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Crooked teeth
Every body aspires to have a winning smile with straight teeth. A smile with crooked teeth will certainly marred a person smile .
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Options for fixing crooked teeth
1) Traditional metal braces
2) Ceramic braces
3) Aligner treatment – Invisalign
4) 6 months smile
5) Porcelain veneers
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Traditional braces
Improvement in bonding and materials
Have resulted in smaller metal brackets and wires. With smaller brackets, cleaning is easier and the brackets are more comfortable and less visible. The newer Damon braces also moves teeth faster and are more comfortable
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Ceramic braces
These are made of composite materials. They are not so visible unlike metal braces. Adults like to chose ceramic braces because they “blend in“ with the teeth and are less noticeable than metal braces. These are the type of braces Tom Cruise had. However they are more costly and treatment time is a bit longer than metal braces.
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Aligner treatment –Invisalign
Custom made removable aligners are used are used to provide pressure on the teeth to move into proper position. These aligners are change every 3 weeks. The main advantage of invisalign is that it is almost invisible . They can also be removed for eating and brushing teeth . However Invisalign is more expensive than traditional braces but the cosmetic advantage may be worth the extra cost .
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6 months smile
This method uses clear brackets and tooth coloured wires to move only teeth that are visible when smiling. No attempt is made to make any changes to the bite. Treatment is typically 6 months. This method is popular among busy adults for a quick and simple cosmetic improvement.
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Porcelain Veneers.
Porcelain veneers can provide “instant orthodontics"
for closing gaps between teeth.
Porcelain veneers are
essentially porcelain laminates. These are wafer-thin shells
of porcelain bonded to the front of teeth. They
are also very conservative compared to conventional
crowns which require a lot more teeth preparation.
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| Indications for porcelain veneers and crowns for correcting crooked teeth |
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Long sharp canines and
Small peg-shape lateral incisors.
The long canine and small lateral incisor makes the teeth look crooked. By veneering the canine shorter and the lateral incisor bigger, the crookedness can be solve.
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Mild crowding of incisors with a good bite. Realignment of teeth with porcelain veneers is possible with minimal teeth preparations
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Crooked teeth can be due to instanding teeth.
By laminating the instanding tooth with a porcelain veneer the crookedness will be less apparent .
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Teeth with overly long or slanted incisor edges can also gives an appearance of crooked smile . Porcelain veneers can be used to shorten teeth and straighten incisal edges.
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Mildly rotated teeth that can be realign with porcelain veneers or crowns
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Porcelain Veneers
Some patients do no have the time required to do braces which usually takes 12-24 months. For fast and good results porcelain veneers can be use to realign teeth and whiten them as well.
The advantage of porcelain veneers is that it can give a patient a set of white teeth with perfect uniform shapes to give a patient a perfect Hollywood Smile . Smile makeover with veneers can be done in two visits and provide good aesthetic results faster than braces.
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| Contraindications for straightening teeth with crowns and porcelain veneers |
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Crooked teeth with cross bite. The unfavourable bite will lead to chipping and fracturing of crowns and veneers during function.
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Severe crowding with a bad bite.
Crowning or veneering of this case will result in teeth with unaesthetic proportion. Oral hygiene procedures will also be compromise. Conventional braces will be the treatment of choice for such cases.
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