Plates for teeth straightening

At the K+31 clinic, professional orthodontists perform bite correction using plates. Depending on the degree of complexity of the defect, they will select the optimal device for a patient of any age.
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This is the name of an orthodontic device, which consists of an elastic plastic base and a metal bracket attached to it. The plate is installed on the entire jaw and attached to the lateral molars so that the metal arch remains on the outside of the teeth.

The appearance and design of the product differs depending on the installation location. The dental plates for the upper jaw cover most of the roof of the mouth. If the device is intended for the lower row, the plastic base will be smaller in volume, with a cutout for the sublingual area.

Unlike braces, plates are removable orthodontic devices; they do not require fixation for each tooth. Thanks to this property, a softer pressure is created. If there is a small malocclusion or the curvature of several teeth, the plate provides a good therapeutic effect without discomfort when worn. But the duration of treatment will be longer.

A plate for straightening teeth is the best option for children in terms of effectiveness, cost and duration of wear. For adults, the design is installed according to indications, if other methods are not suitable.

Plates for teeth
General information

Why do you need a dental plate?

The main purpose of the device is to align the teeth in relation to each other. As a result of tension, the bracket presses on the row and displaces each dental unit into an even arch. The design also helps to expand the upper jaw, give it the correct anatomical shape, and correct the bite. The dentofacial apparatus grows gradually; in some cases, a bracket restrains its accelerated growth.

A plate for straightening teeth is most effective for children, as it makes it possible to correct the position of dental units even at the stage of formation. This is the main method of orthodontic treatment for primary and mixed dentition, when braces are contraindicated.

For adults, dental plates are used in the retention period, i.e. at the adaptation stage after removing hard braces. In this case, the device prevents repeated curvature of the teeth and helps them get used to the new position. This regimen significantly increases the effectiveness of treatment and reduces the likelihood of relapse by 90%.

Orthodontic plates must be worn regularly for the period specified by the doctor. In some cases continuous use is required, and in others only during sleep. The orthodontist selects the type of product and method of wearing individually, based on the complexity of the problem of a particular patient.

Indications for teeth straightening with plates

Main defects that can be corrected with staples:

  • Twisting or misalignment of adjacent front teeth (incisors and premolars)
  • Wide interdental spaces (trema and diastema)
  • Improper position of one tooth (out-of-row growth or twisting)
  • Pathological growth of the jaws - narrow dental arch
  • Respiratory dysfunction associated with malocclusion
  • Anomaly of the jaw bones in a mild form

If a child’s baby teeth do not grow evenly or the dentition is irregularly shaped, the doctor recommends installing a plate. Treatment can begin at 3 years of age, when the lateral molars have already erupted and formed. After correcting the primary bite, the molars will grow in the right direction. This will save you from complicated braces treatment in the future. The design also prevents displacement or curvature of the dentition during a change in bite, when the baby tooth has fallen out and the molar has not yet grown.

Main signs of the need for orthodontic treatment:

  • Incomplete closure of the dentition
  • Protrusion of one jaw over the other
  • Twisting of individual teeth

If you notice such problems in a child, consult an orthodontist.

Attention! The dentofacial apparatus in children is easier to correct than in adults. The bite is formed before about 15 years of age, so it is recommended to correct the defect as early as possible.

Contraindications

Dental plates are not suitable for correcting complex malocclusion pathologies or jaw bone anomalies in adults with advanced tooth curvature. In such cases, a more intense load is required, which a removable device cannot provide.

Dental plates are not installed in patients with mental disabilities or if they are allergic to the material (plastic composition). Some children refuse to wear the plates regularly and therefore cannot get used to them. In this case, the doctor selects an alternative treatment.

How does a children's plate work on teeth

Each orthodontic structure is made individually for a specific patient, taking into account the degree of displacement or twisting of each unit. The metal arch is formed according to the impression of the jaw - the parameters and tension force are set. After installing the device on the dentition, the bracket is gradually aligned, exerting gentle pressure on the teeth, shifting them to a given line. The principle of operation is similar to braces, but somewhat weaker.

Baby teeth have a weak root system; strong tension can damage it, leading to displacement and injury. These factors are prevented in children's devices.

Care of plates

Most devices can be removed for meals. Care is carried out in parallel with teeth cleaning. The device should be rinsed with warm (not hot) water and cleaned with a soft-bristled toothbrush. Also, the product should be disinfected in a special solution at least 2 times a week.

After brushing the teeth, the plate is again placed in the oral cavity, in its usual position. It should only be put on with clean hands. The device should be stored (during meals) in a specially designed container and not placed on a table or other pieces of furniture.

Important! The therapeutic effect of treatment will be achieved only if the plate is worn continuously - at least 22 hours a day. If you do not wear the device for a while, your teeth will begin to change position, so discomfort may occur when you use it again.

By following the rules of wearing plates and all the doctor’s recommendations, teeth straightening treatment will be effective, without pain and inconvenience. Make an appointment with an orthodontist at our clinic and get detailed advice for yourself or your child.

plates, doctor shows

Types of removable plates for teeth

There are the following types of records:

  • Single jaw - used for the upper or lower jaw
  • Double-jawed - for both dentitions at once
  • With a retraction arc - a special spring wire that aligns the front incisors along a clearly defined line
  • With a pusher - suitable for correcting the shape of the upper jaw
  • With a hand-shaped process - a bend of the arch with a grip at the base of the crown, used to move a tooth out of row
  • The Brückle system is a plate for the lower jaw that aligns the dentition and corrects the mesial bite
  • Frenkel apparatus - a plate for jaw alignment, consists of soft plastic supports on the gums, connected by a metal frame on the palate, attached to the upper teeth
  • The Andresen-Goipl activator is a monoblock design, inserted into the jaw and covering both rows at once, necessary for correcting malocclusion in children

The selection of a plate for teeth straightening is made by an orthodontist after diagnostics. In advanced cases, severe curvature of teeth or pathologies of permanent occlusion, the doctor recommends braces.

There are also non-removable plates, consisting of a plastic base, fasteners on the teeth and a screw connection between them. This type is prescribed in rare cases due to increased discomfort and impact on diction. The fixed device should be carefully looked after, and special brushes and irrigators should be used after meals.

Installation of dental plates

At the initial consultation, the orthodontist examines the patient’s oral cavity and, if indicated, prescribes orthodontic treatment. Basic algorithm:

1
Diagnostics. The condition of teeth and periodontal tissues is examined. X-ray diagnostics are performed. In the picture, the doctor evaluates the size and relationship of the jaws, the location of the tooth roots, and the presence of caries.
2
Предварительное лечение. Перед установкой аппарата необходимо провести санацию полости рта — вылечить кариес и другие стоматологические заболевания, устранить источник инфекции. Может понадобиться профессиональная чистка зубов ультразвуком
3
Снятие слепка. В ротовую полость пациента вставляется ортодонтическая ложка с мягким составом. При смыкании челюстей остается оттиск зубов, по которому специалист зуботехнической лаборатории делает слепок челюстей
4
Making a record. The design is performed using special equipment according to the parameters of the patient’s jaw cast. Next, the plastic base is adjusted according to the relief of the palate or along the alveolar process, which ensures wearing comfort and a therapeutic effect
5
Installation. The doctor fixes the finished plate on the patient’s jaw. If necessary, adjust it and tighten the springs. If the design is suitable, the doctor gives instructions for wearing and sets the time for the next visit.

Important! Installation of a dental plate is painless, adaptation occurs within a week. During this time, discomfort and mild pain are normal and will subside over time. If the condition worsens, you should consult a doctor.

After fixing the plate, you must visit an orthodontist every 6 months for diagnosis and correction of the structure. As the dentition is corrected, the doctor increases the pressure, tightens the springs, and also monitors the condition of the patient’s tooth enamel.

The plate must be worn for at least 6 months. The doctor sets the optimal period, depending on the complexity of the problem, the maximum is 2 years. For adults, the duration of wearing the plate during the retention period is twice as long as when installing braces.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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