What causes crooked and crowded teeth? Several different factors can cause the teeth to become crowded. Among its factors, we can mention the displacement and misalignment of the jaws, irregular size of the teeth, past dental injuries, small jaws, and cleft lip and palate.

Improper oral habits such as pressing the tongue against the front teeth when swallowing and speaking, finger sucking, mouth breathing, allergies, and asthma can lead to crooked and crowded teeth.

Types of overlapping teeth

In general, compaction of the teeth is caused by the mismatch between the space in the dental arch and the space required for the smoothness and alignment of the teeth. When there is not enough space to protrude all the teeth in the dental arch (depending on the moderate to severe heterogeneity), the teeth are tilted and compressed and overlap. Depending on the intensity, crowding and compaction of the teeth are classified into three groups:

First-degree or mild congestion
Secondary or moderate crowds
Third or severe congestion
Also, crowding of teeth can be divided into three categories: primary, secondary and tertiary crowding, which is actually the cause of this problem.

Early crowding of teeth: This condition, which is actually inherited, is passed on genetically from parents to children and is influenced by family history. In this type of misaligned teeth, the mismatch between the size of the teeth and the jaws is the main cause of lack of space. For example, you may inherit the small size of the father’s jaws and the size of the mother’s teeth.

Secondary crowding of teeth: This condition is acquired and is caused by the deflection of the posterior teeth forward, especially after the premature loss of deciduous teeth in the lateral part of the mouth, as well as the displacement of the front teeth backwards. Patients in this group are often advised to take care of their baby teeth and prevent them from decaying to avoid this problem. This problem can be prevented by controlling your diet, especially during mixed dentition and regular brushing.

Tertiary crowding of teeth: This situation is still under discussion. This type of crowding and crowding of teeth occurs primarily in the mandibular front teeth and begins during or after adolescence. It used to be thought that protruding wisdom teeth would cause this kind of crowding and crowding, but it is now clear that this can happen even if there is no wisdom teeth. The cause is attributed to the different front and back growths of the mandible and upper jaw, which end at different times. In addition, mandibular and maxillary rotation is different during growth. In today’s society, malocclusion due to lack of space and compression of the teeth is more common than the size of the jaw and the distance between the teeth.

What problems do crowded and crowded teeth cause?

This situation causes many problems. Perhaps the first problem is the ugliness of the smile and teeth. But the beauty of the teeth is not the only problem that is affected by the crookedness and compaction of the teeth. Other problems include excessive wear and tear on some tooth surfaces due to improper contact with adjacent teeth, gum infection due to difficulty cleaning the areas between the teeth, tooth decay, especially in areas of overlapping teeth, injury and joint pain Jaw and its consequences.

Note that clenching of the teeth is a common condition in childhood, and three out of four children have difficulty developing the jaw properly. Treating this condition at an advanced age is much better, simpler, more successful, less invasive and less expensive.

Methods of treating crowding and clenching of teeth

Treatment for this condition depends on the severity of the problem and may be corrected by simple action such as a stationary mouthpiece within a few months, or may require more complex and lengthy treatments, or even some teeth may need to be extracted. The treatment method depends on the severity of the lack of space, the patient’s age and his cooperation.

Remember that in order for the treatment results to be stable, the cause of the crooked and compressed teeth must be determined and resolved.

Treatment methods for crowded and crowded teeth are:

Fixed bracket: One or more permanent teeth may be extracted before flossing to provide enough space for the teeth to straighten and align. In the bracket or wiring method of teeth, small square jewels called bracket jewels are attached to the teeth and the orthodontic wire passes through each of them.

Transparent liner or Invisalign: Invisalign, also called invisible orthodontics or transparent brackets, is not actually attached to the teeth, unlike the bracket system, but is a transparent plastic mold that completely surrounds the teeth. It is used in such a way that the patient puts it in his mouth and whenever he wants to eat something or brush his teeth, he has to take it out.

Orthodontic retainer or retainer: This oral device is used to correct minor problems. Holly retainer is a plastic plate attached to the roof of the mouth that contains several metal hooks that hold it to the teeth and has a wire that is placed in front of the front teeth.

Why should we treat crooked and crowded teeth?

We need to make sure that the teeth and the supporting bone are in the right position to increase the durability and longevity of the teeth. Permanent teeth have no substitute, so you should do your best to make the most of them.

What is a cleft lip?

A cleft lip is a type of facial abnormality that affects parts of the face that do not connect the upper lip and mouth before birth, and babies are born with a cleft lip. These slits can also occur on the roof of the baby’s mouth or palate. This complication occurs early in fetal development due to genetic or environmental factors.

What problems does cleft lip cause for children?

Dental problems: In people with cleft lip, the teeth usually do not grow properly. Teeth may be malformed or misaligned. Irregular teeth affect the appearance of the child and cause them more orthodontic problems.

Chewing problems: Irregular teeth always cause chewing problems for patients. One of the most common problems is that food or fluids may return from the mouth to the nose. To solve this problem, they designed prostheses that allow fluids to flow to the stomach. You can use this prosthesis until the problem of sugar lips is solved.

Speech problems: Cleft lip and palate make it difficult for a child to speak clearly. Talking in the mind of these people is one of their speech problems.
Side effects of cleft lip include recurrent colds, sore throats, ear infections, and tonsillar and adenoid (third tonsil) problems. People with cleft lip and palate accumulate fluid in the middle ear, which increases the risk of ear infections. If left untreated, the patient may become deaf forever.

Can cleft lip be treated with orthodontics? In children with cleft lip, the best time for treatment is between three and six months, which is done by surgery. Craniofacial orthodontic surgeon and a specialist team must be present for surgery.

Babies born with cleft lip usually have more dental problems, so they should have regular orthodontic examinations. Having extra teeth, fewer teeth than normal people, narrow maxilla and crooked teeth are some of the problems that should be treated by orthodontics. Because irregular teeth are very difficult to care for and clean, and the possibility of decay increases.

In general, patients under the age of 21 who are being treated for cleft lip and palate should also receive orthodontic care. When all the diseased teeth have grown, the teeth are arranged orthodontically. Some people who have a cleft lip have a cut in the front gum that needs surgery and a bone graft, which must be done by an orthodontist and incision surgeon. In addition, people with cleft lip and palate may need orthodontic surgery to align the jaw.

How many steps does orthodontic treatment have for cleft lip people?

People who undergo cleft lip treatment should also receive orthodontic treatment. The stages of orthodontic treatment for cleft lip people are divided into four stages.

  1. Neonatal period and before orthodontic surgery. 3 to 6 months is the best time for surgery and treatment of neonatal cleft lip. Craniofacial orthodontists use neonatal orthodontics to treat cleft lip and palate.
  2. Necessary care of deciduous teeth. The condition of the baby’s bone is first examined to make sure the baby can have a bone graft. Treatment begins at 8 to 9 years of age and continues until 10 years of age. The jaw should be flattened so that the baby’s teeth fit together well. Bone graft surgery should be performed to repair lost bone tissue.
  3. Necessary care in the mixed dental period when both deciduous and permanent teeth have grown. At the age of 12 to 13, when a child’s permanent teeth have grown, they must use fixed braces to arrange them.
  4. Treatment when permanent teeth have grown. Bone incision surgery is used to treat dental arch correction. For surgery, the patient must be 18 years old to have a successful outcome.

There are many kinds of problems that can occur within the oral cavity. Here are a few of the most common ones, as well as treatment.

The upper front teeth are forward: The anterior teeth of the maxilla are far ahead of the lower teeth. The lower teeth are sometimes not as forward as they should be.

Distance between the teeth: Patients’ teeth are sometimes spaced apart due to missing teeth or too much space in the mouth. An orthodontist can correct the problem of gaps between teeth with cosmetic treatments. If the problem is not resolved, the teeth are usually wired.

Crowding of teeth: Congestion is a problem for many patients, in which case the teeth overlap or tilt. To correct the problem of the teeth, wiring is usually done to increase the space of the mouth and the teeth are arranged. Sometimes it is necessary to extract teeth to create space.

Problems with the alignment of the midline of the teeth: The fit of the midline refers to the way the back teeth overlap and does not focus too much on the bytes of the front teeth. Problems with midline alignment cause complications for the jaw and proper function of the teeth.

Classification of jaw and dental problems

Malocclusion is divided into three main types as follows:

Class 1: Class 1 malocclusion is when the upper teeth are in front of the lower teeth. Bite is appropriate and normal in this type of malocclusion and the amount of overlap is small. Class 1 malocclusion is the most common type.

Class 2: Class 2 malocclusion is a condition in which there is severe overbite. This disorder, also called retrogenism, means that the upper jaw and teeth are too far forward than the lower jaw and teeth.

Class 3: Class 3 malocclusion is a condition in which there is severe underbite. This disorder, also called prognathism, refers to the anterior mandible. In this case, it covers the lower teeth of the jaw and the upper teeth.

Complications of misaligned teeth

Complications of misaligned teeth can be mild to severe:

Tooth misalignment and crookedness
Disruption of facial fit
Frequent and involuntary biting into the cheeks or tongue
Feeling uncomfortable when chewing or biting food
Speech and language problems
Breathe through the mouth instead of the nose

Misaligned teeth are usually diagnosed during periodic examinations. The dentist examines the teeth and orders an x-ray to make sure the teeth are in good condition. If a tooth is misaligned, the problem is classified according to its type and severity.

Ttreatment: It is easier, faster and cheaper to treat problems related to the disorder and disorder of the teeth at a young age. Orthodontic treatment works best for children and adolescents because the bones are still soft and the teeth can move more easily. Orthodontics takes 6 months to 2 years; The length of treatment depends on the severity of the problem and the extent of the correction required.

Treatment of tooth decay disorders in adults is also often successful, but braces or other orthodontic appliances should be used for longer. Most patients with mild malocclusion do not need treatment; But if the bite disorder is severe, the dentist will refer the patient to an orthodontist. The orthodontist recommends appropriate treatment according to the type of bite disorder.

Dentures are a removable replacement for missing teeth that are custom made of plastic or metal to fit snugly on the gums. A complete denture is used if all teeth are lost, and a fragmented denture is used if several teeth are left.

Complete dentures are available in either “normal” or “immediate” form. Ordinary dentures are placed in the mouth approximately 8 to 12 weeks after tooth extraction after the teeth have been extracted and the gums have healed.

But the denture is immediately prepared in advance and placed in the mouth as soon as the teeth are extracted so that the patient is not toothless while waiting for the gums to heal. Of course, because the bones and gums shrink over time, especially during healing, the disadvantage of instant dentures is that they need more manipulation and adjustment during this time. Therefore, an immediate denture is usually a temporary solution that is used until the original denture is prepared.

Partial removable dentures usually consist of dentures attached to a pink or gum-colored plastic base that attaches to a metal body. This metal body holds the denture in place. A one-piece denture is used if there are one or more natural teeth in the upper or lower jaw. The partial denture is delicate and mobile, has a natural appearance, and instead the hook is attached to the side veneers with internal connections.

A bridge is a fixed form of partial denture that permanently replaces a missing tooth, the teeth on both sides of the cavity are coated, and artificial teeth are attached to them. The bridge is then cemented in place. In addition to filling in the gaps, the bridge also prevents adjacent teeth from moving.

Dental implants can be used as a fixed bridge base to eliminate the need for removable dentures. Of course, the cost of dental implants is higher, but the combination of implants and bridges together creates a more natural tooth feeling in the patient. Implants are gradually replacing dentures, but dental implants are not suitable for all patients.

The process of making dentures takes three to six weeks and is done in several sessions. The prosthodontist, a dentist who specializes in repairing and replacing teeth, determines the best type of denture. The usual steps for preparing dentures are as follows:

Several molds are taken from the jaw and the necessary measurements are made of how the jaws relate to each other and the space between them.

Gypsum, wax or plastic patterns are carefully prepared. The patient tries this model several times, the size, color and shape of the denture are checked before final molding and cutting.

The final denture is molded and prepared.

Some words may become difficult to pronounce after placing a denture in the mouth, in which case try to pronounce difficult words aloud. You will get used to talking with dentures by practicing and over time.

If the denture makes a sound when talking, call your dentist. Dentures may occasionally appear when laughing, coughing or smiling. Move the denture with gentle downward pressure and swallowing saliva. If the problems do not resolve, contact your prosthodontist.

It is best not to use dentures in the following situations:

If the denture is loose and not the size of the mouth, do not use glue, as it can cause discomfort or sore gums. See your dentist for a denture as soon as possible.

If it has been a long time since the last evaluation of dentures by a dentist. The denture is placed on the gum tissue and jawbone, which over time shrinks the gums and breaks down the bone. Therefore, after a while, it may be necessary to manipulate the denture or make a new denture.

If oral hygiene is not well observed.

If the adhesive has been used for a long time, especially if the dentist has not been consulted regularly and the amount and number of times the adhesive has been used arbitrarily has increased.

If the patient is allergic to the ingredients of the adhesive.

Consider the following points when using dentures:

Make the most of it with minimal glue. Apply as little as you think is enough and gradually apply more glue to feel completely comfortable.

Spread the adhesive evenly on the surface of the denture.

Use or renew the adhesive only if necessary.

Always clean your dentures thoroughly before applying the adhesive.

Keep in mind that using glue gives the best results.

Cleaning the dentures

Most denture fractures occur when a tooth falls into the sink while rinsing. Therefore, we always advise patients to fill the sink with a few centimeters of water before brushing the denture so that if the denture is released from their hands, it will fall into the water and not on the hard ceramic surface.