Orthodontic Treatments
Orthodontic treatments are applied for the proper alignment of teeth and correction of jaw disorders. This treatment, which is carried out with brackets, wires, or transparent plaques (such as Invisalign), provides both aesthetic and functional improvements. Orthodontics is often the first step for smile aesthetics. Early diagnosis and treatment should be done for larger problems and treatments that may arise in the future. Orthodontic treatment can be done in childhood, as well as there are suitable orthodontic treatments for adults. You can get information and make an appointment for an examination with an orthodontist for this treatment, which requires expertise.
Orthodontic Treatment In Spaced (Diastema) Teeth
Orthodontic treatment in spaced (diastema) teeth is applied to close the gaps between the teeth and provide a more aesthetic and functional tooth alignment. This treatment is carried out with different techniques depending on factors such as the size of the diastema, its cause, and the patient’s age.
What is Diastema?
The presence of wider than normal gaps between teeth is called diastema. This condition is usually seen in the anterior teeth, but it can also occur in other teeth.
Causes of Diastema;
- Genetic Factors: The size of the teeth being small compared to the jawbone.
- Frenulum Problems: The upper lip frenulum (connective tissue) being wide or thick.
- Incorrect Swallowing: The tongue constantly putting pressure on the teeth (tongue thrust).
- Loss of Deciduous Teeth: The absence of permanent teeth in place due to early loss of deciduous teeth in children.
- Periodontal Diseases: Bone loss caused by gum diseases.
Orthodontic Treatment Methods
How Does Treatment with Brackets Work?
Metal, ceramic, or lingual (applied to the inner surface of the teeth) brackets are used. Teeth are moved in a controlled manner to close the gaps between the teeth. Pressure is applied between the teeth with elastics or springs. It offers a permanent solution. It gives effective results even in large diastemas. However, it may not be preferred by some patients due to aesthetic concerns (especially metal brackets). Treatment time usually varies between 12-24 months.
Treatment with Transparent Plaques (Aligners)
Teeth are gradually moved using transparent plaques such as Invisalign. Each plaque is used for 1-2 weeks and changed until the teeth reach the planned position. It is an aesthetic treatment option thanks to its transparent structure. It provides comfort while eating or brushing teeth as it is removable. It is effective in small and moderate diastemas. Treatment time may be longer in larger diastemas. It depends on patient compliance; requires regular use.
Frenectomy and Orthodontic Treatment
If the diastema is caused by the frenulum, a surgical procedure called frenectomy is applied before or during orthodontic treatment. After frenectomy, the teeth are closed with orthodontic appliances. It offers a long-term solution in frenulum-induced diastemas. Requires a surgical procedure.
Orthodontic Treatment Supported with Mini Screws (TADs)
Temporary anchorage devices (mini screws) are used to ensure that the teeth move in the right directions. It is generally applied in more complex diastemas. Tooth movement is provided in a more controlled and precise manner. It preserves the natural structure of the teeth. It offers an aesthetic and functional solution. Provides permanent results. Treatment time can vary from a few months to several years. Requires patient patience and regular checkups. Unwanted movements of the teeth are prevented. Requires a minor surgical procedure. The dentist or orthodontist evaluates the size and cause of the diastema. If necessary, analysis is made with X-ray and digital imaging techniques. A treatment plan is created according to the cause of the diastema.
Treatment Plan; information is given about the duration of treatment, the devices to be used, and the expected results. With the treatment application, the selected orthodontic devices are placed. Regular check-ups are carried out during the treatment period. Post-Treatment Process (Reinforcement) Reinforcement appliances called retainers are used to prevent the teeth from returning to their old positions. Retainers can be fixed or removable.
Alternative Treatments:
- Composite Bonding: It offers a fast and economical solution in small diastemas.
- Porcelain Laminates: It closes the gaps aesthetically while preserving the natural structure of the teeth.
- Surgical Procedures: Can be applied for frenulum-related problems.
Orthodontic treatment is the most ideal method to solve the diastema problem permanently and healthily. Before starting treatment, it is important to consult an orthodontist and have a comprehensive examination in order to determine the most appropriate treatment method for the person.