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Orthodontic spacer removal. [2] Spacers are usually used to put spaces in between teeth before braces are established. It can be agitating or painful, but patients are often warned not to pick at them or they will fall out. They are usually rubber, but sometimes they can be metal. They can be used when a patient's teeth are too close together.
In 1944, Murray L. Ballard was the first to advocate for the stripping of the lower anterior teeth due to crowding in a paper published in The Angle Orthodontist.Other authors also advocated about slenderizing the teeth for next 40 years but it was not until the 1980s when John J. Sheridan's Air Rotor Stripping (ARS) technique for interproximal reduction captured significant interest.
In this procedure, a dentist or orthodontist attaches braces to certain teeth (typically the canines and premolars) and inserts wiring, but not elastics, between the upper and lower teeth in a figure-8 pattern. The wiring is removed periodically to allow the jaw joints to move freely, especially in the vertical direction.
Traditional metal braces are the most common type of braces. These braces have a metal bracket with elastic ties (also known as rubber bands) holding the wire onto the metal brackets. The second-most common type of braces is self-ligating braces, which have a built-in system to secure the archwire to the brackets and do not require elastic ties.
For decades, Catherine Hong never showed her teeth when she smiled. What else was she holding back? Getting braces at 50 helped her straighten out her priorities.
It often includes braces before and after surgery, and retainers after the final removal of braces. Orthognathic surgery is often needed after reconstruction of cleft palate or other major craniofacial anomalies. Careful coordination between the surgeon and orthodontist is essential to ensure that the teeth will fit correctly after the surgery.
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If the retainer is removable, it should be cleaned before inserting. If the retainer is fixed and cannot be removed, it should be cleaned during the nighttime home care routine. To clean a retainer use a wet toothbrush and gently scrub all surfaces of the retainer to remove any plaque and bacteria.
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