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8/10/2019 COMPLICATION OF ORTHODONTIC TREATMENT
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Orthodontic Seminar Topic Presentation on
COMPLICATION OF ORTHODONTIC TREATMENT
Submitted to:Orthodontic departmentRajshahi medical college, Dental
unit.
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Toothache, occasional discomfort or
pressure on the teethWhen beginning orthodontic
treatment and after the each
inspection, you may feel unpleasantpressure on your teeth, toothache, or
just discomfort. It depends on the
individual and on their pain threshold.
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after first wearing dental braces, andafter each appointment when the bracesare adjusted. In younger children
discomfort and pain, especially wheneating, can seriously affect their appetite.Eating soft foods can help by avoiding
additional pressure on teeth. Theorthodontist may also prescribe a painreliever to ease the pain of dental braces.
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Also, at the beginning of orthodontictreatment, scratches and bruises may
appear on the mucosa, generallycaused by a fixed device. In such cases,orthodontic protective wax is employed.Such complaints are temporary and
tend to arise over the first 5-7 days afterbeginning treatment. Later, the mucosaadapts to the braces and the abrasions
disappear.
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Dental hygiene problemswhen wearingbraces, the areas of the teeth and gumsclose or under arch wires and brackets aredifficult to clean. If teeth are not cleanedcarefully, food particles are trapped inthese areas. This allows the accumulation ofdental plaque increasing the risk of toothdecay and gum disease. It is important to
maintain proper oral hygiene by brushingand flossing thoroughly when wearingbraces to prevent dental health problems.
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sometimes mild tooth discoloration orstains may be noticed on teeth areas
adjacent to brackets. After removingthe dental braces teeth color in areaspreviously covered by the braces may
not look the same with the rest of thetooth. Possible treatments includetooth whitening, tooth bonding anddental veneers.
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This complication is caused by long-term bad oral hygiene. White patchesappear around the brackets. The
enamel beneath the brackets remainsundamaged. A coating built up on thesurface of the enamel causesdemineralisation. This occurs due toharmful bacteria which break downleftover food around the brackets intoacids. The acids eat into the enamelresulting in demineralisation.
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This is a stage preceding toothdecay.
If this complication arises andrepeated instruction on oral hygieneand visits to a dental hygienist haveno effect, the doctor reserves the
right to premature termination oftreatment. The priority is a healthy setof teeth and only afterwards astraight set.
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Insufficient oral hygiene can lead
to gum infection. This infection
can complicate treatment bymeaning slowertooth movementand so treatment is slowed and
sometimes leads to irreversibledamage to the teeths supportingtissues.
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in some cases, teeth may feel loose evenafter the orthodontic treatment iscompleted. During this process of movingteeth to their correct position, the bone in
the compressed side of the tooth isgradually resorbed, while on the other sidenew bone is created to fill the gap created
by the movement of the tooth. Teethmoved during orthodontic treatment willfeel loose until the new jaw bone around
the tooth roots is fully created.
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Some patients have a tendency to
the occurrence of resorption. Inpractice this means that the teethsroots get shorter. This complicationhowever does not shorten the lifespanof teeth.
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Every orthodontic treatment has atendency to relapse, i.e. the teethreturn to their original position. We
prevent this by using retention devicesand retainers. Retention devices arelaboratory products made to fit yourteeth exactly.
Retainers are wires which are stuck tothe back surface of patients teeth tomaintain their position. This phase is
very important for orthodontic
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