Do You Need Tooth Extraction Before Getting Your Braces?

People want a perfect smile with no teeth removal during an Orthodontic Treatment but for every individual, treatment is planned according to their malocclusions. We have two sets of teeth, primary & permanent. When primary teeth do not fall out by a certain age & in a certain order, at times this affects the eruption pattern of permanent teeth, which eventually leads to crowding, proclination, spacing, jaw discrepancy, midline shifts, and impacted teeth. So in order to avoid above listed malocclusions, your orthodontist would advice removal of teeth either primary or permanent, based on the involvement of dentition getting affected.

Permanent teeth need to be removed for various reasons-

1.    Crowding:

The foremost reason for extaction of teeth is crowding. When the amount of space required to align the teeth is less than the space available, either the arches need to be expanded or number of teeth need to be reduced. In cases of severe crowding, permanent teeth need to be removed in order to create sufficient space for teeth alignment. In few cases of mild to moderate crowding can be corrected with expanders & braces. Expansion of bone is limited by structure of bone, supporting tissues, facial appearance etc.

2.    Proclined teeth:

    

The position of lips is determined by the underlying teeth. Proclined teeth fail to form a lip seal in relaxed state. In cases of proclination, removing one or two teeth on both the sides will allow the orthodontist to move the teeth backwards to improve the lip posture.

3.    Bite correction:

     

Overbite- is the distance between maxillary & mandibular   anterior teeth in the anterior-posterior axis. If it is not corrected it may lead to trauma & attrition of teeth.

Overjet- is the extent of horizontal overlap of the maxillary central incisors over the mandibular central incisors. Overjet is increased as the maxillary central incisors are protruded.

So, in cases of overbite & overjet when upper & lower jaw sizes are mismatched, surgical repositioning is the ideal treatment. Small sized discrepancies eliminate the need for jaw surgery. Removal of teeth depends upon the extent of discrepancies involved.     

The other reasons like- asymmetries, impacted teeth or extra teeth are also taken into account by your orthodontist for extraction of teeth. If your Orthodontics Training Course  recommends extractions, go according to your orthodontist because they know what is appropriate for you.At Dr. Sachdeva’s Dental Institute, we incorporate piezosurgery in our practice for atraumatic extractions. Since, the bone has to be maintained in an orthodontic patient, piezosurgery is a relevant & predictable method for performing atraumatic tooth extraction.  

Piezosurgery works in the 20- to 32-KHz range and its maximum ultra-sound power is 90 W. The tips are made of titanium alloy. There are six different tips available for adaptation to various clinical situations. The first tip is arrowlike and sharp on both sides; it was used to penetrate the PDL at the coronal aspect of the socket and start sectioning the PDL fibers. To section the PDL fibers deeper in the apical direction, four syndesmotomes were used. Two of them are straight, with teeth, and their cutting directions are parallel and perpendicular to the long axis of the tip. The other two are angled at 45 degrees (one to the right and one to the left) to better adapt to the socket’s geometry. The last tip, which also had teeth, is indicated for removal of ankylosed teeth.

    

Diabetes Affect Oral Health

Recently a study found out that 422 million people around the world is suffering from diabetes. It is one of the main causes of death worldwide.

The side effects of diabetes are very well known which are stroke, heart disease, blindness and kidney failure. Reports have it now that diabetes is a leading cause for gum diseases thus affecting periodontium which includes bones and other supporting structures.

Howdiabetes is related to gum disease?

The main role diabetes plays is to reduce the resistance of the body which in turn slows the healing process of a person. The people who have uncontrolled diabetes are more prone to have gum diseases and other oral problems as uncontrolled diabetes impairs the leukocytes, that are the white blood cells of the body (the main defence system of the body) which affects the programming of the immune system of the body. It also decreases the salivary flow in the mouth and increases salivary glucose levels which would increases in the risk of fungal and bacterial infections and will cause thrush andtooth decay.

What are other problems a diabetic patient could experience?

·         Thrush – a fungal infection on tongue that produces sores and white non-scrapable patches which is very painful and is accompanied by ulcers. It produces difficulty in swallowing and ability to taste.

·         Dry mouth (xerostomia) – in diabetic condition the salivary flow is also compromised which could lead to dry mouth which in turn leads to soreness, ulcers, Dental Courses in Delhi  and other infections...

·         Impaired healing–As diabetes hinders with the immunity of the body, it does not let gums heal after having minor surgeries or other dental procedures.

·         Burning Mouth Syndrome (BMS) –it is a very painful and irritating condition  in which there is a burning sensation affecting the tongue, the roof of the mouth, the gums, the inside of the, cheeks and the back of the mouth or throat.

Signs of Gum Disease

·         Severely red, swollen or tender gums

·         Gums bleeding when you brush or floss.

·         Loose gums

·         Bad breath

·         Loose and mobile teeth

·         Changes in the fit of your dentures or bridges

·         Pus when the gums are pressed

·         Changes in the way your teeth fit when you bite

Prevention from dental problems with diabetes

1.       Brushing your teeth for at least two minutes twice daily. Floss also should be done daily. Consult your dentist and ask for toothpaste and mouth-rinse according to your needs.

2.       Always manage your blood glucose level. Consult and follow your doctor's instructions to maintain your blood sugar level within the advised range

3.       Visit dentist regularly and be sure to inform your dentist about your diabetes.

4.       Stop smoking. People who smoke with diabetes are at 20 times more risk for developing gum diseases than non-smokers.

5.       People, who wear dentures, should remove their dentures and clean them on daily basis.

6.       Always go for a professional check-up and teeth cleanings at least twice a year.

7.       To find out more about our courses, please call Dr. Sachdeva’s  Dental courses in India, at   01142464041.

8.       For More information Visit Our Website: - http://www.dentalcoursesdelhi.com/                                              

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