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Cases where“should”braces (with medical indication) include:
These are deviations in tooth position/bite. Braces are the ideal method to realign and create a physiological bite. If you ignore braces, cleaning will be more difficult, prone to gingivitis/periodontitis and chewing dysfunction.
Cases that need braces to improve misalignment
Cases that"shouldn't"braces (no indication) are people whose teeth are even, standard bite, just don't like the shape (short teeth, not beautiful shape). According to Dr. Thai Khac Vinh, braces are not the ideal solution for these cases. Braces were created to correct positional errors, not to replace the entire aesthetic treatment of tooth tissue. At that time, you should consider cosmetic gingivectomy or cosmetic porcelain restoration to improve the shape of your teeth.
Many people think that braces are just for "aligning teeth". However, a successful braces case must achieve two goals: aesthetics and function. Just achieving one of the two is not enough.
In terms of aesthetics, the doctor needs to ensure improvement of the customer's teeth - smile and lower face criteria. Not only a straight row of teeth, the doctor focuses on morphology, tooth exposure, harmonious smile lines and balanced facial proportions. Personalizing aesthetics for each face is the core goal, avoiding "one mold for everyone".
In terms of function, doctors need to ensure that customers have a physiological bite, chewing effectively and sustainably. After braces, the relationship between the two jaws must be standard to properly distribute chewing force, reduce tooth wear and protect the temporomandibular joint. It is this functional foundation that helps create beautiful, durable and safe results over time.
Unlike ceramic crowns (needing tooth grinding) or surgery (bone intervention, placing materials), braces respect natural hard tissue - soft tissue. When done correctly and sufficiently, the results of braces will be sustainable without having to sacrifice oral health. Here are some great advantages that braces bring:
- Braces restore your smile and demeanor, making you more open and active in study and work.
- When the bite is correct, the two "gears" (two jaws) operate smoothly; The chewing muscle system reduces effort but chewing efficiency is better. This reduces the risk of muscle/joint pain and protects tooth enamel.
- Straight teeth make brushing and flossing easier and cleaner. In the long term, the risk of periodontal inflammation is significantly reduced.
The concept that "braces damage teeth" is only true when done wrong and causes complications. With proper diagnosis - traction - monitoring, braces do not reduce but also increase the durability of the teeth over time.
If not treated properly by highly qualified doctors, customers may encounter some of the following problems:
- Unsatisfactory results (no relief of underbite/overbite/crookedness), failure to achieve aesthetic and functional goals. The cause is often due to a lack of basis in the treatment plan, dependence on emotional "experience", and no supporting technology.
Serious bone loss complications with braces
- Root shrinkage (tooth root shortening) due to using too strong/intermittent force, poor quality appliances, or sensitive but uncontrolled acuity. Normally, the allowable level of tooth root resorption is no more than 30% of the original tooth root length. If you spend more than this limit, your teeth will be weak and at risk of falling out prematurely.
- Apical extrusion – tooth “pops” off the alveolar bone due to incorrect rotation/torque. This is a serious complication, has very bad aesthetics and often requires extraction. The typical cause is applying force in the wrong direction, this is entirely due to the doctor's error.
Alveolar bone loss - receding gums, exposed roots, exposed black triangle, loose teeth. As a result, chewing function and aesthetics are both serious, and the recovery process is complicated and expensive.
These complications all more or less directly affect the longevity of teeth, and in some cases, severe complications even cause permanent tooth loss, causing the patient to spend more time and money on treatment.
To create a successful braces case, there needs to be a combination of 4 "pillars", or in other words, 4 elements:
1. Doctors must have formal post-graduate orthodontic training and have real experience based on the number of cases completed, not just “years in practice”.
2. Technology helps predict results, screen for complications, and personalize the force and path of tooth movement. When integrating AI and big data, treatment recommendations are more objective, reducing emotional dependence.
X-Matrix braces solution allows previewing tooth movement results
3. Not only braces but also wires, minivis, springs, elastic chains... must all be of good quality. New synchronous master ensures safe and stable tooth movement.
4. Patients should have follow-up appointments on time, maintain good hygiene, and follow instructions. If there is a lack of coordination from the patient, the braces process can fail even with good doctors and technology.
At Lac Viet Intech Dental Clinic, all three factors of good doctors, modern treatment technology and use of high quality orthodontic materials are clearly committed in writing. In particular, 100% of customers will experience the most modern braces solutions to achieve optimal results.
In addition to information related to expertise, Dr. Thai Khac Vinh also shares some experiences in choosing a reputable dentist to ensure a safe and effective braces process:
Go to 2–3 centers to compare plans, avoid hasty choices.
Verify the doctor has an orthodontic certificate, evaluate according to the number of completed cases. all.
Ask clearly about the technology to predict results and control complications.
Ask for transparency about all the appliances that will be used, not just the braces.
Clarify costs, commitments, and responsibilities when there are risks.
Set reasonable expectations about experience: many cases completed is more important than years in practice.
Here are some criteria that customers should ask their dentists and doctors to clarify before deciding to treat at any facility. come on.
During the stages of tooth movement, teeth may be slightly loose, causing customers pain or difficulty in daily activities. Those are very normal signs. However, customers should be wary of the following unusual symptoms:
Gradually falling front teeth, increased gum recession, biting back without seeing the lower teeth → risk of tipping the tip.
Excessive loose teeth or prolonged pain → need to take an evaluation film.
Severe sharp pain when eating hot food → possible tooth decay, pulpitis or too much force.
These symptoms can be a sign of some serious complications, affecting the longevity of the tooth or causing permanent tooth loss. If we detect these abnormal conditions, we should immediately notify the treating doctor to determine the cause and the earliest treatment, preventing unnecessary consequences.
Gum receding, exposed tooth roots, and abnormally loose teeth are signs to pay attention to when getting braces.
Should braces be recommended or not? We cannot give a general answer for everyone. This is a medical decision that needs to be based on each patient's oral condition, overall health and aesthetic wishes. From an expert perspective, if you have indications, braces will bring long-term benefits in both aesthetics and health. Choose a reputable dentist and experienced orthodontist to ensure the braces process is safe, effective and achieves the desired results.
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