Orthodontics

Orthodontics is a branch of dentistry that deals in diagnosis, prevention and treatment of mal-positioning of teeth and jaws. Apart from aesthetic appearance, well-aligned teeth help in maintaining good oral hygiene, proper chewing and speech, proper distribution of biting forces and reduces risk of trauma to teeth. Our team of orthodontists works with utmost dedication, to align your teeth with perfection, enhance aesthetics and improve functionality. We specialize in both removable and fixed orthodontic appliances, as required in a particular case.

Clear Aligner
Clear Aligner

To be able to get one’s teeth aligned without metallic braces is a dream of many people. We at TnSS specialize in correcting the misaligned dentition by Clear aligners. What else could be a better way than to have an orthodontic appliance, which is almost invisible, removable and causes least discomfort?

The system makes use of the latest 3-D computer imaging technology, with the help of which, we plan and show the patient, the sequential use of aligners, customized for that specific case, to achieve movements from actual to final desired position. And all this, even before the actual treatment has started. Our In-house CAD CAM lab works closely with us in planning a step by step treatment and providing aligners as and when required.

FAQs regarding Treatment with CLEAR Aligners

I need to wear aligners for how long, in a day?

  • Almost round the clock except while eating, drinking, or cleaning teeth.
  • Failing to wear your appliance will not only increase your treatment time, it might lead to relapse of earlier progress.
  • Though aligners are removable, *they should be removed only when actually required*.

When will I get my next set of aligners?

Usually in every two weeks, in some cases, more. You will be given one set in mouth & another set of aligner to keep, and start wearing after 2-3 weeks (as instructed).

What will my dentist do during each visit?

He/ She will assess the progress made, when the next set of aligners is required & solve your problems, if any.

How many sets of aligners will I be wearing during my whole treatment?

  • It varies according to case. The no. of sets required is, however, determined during initial stage of treatment planning, so your dentist can let you have an idea.
  • An average Aligner case might need 20-30 sets of aligners.
  • At extremes, the no. might be as few as 10 or as many as 50.

How long will my treatment with Clear Aligner take?

On an average, it takes about 12 months. The time frame varies from case to case.

What are the general guidelines I need to follow during & post treatment?

  • You should not throw any set of aligners, even if it is time for next aligners to be worn, without consulting your doctor. At times, in case of relapse of progress or deviation from expected result in a particular time period, you may have to stop wearing your current aligners & need to re-wear some previous sets.
  • You must clean your aligners as well, along with your teeth. Your “invisible aligners” will not be so invisible, if not kept clean.

Be prepared to wear dental retainers after your treatment has been completed with Clear Aligner.

Metal Braces
Metal Braces
Metal braces (commonly known as dental braces) comprise of brackets, arch wire and ligature elastics. The brackets are made of stainless steel and are bonded on the front of the tooth surface. These then hold the archwires, also of metal. Ligatures hold the arch wires to the brackets. Besides these, springs, bands, spacers etc might also be given, depending on the requirement of the case. Once placed, braces exert constant pressure on teeth and force generated, helps the movement of teeth into proper position. At each appointment, our orthodontists evaluate the results achieved so far, and tighten the archwire as required. Today’s braces are smaller, lighter and much comfortable to wear.
Ceramic Braces
Ceramic Braces
These are of same shape and size as metal braces, except that they have Tooth coloured or clear brackets, made of a ceramic composite that blends with the natural colour of teeth. The brackets are strong and resilient and the archwire may be of metal or tooth coloured, depending on the patient’s choice. The ceramic braces are less noticeable and more appealing. Being almost inconspicuous, it is becoming one of the main choices of adult patients.
Lingual Braces
Lingual Braces
These are same as traditional metal braces except that the brackets and wires are placed on the inside of teeth, thus making them invisible from outside. But the use of lingual braces is restricted to only certain types of conditions. One of its advantages is that if you play a wind instrument or a sport, these are easier to adapt to than traditional braces. If permissible conditions exist, then lingual braces are the preferred choice of patients with certain professions.
Habit Breaking Appliances
Habit Breaking Appliances
These removable appliances are usually given to children with certain oral habits like tongue thrusting, bruxism, mouth breathing, lip biting and thumb sucking. These habits, if not corrected timely, will eventually lead to misalignment of teeth. Our orthodontists carefully assess the cause of misaligned teeth and if found to be due to any of these habits, then they first recommend these appliances, to break the habits, and then proceed with treatment to align teeth. Some of these appliances are night guards, lip bumper, oral screen etc.
Expansion Appliances
Expansion Appliances
Expansion therapy needs to be performed prior to actual treatment in patients with narrow palatal arches, due to conditions like cross bite, distal molar movement, crowding, cleft lip and cleft palate, in some respiratory and rhinological ailments. The appliance comprises of a removable orthodontic plate with an expansion screw. After desired expansion is obtained, orthodontic or surgical procedures are done, as required.
Retainers
Retainers
Orthodontic retainers are custom made devices, usually made of clear plastic or wire, meant to hold the teeth after realignment, in the achieved position, for a certain time. Teeth are supported by bone, periodontal fibers and gum tissues, which surround the tooth. After any orthodontic movement, teeth are moved to a new location and in this process, due to applied force, bone is dissolved at certain portions and elastic fibers are stretched. In order to retain the teeth to their new location, a retention phase is essential. After removal of orthodontic braces, or aligners, regeneration time is required for growth of new bones, tissues and fibers, around the teeth. For this purpose, retainers have to be given to prevent relapse of the treatment done.
Space Maintainers
Space Maintainers

These are custom made appliances, used to maintain space of lost tooth due to extraction or early exfoliation. Our orthodontists carefully fabricate space maintainers, which-

  • guide unerupted tooth into proper position
  • are strong enough to withstand functional forces
  • prevent over eruption of the opposing tooth
  • permit to maintain proper oral hygiene
  • do not restrict the normal growth and development taking place during the transition from deciduous to permanent teeth
Functional Appliances
Functional Appliances

These removable orthodontic appliances are used to correct malocclusion in three planes- Anterior-posterior, Vertical and Transverse. They are also used to promote mandibular growth.

The active components of these appliances include springs and elastics like finger spring, coffin spring, Z spring, canine retractor etc. appliances like Frankel Appliance which works on the principle of modulation of neuromuscular activity, in order to produce changes in jaw and teeth. A Twin Block lengthens the lower jaw by posturing it forward. There is also Activator Appliance, to correct functional jaw, in young adolescents. A Bionator is given to reduce bruxism and clenching.

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