What are the objectives of orthodontics?
Orthodontics is the part of dentistry that is mainly dedicated to the diagnosis, treatment and prevention of dental malpositions and what we are looking for is a good harmony between the jaws, teeth and lips to get a smile as aesthetically possible and as long as possible over time.
At what age can an orthodontic treatment be started?
In principle there is no age limit to start a treatment. We usually do it after age 6, which is when children collaborate best. Initiating early treatments can save you later problems and can guide the child's growth with orthopedic appliances. In this way, you can save yourself problems, for example, of sleep apnea in children giving it more airway patency.
In which cases can removable orthodontics be used and when is it necessary to have fixed orthodontics?
We use removable orthodontics in daily practice, for example, to give expansion to the maxilla. We can also use it with braces to give and stimulate the growth of the child's bone and lately the Invisalign devices are in vogue. These are a series of removable devices that are gradually changed until the dental malposition is corrected.. Now, if we want to give more complex tooth movements, we have to use braces, which will have a better and more reliable finish.
In what cases is it necessary to combine orthodontics with orthognathic surgery?
We use it especially in large deto-facial deformities in which the aesthetics and functionality of the patient are affected. For this we do it together with the maxillofacial surgeon and we divide the treatment in three phases. A phase of pre-surgical orthodontics in which we order the teeth. Then comes the surgical phase, in which the maxillofacial surgeon intervenes, this phase is performed in the operating room and the jaws move, depending on the malposition, the two jaws or the upper jaw will be advanced or the lower jaw will be retracted. And finally, after two weeks of this surgical intervention, the last phase is carried out, which is the phase of adjustment and finalization of orthodontics.