The baby’s “envelope” is cute, do you need to correct it? “The ‘envelope’ is a kind of malocclusion of the teeth, it is necessary to seek early medical attention and early intervention to avoid aggravation of the malocclusion.” The normal bite relationship of the front teeth is that the upper teeth are located in front of the lower teeth. If the lower jaw is longer than the upper jaw, and the lower jaw front teeth are located on the outside of the upper jaw front teeth when biting together, it is called “anterior antimandibular”, commonly known as “encephalitis”. In early childhood, a child with “enameled teeth” looks like a “beaked mouth”, which some parents find “cute” and do not realize that it is a problem. When the child reaches adolescence and enters another peak of jaw development, the upper jaw is underdeveloped and the lower jaw is overdeveloped, resulting in a longer face and a deflated face, which is unattractive, and then it is more difficult to correct. “It is important to seek medical attention and early intervention to avoid aggravation of the deformity. If you can intervene in advance, you can stimulate the growth of the upper jaw to a certain extent, so that the development of the upper and lower jaws can be coordinated and avoid orthognathic surgery in adulthood. Once the best time for orthodontics is missed, in addition to aligning the teeth through orthodontics, orthognathic surgery will be performed when they become adults in order to make the face shape normal. “There are many reasons for the “grounded” orthognathic surgery, such as hereditary misalignment of the structure, acquired bad stimulation, misaligned bite, etc. Some mothers like to “lie down to feed”, which is a common bad stimulation – the baby will unconsciously extend the jaw forward in order to suck the milk more easily, which may lead to “geoduck” over time. This is a common irritant – your baby will unconsciously stretch his or her jaw forward to make it easier for him or her to suck, which in time may lead to “bunions. The “why” before orthodontics 1, doctor, can not pull teeth? “In the process of orthodontic treatment, the doctor is both the designer and the builder. Whether or not to extract teeth is a comprehensive consideration of how many teeth can be accommodated in the alveolar bone after the reconstruction of the patient’s dental structure is completed.” “Doctor, can I not have my teeth extracted?” This is the most common question many first-time patients ask when seeking orthodontic treatment. In fact, the very notion of asking this question is misplaced. In order to match teeth and jawbone to achieve the best balance of health, function and aesthetics, it is often necessary to extract a variable number of teeth depending on individual circumstances for those who do not have enough space. Therefore, if the patient insists on not extracting the teeth after the doctor has clearly stated the need for extraction, it is equivalent to taking the “design right” from the doctor and treating the doctor as a mere builder, which is a misplaced role. 2.Why do different doctors provide different plans? “Finding an orthodontist is like choosing a decoration company. The same house, different renovation companies, will give different renovation plans. The same goes for orthodontics.” Some people will wonder why the same person who gets his or her teeth straightened will get different treatment plans from different doctors. The orthodontic treatment plan is the result of the doctor’s professional and comprehensive assessment. It is related to the doctor’s ability to judge and treat the patient’s dental condition on the one hand, and the results of the doctor’s evaluation of the health of the adjusted tooth structure on the other. In the process of comprehensive assessment, the pros and cons need to be weighed and trade-offs made, different doctors have different considerations, so the developed plan is not exactly the same. 3, why some people “orthodontic” to do surgery? “There is a limit to the amount of orthodontic treatment that can be used to straighten teeth, and orthodontics cannot change the length of bone. For some patients with bony deformities of the jaws, surgery can only be used to change the length of the bones and thus adjust their functional position.” For orthodontic results, in addition to appearance, the bite relationship and chewing function of the teeth need to be considered. The best occlusal relationship is an upright bite between the upper and lower teeth, when the teeth bear the greatest force and chewing power. In patients with mild bony deformities, the doctor will use the substitution of the teeth for masking orthodontics to restore the normal occlusal relationship by making the lower teeth tilt inward. However, for some patients with severe bony malocclusion, if only masking orthodontics is performed, the teeth are often tilted at a large angle, even causing the roots to be exposed, which seriously affects the normal function of the teeth. Such patients usually need combined orthodontic-orthognathic treatment, that is, orthognathic surgery to correct the bony deformity, and then orthodontics to restore the normal occlusal relationship of the teeth. 4, “seven days” orthodontics is reliable? The so-called “seven days” or even “one day” fast orthodontic teeth, many times is a stolen concept of orthodontics, using the method of treating the symptoms but not the root cause, to put it politely, some of them are actually real teeth into dentures, built on the irreversible damage to the teeth –for example, by grinding jagged teeth smaller and then installing porcelain teeth to restore the apparent straightness. “Beauty is the most commercially valuable symbol. But let’s not forget that orthodontics is essentially a branch of medicine, and the primary goal of medicine is health, and true beauty is based on health and function.” The “why” of orthodontics Well, I’m sure you’ve cleared up a lot of doubts about “orthodontics” by now. So, when you wear “braces”, what other misconceptions need to be noted? 1. The shorter the follow-up period, the better? “The more professional doctors, the longer the interval between follow-up visits, generally 6-8 weeks a follow-up visit.” The osteogenic osteoclast metabolic cycle of alveolar bone takes at least 4 weeks, usually the follow-up period should be more than 4 weeks. Director Cai Bin said that the more specialized the doctor, the longer the interval between follow-ups, usually once every 6-8 weeks. Less experienced doctors will set a slightly shorter follow-up interval, such as about 4 weeks, in order to observe the speed and direction of the patient’s tooth movement and make timely adjustments to any inappropriate areas. Therefore, the review cycle is not the shorter the better, 4-8 weeks are normal, which is determined by the osteoblast metabolic cycle of the alveolar bone, do not blame the doctor “lazy” it! 2, the more painful orthodontic teeth the more effective? “Whether there is soreness and softness and tooth movement speed is not necessarily linked. Sour and soft does not mean that the teeth are moving fast, not sour and soft does not mean that the teeth are not moving.” When you first put on the “braces” or after each follow-up visit to put pressure on your teeth, you may experience discomfort. To be precise, this discomfort should be a soreness and tenderness rather than the pain that is commonly associated with it. The degree of soreness and tenderness is related to the level of expertise of the doctor. With an experienced doctor, his patients return to their normal soreness within 1-2 days after the “braces” are put on. For most patients, soreness and tenderness is normal for about a week. The degree of soreness and tenderness also depends on the sensitivity of the individual patient, and everyone feels differently after wearing “braces”. Generally speaking, children and adolescents are in the active growth and reconstruction period of jaw bone and alveolar bone, so the reaction after wearing “braces” is not as strong as adults. 3.Wait until the next visit after the brackets fall out? “Once the brackets fall out, you should immediately contact the attending physician, timely treatment.” Some patients who have lost their braces usually wait until their next visit to reapply the brackets because they are unable to schedule. Director Bin Cai recommends that once the brackets fall out, you should contact your primary care physician immediately for prompt treatment. The doctor applies a certain strength and direction of force to the whole set of teeth through orthodontic devices such as brackets and wires, when the force on each tooth is more balanced. After the brackets fall out, the originally appropriate force may become an obstructive and destructive force, affecting the entire orthodontic treatment process. If the problem occurs, people in the field can not rush back, can be in the local regular oral health care institutions for emergency treatment, back to the spike immediately after the follow-up. Four: a few tips: 1, after each meal to clean the mouth in a timely manner 2, do not chew gum and other sticky food, chewing gum if attached to the brackets, difficult to clean. 3, avoid eating hard food (such as bones, nuts) or bite large pieces of food (such as the whole apple), because the brackets are subject to the force of the tangential direction, the easiest to fall off. A healthy, straight and beautiful mouth is the external reflection of personal cultivation, cultural taste and life attitude, which helps to shape a good image and enhance social confidence. Do you suffer from misaligned teeth? Are you still smiling because of it? Leave it all to the orthodontist! Age is not an issue when it comes to orthodontics, it’s never too late! In fact, you are only one brace away from the female (male) god!