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The removal of only the maxillary first premolars is the second likeliest option, in 14.5% of cases. [10] The practice of premolar extraction developed in the 1940s in the United States, and was initially greatly contested in the orthodontic field, due to the changes to the facial structure caused by the retraction of the arches.
Lingual braces are a cosmetic alternative in which custom-made braces are bonded to the back of the teeth making them externally invisible. Titanium braces resemble stainless-steel braces but are lighter and just as strong. People with allergies to nickel in steel often choose titanium braces, but they are more expensive than stainless steel ...
Orthodontics. Orthodontics[a][b] is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, as well as misaligned bite patterns. [2] It may also address the modification of facial growth, known as dentofacial orthopedics. Abnormal alignment of the teeth and jaws is very common.
In a surgical extraction the dentist may elevate the soft tissues covering the tooth and bone, and may also remove some of the overlying and/or surrounding jaw bone with a drill or, less commonly, an instrument called an osteotome. Frequently, the tooth may be split into multiple pieces to facilitate its removal.
Orthodontists generally use 12-16 oz elastics (3/16") in extraction cases or 2× 6 oz elastics on either side of the mouth (3/16"), but in non extraction cases 16-20 oz elastics (3/16") or 2× 8 oz elastics are used. It is very important to know the side effects of Class II elastics before using them in an orthodontic treatment.
Components such as Palatal Finger Springs, Buccal Canine Retractor, Z-Spring, T-Spring, Coffin Spring, Active Labial Bows (Mill's Bow or Roberts retractor), Screws and Elastics are all considered to be active components of the removable functional appliances. If a spring is moving one tooth it is made of 0.5mm thick stainless steel wire.
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