How is orthodontic treatment staged?

Dec 31, 2024 Source: Cainiu Health

Dr. Liu Chao

Introduction

Under normal circumstances, orthodontic treatment refers to dental orthodontics. The stages of orthodontic treatment are mainly divided according to the treatment process and the phases of tooth movement, and can be categorized into the alignment and leveling phase, the retraction and space closure phase, the fine-tuning phase, and the retention phase. Patients also need to maintain good oral hygiene by properly cleaning their teeth to ensure the smooth progress of orthodontic treatment.

Generally speaking, orthodontic treatment refers to dental orthodontics. The staging of dental orthodontics is mainly based on the treatment process and stages of tooth movement and can be divided into the alignment and leveling phase, the retraction and space closure phase, the detailing phase, and the retention phase. A detailed explanation is as follows:

1. Alignment and Leveling Phase

This is the initial stage of orthodontic treatment, and the main goal is to adjust the arrangement of teeth to make them more orderly. Dentists may use orthodontic appliances to gradually move teeth into their predetermined positions.

2. Retraction and Space Closure Phase

Once the teeth are aligned, the dentist will perform retraction and close the gaps between teeth. This stage further improves the occlusal relationship, making the teeth more closely aligned.

3. Detailing Phase

After the teeth have achieved basic alignment and a good occlusal relationship, the dentist will perform fine adjustments to ensure aesthetic appearance and optimal function. This phase may include minor adjustments to tooth position, shape, and occlusal relationships.

4. Retention Phase

After completion of orthodontic treatment, patients need to wear retainers for a period of time to consolidate the treatment results and prevent teeth from shifting again. The duration of the retention phase varies from person to person, but it is generally recommended to wear the retainer for a certain period to ensure dental stability.

Throughout the entire orthodontic treatment process, patients need to visit the medical facility regularly for follow-up appointments so that the dentist can evaluate the treatment progress and make necessary adjustments in a timely manner. At the same time, patients also need to maintain good oral hygiene by properly cleaning their teeth to ensure the smooth progress of orthodontic treatment.

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How long after periodontitis treatment can orthodontic treatment begin?

In general, orthodontic treatment can begin 1 to 3 months after periodontitis therapy, but the exact timing should be determined based on the severity of periodontitis and the individual's recovery progress. If periodontitis is mild, with only symptoms such as gingival redness and swelling and minimal dental calculus, and if gingival inflammation resolves quickly after basic treatment and the oral environment becomes stable, orthodontic suitability can typically be evaluated around one month after treatment.

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Can gum recession be corrected by straightening teeth?

In general, whether orthodontic treatment is possible with gingival recession depends on the severity and control of the condition. Orthodontic treatment may proceed if the gum recession is mild and inflammation is under control. However, if the recession is severe or the inflammation remains unstable, orthodontics should be postponed until the gum problems are properly treated. Daily oral hygiene practices, including brushing teeth morning and evening, using dental floss to clean between teeth, and regular periodontal checkups and maintenance, are essential.

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Can protruding teeth be corrected at age 45?

Whether 45-year-old individuals with protruding teeth can undergo orthodontic treatment depends on their oral health condition. Orthodontic correction is possible for those with good oral health and no severe periodontal issues. However, if serious periodontal disease, alveolar bone loss, or loose teeth are present, orthodontic treatment is not advisable until underlying oral conditions are properly treated. During orthodontic treatment, special attention must be paid to oral hygiene, and tools such as water flossers and dental floss should be used to clean between teeth thoroughly.

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Can orthodontic treatment improve an asymmetrical face (uneven facial sides)?

In general, whether orthodontic treatment can improve facial asymmetry (uneven face size) depends on the underlying cause. If the asymmetry is caused by abnormal tooth occlusion, orthodontics can usually help improve it. However, if the asymmetry results from uneven skeletal development or facial muscle imbalance, orthodontic treatment is unlikely to produce significant improvement. During orthodontic treatment, it's important to consistently use both sides of the teeth for chewing and avoid favoring one side, which could worsen facial asymmetry.