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What is Orthodontics?

Orthodontics is a specialist branch of dentistry that deals with diagnosis, prevention and correction of improper tooth position and improper relationship between the upper and lower jaw.

Most patients turn to an orthodontist because they want to improve the appearance of their teeth, however, it should be emphasized that the correct relationship between teeth and jaws is not only of aesthetic importance, but also positively affects the health of the entire stomatognathic system.

We recommend the first visit to the orthodontist after the eruption of the first permanent teeth, between 6. the 6th and 7th year of the child’s life.
If therapy is needed, parents will be informed of the optimal time to start it so that the child does not wear the device for too long.
In children in the age of mixed dentition and in the period of growth, mobile orthodontic devices are most often used.

At Sky Dental Concept we offer you:

  • Fixed orthodontic appliances
  • Mobile orthodontic appliances
  • Aligners

Fixed orthodontic appliances

With adults, the treatment of most orthodontic anomalies is treated with fixed orthodontic appliances. Sometimes, with severe skeletal anomalies (progenia, facial asymmetry), orthodontic therapy alone is not enough, but orthognathic surgery is also required to achieve satisfactory results. At the first visit, it is necessary to take an orthopanic digital image of all teeth, then a profile telex-ray and take impressions in the office. The procedure is short, extremely simple and painless. Based on all 3 parameters, the specialist doctor makes an analysis.

The fixed device consists of from brackets that stick to the teeth and wires that have the active function of moving the teeth in the desired direction. During the placement of the device, patients receive instructions on maintaining hygiene. Brackets can be metal, ceramic or plastic. The wire is also an integral part of the fixed appliance that actively affects the movement of the teeth.

In therapy, the patient’s cooperation is particularly important, as well as regular check-ups every 6-8 weeks. A fixed appliance is almost always placed in both the upper and lower jaw in order to achieve good relations between the jaws and achieve an optimal bite. It is especially important that before starting the therapy, all teeth must be cleaned and hygiene must be perfect.

Sometimes the patient does not want to go through a longer teeth straightening procedure, but immediately wants to grind the teeth and in 7 days correct the bite by making ceramic crowns. There are indications when this is possible and those when it is not possible. An extremely irregular position of the teeth, large gaps between adjacent teeth and a high attachment of the gums on the very necks of the teeth would give very limited aesthetic results.

Therefore, therapy with fixed devices is advised first. Only after the therapy is completed, the patient and the dentist jointly decide whether it is necessary to include prosthetics. It often happens that with therapy with fixed appliances we have excellent results that the patient gives up grinding his teeth.

After the completion of orthodontic therapy, the retention phase follows, which is just as important as wearing a fixed appliance. The patient receives a retention device that can be: fixed or mobile, and its task is to keep the teeth in the correct position. A mobile retainer can be a transparent film that is worn every night and for as many hours as possible during the first year. A fixed retainer is a wire connection of the teeth. When you do not wear your mobile retainer, the teeth move for the next 12 months after removing the fixed appliance, because the periodontal fibers tend to return the tooth to its original position until the bone tissue around the tooth mineralizes and the tooth gets used to the new force.

Benefits of orthodontic therapy in adults:

  • A beautiful smile that will result in confidence in the patient
  • Improved ability to clean and maintain hygiene, which reduces the possibility of caries and tooth loss
  • The possibility of the appearance of other orthodontic problems such as, for example, is reduced. irregular wear of the tooth surface, irregularities in the joint (which can lead to headaches and neck pain)
  • Corrects bad habits such as teeth grinding

Mobile orthodontic appliances

Such appliances are intended for the youngest patients, which are still growing and developing.

They can be for only one jaw (active plates) or for both jaws (activator, bionator). Patients put them in and out of their mouths themselves.

It should be noted that when wearing mobile orthodontic appliances, the cooperation and desire of the child to wear the appliance is extremely important, in order for the therapy to be successful. Braces are worn for a minimum of 14 hours a day. There is a screw in the device that rotates in agreement with the orthodontist for 7 and 10 days.

Mobile braces cannot properly and completely straighten strongly rotated or tilted teeth, nor teeth that have erupted in the wrong place. Fixed orthodontic appliances are used for such anomalies.

Therapy with mobile orthodontic appliances

Therapy with mobile orthodontic appliances is generally the first phase of therapy, which we start at an early age and correct the position of the jaws, after which a fixed appliance is installed, which corrects the position of the teeth and ends the therapy. If the problem is not solved at a young age, it becomes more difficult over time.


Recently, the so-called aligners, sets of transparent films that patients change at certain time intervals. Each foil makes a specific movement for which it is designed with precise computer CAD/CAM technology. The main advantage of aligners lies in their invisibility and elegance of wearing. There are no clasps, wires or elastics, but the patient receives 10 to 20 foils, which he changes every two weeks. He wears them all the time, except when eating and drinking, and the correction lasts 9 to 15 months – which is twice as short as with fixed braces. However, the therapeutic possibilities of these systems are very limited and are applicable only in certain, simpler cases.

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