to correction anteroposterior discrepancies. The headgear attaches to the braces via metal hooks or a facebow. S ...
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Lingual Braces
Lingual braces are one of the many types of the fixed orthodontic treatment appliances available to patients needing orthodontics. They involve attaching the orthodontic brackets on the inner (lingual vs. buccal) sides of the teeth. The main advantage of lingual braces is their near invisibility compared to the standard braces, which are attached on the buccal (cheek) sides of the tooth. Lingual braces were invented by Craven Kurz in 1976. History Craven Kurz with Jim Mulick in 1975 developed the Cruz Lingual Appliances in United States. The first patient to be treated by lingual braces was by Kurz in Beverly Hills in 1976. She was a member of Playboy Bunny Club and after being presented with metal braces option, she wanted to get braces which did not show metal. It was from her demand that Craven developed the lingual braces. Craven consulted with Dr. Jim Mulick at UCLA School of Dentistry after which this appliance was developed. Craven's practice was dominated by adult pati ...
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Clear Aligners
Clear aligners are orthodontic devices that are a transparent, plastic form of dental braces used to adjust teeth. Clear aligners have undergone changes, making assessment of effectiveness difficult. A 2014 systematic review concluded that published studies were of insufficient quality to determine effectiveness. Experience suggests they are effective for moderate Malocclusion, crowding of the front teeth, but less effective than conventional braces for several other issues and are not recommended for children. In particular they are indicated for "mild to moderate crowding (1–6 mm) and mild to moderate spacing (1–6 mm)", in cases where there are no discrepancies of the Mandible, jawbone. They are also indicated for patients who have experienced a relapse after fixed orthodontic treatment. Clear-aligner treatment involves an orthodontist or dentist, or with home-based systems, the person themselves, taking a mold of the patient's teeth, which is used to create a digital tooth ...
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Orthodontic Archwire
An archwire in orthodontics is a wire conforming to the alveolar or dental arch that can be used with dental braces as a source of force in correcting irregularities in the position of the tooth, teeth. An archwire can also be used to maintain existing dental positions; in this case it has a Retainer (orthodontic device), retentive purpose. Orthodontic archwires may be fabricated from several alloys, most commonly stainless steel, Nickel titanium, nickel-titanium alloy (NiTi), and beta-titanium alloy (composed primarily of titanium and molybdenum). Types Noble Metal alloy Noble metals such as gold, platinum, iridium, silver and their alloys were used early on in the field of Orthodontics because of their good corrosion resistance. Some of the other qualities that these alloys had were high ductility, variable stiffness (with heat), high resilience and ease of soldering. Disadvantages of these alloys were: Less elasticity, less tensile strength and greater cost. Composition ...
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Dental Braces
Dental braces (also known as braces, orthodontic cases, or cases) are devices used in orthodontics that align and straighten teeth and help position them with regard to a person's bite, while also aiming to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, gaps, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws. Process The application of braces moves the teeth as a result of force and pressure on the teeth. There are traditionally four basic elements used: brackets, bonding material, arch wire, and ligature elastic (also called an “O-ring”). The teeth move when the arch wire puts pressure on the brackets and teeth. Sometimes springs or rubber bands are used to put ...
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Dental Braces
Dental braces (also known as braces, orthodontic cases, or cases) are devices used in orthodontics that align and straighten teeth and help position them with regard to a person's bite, while also aiming to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, gaps, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws. Process The application of braces moves the teeth as a result of force and pressure on the teeth. There are traditionally four basic elements used: brackets, bonding material, arch wire, and ligature elastic (also called an “O-ring”). The teeth move when the arch wire puts pressure on the brackets and teeth. Sometimes springs or rubber bands are used to put ...
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Premolar
The premolars, also called premolar teeth, or bicuspids, are transitional teeth located between the canine and molar teeth. In humans, there are two premolars per quadrant in the permanent set of teeth, making eight premolars total in the mouth. They have at least two cusps. Premolars can be considered transitional teeth during chewing, or mastication. They have properties of both the canines, that lie anterior and molars that lie posterior, and so food can be transferred from the canines to the premolars and finally to the molars for grinding, instead of directly from the canines to the molars. Human anatomy The premolars in humans are the maxillary first premolar, maxillary second premolar, mandibular first premolar, and the mandibular second premolar. Premolar teeth by definition are permanent teeth distal to the canines, preceded by deciduous molars. Morphology There is always one large buccal cusp, especially so in the mandibular first premolar. The lower second ...
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Tooth Extraction
A dental extraction (also referred to as tooth extraction, exodontia, exodontics, or informally, tooth pulling) is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth (wisdom teeth that are stuck and unable to grow normally into the mouth) cause recurrent infections of the gum (pericoronitis), and may be removed when other conservative treatments have failed (cleaning, antibiotics and operculectomy). In orthodontics, if the teeth are crowded, healthy teeth may be extracted (often bicuspids) to create space so the rest of the teeth can be straightened. Procedure Extractions could be categorized into non-surgical (simple) and surgical, depending on the type of tooth to be removed and other fac ...
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Elastics (orthodontics)
Elastics are rubber bands frequently used in the field of orthodontics to correct different types of malocclusions. The elastic wear is prescribed by an orthodontist or a dentist in an orthodontic treatment. The longevity of the elastic wear may vary from two weeks to several months. The elastic wear can be worn from 12 to 23 hours a day, either during the night or throughout the day depending on the requirements for each malocclusion. The many different types of elastics may produce different forces on teeth. Therefore, using elastics with specific forces is critical in achieving a good orthodontic occlusion. The term ''intermaxillary elastics'' is used when elastics can go from the maxillary to the mandibular arch. ''Intra-maxillary elastics'' are elastics used in one arch only, either mandibular or maxillary. People using elastics for orthodontic correction change their elastics three to four times during the day. Elastic wear is recommend to be used in a rectangular wire to mini ...
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Porcelain
Porcelain () is a ceramic material made by heating substances, generally including materials such as kaolinite, in a kiln to temperatures between . The strength and translucence of porcelain, relative to other types of pottery, arises mainly from vitrification and formation of the mineral mullite within the body at these high temperatures. Though definitions vary, porcelain can be divided into three main categories: hard-paste, soft-paste, and bone china. The category that an object belongs to depends on the composition of the paste used to make the body of the porcelain object and the firing conditions. Porcelain slowly evolved in China and was finally achieved (depending on the definition used) at some point about 2,000 to 1,200 years ago; it slowly spread to other East Asian countries, then to Europe, and eventually to the rest of the world. Its manufacturing process is more demanding than that for earthenware and stoneware, the two other main types of pottery, and it ...
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Stainless Steel
Stainless steel is an alloy of iron that is resistant to rusting and corrosion. It contains at least 11% chromium and may contain elements such as carbon, other nonmetals and metals to obtain other desired properties. Stainless steel's corrosion resistance, resistance to corrosion results from the chromium, which forms a Passivation (chemistry), passive film that can protect the material and self-healing material, self-heal in the presence of oxygen. The alloy's properties, such as luster and resistance to corrosion, are useful in many applications. Stainless steel can be rolled into Sheet metal, sheets, plates, bars, wire, and tubing. These can be used in cookware, cutlery, surgical instruments, major appliances, vehicles, construction material in large buildings, industrial equipment (e.g., in paper mills, chemical plants, water treatment), and storage tanks and tankers for chemicals and food products. The biological cleanability of stainless steel is superior to both alumi ...
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