When should you not correct your bite? Contraindications: permanent and temporary

Like any medical intervention, correcting the bite has its contraindications, which is why an examination is carried out when preparing to install braces or aligners. There are patients who either cannot or are not recommended to wear braces, but some contraindications can be eliminated - the doctor will give recommendations for this.

There are contraindications to correcting the bite, but they are few.

Absolute contraindications

These are those in which correcting the bite is either impractical or impossible.

• Most of the teeth are missing.

If the chewing teeth on both sides of the upper and lower jaws have been destroyed, removed or missing, then it often makes no sense to correct the position of the remaining ones. When preparing for prosthetics, the doctor will most likely offer an alternative option.

If you have only a few teeth, braces cannot be installed.

• Dystrophic processes in the jaw bone, periodontal disease.

Bone atrophy or thinning are synonymous. The essence of the process is that bone tissue cells are not renewed, the volume of the bone gradually decreases, the roots of the teeth begin to stay in it worse and can become loose. This process requires supervision by a dentist or periodontist, since with due attention to your health, you can slow down the development of the disease and save your teeth. But treatment by an orthodontist, which is accompanied by a strong impact on the roots of the teeth, is no longer carried out.

It is possible to correct a bite if the tissue of the jaw bone is dense and holds the roots of the teeth well.

• Several implants.

Even one implant puts the possibility of correcting the bite into question, since usually when wearing braces or aligners, all teeth move to one degree or another. And if there are several implants, it is impossible to avoid pressure on them. Unlike tooth roots, implants are not able to withstand such a load.

The generally accepted procedure is: first treatment with an orthodontist, and only then installation of implants.

Which braces are most often installed in adults?

It is most rational to choose metal braces: they are the most durable, and since the treatment will be long, this is one of the most important indicators. When it comes to minor corrections, aesthetic systems made of ceramics or artificial sapphires can be installed. But, let’s say, ceramic braces are quite fragile compared to metal ones. If the ceramic lock is chipped, you will need to remove it and install a new one. And this is a waste of time: when the lock is re-glued, the treatment can be considered to begin anew. When choosing a brace system, it is best to listen to the orthodontist’s recommendations - the doctor selects or combines types of structures so that the treatment is as comfortable as possible.

Relative contraindications

These include contraindications that, in different individual cases, may interfere with treatment, or may not have a significant impact on the process.

• Several crowns.

If prosthetics have been performed in the past, then when preparing for treatment you need to pay close attention to the crowns. On what teeth are they installed? What is the condition of the roots of these teeth? Have the crowns and their connection points begun to collapse? Which teeth will be impacted the most and which will move 1-2mm? By answering these questions, your doctor will be able to tell you whether you can wear aligners or braces. Sometimes you need to first have the crown redone and then be treated by an orthodontist.

Crowns, unlike implants, can be moved (but carefully)

• A large number of fillings.

If you have 10 or more teeth filled, the fillings themselves are large (they take up more than 50% of the tooth’s volume), and nerves have been removed in some teeth, this does not mean that the bite cannot be corrected. You just need to more carefully examine all the fillings and find out if they have begun to collapse. The doctor may recommend replacing old fillings. Modern materials for treatment make it possible to save even “dead” teeth.

• Previous tooth restoration.

Veneers are not installed if there are malocclusions, since improper closure of the teeth can lead to destruction and abrasion of the plates. Therefore, there is no point in talking about this technology. However, if in the past one or more teeth were restored using filling material, then, as a rule, this does not prevent you from subsequently wearing aligners or braces - the only question is the quality of the restoration and its condition.

A restored tooth, if its root is not damaged, is not an obstacle to treatment

Is it possible to put braces on crowns, fillings and implants?

The issue of compatibility of braces with crowns, bridges and other prosthetic structures is decided in each case individually. Using classical systems in such cases can lead to certain problems. Thus, fixing a bracket on a crown is much more difficult than on natural dental tissue. Therefore, instead of fixed metal braces, the patient can be offered a Invisalign aligner .

If there are bridges and implants in the oral cavity, then there is no longer any need to talk about special mobility of the teeth. Therefore, it is difficult to attempt to move the bridge (which can result in its damage) and to change the position of the implant. But an experienced professional has at his disposal techniques that allow even in such cases to correct the bite using a brace system without negative consequences - of course, if this is really necessary.

Temporary contraindications

These are the ones that are easy to fix. Having identified them during the examination, the orthodontist will give recommendations, and soon after treatment it will be possible to begin correcting the bite.

• Caries.

When wearing any orthodontic structures, plaque forms much faster, and it is more difficult to clean it. Although braces and aligners themselves do not cause caries, attention to hygiene during orthodontic treatment should be much higher. Therefore, removal of all foci of caries, including superficial ones, is an indispensable condition before starting treatment.

• Plaque, tartar.

The reasons are the same as described above. The bite is corrected with perfectly clean teeth. To prepare, it is enough to undergo ultrasonic cleaning (it perfectly removes hard plaque) and air flow (removes soft plaque).

Those who want to correct their bite should get used to more careful dental care. This is a great habit that will help you stay healthy for many years and avoid prosthetics in the future.

• Inflammation of the gums.

Minor inflammation may occur due to accumulated soft plaque. After professional dental hygiene, as a rule, it is enough to follow the doctor’s recommendations for several days (usually the use of local antiseptics) to eliminate the problem.

Installation of braces in adulthood

Orthodontic treatment with braces in Russia goes back about thirty years. And in the USA, for example, bite correction with braces has been practiced for more than a hundred years. Russian orthodontists today often work with adults who simply did not have the opportunity to undergo this level of treatment in childhood. As a rule, such patients themselves turn to the dentist, less often - through the referral of related specialists. As a rule, people come to orthodontists for a beautiful smile, and not because of any pain. Most of those applying are women. Men are more relaxed about imperfect smiles, although doctors have recently noted an increase in the number of male patients.

Not a contraindication

• Childhood.

The whole question is which method of treatment to choose. For younger children, removable aligners are often chosen, and teenagers can wear the same aligners as adults. But you can start correcting your bite immediately after diagnosing the existing problem at any age.

• Older age.

There is no upper age limit. If your teeth are preserved and there is a need to correct their position, you can be treated by an orthodontist at any age.

• General diseases (with very rare exceptions).

Metabolic disorders, asthma, allergies and other systemic diseases almost never interfere with wearing orthodontic structures, since the materials are hypoallergenic, and no surgical intervention (as when installing implants) occurs. If the patient's general condition is satisfactory and he can visit the clinic, then most likely there are no obstacles.

Correcting your bite will not only give you a beautiful smile, but will also prevent many problems with your teeth and the health of your body in general. If you are unsure whether you can undergo orthodontic treatment, please contact your orthodontist and ask all your questions.

More articles on the topic:

• Can veneers correct crooked teeth?
• Reflections ceramic braces: advantages and features

Who needs braces?

A braces system is an orthodontic device that is designed to correct malocclusions (closing dentition), straightening individual teeth, and closing large gaps between teeth. The classic braces system consists of brackets attached to the surface of each tooth using dental glue, and a metal arch with shape memory. The arc is fixed in the locks and puts pressure on the teeth. Under pressure, they gradually level out.

Braces are usually placed on teenagers after 11-12 years of age. It is at this age that children completely replace their milk teeth with permanent ones. But at the same time, the dentofacial system, ligaments, muscles, and bone tissue are still quite elastic and pliable, so under the pressure of the brace system, teeth shifting into the correct position occurs relatively easily. Modern dentistry allows adults to get braces at almost any age. But it should be borne in mind that after 18 years the dental system is no longer so pliable and plastic. Therefore, the correction of those disorders, which in children will take one year, in adults will require 2-3 years of orthodontic treatment. But for the sake of a beautiful smile, many are ready to wear braces for a long time.

Prices

Does installation and wearing hurt?

Of course, there are discomforts. In particular, they are caused by the archwire inserted into the braces. There is also discomfort when moving teeth. But there is no pronounced pain that prevents me from speaking, eating, sleeping and preventing me from living normally. First of all, because the force of the arcs is strictly dosed. All movements occur gradually, with a step-by-step increase in the power and size of the arcs - from weaker to stronger, from round to faceted, from thin to thick (full-groove). As for unusual tooth movements, this is a matter of habit, which will appear in 1-2 months.

Let us remind you that all the discomfort during treatment comes down only to the peculiarities of nutrition and brushing your teeth. In the first case, a certain revision of the diet is required, with the rejection of certain foods, and in the second, strict self-discipline. That's all the “inconvenience”.

Hygienic care

The bracket design has many areas that are very difficult to clean from food debris and plaque. Therefore, hygienic care for them requires special attention and patience. Special devices are used for cleaning (in addition to a regular toothbrush and paste):

• V-shaped brushes;
• brushes of different sizes and bristle angles;
• dental floss (floss);
• irrigator is a device for cleaning hard-to-reach places between teeth and orthodontic elements. The principle of operation is based on the controlled supply of a stream of water (or solution) under pressure.

You should clean your mouth while wearing braces twice a day. Ideally, after every meal. But, if this is not possible, then you need to rinse your mouth thoroughly after eating.

Is it possible to correct an adult's bite without braces?

You can - with the help of aligners. These are orthodontic transparent aligners made of solid polymer. Despite their rather simple appearance, aligners cope well with both minor changes in the position of the teeth and quite serious pathologies of the dentofacial apparatus. When treating with orthodontic aligners, patient motivation is extremely important. Aligners are more often chosen by men - they think that this type of treatment is less problematic. But they often lack patience and remove the aligners as soon as they feel discomfort. And this is unacceptable if the patient expects a positive effect of treatment. Aligners need to be worn 22 hours a day - keep this in mind before choosing this treatment option. If you comply with this requirement, then treatment with braces will not be necessary - mouthguards are no less effective at restoring the anatomically correct position of the teeth and correcting the bite.

Prices for braces in our clinic

The price of a braces system consists of several components:

• type of orthodontic structure
• material from which the braces are made (metal, ceramic, sapphire)
• manufacturing company

INTAN Implantation and Dentistry Centers offer an objective price/quality ratio for dental correction in St. Petersburg. Our policy is honest, low prices , which means you won’t find hidden fees or fine print in the contract.

In addition to the above factors that influence the final cost of orthodontic treatment, the price formation is influenced by the initial condition of the patient’s oral cavity, the need for preliminary preparation, and the frequency of correction during treatment.

You can consult a dentist about the details of installing a braces system, who will offer several options that are suitable specifically for your situation. To avoid problems, it is better to make the final choice together with your doctor.

Types of braces based on location on teeth

In addition to the materials used, bracket systems are classified according to the type of their installation: vestibular and lingual. The first ones are easier to install and are attached to the outside of the teeth, the second - to the inside. Lingual ones are more difficult to install and adaptation to them takes longer, but they are not visible from the outside.

Vestibular braces (external)

Braces located on the visible outer part of the tooth are called vestibular. This type of braces is the most popular among patients. A variety of materials are used to make external braces - metal, ceramic, composite and aluminum oxide. When using this type of braces, there is no negative effect on the teeth. A special orthodontic material is used to attach the structure to the surface of the teeth.

Lingual braces (internal)

For many patients, the aesthetic side of the issue is of great importance: they are interested in installing the system in such a way that it is not visible. The problem is solved by using lingual (internal) braces; they are fixed on the inside of the teeth and those around them cannot see them. If we talk about an aesthetic solution, then this is the best option.

However, there are some inconveniences for the patient when wearing standard internal systems: it is not easy to adapt to them, plus diction suffers.

Popular myths

1. It's not nice. There is a myth that fixed appliances do not look very aesthetically pleasing, and the person wearing them cannot look attractive. But modern braces do not affect the aesthetics of a smile. Firstly, there are lingual braces that are completely invisible to others. Secondly, even external braces can be beautiful: sapphire, ceramic, and plastic structures can even add a certain charm to your smile.

2. Braces are only for children. Many patients still have associations with braces - teenage schoolchildren. But it has no basis. Children and adolescents have more options and correction methods, and removable orthodontic appliances are more often used. Adults with a mature dental system have fewer options - braces are used more often as a powerful tool. It is worth noting that there are no upper age restrictions for braces - they are successfully used at both 25 and 60 years old. The older the patient, the longer the retention period, that is, the result will have to be consolidated longer, and this is the only age difference;

3. It hurts. This myth has a reasonable explanation; indeed, pain and discomfort do occur, but not all the time. It may be painful the first few days after installation. This is a normal symptom that occurs as a result of pressure on the teeth. Most patients report moderate pain and itching in the gums, which go away on their own and do not require correction with medications. But everyone has their own pain threshold and perception of pain, so the doctor will tell you how to get rid of unpleasant sensations.

4. It's harmful. It is believed that the non-removable structure destroys the teeth. But preliminary diagnosis is needed in order to assess the strength of the enamel and the risks of complications. Normal enamel can withstand the structure, and compliance with hygiene and doctor’s recommendations eliminates the risk of developing caries in areas of the teeth near braces.

Conservation of orthodontic therapy - an alternative solution

If it was decided to remove the bracket system for medical reasons, then it is possible to preserve the already achieved result, i.e., “preserve” it. The preservation method involves the patient wearing special transparent aligners made of medical silicone on her teeth. They will have to be worn until therapy is resumed. Mouthguards are made individually, based on the characteristics of the bite.

Optimal age category

According to orthodontists of the “Smile” dental clinic network, the optimal period for correcting occlusion using braces is from 13 to 18 years. Treatment after adulthood is also effective, but takes longer.

The effectiveness of therapy depends not only on the patient’s age, but also on other associated factors:

• the complexity of a particular clinical case;
• physiological characteristics;
• correctly selected correction system;
• a person’s discipline associated with maintaining oral hygiene and timely visits to the clinic to adjust the orthodontic device.

Other varieties

One of the solutions to the problem of correcting malocclusion in children is the invention of colored or shaped “braces.” In fact, such systems have colored ligatures, and not the braces themselves, and in general an interesting effect is created.

Children and teenagers are often embarrassed to wear classic corrective braces, and a colored or shaped version can greatly simplify this procedure. As a result, such “braces” become a detail of the image, emphasizing individuality. In addition, the period of adaptation to wearing the structure, purely psychologically, passes in an easier form.

Curly braces

There is no point in talking about curly braces as a special type: these are ordinary systems equipped with ligatures of a unique shape. Children and teenagers prefer ligatures in the shape of stars or hearts. For parents, this often becomes the only effective way to involve the child in the treatment process, especially since sometimes it stretches over several months or longer periods.

Colored "braces"

Colored ligatures of colored “bracket systems” do not have any design features; they are designed to perform the same functions as ordinary conventional braces. The only additional role of these structures is to eliminate psychological barriers that prevent you from deciding to correct bite defects.

The color of the corrective system changes either through the use of ligatures of different colors, or plastic ligatures of the desired shade are placed. This is especially true for children, teenagers and adults who want to emphasize their creativity.