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Orthodontic Appliances Monmouth County NJ
Braces are a common and almost expected part of growing up (and many adults get braces, too). To better understand why braces and other orthodontic devices are needed, it helps to talk a bit about the teeth first.
As you made your way through childhood, your “baby” teeth fell out one by one, to be replaced by permanent, adult teeth. Although some people’s adult teeth grow in at the right angle and with the right spacing, many people’s teeth don’t.
Some teeth may grow in crooked or overlapping. In other people, some teeth may grow in rotated or twisted. Some people’s mouths are too small, and this crowds the teeth and causes them to shift into crooked positions.
And in some cases, a person’s upper jaw and lower jaw aren’t the same size. When the lower half of the jaw is too small, it makes the upper jaw hang over when the jaw is shut, resulting in a condition called an overbite. When the opposite happens (the lower half of the jaw is larger than the upper half), it’s called an underbite.
All of these different types of disorders go by one medical name: malocclusion. This word comes from Latin and means “bad bite.” In most cases, a “bad bite” isn’t anyone’s fault; crooked teeth, overbites, and underbites are often inherited traits, just like brown eyes or big feet are inherited traits.
The above mentioned can be fixed with the following appliances below.
Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed, and remember that the rubber bands work far more efficiently if they’re worn as prescribed.
The Forsus Fatigue Resistant Device is an alternative to headgear which promotes growth in adolescents, helping to eliminate excessive overbites, improve the fit of teeth, and possibly prevent the need for jaw surgery.
Headgear is used to treat patients whose teeth are in an overbite, with the upper jaw forward of the lower jaw, or an underbite with the lower jaw forward of the upper jaw. Headgear gently “pulls” on your teeth to restrict further forward growth of your upper teeth and jaw
The Herbst® appliance reduces overbite by encouraging the lower jaw forward and the upper molars backward. This fixed appliance is used mostly for younger, growing children and is worn for about 12-15 months.
The palatal expander “expands” (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. Your orthodontist will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and to prevent regression.
Positioners complete the final tooth movements in your orthodontic treatment. With your full cooperation, you should only need to wear the positioner appliance for four to eight weeks.
Retainers may be removable or fixed. They hold your teeth in their new, correct positions after your teeth have been straightened. Your orthodontist will instruct you on how to care for your retainer and about the duration of the wear. Wearing your retainer as directed is crucial to prevent regression of your treatment.
Separators are little rubber doughnuts that may be placed between your teeth to push them apart so that orthodontic bands may be placed during your next appointment. The separators will be removed before we place the bands. Separators do not mix well with sticky foods, toothpicks, or floss.
The twin block appliance is unique from other functional appliances, as it involves two separate appliances (one for the upper arch and one for the lower arch) working together to create an advanced lower jaw position. This patient-friendly appliance is worn full time, including while eating, though it is removable for easy hygiene. It is also more comfortable than other jaw-correcting appliances, as it is made out of smooth acrylic and utilizes fewer wires.
The result of using a twin block appliance is a broad, beautiful smile, proper jaw function, improved profile, and a stable and healthy temporomandibular joint.
A reverse pull headgear is an orthodontic appliance which is used in pre-teen years to mend a variety of conditions. Mostly, a reverse pull headgear focuses on increasing jaw mobility, thus possibly avoiding surgery altogether. As one of the most recommended treatments during childhood, wearing a reverse pull headgear is simply a ‘must’.
The device itself attaches on the upper jaw and patients literally wear it as a facemask. This extraoral device uses rubber bands, secured on already known orthodontic tools. Such are, for instance, braces, splints, or expanders. The main goal is to drag the upper jaw forward, by putting the elastics (rubber bands) to work.
Patients normally wear the appliance throughout the majority of their day, or from 12-18 hours daily. This duration allows a greater impact of the device and a significant improvement in the upper jaw placement.
Dr. Karla Isaacs is a Columbia-trained orthodontist who brings to her practice both a fund of knowledge and breadth of clinical orthodontic modalities obtained from more than 15 years as an orthodontic specialist. She is a long time owner and director of 2 previous dental and orthodontic practices in New York City, having successfully seen both from their inception to their now 10+ years in operation.