Consequences of installing braces. What are the consequences of wearing braces hidden behind the Hollywood smile? What is put on teeth after braces?

Correcting a bite with braces is a long, expensive and tedious task. It is inevitably accompanied by pain and discomfort - physical and psychological.

But straight teeth and beautiful smile worth it. And in order to prevent the development of complications and make treatment more successful, you need to know about the difficulties and consequences that you will have to face.

Pain

The first thing that awaits patients after installing braces is pain. It occurs due to the fact that the structure puts pressure on the teeth, displacing them and forcing them to move into an unusual position.

The most intense pain occurs in the first 3 days after braces are installed. At first they are so strong that it is impossible to eat solid food, but gradually subside. And after 10–14 days they disappear completely.

Also painful sensations occur every time after replacing power arches or installing additional elements - for example, elastic rods. But they are not so pronounced.

Sometimes, after fixing the system, a headache begins. This is also considered a normal consequence - the pressure goes to the maxillofacial bones and affects the nerve endings.

Solution! Any anesthetic will cope well with the pain afterwards. In order not to strengthen discomfort the first couple of days it is advisable to eat semi-liquid food - yoghurts, jelly, baby food, puree. Sometimes cold or warmth helps: you can eat ice cream or drink hot tea.

Discomfort

The first couple of weeks the patient adapts to the foreign object in the mouth. During this period, the following inevitably arise:

  • mucosal injuries - protruding parts of the structure scratch the tongue and the inside of the lips;
  • impaired diction - lingual (internal) braces change speech especially dramatically: the patient learns to speak in a new way, even after getting used to it he will have a slight lisp;
  • dry mouth – lips and mucous membranes become very dry, the skin in the corners of the mouth may crack;
  • – goes away after adaptation.

Solution! To reduce injury use orthodontic wax– they “seal” the protruding parts of the device with it. If the cheek is cut by the end of the arc, it is cut off, bent, or a plastic tip is put on. To combat dryness, drink a lot of water and use lip balms.

Difficulties in care

Hygiene requirements when wearing braces increase significantly. You will have to brush your teeth after every meal and small snack. Moreover, the procedure will take at least 10 – 15 minutes.

The patient will have to wield a whole arsenal of cleaning products - super-floss, regular and orthodontic brushes, brushes, rinses and, if possible, an irrigator. This is tedious and requires additional financial expenses. But you can only fully brush your teeth at home, so you won’t be able to eat normally in public places.

Diet restrictions

During orthodontic treatment, you will have to give up some goodies. Hard, sticky, crumbly, viscous products are prohibited - they impede hygiene and can break the structure. To avoid damaging it, food must be cut into pieces - you cannot bite off or chew the food.

The diet is strictest in the first week. Because of the pain, the patient cannot eat anything harder than puree. Afterwards the restrictions are not so strict.

Solution! The diet during orthodontic treatment is similar to healthy eating. It can be perceived as a plus - restrictions will help you lose extra pounds and improve your health.

Attachment to the clinic

With the beginning of bite correction, the patient becomes dependent on the clinic and the attending physician. You will have to visit the dentist every month: to activate the system, replace the arch, ligatures, or professional cleaning.

Therefore, you will have to forget about long trips and transfers. It is not advisable to change the clinic - only the orthodontist who started the treatment has full control of the situation. And dentists really don’t like to redo or finish the work of others.

Development of complications

When wearing braces, the following are possible: complications:

  • demineralization of enamel - since it is very difficult to brush teeth with braces, whitish spots often appear on the crowns after the brackets are peeled off;
  • caries - develops against the background of demineralization, it is also provoked by poor hygiene;
  • – it decreases near the necks of the teeth, exposing their roots, appears in 4% of cases;
  • root resorption (resorption) - occurs due to excessive pressure when moving teeth;
  • inflammation of the gums - occurs due to insufficient hygiene or if braces are installed without eliminating periodontal disease.

Solution! To prevent possible complications, you must:

  • Before installation, carry out a thorough sanitation of the oral cavity - remove plaque and hard deposits, eliminate pockets of caries and inflammation;
  • follow all hygiene recommendations;
  • do professional cleaning every six months;
  • Conduct x-ray diagnostics once every 6 months - it will help identify diseases at an early stage.

Risk of tooth recurrence

The bite may become distorted again after braces are removed. When teeth move, the structure changes bone tissue jaws. But it cannot be fully formed in a couple of years.

When nothing holds the crowns back, they try to return to their original place. But it is no longer there - the structure of hard and soft tissues has changed. Therefore, the units can “spread” in unpredictable directions, and the bite will become even worse.

Solution! To prevent the bite from becoming distorted again, a wire arch is installed on the back of the teeth, which holds the units in the correct position. They wear the device for several years, sometimes for their entire life.


How successful the bite correction will be depends not only on the skill of the doctor, but also on the positive attitude of the patient. Straightening teeth is inevitably accompanied by difficulties. But they are all easy to overcome if you take the difficulties calmly and follow all the dentist’s recommendations.

As already noted, the procedure for correcting the bite and straightening the teeth using braces is quite lengthy.

The mechanism of their influence is as follows:

  1. Braces placed on teeth create constant pressure. The teeth are connected by a flexible ligament to the jaw. Even when you press on their base, they bend a little and are likened to a spring that has been compressed.
  2. Over time, everything is rebuilt: bone and soft fabrics, cartilage, blood vessels.
  3. As a result, they move in the required direction, their position changes, and teeth begin to straighten, which has a beneficial effect on your smile.

When the braces are removed, the pressure that was there until now disappears. After this, in many patients the reverse process begins, with the teeth becoming loose and tending to return to their original position, because there is no longer a restraining factor. Therefore, the occurrence of this relapse is quite understandable.

Note: You should not hope that such a problem as reverse curvature of teeth and the appearance of a gap between them after removing braces will not affect you. Immediately ask how it will be better to consolidate the result in your case.

How to prevent

To avoid such troubles, doctors usually offer a different design for the teeth after wearing braces - retainers.

When this problem already occurs, it is necessary to rush to the orthodontist to have them urgently installed.

It is very important to do this in time so that the procedure of wearing braces is not useless. Therefore, of course, it is better to avoid such a situation.

Retainers are devices that secure the results of wearing braces. They are recommended to be installed immediately after braces. But first you should get your teeth in order, since wearing braces for a long time can cause some harm to your teeth. If necessary, you need to cure caries, clean the enamel, and remove tartar.

Retainers have the following positive characteristics:

  • quickly and easily attach to teeth;
  • compact size;
  • fix and hold teeth, do not allow them to move apart;
  • not visible to others (located on the back of the teeth);
  • guaranteed effect of use, satisfactory result.

Expert advice: If there is a problem with the formation of a gap between the teeth after the braces were removed, then you must, without wasting time, make an appointment with your orthodontist.

The doctor will select a mouthguard for you if this happened recently and the changes are minor, or he will put on the braces again. Fortunately, you won't have to wear braces for long the second time. In most similar cases, this took 2-3 months, but when removed again, the patient will do everything to ensure that this situation does not happen again.

Types of retainers

Retainers look like wire. The orthodontist places it on the jaw rows from the inside.

The devices are most often attached to the fangs. They fix the position of the teeth and prevent them from moving.

The owner of retainers experiences virtually no discomfort from wearing them.

There are two types of structures:

  1. Removable retainers. There are both single-jaw ones and two rows of teeth. The second option is usually put on in the evening before bed and removed in the morning. The first is regardless of the time of day.
  2. Non-removable devices. The orthodontist attaches them with a special solution. Over the course of a week, you will have to get used to them, and then the person no longer feels them.

The specialist will advise which option to choose in your particular case. Will teach you how to properly care for retainers.

Rules for wearing and caring for retainers

In order for the result of teeth correction to be sustainable and for a gap not to form between them, you need to listen to the doctor’s advice regarding retainers and follow them.

The duration of wearing them to consolidate the effect of teeth correction can only be determined by the treating orthodontist. The length of time retainers are used is influenced by factors such as the patient’s age, genetics, and personal habits.

The downside of fixed retainers is the difficulty with high-quality teeth cleaning. Therefore, you should make an appointment with a hygienist and have it professionally cleaned. And at home, in addition to a brush and toothpaste, you need to get dental floss.

With removable retainers, doctors recommend taking them out when eating and bathing, and also cleaning them with a brush and toothpaste. After the orthodontist decides to remove the retainers, you can still use transparent aligners for some time (the fixation is softer) - this will teach the teeth to be in the required position.

Anyone who needs to correct crooked teeth or malocclusion with braces and retainers should ask their doctor about everything before starting treatment and follow the necessary steps.

Watch the video in which a specialist explains how to care for your teeth after braces using retainers:

Is there life after braces? At the very beginning of the journey (that is, orthodontic treatment), the answer to this question seems to be negative. But now the cherished hour is getting closer and closer, in which the shackles (that is, braces) will fall, and the world will see your equal dazzling smile. But will everything be so optimistic? Let's look at the typical fears that sometimes plague owners of braces.

Complications after braces

Complications after braces are possible and, like any complications, quite unpleasant. This may be recession (that is, drooping) of the gums, disruption of the integrity of the neurovascular bundle, resorption of the roots, etc.

We will try to reassure you: firstly, although these are sad, but infrequent situations - for example, gum recession is observed in only 4% of patients, and this is the most common complication. Secondly, many problems are associated with excess pressure on the teeth, that is, with an incorrectly calculated load on the braces. If you have chosen an experienced, professional doctor, then most likely you will not face such troubles. To be on the safe side, you can take a panoramic photo once every six months that will show all the current changes.

Harm from braces

Harm is too strong and broad a word: everyone can understand something different by it. Here are the most common reasons disorders in those who remove braces. First of all, this is a change in the color of tooth enamel. In most cases, hygienic cleaning of the tooth cavity and patience help: about a month after removing braces, the tone of the enamel evens out. You can also talk to your doctor about the suitability of whitening procedures.

It happens that girls complain about changes in the oval of their face. Not all orthodontists agree that it is braces that make the face thin and seem longer. Nevertheless, this opinion exists among patients. Whatever the reason for the changes, special face gymnastics will help. By the way, it will also be a good prevention of aging.

After braces, teeth become crooked

Curvature of teeth after braces can theoretically (!) happen to anyone, and here’s why. The even bite you have achieved, although it looks very natural, is actually not so. And after you remove the braces that hold your teeth in the correct position, they will immediately try to return to their original places. But these same “old places” are no longer there: the bone tissue has been rebuilt, the blood vessels, ligaments and soft tissues have moved... So there is nowhere for the teeth to return. Therefore, they can simply move anywhere - and the result will be even more disastrous than it was before the installation of the orthodontic system.

But in fact, such a sad option is practically excluded for most patients. It awaits you only if you do not listen to your doctor and refuse to install retainers - special devices that can permanently keep your teeth in the correct position.

Gaps between teeth after braces

This is also theoretically (!) possible. The reasons are the same as in the case of crooked teeth. After braces, they try to return to their usual place, but it turns out to be occupied. As a result, the teeth stand up as they please and, as one of the consequences, a gap forms between the teeth. Installing retainers will help to avoid such developments.

Braces give me headaches

Headache, just like, for example, muscle pain, can really become a companion to braces. Everything in the head is located quite close, and the impact on the structures in the maxillofacial area, namely the installation of even the most expensive braces system, can affect other organs. Pain is always an SOS signal from the body. And you shouldn’t tolerate it; be sure to consult your orthodontist. And also, see a neurologist: headaches can have many causes that have nothing to do with orthodontic treatment.

Expert opinion

“Orthodontic treatment of a bite to achieve a beautiful smile is a complex process: any patient can understand this by how carefully the brace system is installed, how often its elements have to be adjusted and how expensive it is. It is quite natural that some difficulties may arise, both directly during treatment and after removal of the orthodontic apparatus.

I can advise anyone who decides to have it installed, first of all, to be very careful in choosing their attending physician. Only the high professionalism of an orthodontist can provide you with excellent results - a correct bite and a beautiful smile. Your teeth should not become a field for experiments by an unqualified specialist - let me remind you that you pay a lot of money for his work and trust him with your health and appearance!

Also, be proactive and caring: if you have a question, ask your doctor, not your neighbor or a “more experienced” braces wearer. And if you have found “your” orthodontist, then carefully follow all his recommendations - this will protect you from many problems.

Also keep in mind that your communication with your doctor will not end after the bite is corrected: you will have a very long (about twice as long as you wore braces) period of retention - that is, maintaining the result. Orthodontic devices of this period are called retainers; they are easy to care for and almost invisible in the mouth. They are the ones who will help you avoid disappointments and complications after removing braces.”

Treatment with braces is very popular for correcting various dental abnormalities. It is known what braces are - a device in the form of locks attached to the teeth and connected to each other by a special power arc, with the help of which the teeth move in the desired direction.

However, details such as the consequences of treating malocclusion with braces often remain out of sight of the patient.

Consequences of braces– this is something you may never know if you carefully follow all the recommendations of your orthodontist. Perhaps the only noticeable consequence of braces for the patient will be straight teeth and a beautiful smile at the end of treatment.

But the question of what you will have to face when starting treatment with braces worries everyone.

Correcting a bite with braces takes long term(sometimes up to three or four years), so the patient undoubtedly needs psychological preparation. Psychological preparation should include the understanding that a beautiful smile requires patience and meticulous oral care during treatment.

It must be remembered that the consequences of braces for each organism are individual. But even in case of complications, there are always ways effective reduction its negative influence.

Types of consequences when wearing braces

Consequences of braces may be of the following nature:

  • Presence of a foreign object in the mouth

Of course, you will have to get used to this new sensation. However, this is a temporary effect that usually disappears within one to two weeks.

  • Pain in the periodontal area

This pain should not be alarmed as it is a sign that the teeth are moving into the correct position. Many patients may not experience this effect at all, but if pain occurs, you can take a pain reliever. Within one to two weeks, the pain usually disappears, but if this does not happen, you should consult a doctor to take appropriate measures.

  • Rubbing the mucous membrane

Irritation of the oral mucosa is associated with the complexity of the braces design, which is of sufficient size to initially produce some discomfort. Braces can rub the mucous membranes of the lips, cheeks, and the surface of the tongue. The problem of chafing can be eliminated by special wax, which is applied to the surface of the braces, preventing friction of the braces elements against the oral mucosa. Subsequently, the wax falls off from the braces on its own.

  • Impaired diction

Impaired pronunciation is a common consequence after having braces installed. The speech apparatus takes time to get used to new operating conditions. Lingual braces (attached to the inside of the tooth) have the greatest effect on speech because they are in close proximity to the speech organs. Vestibular (attached to the outside of the tooth) braces affect diction less. As a rule, all violations disappear on their own, depending on how quickly you get used to braces.

Frequent reading aloud and focusing on sounds that are difficult to pronounce help significantly speed up the restoration of normal diction.

  • Diet restrictions(Treatment with braces does not require major dietary adjustments, but it does require closer attention to your diet.)
  • It is necessary to limit the intake of solid foods that require significant biting force (nuts, carrots, etc.). Solid food must be cut into small pieces.
  • You should also minimize the consumption of viscous, sticky foods (sweets, toffee, some baked goods, etc.).
  • Do not drink drinks that are too hot or cold.
  • You should not abuse sweet foods.

Complex consequences of braces

Such consequences appear, as a rule, due to the individual characteristics of the body (for example, the state of immunity) or due to failure to comply with careful care.

Such consequences include:

  • Damage to tooth enamel
  • Demineralization of tooth enamel
  • Destruction of the upper part of the roots of the teeth
  • The development of diseases such as caries, periodontitis, periodontitis, catarrhal gingivitis.

Complications in oral hygiene

Installing braces requires more careful oral care. You need to brush your teeth a little more often than usual - not 2 times a day, but after every meal. But for those who are used to maintaining the health of their teeth, this will not be difficult.

To make caring for braces easier, there are various special products for caring for braces on the market - special Toothbrush, with bristles missing in the middle, special brush, superfloss.

The listed consequences of using braces can be avoided or their negative consequences can be mitigated if the doctor and the patient themselves carefully monitor the teeth and follow all the rules and recommendations of treatment.

During any medical intervention or course of treatment, errors and complications may occur. Medical textbooks and training courses in any medical specialization, along with the causes, pathogenesis and principles of treatment of each disease, teach possible errors and complications. Errors and complications in medicine are an objective reality that cannot be avoided or circumvented. Therefore, doctors, studying their profession, learn to avoid mistakes and get out of situations associated with possible complications. Orthodontics is no exception. During treatment with braces, errors and complications of orthodontic treatment await us. However, it is necessary to understand that the key to success is the ability to avoid treatment errors.

In my blog, I have already raised the topic of errors and complications that arise during treatment with braces. But this was scattered information about individual treatment problems. In this article we will systematize and list the most frequently observed errors.

To better understand the problem, it is worth classifying all possible errors and complications of braces treatment.

Classification of errors and complications
orthodontic treatment (treatment with braces)

Personalization of the culprit. It is worth classifying errors and complications of treatment with braces into those made:

  • due to the doctor's fault or;
  • due to the patient's fault.

According to the degree of importance, orthodontic errors can be:

  • strategic, then their consequences will affect the results of treatment globally, up to a complete fiasco of the entire orthodontic treatment;
  • tactical, then this may lengthen the treatment or worsen the quality of the result of treatment with braces.

Based on the time of the error or complications of orthodontic treatment, we can distinguish:

  • Mistakes made during planning of treatment with braces;
  • Mistakes made during treatment with braces;
  • Errors in the final stage of orthodontic treatment and transition to the retention period.

Errors in treatment with braces according to the area of ​​development of problems can be divided into:

  • Errors and complications affecting the quality of orthodontic treatment;
  • Errors and complications affecting the health of organs and tissues of the human body.

All divisions and classifications are partly conditional, since all issues in orthodontic treatment are intertwined and closely interrelated.

Planning of orthodontic treatment (treatment with braces). Planning errors

Errors in planning orthodontic treatment lead to the most negative consequences and can be accompanied by a large number of complications for the organs and tissues of the maxillofacial area.
What is the most important thing about braces treatment? When drawing up a treatment plan, the orthodontist first of all plans whether the teeth will be removed or not? If so, how many teeth need to be removed? Improper planning for tooth extraction or non-extraction can lead to improvement or deterioration in the aesthetics of the face and smile. I devoted a large article to this issue. The mistake of incorrectly planning braces treatment can be noticed already in the first 3-6 months of wearing the braces system, based on signs of facial deterioration. That is why the patient must actively participate in drawing up a treatment program and understand the differences between treatment with and without tooth extraction.

What other issues need to be planned? In addition to deciding whether to remove teeth, the doctor must strategically evaluate the ability to move teeth the required distances. Correct calculation of forces in the mechanics of orthodontic movements will lead to success. Incorrect calculation may result in unplanned (harmful) movements or
The orthodontic treatment plan is created by the doctor and the primary responsibility for planning lies with him. However, it is often the patient who is responsible for treatment planning. A fairly large category of patients does not want to delve into the essence of the problems. They prefer to find a doctor based on reviews on the Internet or choose braces based on the “I’ll take the most expensive” principle. And they begin to delve into the problems only after obvious problems appear or after treatment is unreasonably delayed.
My advice to patients: Understand your orthodontic problems before starting treatment. Consult several orthodontists before installing braces.

The braces treatment plan must take into account a combination of many parameters, not just the bite and face shape. Many parameters are in contradictory relationships.
For example, the following situation is possible:

  • Reducing the length of the dentition will worsen the shape of the face, but will improve the relationship between the teeth within the dentition and the roots of the teeth in the thickness of the alveolar process.
  • Elongation of the dentition creates tension and imbalance in the bone tissue of the jaws,
    but improves facial proportions. In pursuit of such facial improvements, you can get a complication in the form of recession of the gingival margin.

This is why there is no one unique braces treatment plan for all orthodontic patients. The treatment plan is individual program for each case of treatment with braces.

Complication of orthodontic treatment - recession of the gingival margin

During orthodontic treatment, gum recession and other periodontal complications may occur. Periodontium is a complex of tissues surrounding the tooth.

Why are such complications observed?

Most orthodontic patients are at an age when the formation of the dentofacial system has completed and the growth of the jaw bones has also completed. Therefore, treatment of crowded teeth without extraction leads to lengthening of the dentition.

The dentition increases, but the bone base remains unchanged. In this regard, partial or, in complex cases, complete exit of teeth beyond the bone tissue is observed. This is a serious complication of orthodontic treatment. Such complications of braces treatment are accompanied by negative symptoms: gum recession and pathological tooth mobility.


Gum recession manifests itself in the form of exposed tooth roots. The contour of the gingival margin changes its position, increasing the apparent height of the tooth.
I examined this type of complication of treatment with braces using a clinical example in the article

Error "incorrect bonding (positioning) of the bracket."
Complication – delay in orthodontic treatment

The teeth will move into the correct position only if the braces are fixed in the correct positions. Incorrect positioning of braces is a common mistake made by orthodontists. This error in orthodontic treatment is tactical and if corrected in time, it will not affect the results of treatment. In the event of such an error, the teeth may move in the desired direction for some time, but at a certain point the progress in treatment will disappear. Stopping the correction of uneven teeth is an exact symptom of the error of “incorrect positioning (gluing) of the bracket.”

Complication of orthodontic treatment. Peeling off braces

If an error in the positioning of braces is a purely medical error, then the unsticking of braces is a common problem for the patient and the doctor.

  • If the bracket comes off adhesively, then the doctor is most likely to blame.
  • If traces of composite material are preserved on the tooth, then this is

Unsticking of braces is one of the common complications, leading to an extension of the treatment period and a deterioration in its quality.
Unfortunately, many patients treat orthodontic treatment irresponsibly, violating their diet and behavior. For them, getting their braces off is a natural state of treatment. If the braces often come off, the orthodontist stops treating and starts patching the “holes.” Therefore, the frequently recurring situation of braces coming off becomes a serious complication of orthodontic treatment. It is difficult to expect a good result in a patient who is undisciplined in treatment.

Complications of treatment with braces. Enamel demineralization and tooth decay

Demineralization of enamel is the most striking complication of treatment with braces. Stains on the outer surface of teeth cause a sharply negative reaction from patients. Such complications are observed in teenagers and their mothers are very worried about the health of their children.

However, the blame for complications in the form of enamel demineralization lies entirely with the patients themselves. It is poor daily brushing that causes teeth to deteriorate. The areas of the tooth around the bracket are subject to demineralization. The most vulnerable areas of enamel are the areas near the gums. And these are precisely the areas where food is most poorly cleaned.

Good daily care taking care of your teeth is the only way to protect your teeth from complications of enamel demineralization and tooth decay.
There is no varnish, coating or spray that can replace daily brushing of your teeth.

Which patient has the most high risk formation of chalky spots? Those who have a combination of low enamel resistance and poor hygiene.

In the photo we see a small spot. But there are patients who do not brush their teeth at all. In such patients, the affected areas (chalky spots of enamel demineralization) are huge. This serious topic was raised in the section
Question: "Why do teenagers with poor hygiene in the oral cavity, don’t teeth deteriorate as intensely as with braces?”

Because without braces, when eating hard food, the surface of the teeth self-cleanses. Braces prevent food from sliding along the tooth and, on the contrary, retain food debris. The constant presence of plaque on the surface of the enamel leads to the constant existence of acid-forming bacteria on the teeth. Acid, as a product of microbial activity, dissolves the crystal lattice of enamel. We call these lesions “enamel demineralization” lesions.

How to deal with complications of enamel demineralization?
First of all, you should refrain from installing braces in cases where patients are not conscious and disciplined.
If braces are installed and the problem arose during treatment, which is often observed in adolescents during psychologically difficult periods, then it is worth finishing the treatment, neglecting the details and trifles.

Complications of treatment with braces. Gum inflammation

Complication of orthodontic treatment. Relapse of orthodontic treatment

Relapse of orthodontic treatment is the most annoying complication. The patient spent money, effort, time and all in vain. Why are relapses observed in orthodontics? For the results of treatment with braces to be sustainable, many conditions must be met. Unfortunately, patients believe that the main thing is the retainer, but this is not so:

  1. The most important thing is to eliminate the causative factor. If the teeth became uneven once, even in childhood, then there was a reason for this position of the teeth. The cause will make the teeth uneven many more times if the cause is not dealt with;
  2. It's not just about getting straight teeth. It is necessary to obtain straight teeth in the upper and lower jaws and to follow all the rules for the correct relationship of the upper and lower dentition in the position of occlusion and during articulation. This is called stable teeth position;
  3. It is necessary to follow all the rules of orthodontic tooth movement. Accelerated tooth movement does not have a positive effect on the stability of the result;
  4. Retainers need to be made. In many cases, the retainer must remain on the teeth for life.
How treatment relapse occurs and how to correct this complication of treatment can be seen in the article

A complication of treatment with braces is the failure of the retainer. Errors in the manufacture of retainers.

A bad retainer can cause orthodontic treatment relapse.

Unstable tooth position can cause retainer failure.

Both are complications of treatment with braces. But how can we determine what came first and why the teeth became uneven again?

Impossible to determine! During treatment with braces, for successful treatment, all four conditions described in the previous paragraph must be met. Then the treatment result will be stable and the retainer will not break. Among the most common mistakes observed in the manufacture of retainers:

  1. Contamination;
  2. Low professionalism of orthodontists in matters of dental filling;
  3. Unsatisfactory orthodontic treatment;
  4. Using a retainer contrary to its indications.

I will dwell in detail on the fact that patients adore permanent retainers. But the lion's share of non-removable retainers placed on the inner surface of the upper teeth come under the load of contact with the lower teeth. A permanent retainer can hold teeth in their new position. But it is not able to withstand the loads of occlusion. This is the reason for the complications of orthodontic treatment - failure of the retainer.


Complications of orthodontic treatment due to poor preparation for orthodontic treatment

Preparing to install a braces system is the first very important step on the path to straight teeth. Ignoring principles proper preparation to orthodontic treatment - can lead to the most serious complications.

May disrupt the balance of forces during treatment, complicating tooth movement. This means it can lead to failure to complete the orthodontic treatment program.

Poor treatment of carious lesions can lead to tooth decay and braces coming off. This can, at a minimum, lead to an extension of the duration of treatment with braces. At most, it can lead to tooth loss.

Poor periodontal treatment will lead to deterioration of the periodontal condition of the teeth. A complication will be the loss of stability of the teeth and their functional significance.

Prior to orthodontic treatment, necessary tooth movement and root resorption of healthy teeth may be blocked.