Self-ligating braces are a type of orthodontic treatment that uses a special mechanism to hold the archwire in place, rather than traditional elastics or metal ties. This design reduces friction and pressure, potentially leading to faster and more comfortable treatment. 

Key Differences and Benefits:

• Friction Reduction:

Self-ligating braces have a built-in mechanism (a clip or door) that holds the archwire, minimizing friction and allowing for more natural tooth movement. 

• Comfort:

Less friction and pressure can lead to a more comfortable experience for patients. 

• Treatment Duration:

Some studies suggest that self-ligating braces may shorten treatment time, although this can vary. 

• Fewer Adjustments:

The reduced friction may mean fewer adjustments and appointments with the orthodontist. 

• Appearance:

Self-ligating braces can be less noticeable, especially with clear or ceramic options. 

• Oral Hygiene:

The absence of elastic bands can make oral hygiene easier to maintain. 

Things to Consider:

• Cost:

Self-ligating braces may be slightly more expensive than traditional braces.

• Bracket Failure:

There's a possibility of bracket failure due to repeated opening and closing of the mechanism.

• Tooth Decay:

Food particles can still become trapped, requiring good oral hygiene practices.

• Reversion:

Just like with traditional braces, teeth may revert if retainers are not worn after treatment. 

How to Choose:

• Consult an orthodontist:

A consultation with an orthodontist is crucial to determine if self-ligating braces are the right choice for your specific needs and treatment plan.

• Discuss options:

Consider your personal preferences, lifestyle, and financial situation when making your decision. 

In summary, self-ligating braces offer potential benefits like reduced friction, comfort, and shorter treatment times, but it's important to discuss the pros and cons with an orthodontist to determine if they are the best option for your individual needs. 

1. Surgically Assisted Rapid Maxillary Expansion (SARME) is a procedure that combines surgery with orthodontic treatment to widen the upper jaw (maxilla) when it's too narrow

   1: What is SARME and who might need it?

   Answer: SARME is a procedure that uses surgery to cut into the maxilla (upper jaw) and then uses orthodontic appliances to gradually expand the jaw, correcting transverse (side-to-side) deficiencies. It's typically used when the maxilla is severely narrow, or when rapid maxillary expansion (RME) alone is not sufficient. It's often considered for adults or for patients where conventional RME might not be feasible. 

   2: How does SARME work?

   Answer: SARME involves surgically cutting into the bone of the maxilla, typically in the palatal area (roof of the mouth). Then, an appliance (often a Hyrax device) is used to gently apply pressure, causing the maxilla to widen. The surgery is typically done under general anesthesia, and the patient's healing process is monitored closely. 

    3: What are the potential benefits of SARME?

   Answer: SARME can correct transverse maxillary deficiencies, improve facial aesthetics, and enhance bite alignment. It can also alleviate issues with speech, breathing, and chewing, and provide a more functional and aesthetically pleasing smile. 

    4: What are the potential risks or complications associated with SARME?

   Answer: While SARME is generally a safe procedure, potential risks include: swelling, pain, bleeding, nerve damage, and infection. In some cases, there could be relapse of the expansion, requiring further treatment or retention. It's essential to discuss all potential risks with your surgeon and orthodontist before proceeding with SARME. 

    5: What is the recovery like after SARME?

   Answer: The initial healing process typically takes a few weeks, with some pain and swelling that can be managed with medication. Full recovery may take several months, and the jawbone will need time to stabilize. Patients will need to follow specific instructions regarding diet, hygiene, and activity restrictions to ensure proper healing. 

   

Aligners are transparent, removable plastic trays used to straighten teeth and correct bite issues, serving as a discreet alternative to traditional metal braces. They are custom-made to fit each patient's teeth and work by gently applying pressure to gradually move teeth into their desired positions. 

Here's a more detailed look at aligners:

• What they are:

Aligners are thin, clear, custom-fitted trays that fit over your teeth. 

• How they work:

They gradually shift teeth into alignment using a series of aligners, each worn for a certain period of 10-14 days.

• Who they're for:

They are suitable for a range of cases, including crooked, crowded, or gapped teeth, and bite issues like overbites and underbites. Appointments are widely spaced, and this option is excellent for those who travel frequently and may not have access to orthodontic appointments frequently. Tracking of aligners wear needs to be self monitored and it’s a highly motivated patient who can go for this option.

• Benefits:

They offer a discreet and removable option compared to traditional braces, allowing for easier eating, brushing, and flossing. 

• Treatment process:

The treatment involves wearing a series of aligners, each designed to move teeth a small amount over time. The treatment may range from 6 months to 5 years depending on the complexity. Aligners can also be integrated with jaw expansion and jaw surgery devices as a part of the treatment plan.

• Effectiveness:

While they are effective for many cases, their effectiveness can vary depending on the severity of the misalignment , individual patient factors and usage for the recommended time of 20 to 22 hours per day. 

• Cost:

The cost of aligners can be higher than traditional braces, but this is due to the advanced technology and customization involved. Aligners are CAD-CAM designed and printed with high quality smart-track and shape memory materials which deliver the results with recommended usage. Compromise in quality is a compromise in results.

Remember that you are paying for quality.

• Is aligner therapy covered by insurance?

Aligners are considered as a part of cosmetic dentistry and currently not covered under any insurance plans in India.

• Can I opt for payment plans for aligner treatment?

 Credit cards offer EMIs for treatment.

The initial fee is a small retainer for the 3D intraoral scan and treatment planning. This is a non-refundable fee, but a part of it is absorbed as a part of the treatment fee.The treatment plan will give the number of aligners, duration, cost, and scope for refinement over a follow up duration of 3 to 5 years.

Once approved, about 70% of the fee needs to be paid before manufacture and the remaining may be paid before completion of treatment.

The fee for retainers is not included as a part of aligner orthodontics.

INVISALIGN WITH MANDIBULAR ADVANCEMENT

ORTHODONTICS WITH JAW SURGERIES- 

Before After Images-

Craniofacial orthodontics focuses on treating individuals with birth defects like cleft lip and palate, or other jaw and face abnormalities. It's a subspecialty of orthodontics that requires additional training and experience. Craniofacial orthodontists and pediatric dentists work as part of a multidisciplinary team to address the complex issues associated with these conditions. 

Here's a more detailed look at some frequently asked questions:

1. What is craniofacial orthodontics?

• Craniofacial orthodontics is a specialized area of orthodontics that treats patients with congenital and acquired deformities of the craniofacial area, which includes the skull, face, and jaw. 
• It focuses on correcting problems related to the position, alignment, and spacing of teeth, as well as irregularities in the face and jaw. 
• Craniofacial orthodontists work with a team of professionals, including speech pathologists, oral surgeons, and craniofacial plastic surgeons, to ensure a holistic approach to treatment. 

1. What types of conditions do craniofacial orthodontists treat?

• Cleft lip and palate: These are common birth defects that affect the lip and palate, requiring a multidisciplinary approach to treatment. 
• Other craniofacial anomalies: These can include a variety of deformities of the skull and face, such as Pierre Robin sequence or Crouzon syndrome. 
• Acquired craniofacial deformities: These can result from injuries, infections, or other medical conditions. 

1. How do craniofacial orthodontists treat these conditions?

• Non-surgical treatment:

This can involve braces, headgear, and other oral appliances to correct tooth alignment and jaw position.

• Pre- and post-operative treatment:

Craniofacial orthodontists play a crucial role in preparing patients for jaw surgery and ensuring proper healing and alignment afterwards.

• Collaboration with other specialists:

They work closely with surgeons, speech therapists, and other healthcare professionals to provide comprehensive care. 

1. What is the role of the craniofacial orthodontist in the treatment team?

• Diagnosis and treatment planning:

They assess the patient's condition, develop a treatment plan, and monitor growth and development.

• Orthopedic or orthodontic treatment:

They may use braces, headgear, or other devices to guide tooth and jaw development.

• Monitoring and follow-up:

They track progress, make adjustments to treatment as needed, and provide long-term support. 

1. What are the benefits of craniofacial orthodontics?

• Improved dental and facial appearance:

Orthodontic treatment can correct tooth alignment, improve jaw function, and enhance facial symmetry. 

• Improved speech and swallowing:

Correcting jaw and tooth alignment can help improve speech clarity and swallowing function. 

• Improved self-esteem and quality of life:

Addressing craniofacial anomalies can boost self-confidence and improve overall quality of life. 

At Toothbuddies, Dr. Gayatri Moghe and Dr. Asadullah Khan have had subspecialty training and more than 15 years of experience working with children and adults having cleft lip palate and craniofacial anomalies. We collaborate with plastic surgery teams to ensure the best result of combined care both functionally and cosmetically.

Our forte lies in comprehensive dental solutions for  craniofacial  anomalies, all under one roof!

BEFORE  BRACES AND JAW SURGERY

PRESURGERY

AFTER SURGERY AND REMOVAL OF BRACES