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Spacers can also cause toothache and gum pain because of the constant pressure against the patient's teeth. The gaps that the spacers create are necessary to apply certain appliances or braces. There are two common types of expanders used after the spaces have been made. One very primitive, model is a metal bar that has a key used to tighten.
Fixed retainers are often used to provide orthodontic retention and avoid relapse. [14] They commonly consist of a wire bonded with acid etch and composite to the lingual/palatal surface of the anterior teeth. In fixed retainers, composite is usually placed to bond and to cover the wire, whilst ensuring no interference in the interdental space.
A 2013 Cochrane review found no high-quality evidence with respect to the management of the recurrence of lower-front-teeth misalignment following treatment. [8] Clear aligners are more noticeable than lingual braces, but they can be removed, which makes cleaning of the teeth easier, and they are faster for the dentist to apply. [4]
Fixed retainers are a simple wire fixed to the tongue-facing part of the incisors using dental adhesive and can be specifically useful to prevent rotation in incisors. Other types of fixed retainers can include labial or lingual braces, with brackets fixed to the teeth. [47]
The thickness increases to 0.6 or 0.7mm wire if it is to move more teeth or a larger/multi rooted tooth. [8] Palatal Finger Spring - These springs are used to move teeth buccally or lingually. Buccal Canine Retractor - These springs are used to bring a buccally placed canine more lingual. Z-Spring - This spring is used to move one or two teeth ...
An orthodontist may recommend headgear for a patient if their bite is more severely out of alignment. The device typically transfers the force to the teeth via a facebow or J hooks to the patient's dental braces or a palatal expander that aids in correcting more severe bite problems or is used in retention of the teeth and jaws of the patient.
The expansion process usually results in a large gap between the patient's two top front teeth, often known as diastema. This gap is closed naturally and the teeth may overlap which leads to braces being needed. Some may develop a large space while others do not develop a space at all.
Patients may need post-orthodontic surgery, such as a fiberotomy or alternatively a gum lift, to prepare their teeth for retainer use and improve the gumline contours after the braces come off. After braces treatment, patients can use a transparent plate to keep the teeth in alignment for a certain period of time. After treatment, patients ...
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