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Orthodontics
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 country, 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 ...
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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 ...
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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 ...
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Malocclusion
In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; Edward Angle (1855-1930), the "father of modern orthodontics", popularised it. The word "malocclusion" derives from ''occlusion'', and refers to the manner in which opposing teeth meet ('' mal-'' + ''occlusion'' = "incorrect closure"). The malocclusion classification is based on the relationship of the mesiobuccal cusp of the maxillary first molar and the buccal groove of the mandibular first molar.  If this molar relationship exists, then the teeth can align into normal occlusion. According to Angle, malocclusion is any deviation of the occlusion from the ideal. However, assessment for malocclusion should also take into account aesthetics and the impact on functionality. If these aspects are acceptable to the patient despite meeting the formal definiti ...
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Malocclusion
In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; Edward Angle (1855-1930), the "father of modern orthodontics", popularised it. The word "malocclusion" derives from ''occlusion'', and refers to the manner in which opposing teeth meet ('' mal-'' + ''occlusion'' = "incorrect closure"). The malocclusion classification is based on the relationship of the mesiobuccal cusp of the maxillary first molar and the buccal groove of the mandibular first molar.  If this molar relationship exists, then the teeth can align into normal occlusion. According to Angle, malocclusion is any deviation of the occlusion from the ideal. However, assessment for malocclusion should also take into account aesthetics and the impact on functionality. If these aspects are acceptable to the patient despite meeting the formal definiti ...
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Edward Angle
Edward Hartley Angle (June 1, 1855 – August 11, 1930) was an American dentist, widely regarded as "the father of American orthodontics". He was trained as a dentist, but made orthodontics his speciality and dedicated his life to standardizing the teaching and practice of orthodontics. He founded the Angle School of Orthodontia in 1899 in St. Louis and schools in other regions of the United States. Life He was born to Philip Casebeer Angle and Isabel Erskine Angle in Herricks, New York. He was fifth of the seven children. During his childhood years he demonstrated early talent of working with tools and machinery including hay rake. He attended high school in Canton, Pennsylvania. Before joining dental school, he worked for a local dentist from 1874 to 1876. He studied at the Pennsylvania College of Dental Surgery and became a dentist in 1878.Gruenbaum, Tamar. Famous Figures in Dentistry ''Mouth - JASDA'' 2010;30(1):18 He then started working in town of Towanda, Pennsylvani ...
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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 teeth. An archwire can also be used to maintain existing dental positions; in this case it has a retentive purpose. Orthodontic archwires may be fabricated from several alloys, most commonly stainless steel, 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 of both platinum and palladium raised the melting p ...
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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 patients ...
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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 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 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 scan. The computerized ...
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Oral Hygiene
Oral hygiene is the practice of keeping one's mouth clean and free of disease and other problems (e.g. bad breath) by regular brushing of the teeth (dental hygiene) and cleaning between the teeth. It is important that oral hygiene be carried out on a regular basis to enable prevention of dental disease and bad breath. The most common types of dental disease are tooth decay (''cavities'', ''dental caries'') and gum diseases, including gingivitis, and periodontitis. General guidelines for adults suggest brushing at least twice a day with a fluoridated toothpaste: brushing last thing at night and at least on one other occasion. Cleaning between the teeth is called interdental cleaning and is as important as tooth brushing. This is because a toothbrush cannot reach between the teeth and therefore only removes about 50% of plaque from the surface of the teeth. There are many tools to clean between the teeth, including floss, tape and interdental brushes; it is up to each indiv ...
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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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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. ...
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Norman William Kingsley
Norman William Kingsley (October 26, 1829 – February 20, 1913) was a dentist and an artist in the 19th century. He was a major contributor in the early development of orthodontic treatments and cleft palate therapy. He designed fixed and removable inclined planes to correct Angle Class II malocclusions. He also designed the first soft-rubber palatal obturators, which enabled patients with cleft palate to enjoy normal speech and function. He was the first person in 1880 to introduce the concept of "jumping the bite for patients with a retruded mandible". Childhood and education He was born in October 1829 in Stockholm, New York. During his childhood years, he migrated to different states such as Vermont and Pennsylvania in order for his father to find a job but ultimately coming back to upstate New York. He was the eldest of six children. At age of 15, he left school to work as a store clerk and a bookkeeper. He was eventually introduced to dentistry by his uncle, Albigence W. K ...
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