Bracket systems have been closely integrated into practical dentistry over the past decade. The possibility of body movement of teeth and control over their position made it possible to eliminate defects in the dentition in many patients. The benefits of installing braces are great. But, like many other methods of treatment, the bracket system has its drawbacks and negative consequences. Find out the consequences of wearing a bracket system, as well as ways to prevent negative consequences, at estet-portal.com.
What are the main disadvantages and advantages of the bracket system?
The bracket system is a small metal device that is attached to the vestibular surface of the tooth using adhesive compositions.
The period of wearing braces often lasts up to 2-3 years.
That is, during this time there is an obstacle on the teeth for the process of self-cleaning of the oral cavity. It is also worth noting that when wearing a bracket system, the likelihood and frequency of development of catarrhal gingivitis and periodontitis increase. Often develops gingival hyperplasia and resorption of the tips of the roots of the teeth against the background of excess orthodontic forces.
The bracket system has gained popularity due to some treatment features:
- the possibility of correcting anomalies in the position of the teeth in the adult population;
- minimum number of visits to the dentist;
- no pain or discomfort during treatment.
But, such treatment has its negative consequences.
Causes of tooth demineralization development in the treatment of braces
The biggest danger of braces is the demineralization of tooth enamel. Demineralization is quite often detected during treatment with a bracket system and after its removal. This problem is quite relevant not only in our country, but also abroad.
Bracket systems are most often placed on teenagers whose permanent teeth have begun to grow incorrectly.
Enamel in adolescents is not fully formed. Also in adolescents, the oral hygiene index is 3.06, which is regarded as a very poor level of hygiene. Lack of oral care skills contributes to an increase in the amount of soft plaque around the bases of the braces. So, in the contact points and in the cervical areas, plaque is often found. In addition, in patients with braces, the quantitative composition of the bacterial flora increases.
The presence of a bacterial plaque on the tooth for a long time leads to the development of focal demineralization. This is due to the diffusion of acids through the interprismatic space of the enamel, as well as the dissociation of phosphates and calcium into the surface layer. On examination, the demineralization process can be identified by the presence of white stripes and spots that follow the contours of the bracket bases.
How to prevent the dangerous consequences of wearing braces?
As practice shows, molars are also subject to demineralization. In the cervical the area between the ring and the gum line, many problems arise, since it is this area of the tooth that is less accessible when brushing your teeth. It has been proven that demineralization when wearing braces develops quickly, but is not detected immediately.
An important task for orthodontist when installing braces is to prevent enamel demineralization. To do this, it is necessary to explain to the patient the importance of regular and proper oral care, as well as regular visits to the dentist for preventive purposes, when using the express method it is possible to determine the functional resistance of tooth enamel and identify risk groups.
For this purpose, a drop of hydrochloric acid at a concentration of 1 mmol / l is applied to the vestibular surface of the central incisor, which is previously cleaned of plaque and dried from saliva, at a distance of 2 mm from the edge in the center. After 5 seconds, the drop is washed off, the tooth is dried. After that, a drop of 1% methylene blue is applied for 1 minute, after which the dye is removed with a cotton swab. The site of the enamel lesion turns into a barely noticeable bluish color.
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