• An Image Slideshow
  • An Image Slideshow

Space Creation

E-mail Print

Often the wearing of braces is preceded by creation of space by extraction(tooth removal) or tooth material reduction(interproximal stripping) or skeletal (jaw not tooth) space creation (widening).

Extraction

An extraction is the removal of a tooth. It is utilized when the jaws are wide enough and the teeth are crowded and there is not enough room for all of them within the muscle pattern of the face. The space from the removal of the tooth provides room for the others to rotate and line up. All of the extraction spaces are completely closed, there are no gaps at the end of treatment. Deciding which tooth to remove is a big deal.

Upper first Bicuspibs

You usually take out the tooth closest to the crowding, but other factors may interfere with this decision. If in taking out a tooth, you leave in a tooth with a short root, you will have compromised the case, as short roots have a greater long term risk of failure than normal roots. Other features, which put a tooth at risk, are filings, crowns, root canals and bone loss. Having to take out a different tooth will make the case more difficult and cause the treatment time to be extended. But it is of paramount importance that you keep the most important teeth.

Upper and Lower First Bicuspids

JavaScript is disabled!
To display this content, you need a JavaScript capable browser.

Upper and Lower Second Bicuspids

JavaScript is disabled!
To display this content, you need a JavaScript capable browser.

Upper First Bicuspids and Lower Second Bicuspids

 

Serial Extraction

This is the sequential removal of specific teeth in children with crowding. The removal allows the remaining teeth to un-crowd by themselves. It involves removing both baby teeth and permanent teeth. This needs to be done in proper order, as the specific teeth comes into the mouth in a specific order over several years. When the remaining permanent teeth grow into the mouth, they will not be crowded and will bring their natural bone height with them. This is a feature that cannot be duplicated if you wait until all the permanent teeth are in position, before extracting them. You can tell if a child’s teeth will be crowded by age 7. If you are sure that the child will need removal of permanent teeth at some point, then it is best to follow the sequential extraction of them. First baby teeth are removed, then the child is re-examined at regular intervals to watch for the correct point at which the specific permanent teeth are removed. They are then monitored on a regular basis to decide when the most appropriate time will be to start comprehensive orthodontic treatment.

Upper First Bicuspids

Interproximal Reduction

To help you achieve a healthy and stable new smile your orthodontist may feel that interproximal reduction i.e. making some of your teeth slightly narrower, will contribute to the successful outcome of your orthodontic treatment. It may also contribute to long-term stability of your results after your braces are removed. Interproximal reduction is the removal of some of the outer tooth surface, called enamel, usually between teeth that touch. It is also known as slenderizing, stripping, enamel reduction, reproximation and selective reduction.

JavaScript is disabled!
To display this content, you need a JavaScript capable browser.

Whatever the name, the intentions are the same – to acquire more space for your teeth, to bring your teeth into alignment, to improve your bite (the way your teeth come together) or to make the teeth more attractive. Sometimes interproximal reduction is done alone, but it is usually done in combination with orthodontic appliance treatment. Sometimes it is even done in conjunction with tooth extractions. Sometimes it is done following orthodontic treatment to establish stability. Many times front teeth are contoured during or after orthodontic treatment to create a balanced and harmonious appearance of teeth. Your orthodontist will recommend enamel reduction if it is a solution to your individual need.

Rapid Palatal Expanding (Skeletal Jaw Widening)

When teeth are crowded and there is not enough room for all of them due to the narrowing of the jaw. The bones of the palate (upper jaw) are actually moved apart to the sides and then new bone grows back in the middle to fill the space. That is one of the few bones in the body in which this can be done.

It is done with a rapid palatal expander appliance and age plays a big role in how easy it is accomplished. Up to the age of 16 years in boys and 14 years in girls the upper jaw can be moved apart easily. After this age the two halves of the bone have fused together and surgery will need to be performed first to undo the fusion.

Haas Rapid Palatal Expansion Braces After

JavaScript is disabled!
To display this content, you need a JavaScript capable browser.

Hyrax Rapid Palatal Expansion Braces After

JavaScript is disabled!
To display this content, you need a JavaScript capable browser.

 

Address

321 Bulwer Street
Central CBD
Pietermaritzburg
3201

Appointments

E-mail: orthodontist@sainet.co.za
Telephone: 033 394 7635

Appointments can be made daily from Monday to Friday 08:00 to 16:30. You may also leave a message at any time for us to contact you on our answering service.

You are here