Orthodontics is a branch of dentistry that deals with making crooked teeth an ideal set of teeth using removable or fixed devices, as well as correcting skeletal disorders by using growth guidance. The basis of orthodontic treatment is based on the principle of moving the teeth in the bone by applying appropriate forces and, if necessary, ensuring their ideal relationship through growth orientation of soft tissues and bone structures. During orthodontic treatment, the integrity of the teeth is not compromised; No processes such as coating or filling are performed. In this respect, it is a completely natural and long-term treatment.

Orthodontic treatment is done with devices that are popularly called ‘braces’ or ‘palatal braces’. These devices can be fixed or removable. It can be used in many combinations such as fixed or removable appliances, porcelain, metal, attached to the inner surface of the tooth, and types that receive support from the outside of the mouth.

• If you are not satisfied with the appearance of your teeth,
• Even though your teeth are strong, crowding causes a bad appearance and you cannot provide adequate hygiene no matter how much you brush,
• If this situation affects your social life negatively as well as causing problems for your health,
• You want your teeth to be corrected, but you are also looking for a permanent treatment that will not harm your teeth,
• If you want to laugh more confidently now, you are a good candidate for orthodontic treatment.

Before starting orthodontic treatment…
Orthodontic treatment is a very different and special form of treatment compared to other dental treatments. In order for this treatment to give the desired result, it is important to make a correct treatment plan and to follow this plan appropriately and frequently.

Due to this special situation of orthodontic treatments, it must be done by a dentist who is an orthodontic specialist. Orthodontic expertise is gained after 5 years of dental education, thanks to doctoral programs applied in universities and which can last up to 5-6 years. At the end of this long process, the physician receives the title of “Orthodontist” and a doctorate diploma.

When choosing an orthodontist, attention should be paid to the availability of the physician. In case of disruption of communication between the patient and the physician, there are interruptions in orthodontic treatment and the duration of treatment is prolonged. The 4-5-year treatment period, which many of us have heard of before, is due to this lack of communication. It should be noted that your doctor can be reached both by e-mail and by phone, and your appointment requests should be answered within a few days by your doctor.

Before starting orthodontic treatment, your orthodontist will inform you of the overall plan and cost of your treatment. Before your braces are fitted, your oral care must be completed, problems such as all fillings in the mouth, gingival problems, impacted teeth must be treated. Your orthodontist will draw up your treatment plan and start your treatment together with the general dentist and other specialist physicians.

Age factor in orthodontic treatment
The recommendation of the American Orthodontic Society is that all children should be checked by an orthodontist at the age of 6-7 years. At this stage, problems that may arise in the future are diagnosed. Orthodontic problems, if not very urgent, can be postponed until all permanent teeth have erupted. The purpose of this is to enable children to tolerate and clean the appliances more easily. In cases where skeletal disorders are involved, such as the upper or lower jaw being too far forward or the upper and lower teeth not covering each other, starting the treatment in childhood is very important for the efficiency and permanence of the treatment. If skeletal disorders are not treated on time, they can lead to problems that can only be corrected later on by surgical methods.

Age is no longer a factor in patients seeking treatment in adulthood. Problems that do not have skeletal disorders and are caused only by the position of the teeth can be corrected at any age. These disorders are solved by moving the teeth to their desired positions by means of brackets. If orthodontic disorders are accompanied by skeletal problems and if the patient’s jaw disorders are evident from the outside, orthognathic surgery can be applied to the patient.

Pediatric Orthodontics

The majority of orthodontic treatments occur as a result of premature loss of teeth due to caries in primary teeth. Early extraction of milk teeth will cause the loss of the necessary space for the permanent teeth to settle, and therefore the permanent permanent tooth cannot find a place in the mouth.

In some cases, hereditary skeletal and dental disorders may occur during the transition to permanent dentition, even if there is no crowding in the primary teeth. Bad habits such as finger and pacifier sucking also have an effect on the formation of skeletal disorders. Cessation of these habits at an early age stops the progression of these disorders, and can sometimes even correct them. In some cases where nasal breathing is blocked (ba

conditions such as the presence of adenoids and adenoids) skeletal problems may occur. For the early diagnosis and treatment of such problems, it is necessary for every child to undergo an orthodontic examination.

Orthodontic follow-up of parents
When the child is 6-8 months old, the first milk teeth begin to erupt and eruption continues until the age of 3 years. The tooth sequence, which remains stable between the ages of 3-6, begins to change with the eruption of the incisors in the front and the 6-year-old teeth in the back at the age of 6-7 years. Although there are no problems in the milk dentition stage in general, parents should pay attention to the milk teeth that do not come out or that continue in the wrong direction.
The conditions to be considered in the transition to permanent dentition are as follows:
• Early loss of milk teeth,
• The eruption of the upper incisors too far anteriorly or posteriorly,
• Color and deformities in newly erupted permanent teeth,
• Delay of permanent tooth eruption as a result of the failure of the primary teeth to fall out on time,
• Caries in the first molars lasting 6 years old,
• It does not cover the lower jaw as a result of the narrow upper jaw,
• Upper and lower front teeth do not cover each other,
• Presence of various bad habits such as finger or pacifier sucking.
• Upper and lower front teeth not covering each other.

Importance of milk teeth
Premature extraction of caries in milk teeth; It is a proven fact that it causes orthodontic disorders and permanent teeth to remain impacted in the jawbone.

Milk teeth start to erupt in a certain order from the 6th month after birth, and in a child of approximately 2.5 years, all milk teeth will have erupted. A total of 20 milk teeth in the lower and upper jaw continue to remain in the mouth until the age of 6 years. From this period until the age of 12, all milk teeth are replaced by permanent teeth in turn. During this period of change, major cavities and early loss of primary teeth in primary teeth may cause crowding as a result of the movement of the posterior teeth into these spaces and cause permanent teeth to remain impacted. Therefore, it is very important for milk teeth to remain in the mouth in a healthy way.

Conditions in the primary dentition period are not solely responsible for the formation of orthodontic disorders. Orthodontic problems can be passed on genetically from parents or older family members to children. Apart from this, mistakes made during infancy due to insufficient feeding with breast milk or the use of bottles and pacifiers; Bad habits such as thumb sucking, lip sucking, tongue thrusting and mouth breathing in childhood can also cause orthodontic problems.

Devices used in therapy
The basic principle of orthodontic treatment is to first eliminate the cause and then correct the defect. If dental and skeletal disorders are caused by reasons such as thumb sucking or mouth breathing, mobile or fixed devices are used to prevent the continuation of these habits. Stopping these behaviors at the age of growth stops and even improves dental and skeletal problems.

There are generally two types of devices:
Removable devices are often used to correct simple disorders involving a few teeth. These devices may have springs to push the teeth or screws to widen the jaw. These devices can generally be used for several months.

Fixed devices, ie brackets, are attached to the teeth and are generally used for more difficult treatments. Brackets can be metal-colored, as well as tooth-colored versions for adult patients. Porcelain brackets are generally used in adult patients. Since these brackets show even the smallest discoloration, much more attention should be paid to oral care.

In children, it may be necessary to get support from the areas other than the mouth in some cases in the correction of skeletal disorders in the growing period. In cases where the lower jaw is forward, chinrests can be used, and in cases where the upper jaw is forward, neckrests can be used to pull the upper jaw back. Although these devices are generally used between 14-16 hours a day, your doctor will determine specific usage times for your child.

Patient participation is also very important for effective and rapid orthodontic treatment. Orthodontics is a team game played between the patient, the physician and the parents. It is very important for patients to wear their mobile devices and intraoral elastics as described and for the desired time, and to keep their oral hygiene at a high level.


The effect of orthodontic treatment on daily life
Orthodontic treatment is a common treatment in childhood. The child can do anything but minor restrictions during orthodontic treatment. He can participate in sports activities, sing and play musical instruments. Orthodontic treatment will not adversely affect the child’s lessons, and will improve both the external appearance and oral health of his personality and body, and will ensure that his physical and mental health is more balanced.

Most caution during treatment

The point to be made is to brush the teeth correctly after each meal. Your doctor will help your child how to maintain oral hygiene. The habit of brushing teeth during orthodontic treatment is a guarantee of lifelong oral and dental health.

It is very important for the effectiveness of the treatment that the fixed devices are not damaged. Biting hard food can damage the wires. In order to prevent this, it will be sufficient to eat stone fruits and foods such as chips and crackers more carefully, and not to consume foods that may stick to the brackets too often.

In the initial phase of the treatment, there may be temporary discomfort in the teeth, gums and cheeks. This is a natural consequence of the process of getting used to orthodontic appliances. This mild discomfort, which may last 2-3 days, will not be seen during the rest of the treatment.

Duration of treatment
Simple crowding, which only concerns the teeth, needs a treatment period that can vary between 6 months and 1 year. Although this period is different for each patient, it depends on the type of treatment to be performed, the type of devices used, and individual factors such as age and gender. In some cases, tooth extraction may be necessary in order to correct the crowding of the teeth. In this case, the duration of treatment can usually be between 18-24 months.

In some skeletal problems that are diagnosed early and whose treatment should be started in childhood, the treatment may take longer, however, the intensity of the treatment is reduced. During your treatment, you will need to visit your orthodontist on average every 4-6 weeks. This period may vary according to your treatment process.

adult orthodontics
Healthy, straight teeth and a beautiful smile are the first and most important steps for a person to express himself correctly. Crowded and irregular-looking teeth both cause an aesthetically bad appearance and cause deterioration of oral health and general health.

In childhood, necessary orthodontic treatments may not have been done due to financial problems. Sometimes straight teeth may deteriorate later due to extractions and gum problems. Missing teeth can cause the remaining teeth to move into the tooth cavity, causing the teeth to space out or tilt to one side. In case the lower and upper teeth are not closed properly, apart from aesthetic problems, problems such as irregularities, pain and inability to open the jaw may begin in the jaw joint. Crowding in the teeth not only negatively affects dental health and general health, but also causes the individual to feel in the background and unhappy in the society.

In the past, porcelain veneers were used to correct dental disorders. Today, thanks to the developing treatment techniques and material technology, it is now possible for adults to benefit from orthodontic treatment. Thanks to the aesthetic brackets and wires to be used, the orthodontic treatment will continue without the people around to notice.

The individual is free to do anything but minor restrictions during orthodontic treatment. He can continue his business and social life and participate in all kinds of sports activities. Brackets will not restrict activities such as talking, singing or playing a musical instrument.

Things to consider during treatment
At the beginning of your orthodontic treatment, it is normal to feel some discomfort. Your teeth and oral tissues will get used to your braces in a few days. Your doctor will take measures to reduce your troubles at the beginning of the treatment.

The most important rule to follow during your treatment is to keep your oral hygiene at the highest level in order to protect your teeth and gums. For this purpose, your orthodontist will explain the appropriate brushing techniques to you. You should brush your teeth after every meal. Using dental floss during and after your treatment will prevent interface caries.

In order not to damage your strands, you should stay away from hard and sticky foods. Core foods such as olives and plums, nuts, hard chocolate can damage your teeth and braces.

Treatment time
Thanks to the developing treatment techniques, it has been possible to apply fast and effective treatments in adulthood as well. Simple perplexities involving only teeth require a treatment period of 12-24 months. Although this period is different for each patient, it depends on the type of treatment to be performed, the type of devices used, and individual factors such as age and gender.

During orthodontic treatment, appointments will usually be between 4-6 weeks. This time may vary depending on your treatment needs. You can consult your orthodontist for any problem you may encounter during the treatment.

Lingual Orthodontics
Another form of treatment that is developing today is “Lingual Orthodontics”, in which brackets are attached to the inner surfaces of the teeth. Special bracket used in lingual orthodontics meat and wires are adhered to the inner surfaces of the teeth instead of the visible surfaces, so that no one except you and your doctor notices that you are being treated. The lingual orthodontic treatment technique has certain limitations, advantages and disadvantages. Your orthodontist will inform you about this after your examination. Innovations in orthodontics are not limited to this.