Friday, September 14, 2012

Ceramic braces 2


  




My dental problem 
                                           Upper teeth protruding far ahed of the lower teeth.

Why to use braces?
A brace is fact of life. They are used for many conditions to straighten the crooked teeth, over bites, under bites, incorrect jaw positions or joint disorder.
It used by both kids and adults too!
Crooked teeth are having many problems during chewing, talking, or smiling. Because of unnatural spaces, they are difficult to clean more like to prone the cavities that lead to pain and discomfort. If such problems untreated these problems can results in to tooth decay, gum diseases, headaches, earaches as well as speaking biting or chewing problems. Such condition commonly referred as Malocclusion means “Bad bite” Examples of bad bites are Crowed teeth, extra teeth, missing teeth or jaws that are out of alignment.

Reason for malocclusion:
Accidental
Early or late loss of baby teeth
Sucking of thumb or fingers for prolonged time.
When these conditions are left unchecked leads to permanent deformity around bone structure of the mouth causes pain and discomfort Here I am going to present the how braces can benefit to cure the malocclusion condition on myself.

Orthodontic:

It is the branch of science that deals with the using devices to move the teeths or align the jaws. Its simply discipline of the dentistry engaged in improving the ones smile and oral health.

Right time for braces:

Moment of teeth area taken place at any age but the best to start it early.
Younger you are get better results and less time also.
Because  in children both the bone around the teeth and jaw bones can be molded by braces as  the child grows. But if you got braces as an adult the device can no longer mold the jaw bones.For that you have to go for surgery.
Ideal age is 3-12 to start the orthodontic treatment. in childhood orthodontic function 2 folds to create straight well aligned teeth and to improve the facial profile.
In adults orthodontics can correct the only former, with the latter   case facial profile remaining stable throughout adolescence and adulthood.
Additional for adult braces made more difficult by the fact that they have to wear the retainer at night and rest of life or risk to having undergo treatment again. Retainers awill help maintain the results of treatment.

Types of braces:

According to the problems braces are selected for treatment as

1.Metal Braces
2.Ceramic Braces

How long treatment take place:
Depend upon the plan of treatment and the complication in teeth and the age of the subject.
If you are older then it will take long time for treatment.
Generally average patient can count the wearing full braces between 18 and 30 months (1.5 years to 2.5 years) After the treatment there at least few months you may have to wear the retainers to set and align the tissues surrounding of the straightened teeth.

About treatment:
At start of the treatment it will create discomfort. Once in the month you need to visit the orthodontist he will tighten the interconnecting wires. This causes pressure on the bracets or band in order to shift teeth or jaws gradually into the desired position.
Teeths and jaws feel sour after each visit. And discomfort is only brief and will disapper after a wihile.

Life style change:

During treatment you have to change the some habits and avoid certain type of foods.
Sweets and starchy foods generate the lot of acids in mouth and forms plaque on teeth these plaque formation and the high acidity leads to the tooth decay and promote the gum diseases.
Eat the healthy food cut the foods like raw carrots ,corn on the cob, pretzels, apple in to smaller pieces before eating.
Avoids sticky, chewy sweets like caramel , taffy and gum such type of food stick to your braces and causes wire damage and loosening of the brackets
Avoid hard and crunchy snacks like popcorn nuts and hard candy.
Such food causes potential to break braces and cause to swallow some portion of your braces.
This results in the extend in the treatments for more time than predetermined.

Don’t:
Ice cube chewing
Thumb sucking
lip biting
Pushing tongue against your teeth
Excessive mouth breathing

Ceramic material of braces:

What is Ceramic?

The word “Ceramic” is derived from the Greek word “keramos” that translates to mean, “burnt earth.” It came from the ancient art of fabricating pottery where mostly clay was fired to form a hard, brittle object. A more modern definition is a material that contains metallic and non-metallic elements (usually oxygen). These materials can be defined by their inherent properties; they form hard, stiff, and brittle materials due to the nature of their inter-atomic bonding, which is ionic and covalent. Contrast that to a metal; metals are non-brittle (display elastic behaviour), and ductile (display plastic behaviour). This is because of the nature of the inter-atomic bonding, which is called a metallic bond. These bonds are defined by a cloud of shared electrons that can easily move when energy is applied. This is what makes most metals great conductors. Ceramics can be very translucent to very opaque. In general, the more glassy the microstructure (i.e., noncrystalline) the more translucent it will appear, and the more crystalline, the more opaque. Many other factors contribute to translucency, e.g., particle size, particle density, refractive index, and porosity, to name a few. Dental ceramic materials can exist in a glass form (an amorphous solid), which has no crystalline phase; a glass with varying amounts and types of crystalline phase; a mostly crystalline material with small amounts of glass; all the way to a polycrystalline solid (a glass free material). How ceramics are classified can be very confusing. Ceramics can be classified by their microstructure, (i.e. amount and type of crystalline phase and glass composition). They can also be classified by processing technique (power-liquid, pressed, or machined).They can also be classified by their clinical application. We will give a classification based on the microstructure of ceramics, with the inclusion of how the ceramics are processed and that processing’s effect on durability, more importantly, Classification based on clinical indications for the various materials.
Microstructural Classification:

At a microstructural level, we can define ceramics by the nature of their composition of glass-to-crystalline ratio. There can be infinite variability of the microstructures of materials, but they can be broken down into four basic compositional categories, with a few subgroups:
§  Category 1  :Glass based systems (mainly silica)
§  Category 2 :Glass based systems (mainly silica) with fillers, usually crystalline (typically leucite or, more recently, lithium disilicate)
§  Category 3: Crystalline-based systems with glass fillers (mainly alumina)
§  Category 4: Polycrystalline solids (alumina and zirconia)




I choosed Ceramic Braces...........


             
              Braces After 10 months



Saturday, December 3, 2011


Case study : Ceramic Braces.
Patient Name : Sachin Sadashiv More
Doctors Name: Dr.Sumedh Hosing
                             Consultant Orthodontics.

From the past few months, I am undergoing treatment for my teeth from a well-known Mumbai orthodentis Dr.Sumedh Hosing Thane. Now I having braces for two front teeth,which protrude quite prominently,will get pushed inside over a period of time.The treatment will continue for one and half year.
I chooses the ceramic treatment from metal because it is more comfortable than metal and irritate to gums less.ceramic brackets do not usually brake or come off teeth.They are very strong.

                                                              Fig 1.0 Braces after 2 months

Ceramic brackets generally made of a high tech glass-like composite material developed as a spinoff material by the NASA space program. They are very strong and generally do not stain in routine activity.


These are the type of braces many celebrities had worn/wear. Adults like to choose ceramic because they "blend in" with the teeth and are less noticeable than metal. Most family and friends will not even notice your braces. Ceramic braces are guaranteed not to stain by the manufacturer, barring some foods, coffee, coke, curry, smoking, etc., and are expensive.  Ceramic braces are an aesthetic alternative for those who don't want their braces to show as much. Clear braces move your teeth in exactly the same way as metal braces do. Like metal braces, they are extremely comfortable to wear and very efficient at moving teeth.
 



Fig. 2.0 Braces at starting of treatment