Orthodontic is a treatment to improve the position of teeth that are irregularly positioned as well as mastication function for oral health.
In order to achieve these objectives there is a need for appliances to move the teeth, and in general the orthodontic appliance is divided into two types: the removable appliance and fixed appliance.
Removable orthodontic appliance
Removable orthodontic appliance is generally used to move the teeth at an early age (6-12 years). There are various types of removable orthodontic instruments ranging from so-called Bionators, Monoblocks, FKOs, Activators, Frankel and others. Selection of different types of removable orthodontic appliance is based on the diagnosis. Removable orthodontic appliances might be as well use by adults who require a minor teeth adjustment or correct relapse condition.
Fixed orthodontic appliances
Fixed orthodontic appliances are used to move large quantities of teeth, or in cases such as the teeth are so crowded that teeth extraction is needed to gain more space in order to align the teeth completely. Fixed orthodontic appliances are more often known as braces. There are various types of braces, ranging from conventional braces type, Roth type, Edgewise, Damon, Smarclip and others. The basic composing materials of the braces are also varies from metal, the best esthetic ceramics, plastics and/or composites. Differences in the various type of braces is only a little, if the patient consider more esthetically, i.e. invisible braces, then ceramic or plastic braces type is recommended.
The types of orthodontic treatment actions we caters include:
Skeletal class III malocclusion (advanced lower jaw).
Skeletal class III malocclusion is a condition in which the first lower molars are ahead of the normal position, not only because the condition is due to the lower mandibular size greater than normal. Another possibility is that the condition is caused by inhibition of growth of the upper jaw so that the position of the lower jaw with the lower jaw. Under normal circumstances the position of the upper jaw is slightly more advanced than the lower jaw.
Skeletal Class III Malocclusion with Asymmetrical Facial Profile (Non-Surgery).
Class III skeletal malocclusion with facial asymmetry is characterized by a visible asymmetrical face when viewed from the front. If the asymmetrical condition not too severe, still can be corrected with conventional braces (combine with some other appliance treatment) with high compliance treatment level.
For patients with severe asymmetrical condition, jaw surgery (orthognathic) is required to achieve normal occlusion. Still, treatment begins with pre surgical braces treatment followed by surgery and then resumes with braces treatment again or post orthognatic braces treatment.
Impact teeth is a condition when the tooth failed to erupt into the dental arch due to lack of space in the dental arches or some other causes like trauma during permanent tooth formation. Disturbance in the formation period of tooth bud, trauma to the jaw region may result in impacted teeth that result in the teeth unable to erupt and come out to the dental arch resulting in serious clinical consequences. Orthodontic treatment to pull teeth out and guided to erupt in perfect position is essential for long-term function and stability of the mastication system. Treatment starts from the intra and extra oral examination, X-ray images analysis and CBCT (ConeBeam Compute Tomography) in order to obtain 3-dimensional conditions to see the position of the impacted teeth accurately. Subsequently, made a diagnosis and treatment plan. To pull a submerged tooth needs a minor surgical procedure to access a submerged tooth and mount a traction chain attached to the tooth to pull the teeth. Surgical procedure for teeth impaction is a minor surgical procedure and can be performed under local or general anesthesia, according to the patient’s needs. Impacted tooth traction treatment procedure is start one week after surgery, with treatment time lasting 1 to 3 years depending on the depth of the position of impacted teeth in the jaw.
Damon System is a type of braces recommended for busy patients where the advantages of this type of braces are not requiring frequent regular visits (every month) but sufficient 3-6 months of regular visits. Treatment time of Damon type braces slightly faster compared with conventional type of braces.
An improved, modern version of traditional braces, Invisalign is a custom-made teeth corrector that is both comfortable and discreet. With no metal brackets or wires, they are nearly invisible and easily removed. Wearing the aligners properly will gradually and gently shift your teeth into place, following the positions, both you and your dentist has planned and approved. One of the benefits of Invisalign is the minimal impact on your everyday life. Since the aligners are very comfortable, you will be advised strongly to wear the aligner for 20 to 22 hours a day. You will need to replace a new set of aligners approximately every two weeks until the treatment is complete.
If the patient needs treatment braces but is not so visible from the outside, then the form of care lingual braces is the treatment option.
Type of care braces that we use is placed at the back of the teeth so it will be less visible from the teeth. Use of this type of braces takes a little longer maintenance time than treatment with conventional braces.
Dentofacial abnormalities are often caused by an imbalance and function of the muscles including lips, cheeks, and tongues. The position of the tongue when swallowing or speaking is used as an important indicator to see whether there is a functional problem of muscles that form dentofasial structures.
To some extent, abnormal tongue or other muscles function can be corrected by myofunctional therapy, a special training method and orthodontic myofunctional appliance to train muscle function around the mouth and facial muscles. These include appliance that correct habitual problem such as “tongue thrust” and normalize the respiratory tract, this therapy is carefully chosen for early childhood patients.