We all dream of a perfect smile with snow-white and ruler-straight teeth. Today this has become possible. Orthodontics, also known as "Teeth Straightening", in recent years has developed rapidly. Many people perceive teeth straightening treatment as just an aesthetic procedure, but in reality this is not the case. Misaligned teeth and jaws can make daily brushing difficult and cause a variety of health problems, including tooth decay. And therefore orthodontic treatment combines both aesthetic and therapeutic aspects.
The process of straightening teeth today has become easier than ever before. In the past, orthodontic treatment involved the use of complex and cumbersome devices, an unaesthetic appearance that caused considerable discomfort to the patient, and labor-intensive patient participation in the treatment process. Many have tried to avoid orthodontic treatment due to such inconveniences, even temporary ones. The development of orthodontics brought with it a simple and easy solution: orthodontic implants.
The process of straightening teeth creates a constant, moderate pressure on the teeth that need to be moved, counteracting other teeth that perform a fixing function. Teeth that perform an anchoring or fixing role must be absolutely stable, since their function is to help crooked teeth straighten until the final result is achieved. In most cases side effect The anchoring teeth become displaced, which is called “loss of anchorage” in the mouth. This problem can be solved by installing orthodontic implants.
Implant installation is performed under light local anesthesia, without surgical intervention, and this procedure is completely painless. The placement of orthodontic implants is not similar to the implantation process performed for the purpose of oral rehabilitation, and the procedure lasts only a few minutes. After implantation, as a rule, no pain, with the exception of temporary discomfort that the patient may experience until he gets used to the changes in the oral cavity. As with conventional anesthesia, used in dental treatment, V in this case The anesthesia also wears off quickly. The area in which the implant is implanted may ache slightly when touched for one to two days, after which the patient does not experience any discomfort at the implantation site.
The role of dental reconstruction implants is to replace a missing tooth. Such an implant remains with us for many years and is subject to significant loads, since it performs the usual chewing function. Orthodontic implants designed to straighten teeth are called orthodontic mini implants / micro-screws and are used as temporary implants or special small, thin screws that should function for only a few months, up to a maximum of one month. year. The load applied to them is not continuous.
In recent years, orthodontic implants have become increasingly wide application among orthodontists due to their ease of use and ease of installation, as well as their ability to provide the most successful teeth bonding solutions. These implants in certain cases can serve as a successful alternative face bow, ensuring “cooperation” between the patient and the doctor, which has a beneficial effect on the progress and outcome of treatment. Implants are removed from the mouth once the teeth straightening process is complete.
Examples of the use of orthodontic implants in complex problem cases:Case No. 1
1. Before. Open anterior bite, crooked and protruding teeth.
2. Progress of treatment with orthodontic implants.
3. At the end of treatment.
Case No. 2
1. Before. Not enough space for the tooth, large interdental space at the back
2. After. The gap in the back is closed, all the teeth are in place.
Case No. 3
1 + 2. Before: Difficult case protruding lower jaw with crooked teeth.
3 + 4. Significant improvement due to the use of orthodontic implants (after 9 months of treatment).
Case No. 4
1. Before - protruding teeth and unerupted canines
2. Treatment with orthodontic implants, without archwire
3. At the end of treatment - side view
4. At the end of treatment - front view
Hello! I have been scheduled for removal of the last two upper molars on the left, because... they have rotten roots. I plan to get implants because there will simply be nothing to chew on this side. Do I need to contact an implantologist only after 3 months after removal or is it possible to place implants immediately? I would also like to clarify, I have a completely wrong bite, will this interfere with implantation? In addition, on the front 4 upper teeth x there are bridges (for two teeth each), they have already fallen off, then the teeth were built up with pins and the crowns were put on again. In general, they have been keeping their word of honor for 7 years now. And I am afraid that when they make an impression for the crowns for the implants, they will completely fall off. Is it possible to make a cast of not the entire jaw, but only the left side, without touching the 4 front incisors?
Ruslan, hello! In addition to the classical dental implantation, there is also a so-called express method. Its peculiarity is that the implant is installed immediately after tooth extraction, or even immediately covered with a crown. But this technique is not suitable for everyone. Therefore, consult with a specialist who knows your clinical case. Bite defects are sometimes indeed a problem during implantation. In some cases, treatment with braces or removal of some teeth may be necessary before installing an implant. And yet, malocclusion does not always affect the implantation process. It all depends on the individual characteristics of the patient’s dental apparatus. As for prostheses that “keep on their word of honor,” they need to be replaced with reliable orthopedic structures.
Sometimes the decision to correct the bite is made in adulthood. By this time, many already have fillings, crowns and implants. Therefore, a completely natural question arises. Will they interfere with the installation of braces? Let's find out whether braces are installed on crowns, implants and filled teeth.
Doctors often hear the question: Do they put braces on dental crowns? To which we can get the answer that crowns in most cases are not an obstacle to the installation of orthodontic structures. But you need to act carefully, thoughtfully and appropriately to the situation. Let us describe the basic principles of bite correction in the presence of crowns.
In each individual case, the orthodontist will try to find the optimal individual solution that will help achieve the correct position of the teeth and eliminate the possibility of damage to the crowns.
An implant is an artificial structure that is used to replace missing teeth. It fits securely into bone tissue jaws, serving as a support for crowns or bridges. In the vast majority of cases, the presence of implants may be a contraindication to the installation of braces..
Teeth have the ability to change position under constant pressure on them. The implant is securely fixed in the bone tissue and therefore remains motionless. Moreover, the pressure can cause gum problems, which sometimes leads to implant failure. Therefore, if possible, it is better to first undergo orthodontic treatment and only then install implants.
Another problem that you may encounter when installing braces on implants is incorrect tooth position. Unlike other “living” teeth, it cannot change its position, so after the end of orthodontic treatment it will protrude from the general row. But, despite the fact that the combination of braces and implants is highly discouraged, it is worth contacting an orthodontist. He will definitely find the optimal solution for correcting your bite so that you can become the owner of a beautiful smile.
Having fillings will not prevent you from getting braces, contrary to popular belief. But the seals must be in good condition. Therefore, it is recommended that before installing orthodontic systems, undergo full treatment at the dentist. If there are old fillings that are prone to destruction, they are removed and replaced with new ones.
If necessary, place fillings in accessible areas free from orthodontic system, it is possible during bite correction, but it will be much more difficult to do. This is why it is so important that a complete refurbishment is carried out oral cavity.
Each person is individual, so it is possible to say for sure whether installation of braces is possible in a particular case only after examination and completion of all necessary research and pictures. Much depends on what result the patient expects and what condition the teeth are in. Therefore, even if you have implants, contact a good orthodontist who will help you find the optimal solution for your case.
Levin Dmitry Valerievich, doctor highest category, chief physician Center for Private Dentistry "Doctor Levin" in Moscow
What is the treatment of malocclusion with braces, what are the mechanisms for straightening teeth with their help, and when is it really necessary?
Thank you for the invitation and the opportunity to talk about the intricacies of treatment with braces. I would like to note right away that multibonding systems (braces) are the most effective way correction of congenital and acquired dental defects. Malocclusion, in addition to psychological discomfort, causes significant damage to health. In particular, it causes:
Among the main indications for installing braces:
The essence of malocclusion treatment with braces is to move the teeth. At first glance it may seem that they are motionless, but this is not so. With prolonged mechanical impact, it is quite possible to change their position and set the teeth to move in a certain direction. Moreover, this can be done not only in case of deviations from the norm in children, but also in adults.
The design of braces includes:
For each patient, the system is selected individually, taking into account anatomical features dentofacial apparatus. The clasps are attached to the teeth and to the arch. The latter is responsible for moving the teeth and connecting the structure together. The whole process is controlled using ligatures that create the desired mechanical force. To achieve the effect, periodic tensioning of the arc is required. In some models, there are no ligatures due to a special type of fixation of the arch in the clasps.
Today there are two main types of multibonding systems:
As for materials, braces are made from plastic, ceramics, various metals, including gold.
What is dental implantation? Please help readers understand this issue.
Implantation is modern method restoration of lost teeth, allowing to achieve not only excellent aesthetic results, but also complete normalization of chewing function. The procedure is performed under local anesthesia, as it requires surgical intervention in the jaw bone tissue.
The essence of the operation is to install an artificial root in place of the removed (or removed) tooth, followed by prosthetics. As a rule, titanium implants are used; they are characterized excellent properties biocompatibility with human tissues. The variety of shapes and sizes of rods makes it possible to successfully solve problems of complete or partial adentia of any complexity.
Let's say a patient has one or two problem teeth, is it possible not to put on braces, but simply replace these teeth with implants?
One or two problematic teeth, of course, can be replaced with implants, but the question is how advisable this is. In my opinion, if the problem is simply the incorrect position of the teeth, then braces are more appropriate in this situation - they do not require a complex surgical operation with long period recovery and the risk of complications.
Each clinical case is carefully diagnosed, after which a final decision is made regarding the choice of the correct technique.
It turns out that for successful orthodontic treatment it is necessary to undergo a thorough examination: what types of procedures can professional diagnostics include?
Diagnostics before installing braces is mandatory. Based on the results of the examination, the doctor decides which design to use, how to ensure ideal arch formation, and so on. Standard procedures include:
If necessary, additional diagnostic measures may be prescribed:
What is axiography, why should it be performed before starting treatment, and is it possible to do without it?
When a patient selects an orthodontist, it is better to choose a clinic that has an axiograph at its disposal. This is a unique diagnostic device that allows you to identify the features of the maxillofacial system and, based on the data obtained, select the ideal design. Thanks to this technology, the doctor has the opportunity to calculate in advance and understand the angles and locations of future tooth roots after movement.
The axiograph is a rather unique and expensive device, does this mean that not every dentist has it?
In Russian clinics, an axiograph is a rarity, as it is classified as “unprofitable” equipment that does not generate profit. For a specialized institution, such a purchase is mandatory during the initial configuration. The owners of conventional dentistry are in no hurry to purchase such expensive devices, as well as modern computer tomographs, but they advertise orthodontic services very briskly.
In Moscow, only four clinics have an axiograph at their disposal, the “Center for Private Dentistry Doctor Levin” is one of them.
How is the situation resolved when, while wearing braces, it becomes necessary to remove one tooth? Will this disrupt the orthodontic treatment plan and will implantation be required?
The orthodontic treatment plan never changes completely, it is adjusted. In the situation described, correction is required for only one problematic tooth. If it is removed, the orthodontist must redistribute the load on the remaining groups of teeth and continue treatment, taking into account the resulting free space.
The standard approach is to avoid implantation and consider how best to move adjacent teeth to close the gap. A bone defect (empty socket) allows them to be quickly moved.
Such cases are very rare, since all orthodontic patients undergo preliminary x-ray examination, which allows you to identify unhealthy and suspicious teeth before fixing the orthodontic structure. If there are any, it is carried out necessary treatment, and only then braces are placed. That is, it rarely comes to tooth extraction.
Is tooth movement standard practice in such cases, and how do such situations affect the cost of orthodontic treatment?
All over the world, orthodontic movement of adjacent teeth into the socket of the removed one is one of the standard ways to solve such problems. The bottom line is that the time frame for moving and implantation is approximately the same, and in terms of money, orthodontic correction can be cheaper, and there is no need for surgery.
If treatment with braces is already in progress, then the package price does not increase in such cases, since the structures already in the mouth are used to obtain the desired effect. This is a simple option that does not require additional costs.
Unfortunately, many patients face refusal from the orthodontist (usually in a non-specialized clinic). This happens due to the doctor's lack of necessary skills. Of course, the choice of action plan lies with the specialist; the patient can only voice his wishes.
At the same time, implantation with subsequent installation of a crown is also very good option. If you plan to move your teeth after completing treatment with the orthodontist, you will have to re-fix the braces. In this case, it is better to install an implant and a crown, it is easier and cheaper.
Is orthodontic treatment carried out if there are implants in the jaw?
Throughout life, any patient has the opportunity to move teeth using multibonding systems, regardless of the presence of implants. Another thing is that this technique is not always relevant. For example, if a titanium rod was installed without taking into account the possible correction of the bite, then after removing the braces its position in the jaw will be obviously incorrect. This is due to his absolute immobility.
An experienced specialist always knows in advance which tooth will move in which direction; there can be no surprises here, so in each specific case the decision is made individually.
If the advantage is given to movement, it is worth considering one more important point— upon completion of treatment, correction of the crown on the implant will be required. By the way, replacing a structure performed according to the transocclusal fixation protocol (screw) will cost less, around 4,000 rubles.
Why does the crown need to be adjusted?
When using braces, the patient is temporarily deprived of his usual line of closure of the teeth due to the fact that they “move” from place to place. This causes a lot of inconvenience. Micro movements create tightness or a poor connection between the adjacent tooth and the crown on the implant, causing food to accumulate in these areas, causing inflammation. Therefore, correction is required.
Why can't a dental implant move in the same way as the roots of living teeth?
A living tooth root and an implant have completely different principles of connection with tissue. It is very good that implants installed according to the rules cannot change their position even under pressure. If they are mobile or wobbly, this indicates that integration into bone structure did not take place, the process of rejection began.
Are braces used to move teeth apart before installing an implant in place of a long-extracted tooth?
This practice is used everywhere. The fact is that in the absence of timely prosthetics, after tooth extraction, the dentition shifts, as a result of which the empty space is partially closed. This leads to malocclusion and improper distribution of the chewing load. Therefore, when the doctor is faced with the need to restore long-lost teeth, the adjacent teeth are first moved apart using braces, and then an implant is inserted.
Let’s say a patient is missing two upper teeth and has a malocclusion, is it possible to simultaneously perform implantation and treatment with braces?
In the upper jaw, after tooth extraction, an acute deficiency of bone tissue almost always occurs. Before implantation, the doctor is required to perform a sinus lift to reconstruct the correct geometry of the jaw bone.
At the preparatory stage complex treatment a template is created for the future result of implant prosthetics, thanks to which the orthodontist immediately sees the possibilities and prospects for moving teeth.
Implantation, bone augmentation and orthodontics in such situations must proceed in parallel. The ideal option is a system of full-fledged comprehensive planning of the result - when a team of doctors decides which department of the clinic will play the leading role in quick and error-free reconstruction of the bite.
Is this option possible in our case: first, place braces only on the lower jaw, simultaneously carry out a sinus lift and implantation, and then straighten the upper teeth?
Yes, this is possible, but it should be taken into account that fractional treatment will take longer. A combination of techniques, on the contrary, will provide quick correction.
As an option, you can wait for the result of sinus + implantation in the upper jaw, and then simultaneously carry out orthodontic correction both above and below. There is little point in separate correction without antagonists. This is suitable for optimizing costs, but for optimizing treatment it will be useless.
Are mini-implants a marketing name or really some new technology in dental practice?
In some cases, orthodontic implants are the only way to change difficult situation V better side, however, this is not a new thing. Mini and micro orthodontic implants are the same thing. Regardless of the manufacturer, production method and purpose, appearance they have the same one. There is a difference in price, and sometimes very significant.
What is noteworthy is that domestic models cost 10 times cheaper foreign analogues, they work no worse.
What orthodontic cases require the use of microimplants?
Their use is important when the classic braces system fails. For example, to correct the angular position of teeth or their rotation along the axis.
The orthodontist inserts microimplants about 5 millimeters long into certain areas of the bone (usually between the roots of teeth), and distributes traction to them for movement. After the desired effect is achieved, the rods are carefully removed. They are temporary and never fuse with the bone.
Frequent indications for installation of orthodontic implants are:
Are mini-implants really easier to install than classic ones, like orthodontic implantation?
The procedure for implanting microimplants is less traumatic than the traditional one and takes only a few minutes. The doctor's sequence of actions is as follows:
The upper part of the mini-implant remains above the gingival surface. By attaching springs or chains to the head of the implant, the stable tension required for tooth movement will be created.
Is there a risk of injury to the roots of living teeth when introducing microimplants?
Such a danger exists. During installation, the microimplant may touch the root of one of the teeth., between which it is implemented. However, an experienced doctor always takes an x-ray before the procedure, which makes it possible to calculate the location of the rod as accurately as possible.
If contact does occur, the specialist changes the direction of the structure and continues fixation. A damaged root does not require treatment; after a while it will recover on its own.
Which manufacturers' mini-implants are inexpensive and of high quality?
They are all the same, in this case the price is not a measure of quality. All commercially available models provide for fixation into atrophied bone and ensure atraumatic installation. Therefore, the question of choosing a specific company is not fundamental.
The Dr. Levin Center for Private Dentistry uses microimplants from Micerium S.p.A. (Italy) or Conmet (Russia). These are quality products affordable price. We do not try to sell our patients expensive orthodontic structures if they have a worthy cheaper alternative that is not inferior in functionality.
How long will the patient have to wear mini implants to achieve desired results in orthodontic treatment?
The period of use of microimplants depends on the duration of treatment, usually no longer than 6-8 months. After this period has expired, the microimplant can be replaced with another one, and if the bite correction process is completed, the braces along with the rod are removed.
How are temporary micro-rods removed? Is it painful, what remains at the site of the removed implant?
The procedure for removing orthodontic implants is simple. Due to the fact that they do not have the ability to fuse with bone tissue, the latter softens during treatment and the fixation of the rod weakens. Therefore, removing it is quite simple - it can be unscrewed in a matter of seconds with a special screwdriver.
The patient does not feel any discomfort due to the use of an anesthetic local action. A small wound will then heal within a few days.
Is it possible to install microimplants during pregnancy?
Microimplantation, like classical implantation, is contraindicated during pregnancy. Firstly, this surgery which involves the use of anesthesia. Secondly, preparatory stage The procedure includes diagnostic methods such as radiography, which cannot be performed on pregnant women.
Are there any contraindications to the use of microimplants and what could be the alternative in such cases?
It is not recommended to use mini-implants in orthodontic treatment if:
As an alternative, the following solutions may be offered to such patients:
How is pricing done and how much do dental implantation and braces installation services cost in your clinic?
Contacting any dental clinic, patients often face the problem of discrepancy between the initially stated cost of services and the final one. This is due to the fact that the price list separates prices for materials and services for working with them. As a result, when calculating the cost of treatment, the patient is faced with an increase in cost.
At the Doctor Levin Center for Private Dentistry, a similar situation is excluded, since pricing in the classical style (in the form of a list of incomprehensible items) is not used. We make sure that our patients have reliable information on the cost of treatment before coming to the clinic.
That is why for all high-tech procedures, including dental implantation, prices are indicated “turnkey” in the form of cases.
Each case includes a full range of services a certain type treatments plus materials. Thus, the patient knows in advance what the final cost will be, and there will be no unpleasant surprises in the form of its increase.
As an example, I will give some items from our price list.
Does your clinic have any loyalty programs or promotional offers?
The clinic operates a cumulative discount system. In addition, our regular clients can bring their parents and children for treatment. For parents over 60 years of age, a special preferential program “Citadel” is provided, and we accept children of our patients under 7 years old absolutely free of charge.
Do you provide treatment guarantees to your patients?
For example, if one of the bracket system’s locks comes unglued due to overload, re-fixation is performed at a 50% discount.
But the main warranty period for treatment with braces is 12 months, provided that a stabilizing element is worn (retainer, night guards, plates, etc.).
Experts distinguish two degrees of occlusion:
For a more precise definition clinical situation carry out a preliminary x-ray examination of the oral cavity and take impressions of the jaws.
Minor deformations include:
In case of minor violations, implantation can be performed. However, the patient is informed about possible risks. If he is ready to put up with it, the procedure is carried out.
If there is severe malocclusion, titanium roots cannot be installed until the dentition is straightened. For this purpose, preliminary orthodontic treatment is carried out. Otherwise, there is a risk of consolidation and strengthening of the deformity, which may even harm the patient. Therefore, an implant surgeon may refuse to perform implantation.
The dentofacial system refers to the upper and lower jaws, as well as all their constituent elements:
When all the teeth are in place, the occlusion is correct, and there are no inflammatory processes in the oral cavity, then the dental system is normal and functioning well. At the same time, the teeth are able to withstand maximum chewing loads and are not injured. In the presence of defects, chewing dysfunction occurs, which creates obstacles for the installation of implants. The most common abnormal changes in the dental system are:
Experts distinguish five types of deformation:
Because of malocclusion the load on the jaw is distributed unevenly, which leads to premature destruction of units located in the area maximum pressure. If an implant ends up there, peri-implantitis may develop, which provokes rejection. Therefore, before implanting titanium roots, all problematic issues must be eliminated.
Before implantation, it is important to consult with an orthodontist in order to pre-select methods for correcting existing defects and plan the stages of treatment. Otherwise, the following complications may occur:
Correction of occlusion disorders after implantation is not carried out. The fact is that after osseointegration the artificial tooth root becomes absolutely motionless in the jaw bone. This is its main difference from natural material, which is slightly springy or “cushioned” and amenable to artificial movement.
The implant after engraftment is immobile and cannot be moved
The titanium rod is implanted at a certain angle and repeats the position/inclination of natural teeth. When living units begin to shift, the implant moves along with them, which can provoke rejection. Therefore, bite correction is always carried out before implantation.
If the patient has implants in the mouth and occlusion correction is required, they are removed. This is followed by orthodontic treatment and re-implantation of titanium roots, taking into account the formed occlusion. A few exceptions are possible - when the implant is installed before the defects in jaw closure are corrected, and then the natural teeth are displaced, attracting or pushing them away from the fixed metal root.
| Service name | Cost, rub. |
| Bite correction | |
| Consultation with an orthodontist | For free |
| Tying the arch to one bracket | 400 |
| Fitting and applying the arc | 500 |
| Observation during the treatment phase | 1000 |
| Alginate impression | 1000 |
| Placing one bracket on the NO MIX material | 1800 |
| Making a diagnostic model (2 pcs.) | 2500 |
| Diagnostic model calculation | 2500 |
| Treatment of anomalies (bite correction) | 70000 |
| Implantation | |
| Operation | |
