Crown lengthening is a surgical procedure performed to determine more of the tooth structure so that the tooth can be properly repaired. Prolonging or lengthening the crown, as the name implies, occurs when the tooth is not long enough to be maintained in restorative treatments such as veneers. This is a surgical procedure that provides restored teeth with better function and longer life.


Crown lengthening, unlike many cosmetic dental treatments, only needs to be done once, after which there is no need for any manipulation or repetition of the same procedure. After this treatment, in addition to making the smile more symmetrical and wider, the health of the teeth also improves. The risk of tooth decay decreases after the crown is raised, because the more exposed the tooth is, the greater the impact of brushing and flossing. This surgery is short and usually completes in 30 to 60 minutes.


Tooth fracture: The tooth sometimes breaks along or below the gum line. If the tooth needs a large filling, the crown should be raised to reveal more of the tooth structure.

Insufficient tooth structure:
Sometimes tooth decay and perforation are so extensive that they cannot be repaired even by denervation. In this case, the veneer is the best way to repair the tooth and restore the function of the decayed tooth. Caries sometimes extend below the gum line, so a simple veneer may not be enough to preserve it. After tooth decay, not enough of the tooth structure may remain to be veneered. Improper dental veneers cause chronic irritation and inflammation.

Increasing the length of the tooth crown is therefore the best solution that makes it possible to repair a larger part of the tooth in a proper way. The veneer that is placed on the tooth after increasing the length of the crown is stronger and more durable.

Cosmetic Surgery

Sometimes the teeth look short, but they are actually tall and only cover a large amount of the gums. Increasing the length of the crown corrects cosmetic problems such as a gingival smile. As the tooth grows taller, the smile becomes more beautiful. In addition, after increasing the length of the tooth crown, the fit between the width and the length of the tooth also improves. Increasing the length of the tooth crown can be done along with other cosmetic treatments or alone to correct the smile pattern.

Increasing the length of the tooth crown is not suitable for everyone. It is not necessary to increase the length of the crown for patients who need a veneer. But if the crack or tooth decay hole is deep enough that it can be easily veneered, the durability and strength of the veneer will increase as the crown length of the tooth increases. In addition, by lifting the crown, it is easier to clean the teeth and it can be brushed and flossed well to maximize the life of the new veneer.

Treatment steps

The dentist performs this surgery in the office by injecting a local anesthetic. Of course, the patient receives sedation if necessary so that there is no fear or anxiety during treatment.

After the treatment area is anesthetized, the dentist begins to measure and shape the extra gum tissue and bone. The dentist first makes incisions in the tissue and removes the gums from the tooth. In most cases, a small amount of gum tissue is also needed.

Once a sufficient part of the tooth structure has been identified, the dentist rinses the area well with saline solution and completes the procedure by suturing the gums. Surgical wounds are sometimes closed with a special dressing. After this simple surgery, a larger part of the natural structure of the tooth is identified and a better foundation is obtained for a more efficient and durable veneer. After lifting the crown, the veneer is placed on it. Since the bony part of the tooth has been manipulated and even removed, the dentist will take all precautions so that the patient is completely comfortable. This treatment takes about one to two hours.

Laser crown lengthening

Increasing the length of the tooth crown can be done in a simpler method called electrosurgery. In this treatment, a laser device is used to measure the gums and mark the teeth, but the bone is not manipulated. Electrosurgery is usually performed only for minor cases and is not suitable for deep fillings or fractures.

The period of recovery

The dentist prescribes medication to manage the pain or discomfort, provides the patient with a special mouthwash, and provides the necessary care recommendations for the recovery period. Oral hygiene should be observed as usual; Of course, it is better not to irritate the gum area for a few weeks.

The dentist asks the patient to come in a week later to have the stitches removed. After the stitches are removed, it takes some time for the gums to heal, after which the dentist completes the restoration or cosmetic treatment of the tooth.

The age of teething varies from child to child, but the baby’s first teeth usually appear around the age of 6 months. Some babies may not have had them before, at 3 months, or some may not have had them until their first birthday.

What are the signs and symptoms of tooth extraction?

Teething is generally associated with gum and jaw discomfort. The tooth moves below the surface of the gum tissue. This area may look a little red and swollen. Some teeth may be more sensitive when they are coming out. Others may cause more discomfort due to their larger surface. Symptoms that occur with teething include:

The gums are red and swollen at the site of the tooth.

Some babies may have problems.

Some may have a slight increase in body temperature (less than 101 degrees Fahrenheit) or 38.3 degrees Celsius.

Water flowing from the mouth.

Restlessness or decreased sleep due to gum discomfort.

Refusal to eat food due to pain in the gum area.

Touching the mouth.

Mild rash around the mouth due to skin irritation, secondary to excessive water infiltration.

Rubbing the cheek or ear area as a result of recurrent pain during tooth extraction.

What are the symptoms of tooth extraction?

Fever: Because tooth eruption is a normal physiological process, the association with fever and systemic disorders is not justified. Any fever above 101 ° F is not associated with tooth extraction.


Cold symptoms.

Runny nose and cough.

Long-term fault.

Other serious illnesses such as seizures, ear infections, respiratory infections and even death have been mistakenly attributed to tooth decay.
Does teething cause fever in children?

Many still believe that a child can have a fever while teething (even health care providers!) But the results of well-done medical research have shown that temperatures above 101 degrees Fahrenheit Teething is not related. If there is a fever during this period, it is a mere accident and must be caused by something else.

However, if you compare the body temperature of a child who is having a tooth extracted with a child who is not having a tooth extracted, his or her temperature may be a little high, but this increase is not important enough to be called a fever. Do they have a little fever? Most teeth appear between 4 and 15 months during this time, and babies become more active and mobile. They learn to crawl and walk. They are often immediately exposed to a wider range of infections. And putting them in your mouth is a common thing they do. When your baby starts crawling around, this is a great way to catch a virus that may then lead to a fever.

How to manage the pain of teething your child?

Use these several teething solutions to help manage your child’s teething

Try to be available for support when your child is in pain.

Reduce your baby’s discomfort by offering something cool to chew on (such as a damp bath towel or cold pacifier or teething ring).

Try not to use frozen objects that may cause frostbite.

Do not give your child any hard food like raw carrots, it may cause suffocation.

Do not try to give your child toothpaste because it may contain a lot of sugar.

When removing a tooth, massage your baby with a clean finger to help the tooth emerge and emerge from the cleft.

Acetaminophen or pills can help relieve the pain and discomfort of constant teething, but consult your doctor before offering any treatment.

Over-the-counter tooth extraction gels that contain topical analgesics can help reduce pain, but should be used with caution and only with a doctor’s advice.

Inflammation of the gums before a complete eruption of the crown of the tooth may cause temporary pain, but it will usually subside within a few days. It is not necessary to remove the gum coating on the tooth to help the tooth appear.

When should you see a doctor?

See your doctor if your child has a fever (above 101 ° F), diarrhea, vomiting and other important issues such as seizures.

Hyperdontia is the growth of extra teeth that should not normally be present. Normally, the number of deciduous teeth is 20 and the number of permanent teeth is 32. Primary teeth are the primary teeth that begin to grow and protrude from the gums from infancy and gradually fall out at school age and are replaced by permanent teeth. At the age of 21, all permanent teeth are usually extracted. A condition in which the number of deciduous teeth is more than 20 or the number of permanent teeth is more than 32 is called extra teeth.

Extra teeth may occur in any part of the dental arch but are often seen as permanent teeth in the position of the lateral front teeth in the maxilla. After that, the most common causes of extra teeth are related to the teeth of the upper and lower maxilla. Extra teeth usually grow in the form of extra latent wisdom teeth. The extra maxillary anterior tooth is called the mesiodens and the four extra-large molars are called the distodens or distomolars. The extra baby tooth that is seen shortly after birth is called a natal tooth.

Extra teeth occur in about one percent to four percent of the population, and the ratio of men to women is two to one. Most extra teeth are limited to one tooth, but sometimes several rows of teeth may protrude.

Identification of extra teeth should be done as soon as possible because extra teeth cause cosmetic and functional problems for the person. Extra teeth essentially cause clinical problems that can usually be treated with tooth extraction if possible.

Extra teeth may obstruct the protrusion of adjacent teeth and cause clutter and clogging of the teeth, in which case orthodontic treatment should be corrected in the future if treatment is not done early.

Also, failure to treat extra teeth in a timely manner can lead to cysts or tumors.

Extra teeth may prevent the permanent teeth from coming out normally or even stick to them. In such cases, the teeth may be subject to decay.

Excess teeth cause other teeth to tilt, making it difficult to chew food.

What are the reasons for extra teeth coming out?

Researchers have not yet found a definite cause for the growth of extra teeth in the mouth. However, genetics is believed to play a role.

Extra teeth can be caused by mouth problems such as cleft lip and palate.

Extra teeth are a condition that may be associated with certain conditions, including Gardner’s syndrome and Ehlers-Danlos syndrome.

Usually, people do not notice the presence of extra teeth in the jaw until the whole set of deciduous teeth grows. Extra teeth form in the early stages of tooth development. At this stage, the tooth bud opens and two teeth are formed, one of which is an unnecessary extra tooth.

What is the treatment for extra teeth?

Extra teeth cannot be prevented. The main treatment for this condition is tooth extraction. However, aligning the extra teeth with the adjacent teeth is also an option that should be considered. The consequences of this treatment may be beneficial. If this treatment causes problems for adjacent teeth, the only possible way is to extract extra teeth.

If the extra tooth does not cause any problems, it is better to leave it to avoid the complications and complications related to extra tooth extraction such as cutting or cutting off blood and nerve vessels, improper protrusion of teeth, ankylosis, maxillary tuberculosis fracture, and at risk. Avoid getting the maxillary sinus and pterygomaxillary space.

Extract extra teeth

Surgery may be needed depending on the location of the extra tooth. Tooth extraction is performed under local anesthesia or general anesthesia, depending on the severity and complexity of the problem.

To prevent any future dental problems, you should see your child’s orthodontist from the age of seven. In this examination, the orthodontist can detect the presence of extra teeth and treat them before more serious problems occur. You should consult a dentist to check for any dental condition.

It is impossible to say that human body parts are safe from any injury or pain. Jaw deformity is a condition in which a person’s upper and lower jaw teeth are not perfectly aligned with each other. For example, one of the orthodontic abnormalities is an overbite or a condition in which the maxillary teeth cover the front mandibular teeth too much. Signs and symptoms of these disorders can be varied and complex, including pain, tenderness of the jaw, pain in and around the ear, difficulty opening the mouth completely, discomfort when chewing, pain and sound in the joint Or locking the temporomandibular joint so that it is difficult for the patient to open and close the mouth.

Such a situation is never easy to live with. However, with the widespread advancement of health technologies, dentists and orthodontists are familiar with several treatments for this problem.

Symptoms of maxillofacial malformation: The effect of jaw deformity is not only physical but also on a person’s mood. This regional disorder leads to eating, breathing, sleeping, talking, and even discomfort jaws even at rest. These problems vary from person to person depending on the type of disorder, the patient’s pain threshold, age, the severity of the disorder, and so on. However, doctors and experts in this field have identified three main issues that most people face with this condition.

The description of these disorders is as follows:

Difficulty chewing: Unfortunately, jaw abnormalities will cause the upper and lower jaws to overlap when chewing food. This will cause pain and discomfort and incomplete chewing of food, leading to digestive problems.

Abnormal breathing: This condition can put a person in a tight spot and force them to breathe through the mouth, which can cause other health problems because breathing through the nose removes a significant percentage of environmental and respiratory air pollution. This will not happen when you breathe. Mouth breathing itself causes many jaw problems, including jaw stenosis, which is available in the mouth breathing section of another site.

Abnormal appearance: The deformation and structure of a person’s face is one of the most obvious signs that appear in his appearance. Babies who have been breastfeeding continuously for a long time or who are accustomed to sucking their thumb develop jaw irregularities at an early age. In this case, not only the appearance of the face and face are affected but also makes him a shy person without self-confidence.

Treatment of maxillofacial malformations: People who suffer from this condition have different treatment options in dentistry. The first step is always a specialist consultation with an orthodontist or orthodontist to evaluate and make initial examinations of the maxillary deformity.

Correcting bad habits such as gnashing teeth, chewing lips, chewing tongue, chewing nails, finger chewing is one of the appropriate solutions. A good option is to use a mouth guard or Night Guard at night, which can prevent bruxism.

In some cases, orthodontic wires are another solution. This gradually moves the teeth in the jaw to fit together regularly and the jaw position is in its normal position.

Surgical options, if your doctor recommends it. In this method, the oral and maxillofacial surgeon usually solves the problem with the coordination of the orthodontist. Usually, this option is only necessary when there is a large and serious structural problem in the jaw and the other options can not easily reduce the difficult conditions and return the jaw to normal.

Jaw deformities can cause a lot of pain and should not be allowed to continue, so immediate treatment is needed to prevent it from getting worse.

After filling the tooth, the anesthetic effect wears off in about one to three hours. Until the anesthetic effect wears off, you should be careful never to chew anything with the numb side of the mouth to prevent damage or biting of the lips, tongue, cheeks, etc. In the case of children, you should monitor them until the anesthetic wears off. Due to the strange sensation of tissue anesthesia, many children may chew on the inner surface of the cheeks, lips, and tongue, which can cause serious damage.

After filling a tooth, the tooth may become sensitive to cold or heat or pressure. This condition is perfectly normal and resolves within a few days to a few weeks. In a few cases, this feeling may last for more than a few weeks. As long as the teeth and gums are healing, everything is going well and there is no need to worry.

Contact your dentist after your anesthetic wears off if you feel pain in your full tooth when you close your mouth and bite or chew. The tooth byte surface may need to be adjusted.

During dental fillings, the gum tissue may become irritated and sore for several days. The anesthetic injection site may also be painful or bruised.

In the case of amalgam fillings, you should not chew hard food or eat directly with the filled teeth for the first 24 hours after filling. If possible, chew only with the other part of the mouth (if the filled teeth are on the right side with the left side of the mouth and vice versa). Teeth whitening (composite dental resin) can be used immediately after treatment and the anesthetic effect wears off.

Chew slowly. Chewing puts a lot of pressure on the teeth, which can cause a lot of pain to a newly filled tooth. When you want to eat, take enough time to do so and do not try to chew large pieces of food at once and vigorously. This way you can avoid strong and excessive contact between the teeth. If possible, eat with the opposite side of the filled tooth.

Close your mouth when chewing food. In some people, the teeth become sensitive to cold air after filling. Therefore, after filling your teeth, you should close your mouth for a while to eat to prevent the flow of cold air to the teeth and cause toothache.

Avoid sticky and chewy foods such as chewing gum. In some dental fillings, especially amalgam (silver colored), it may take some time for you to eat sticky and chewy foods such as chewing gum. In rare cases, chewing these foods immediately after filling the teeth may cause the filling materials to separate.

Avoid hot or cold drinks. Freshly filled teeth become sensitive, so avoid very cold or hot drinks for a few days and eat at a moderate temperature.

Avoid sweets and sweet foods. Avoid these ingredients for a few days, as sweets can irritate freshly filled teeth. Consumption of sugars can also cause bacteria to grow around or below the tooth filling margin.

Do not eat hard foods such as nuts, hard chocolate, and ice. Chewing these foods, in addition to putting a lot of pressure on the newly filled tooth that is still healing, may cause the filling of the tooth filling that has not yet taken hold properly. This is especially important for silver amalgam fillings because it takes longer to fully adhere to the tooth.

If your teeth are filled with tooth-colored materials, avoid colored foods such as coffee for the first few days.

Avoid chewing food for at least an hour after filling your teeth, although drinking fluids is not a problem.

Hard foods should not be eaten for a few days after treatment.

Restoration or filling of teeth is not an obstacle to observing hygienic points, from a few hours after treatment, the routine of oral care can be observed.

It is normal to feel a high feeling in a full tooth in the first hours after treatment, but if this feeling persists after a few days, be sure to see a dentist to correct the problems.

In most cases, the dentist uses anesthesia to begin treatment. The effects of this anesthesia may last for several hours after treatment and there is nothing to worry about. One of the points in this regard is to avoid biting or injuring the lips and cheeks.

Sensitivity to cold and heat and pain are normal for the first few days and in some cases may last longer, but if these pains and allergies do not go away over time, you should go to a dental clinic.

The materials with which they fill the teeth may change color or lose their luster after a while. If such problems occur, you should talk to your dentist to take steps to repair it.

What is the relationship between tooth infection and sore throat?

Many people experience tooth infection and sore throat together; For many of them, the question arises whether their tooth infection has caused a sore throat or vice versa, that is, a sore throat and its infection has caused a tooth infection ?! At these times, they are even confused about what doctor to go to, a dentist or an ear, nose, and throat specialist to solve their problem.

First of all, we point out that the connection between tooth infection and sore throat is more seen in the case of wisdom tooth infection. Wisdom tooth infection is a very common complication; Because wisdom teeth do not have enough space for normal growth, many wisdom teeth become latent. On the other hand, even if they are completely removed from the gums, they are difficult to clean. This is why semi-weekly wisdom tooth infections or even non-impacted wisdom teeth are very common.

Wisdom teeth, also called tertiary or third molar teeth, grow in the gums between the ages of 17 and 21. While most people do not experience any particular pain when they grow or have a wisdom tooth infection, some may experience symptoms such as swelling, jaw pain, sinus problems, earache, or sore throat.

One of the symptoms of wisdom tooth infection is a recurrent sore throat. Wisdom tooth infections and sore throats usually occur together and these sore throats are not related to colds or flu. In addition, wisdom tooth infections can cause sinus problems and cause pressure headaches, or runny nose.

Dental abscesses contain pus caused by bacterial infections. These purulent bundles grow at the tips of the tooth roots. This can cause severe pain in the jaw and throat on one side of your face (the side involved in the infection). The lymph nodes around your neck and throat may also be swollen. All of these can cause you to experience tooth infection and sore throat together.

Other signs of a dental infection include:

Sensitivity to cold or hot temperatures

Pain when chewing food


Swelling of the face or cheeks

Swelling and tenderness of the lymph nodes below the jaw or neck

Beneath the crown of your tooth is a nerve rooted in the jawbone. Prolonged or partially occluded wisdom teeth and wisdom tooth infections (even if they are completely protruding from the gums) can all affect and pressure these nerves. Over time, jaw pain, tenderness and stiffness of the jaw may occur so that you can not open your mouth easily.

Due to the location of wisdom teeth in the mouth, infection is a very common occurrence. If, in addition to jaw involvement, you notice a very bad odor coming out of the back of your mouth, you most likely have a wisdom tooth infection.

When wisdom teeth become infected and have other problems, swelling in the surrounding areas, including the jaw, cheeks, or lymph nodes, is very normal and expected. Basically, the swelling that occurs in the back of the mouth is very much related to wisdom tooth infection.

If you have a wisdom tooth infection, your gums will certainly be red and swollen. To detect discoloration of the gums, you can compare the color of the gums in the back with the front of the mouth.

If your wisdom tooth is causing you problems, your dentist will probably suggest that you have it extracted. If you have a dental abscess, your dentist will remove the pus with a small incision. He or she may also prescribe antibiotics.

Many people do not have any problems with their wisdom teeth during their lifetime and never go to a dental clinic for wisdom tooth surgery. But if the eruption of this tooth is associated with problems, the extraction of wisdom teeth should be on the agenda. In this article, we will introduce you to the problems of impacted wisdom teeth, the reasons for wisdom tooth extraction, risks, preparation for surgery, and postoperative care.

Extraction of wisdom teeth is a surgical procedure to extract one or more wisdom teeth, the four main adult teeth that are up and down in the back corners of your mouth.

If a wisdom tooth does not have space to grow (impacted wisdom tooth) it can lead to pain, infection, or other dental problems and you will most likely have to pull it out. Wisdom tooth extraction may be performed by a dentist or oral surgeon.

To prevent possible problems in the future, some dentists and oral surgeons recommend that wisdom tooth surgery be performed and the tooth extracted, even if the impacted teeth are not currently a problem.

Wisdom teeth are the last major teeth to appear in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never get wisdom teeth. In other people, wisdom teeth erupt normally – just like other teeth – and do not cause a problem.

Many people have impacted wisdom teeth – teeth that do not have enough space to come out of the mouth or grow normally. The impacted wisdom tooth may only grow to some extent or not come out at all.

An impacted wisdom tooth may:

Grow at an angle to the next tooth

Grow at an angle to the back of the mouth

Grow at right angles to other teeth, as if the wisdom tooth were inside the jawbone

Like other teeth, it goes straight up or down but is stuck in the bone.

If a missing wisdom tooth leads to the following problems, you should probably have it extracted:

  Stuck food and debris behind the wisdom teeth
  Infection or gum disease (periodontal disease) that requires gum surgery.
  Tooth decay in a partially germinated wisdom tooth
  Damage to nearby teeth or surrounding bone
  Create a fluid-filled sac (cyst) around the wisdom teeth
  Complications of orthodontic treatments for straightening other teeth

Dental professionals disagree about extracting impacted wisdom teeth that do not cause problems (asymptomatic).

Wisdom tooth extraction does not usually lead to long-term complications. However, extracting an impacted wisdom tooth sometimes requires a surgical procedure that involves making an incision in the gum tissue and removing the bone. Complications of this rarely include the following:

  Dry and painful surgical site (cavity) or the appearance of bone in the event of the disappearance of a blood clot after surgery from the surgical wound site (cavity)
  Infection in the cavity is trapped due to the accumulation of bacteria or food particles
  Damage to teeth, nerves, jawbone or surrounding sinuses.

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.