Today, the patient of the dentist is not just a person who complains of pain. As a rule, he is ready for a long multi-stage treatment (implantation, installation of braces, restoration of teeth for an aesthetic purpose, etc.).
Bite correction for the dentist is challenging. As a rule, the intervention of the orthodontist is required in the presence of crowding of the teeth in the lower row, which is very common. Braces are installed on the lower jaw.
The cause of crowding of the teeth of the lower jaw
In the process of evolution, man acquired and lost various attributes. One of the key changes in recent decades is a decrease in the size of the lower jaw. As a result, wisdom teeth are moved deep back and when teething cause discomfort to a person.
If you do not pay attention to the condition of the lower jaw in time, then the even dentition will begin to bend. This will cause accumulation of food between the teeth, caries, periodontal disease. Undoubtedly, the problem arises not only because of wisdom teeth, and crowding of teeth is not the only possible defect.
Is it possible to set braces on only one jaw?
Often, dentists are faced with a situation where the patient does not want to wear braces on both jaws, explaining this by the fact that only one dentition needs straightening.
It should be recalled that the treatment carried out by the orthodontist is aimed not only at straightening the curved teeth, but also at correcting the occlusion.
A bite is the closure of the teeth of the upper and lower jaw. Malocclusion is a very common problem, but patients themselves sometimes do not notice it at all.
Closing is affected by the position of all teeth. It happens that the teeth are located incorrectly on the upper jaw. In this case, the easiest way out is to install single braces on the upper dentition. Closer to the end of treatment, it turns out that the jaw closes poorly. After removing the system, the result becomes more pronounced. If you do not correct the location of the teeth of the lower row, then the whole treatment can go down the drain.
It is extremely rare that the teeth are crooked, but do not interfere with the correct bite. Therefore, the installation of devices such as braces on the lower jaw is a justifiable measure.
However, the decision is made only by the doctor. He conducts a thorough examination of the oral cavity, makes an X-ray, checks the structure of the roots and jaw bones, and only then decides whether a single bracket is possible.
If the system is installed on one jaw, this is not a reason for tomgo to not pay attention to the state of the second jaw. The dentist will monitor her, and if necessary, can prescribe wearing a retainer.
A retailer is a removable orthodontic design that corrects malocclusion. The patient will need to put on the device at night, and wear it for one hour during the day.
If the orthodontist has doubts about the advisability of installing the brace on only one jaw, he can compromise by putting forward the condition that, if necessary, a bracket on the second jaw will be installed.
What is the effect of braces on the lower jaw? Photos "before and after" reflect the positive dynamics of the correction of the dentition.
The difference between braces for the lower and upper jaw
As a rule, single systems are installed on the upper jaw. Front teeth are always visible to people around us, and we are most worried about their appearance. What our bottom row looks like, close people may not notice.
But it should be noted that crowding of teeth in the lower row is much more common. The lower jaw is smaller than the upper, and the teeth often do not fit.
Crowding prevents the doctor from installing braces on the lower jaw. The teeth are large enough and sometimes find each other. Often the doctor spends several hours to install.
Treatment of the lower jaw in adults is associated with certain difficulties. The lower teeth have a more developed root system and are not as flexible as the teeth in the upper row.
In many cases, the price of the top structure is much higher. The cost depends on the material of manufacture, and from it - the aesthetics of the device itself. The lower jaw is invisible, so patients think little about which model is more appropriate to install.
Bite correction goal
The aim of bite correction is to make the patient smile attractive. The correct shape is also given to the face and possible health problems are prevented.
Braces on the upper, lower jaw are not installed in all cases. Sometimes it is sufficient to wear the structure only on the lower dentition. It all depends on the individual case.
The main indications for the treatment of the lower jaw with a bracket
A number of indications include:
- obvious gaps between the teeth;
- the presence of asymmetry in the face;
- inclination, rotation or displacement of the crown in relation to other teeth;
- underdevelopment of one jaw;
- impaired occlusion;
- causing gum injuries with a tooth when closing the jaws.
Different models of bracket systems are endowed with similar functionality. Any treatment by an orthodontist has the same sequence.
Steps for treating the lower jaw with braces
Treatment involves the following steps:
- Diagnostics. It includes examination of the patient's oral cavity, taking a cast, analysis of diagnostic models, determining the method of therapy.
- Training. The treatment is carried out by a dentist-therapist who eliminates the presence of caries and removes stones on the teeth.
- The main therapy. An orthodontist installs a brace system on the lower jaw, gives tips on wearing the design, explains what you should pay attention to in order for the treatment to be as effective as possible. Throughout the entire course of therapy, a dentist’s office should be systematically visited in order to activate the device and its necessary correction, as well as to observe the dynamics of treatment.
- Retention period. It involves consolidating the results of treatment. The doctor may advise wearing a removable retainer (metal wire, plate) or mouthguard. Similar methods are dictated by the fact that straightened teeth can again take the wrong position.
Contraindications
It is impossible to put braces on the lower jaw for several reasons:
- the presence of periodontal disease;
- mental disturbance;
- poor level of oral hygiene.
Metal-based bracket
Modern dentistry has many different models of braces installed on the lower jaw. The very first modification is a metal-based device. However, the design is characterized by low aesthetics and bulkiness. But since in most cases the teeth located in the lower row are not visible to people around you, you can install the cheapest models on the lower jaw without taking into account their aesthetic appearance. A conventional metal bracket system would be appropriate in terms of efficiency.
Lingual models
As a rule, bracket models have a difference in the nature of the installation. Many mistakenly believe that all structures can only be attached from the outside. Most often, such models are visible to others.
Undoubtedly, the choice of configuration is largely dictated by the nature of the bite itself. But in most cases, it is possible to use a model mounted on the inside of the dentition. This design was called lingual. In this case, the braces are in constant contact with the tongue.
Many patients resort to the installation of this particular design, since it is invisible. The cost of such a device is quite high, but its aesthetic effect is worth it.
It should be noted that such braces on the lower jaw (photo below) are attached using special metal locks, and the metal arc moves along the grooves of the device, providing the necessary pressure on the teeth that need correction.
Due to the reduction in the width of the tooth plates, the distance between the components of the lingual structure is 1.5 times greater than in conventional configurations. This reduces the level of aggressiveness and allows you to freely enter the arc into the grooves from the very first stages of therapy.
Many believe that such braces on the lower jaw they are inconvenient, they constantly interfere with conversation, eating or injuring the gums and tongue. However, such a view is fundamentally wrong.
Designs made in accordance with innovative technologies are very comfortable to wear and do not cause inconvenience.
Devices installed on the lower jaw do not cause pain, do not violate diction. The patient’s getting used to the bracket occurs in a short time, and the correction of teeth is smooth and effective.
At the same time, people who experience a psychological complex from what will have to carry a bulky design in their mouths can find a way out of the situation by resorting to installing a lingual model.
Ceramic models
Ceramic braces appeared much later. The material of manufacture is similar to the basis of artificial dental crowns. Such systems have a high level of strength. Their wearing is convenient both from a physical and aesthetic point of view.
Ceramic braces on the lower jaw are small in size, rounded configuration and natural color of tooth enamel. All this makes them invisible when worn. Also, designs are resistant to food pigments.
In the vast majority of cases, such devices are made of ceramic with a polycrystalline structure. They have a matte translucent surface.
Sapphire analogues
Sapphire braces also exist. Their basis is single-crystal ceramics. They are considered an innovative invention in the practice of domestic orthodontists. Such devices, in addition to a high level of strength, are completely invisible when worn. However, the high price of such models explains their rare use.
Reviews
Braces for the lower jaw, reviews about which are positive, able to eliminate existing abnormalities of the dentition. Linguistic systems were especially praised. According to many patients, their design is inherent in lightness, they do not cause discomfort and have a high level of effectiveness in treatment.
Braces on the lower jaw (before and after photos are presented in this article) can eliminate the curvature of the teeth and make the bite correct.
Sometimes there are reviews that orthodontists resort to installing braces on both jaws with a view to higher earnings. In fact, people do not understand all the subtleties of the process of correcting a malocclusion, and their judgments are erroneous.
Conclusion
The installation of braces on the lower jaw is necessary for its alignment. Correction of the curvature of the dentition is possible if the patient does not want to correct the upper jaw or if such a need does not exist.
Alignment of the lower dentition is indicated for patients who do not have a defect in the bite and in the presence of minor abnormalities. If the person applying to the orthodontist has a malocclusion, then wearing a second bracket is mandatory.