Orthodontic Seminar Topic Presentation on

COMPLICATION OF ORTHODONTIC TREATMENT

Submitted to:

Orthodontic department
Rajshahi medical college, Dental
unit.

or just discomfort. It depends on the individual and on their pain threshold. you may feel unpleasant pressure on your teeth. . toothache. occasional discomfort or pressure on the teeth  When beginning orthodontic treatment and after the each inspection. Toothache.

especially when eating. Eating soft foods can help by avoiding additional pressure on teeth. The orthodontist may also prescribe a pain reliever to ease the pain of dental braces. .after first wearing dental braces. can seriously affect their appetite. and after each appointment when the braces are adjusted. In younger children discomfort and pain.

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In such cases. scratches and bruises may appear on the mucosa. Such complaints are temporary and tend to arise over the first 5-7 days after beginning treatment. at the beginning of orthodontic treatment. Also. . orthodontic protective wax is employed. the mucosa adapts to the braces and the abrasions disappear. Later. generally caused by a fixed device.

the areas of the teeth and gums close or under arch wires and brackets are difficult to clean. Dental hygiene problems – when wearing braces. This allows the accumulation of dental plaque increasing the risk of tooth decay and gum disease. It is important to maintain proper oral hygiene by brushing and flossing thoroughly when wearing braces to prevent dental health problems. food particles are trapped in these areas. If teeth are not cleaned carefully. .

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Possible treatments include tooth whitening. sometimes mild tooth discoloration or stains may be noticed on teeth areas adjacent to brackets. tooth bonding and dental veneers. . After removing the dental braces teeth color in areas previously covered by the braces may not look the same with the rest of the tooth.

. This occurs due to harmful bacteria which break down leftover food around the brackets into acids. The enamel beneath the brackets remains undamaged. The acids eat into the enamel resulting in demineralisation. A coating built up on the surface of the enamel causes demineralisation. This complication is caused by longterm bad oral hygiene. White patches appear around the brackets.

 This is a stage preceding tooth decay.  If this complication arises and repeated instruction on oral hygiene and visits to a dental hygienist have no effect. . The priority is a healthy set of teeth and only afterwards a straight set. the doctor reserves the right to premature termination of treatment.

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The orthodontist should be notified immediately for any allergic symptoms that might be caused by dental braces. in rare cases some orthodontic patients may experience allergic reaction to the latex rubber in elastics or to the metal used in braces. . In such a case. latex-free elastics and alternative metals can be used.

. Insufficient oral hygiene can lead to gum infection. This infection can complicate treatment by meaning slower tooth movement and so treatment is slowed and sometimes leads to irreversible damage to the teeth’s supporting tissues.

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the bone in the compressed side of the tooth is gradually resorbed. During this process of moving teeth to their correct position. teeth may feel loose even after the orthodontic treatment is completed. in some cases. while on the other side new bone is created to fill the gap created by the movement of the tooth. . Teeth moved during orthodontic treatment will feel loose until the new jaw bone around the tooth roots is fully created.

. Some patients have a tendency to the occurrence of resorption. This complication however does not shorten the lifespan of teeth. In practice this means that the teeth’s roots get shorter.

the teeth return to their original position. This phase is very important for orthodontic .e. i. Retention devices are laboratory products made to fit your teeth exactly. Every orthodontic treatment has a tendency to relapse.  Retainers are wires which are stuck to the back surface of patients teeth to maintain their position. We prevent this by using retention devices and retainers.