Orthodontics is the specialized branch of Dentistry that deals with the correction of dentofacial structures (teeth and jaw bones) both during growth (childhood orthodontics) and in maturity (adult orthodontics). In practice, Orthodontics deals with the Diagnosis, Prevention, Interception and Treatment of incorrect dental occlusions, through the most suitable intervention for achieving and subsequently maintaining correct relationships between teeth and good harmony and aesthetics.
Orthodontic treatment often involves an intervention on skeletal growth, therefore the orthodontist must have a good knowledge not only of dental development, but also of craniofacial growth. The presence of irregular or incorrectly occluded teeth can cause: functional problems (including difficulty in mandibular movements with pain and muscle incoordination and temporomandibular joint disorders), problems with chewing, swallowing and phonation, greater susceptibility to dental trauma and periodontal problems, psychosocial problems (related to facial aesthetics and poor acceptance).
Orthodontics is divided into:
- Dentofacial orthopedics whose objective is to resolve bone growth imbalances before this condition becomes structured in such a way as to require a combined orthodontic-surgical approach
- Fixed orthodontics which aims to correct dental malpositions in order to achieve the functional and aesthetic recovery of the permanent dentition.
Discover the cases
A young, crowded, Class II skeletal patient in peak growth spurt with mandibular retrusion was treated with fixed multibracket therapy.
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Adult patient requiring aesthetic improvement exclusively in the upper arch with closure of upper diastemas. He was treated with fixed therapy.
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Young adolescent patient. Requires aesthetic therapy for closing the frontal diastemas and recovering the canines positioned in cross bite. Therapy with the aligner technique was chosen.
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The patient required resolution of a second maxillary skeletal class with improvement of the frontal aesthetic component.
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Patient in pubertal growth spurt with mandibular retrusion. She is treated with fixed propulsor and direct banding.
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Little 6-year-old female patient who presented skeletal class III with unilateral cross bite and mandibular deviation. She is treated in two phases: a first phase of interceptive therapy with palatal expander and petit mask; a second phase in puberty for alignment.
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The patient was not happy with her smile. We intervened with orthodontic treatment and a gum graft in the premolar area to cover the defect.
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