Braces Denville NJ

Braces are orthodontic devices that give patients straight, evenly spaced teeth and align the upper and lower teeth for proper biting and chewing. Having a straighter, more attractive smile is often a confidence booster for children, teens, and adults. There are a wide variety of braces available. Traditional metal braces are the most commonly used treatment method. However, tooth-colored braces, lingual braces and clear aligner trays are also popular. Advances in technology and dental materials make today's braces more effective and comfortable than ever.

Why Choose Braces?

Braces offer an opportunity to make your teeth look their very best. However, fixing tooth and bite alignment problems does more than create an even, beautiful smile. Crooked and crowded teeth are difficult to clean properly. Having straight teeth can reduce the risk of oral disease like cavities and periodontitis (the leading causes of adult tooth loss). Better alignment can also reduce abnormal wear and tear on the chewing surfaces of molars. For children, orthodontic treatment has the added advantage of promoting proper jaw growth and facial symmetry.

Who is a Candidate for Treatment with Braces?

Braces can be used to treat a broad range of bite and tooth problems including:

  • Tooth crookedness (teeth which are rotated at an angle or slanted inward or outward)
  • Gaps between teeth
  • Tooth crowding
  • Bite malloclusion (overbite, underbite, or cross bite)

Treatment is most effective in children. This is why Dr. Arvystas often recommends an initial orthodontic consultation when a pediatric patient is about age seven to spot potential problems. Children are easiest to treat because their jaws are still growing. The jaw itself can be encouraged to grow wide enough to accommodate all teeth without crowding. Plus, the bone is not too dense and teeth can move more readily into better alignment.

Adults with crooked teeth or bite misalignment can usually benefit from braces as well. However, they may need a longer treatment time. In some cases, they need one or more teeth removed to allow sufficient room for the rest of the teeth to be moved into position. Patients with good oral health (little or no gum disease and only minor dental work such as fillings) are the best candidates for orthodontic treatment.

Treatment Overview

All types of braces work by applying pressure that causes the bony tissue in the jaw to be absorbed in the direction the tooth is moving and built up in the direction the tooth is moving away from. Basically, the tooth socket gradually reforms in a slightly new position. Because loosening a tooth too much, too fast could make it fall out, treatment takes quite some time. Many patients need to wear braces for one-to-three years to achieve the desired level of correction.

Metal Braces

Traditional metal braces haves several different components. The back molars may be fitted with metal bands that wrap all the way around the tooth. Stainless steel brackets are cemented to the remaining teeth and a wire is threaded through these and attached to the bands. This wire is made of a titanium alloy that is flexible at room temperature. It stiffens in the slightly warmer environment of the mouth, creating the desired level of force to move teeth. The wire is held in place by small ties or by clasps that are part of the brackets (on self-ligating braces). Springs can be added along the arch wire and elastic bands can be attached to the braces to provide additional forces as needed. These components are adjusted about once per month.

Tooth Colored Braces

Clear and tooth colored braces work in the same way as all-metal braces. They simply have plastic or ceramic brackets that are translucent or enamel colored. These look less noticeable than metal brackets. Some even have a clear "wire" that replaces the titanium arch wire. Ceramic brackets are not quite as sturdy as metal. However, if a bracket is damaged or lost, it can be replaced.

"Invisible" Braces

Lingual braces have brackets and arch wires too. However, the brackets are attached to the lingual surface of each tooth (the side facing inward toward the tongue). This means they aren't readily visible when you smile. Unlike traditional braces, these brackets are custom made from a mold of your teeth. However, the way the arch wire is tightened periodically to keep teeth moving in the right direction is similar.

Invisalign© Trays

Invisalign braces are very different from the systems described above. They are a series of custom-fabricated aligner trays that patients can switch out every few weeks to move their teeth. These trays are clear, which makes them almost invisible. They are designed for removal during eating and tooth brushing. Many patients find this type of orthodontic appliance comfortable to wear and easy to use. Headgear, springs and rubber bands can't be used with Invisalign©, so this treatment may not be suitable for patients with severe bite problems.

More Information about Braces

With the exception of Invisalign©, braces require the use of special equipment for proper flossing and the avoidance of certain foods. Some patients find the metal components cause irritation to the soft tissues in their mouth. This discomfort can be addressed with dental wax that is pressed onto the brackets to create a smooth surface. Salt water rinses can also be helpful. After braces are removed, a retainer is used (either temporarily or permanently) to keep teeth in position. Some patients can eventually stop wearing a retainer or wear it only at night.

Michael Arvystas‚ DMD
New York City Location

24 Washington Square North
New York‚ NY 10011

New Jersey Location

10 Broadway
Denville‚ NJ 07834

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