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中文(简体)Orthodontics is a treatment that improves the alignment of teeth and bite using braces. It is used to address issues such as protruding teeth, dental crowding, and malocclusion, and the treatment duration typically ranges from about 12 to 36 months. Afterward, a retention phase may be necessary depending on the individual's condition.
I think my child's front teeth are protruding and spaced apart, so we might need orthodontics. Is there a consultation fee?
Hello, this is Ceramic Dental Clinic. The period around the entrance to middle school is an excellent time to begin orthodontic treatment, as the speed of tooth movement is rapid and jaw growth is on
I am curious if it is possible with clear aligners~
Yes, it is possible. If you apply for a consultation through CashDoc, the hospital will assist you promptly. Please apply at the bottom of the hospital event details page.
My front teeth are quite spaced apart, and one is missing. If I get one replaced, what should I do about the ones that are spaced?
Hello, this is Sky Dental. The progress varies from case to case, so we recommend receiving a diagnosis for an accurate understanding.
Due to a traffic accident, my teeth have become misaligned, and the insurance company has provided a payment guarantee for orthodontic treatment. Is this possible?
Hello.. I understand that you may have been very stressed both physically and mentally due to the car accident. If you provide the accident case number and the phone number of the insurance representa
✨Hello! This is Dr. Oh Su-hwan, Chief Director of SmileD Dental Clinic, where your dental health always comes first. 👋 Have you been secretly worried every time you look in the mirror because of your crooked teeth? 😢 Even if you decide on orthodontic treatment, you will find yourself at another crossroads when you actually try to start. This is the dilemma between traditional 'wire braces (bracket braces)' and 'clear braces (Invisalign)' that use transparent plastic! Today, I will summarize the key points in a very easy-to-understand way, covering everything from the distinct differences between the two treatments to how to make the wise choice that fits your situation perfectly. ✨ 1️⃣ How are teeth moved in orthodontics? The core principle of orthodontic treatment is to apply a constant force to the teeth 'continuously'. 📌 The secret to moving teeth, 'orthodontic appliances' A special structure is required to transmit precise force to the teeth in the desired direction, and this is precisely what we know as 'orthodontic appliances.' These appliances are broadly divided into two types. 🔸 Fixed method: This is a treatment method that involves firmly attaching a device to the surface of the tooth. 🔸 Attachable (Detachable) type: It is a method that uses a device that the patient can insert and remove themselves. 💁♀️ You were fascinated by how teeth move when you get braces, weren't you? Just like moving heavy furniture to a desired location by steadily pushing it little by little, The principle is that the device provides very precise and continuous stimulation to the tooth roots! 2️⃣ What are the differences between wire braces and clear braces? ✨ There are distinct differences in maintenance methods and how to wear the device depending on its features. 🦷 1. Wire braces (bracket braces) It is a traditional method of attaching devices called brackets to the teeth and securing them by connecting them with wires. ✔️ characteristic: The treatment is 'compulsory' because the patient cannot remove the device voluntarily. Since the device operates forcibly, it is advantageous for moving according to plan. ⚠️ caution: Maintaining oral hygiene, such as brushing your teeth after meals, may be somewhat inconvenient. Additionally, due to the device's structure, it may irritate the soft tissues in the mouth, causing discomfort or pain in the initial stages. 💎 2. Clear braces (Invisalign) It is a method of moving teeth by replacing thin, transparent special plastic trays made to fit each individual. ✔️ characteristic: The device is aesthetically excellent as it is barely visible 🤫. Above all, it has the huge advantage of being overwhelmingly convenient for hygiene management because you can temporarily remove the device while eating. ✨ Latest Trends: Recently, medical technology has advanced dramatically, making it possible to sophisticatedly solve even much more diverse and complex cases compared to the past. ❓ Frequently Asked Questions (FAQ) Q1. Aren't clear braces less effective than wire braces? A1. Those who remember the early models might think that way. However, recently, materials and technologies, such as attachments attached to teeth, have advanced dramatically. In fact, in cases such as 'deep bite' where the upper teeth excessively overlap the lower teeth, clear aligners often lead to easier and more precise improvement. Ultimately, rather than the type of appliance The expertise of the attending specialist determines the outcome. do. Q2. Is there a significant cost difference between the two devices? A2. Due to the nature of the process requiring precise custom manufacturing, Invisalign (clear braces) is often priced higher than standard brackets (wire braces). However, even among wire braces, the device is attached hidden inside the teeth. Lingual correction If you choose ', the cost may actually be higher than clear braces. Therefore, rather than making a decision based solely on price, it is advisable to compare the pros and cons of each device with your lifestyle patterns. Q3. Who would you strongly recommend clear braces to? A3. For clear aligners, 'patient cooperation' is the absolute criterion that determines the success or failure of the treatment. Every day except when eating 'Self-directed' individuals who can strictly adhere to wearing times of 20 to 22 hours or more on their own I highly recommend it to you 👍. On the other hand, for those who are usually clumsy or find it troublesome and difficult to manage braces unless someone forcibly takes care of them, wire braces, which involve a mandatory nature, may actually be much safer and more advantageous. 🎯 Conclusion: Careful selection and consultation with a specialist come first. Straightening your teeth does not simply mean an external improvement that makes you look prettier. It is a very valuable health investment that reduces blind spots inside the oral cavity, makes oral hygiene easy to manage, and protects gum health for a long time. 💡 One more hidden advantage! During orthodontic treatment, you naturally avoid hard or chewy foods. As this process, the masticatory muscles (masseter muscles) gently contract, allowing you to expect the added benefit of a slimmer and improved facial contour. ⚠️ Above all, the most important thing is an accurate diagnosis that matches my actual oral condition and skeletal structure. Don't worry alone just by looking at online reviews; you must Ministry of Health and Welfare certified orthodontist After finding one and having a thorough consultation, the most suitable for me Customized orthodontic treatment plan Please try setting it up. Smile D Dental Clinic Chief Director Oh Su-hwan Graduated from Yonsei University College of Dentistry Major in Orthodontics, Yonsei University Graduate School of Dentistry Ministry of Health and Welfare certified orthodontist Regular member of the Korean Association of Orthodontists Completed internship and residency in Orthodontics at Ewha Womans University Mokdong Hospital International member of the American Association of Orthodontists (AAO) International member of the World Federation of Correctional Organizations (WFO) Regular member of the Korean Association of Orthodontists Certified by the Korean Association of Orthodontists View more expert columns by Dr. Oh Su-hwan, Director of Smile D Dental Clinic 🔗 [Expert Column] Clear Aligners: Wire-Free Orthodontic Treatment—Can It Really Be Unnoticeable? 🔗 [Expert Column] No-Prep Dental Laminates: Is It Really 'No Prep'? A Summary of Key Points You Must Know 🔗 [Expert Column] How to Restore Gum Health - Confusing Brushing and Mouthwash Usage. Here's How to Do It 🔗 [Expert Column] Laminate Procedures: It Effectively Suits Only the Right People! (feat. No-Removal & Minimal-Removal Laminates)
Hello, I am the Chief Director of Seoul Centum Dental Clinic. Lee Hyun-seop It is! 👋 "Director, isn't it too late for me to get braces right now? 😢" Interestingly, not only patients in their 20s and 30s but even those in their 50s ask this question exactly the same way. Conversely, parents with young children often worry, asking, "My child is still in elementary school, should they get orthodontic counseling already? 🤔" To start with the conclusion, There is no absolute deadline for orthodontic treatment age! 🙅♂️ It is just that the purpose of starting orthodontic treatment and the direction of treatment differ depending on the age group. Today, based on the most frequently asked questions in actual medical and consultation rooms, Stories of Orthodontics by Age Group I will explain it to you easily and in detail. 👇 1️⃣ Parents of elementary school children! Do you need to get an orthodontic consultation already? 👦👧 🦷 Even if your baby teeth are still falling out Be sure to check the status of jaw growth around the age of 6 to 8. Give it a try! Many parents are often surprised, saying, "You're saying you're getting braces already when your child's permanent teeth haven't even all come in yet? 😮". However, visiting the dentist at this time is not to get braces attached immediately. This is to determine whether your child currently requires correction and when the optimal time for treatment is. ✨ 📌 Growth management can be particularly important if the following symptoms are observed: 🔸 When a tendency toward an underbite or receding chin is observed 🔸 When the mouth is severely protruding or there is an open bite where the upper and lower teeth do not meet 🔸 When there is an underbite where the lower teeth overlap the upper teeth 💡 A word of advice from the director! We strongly recommend visiting a dentist around the age of 6 to 8 to check the alignment of your teeth and the growth status of your jaw in advance. 2️⃣ Is the teenage growth period the most ideal time for orthodontic treatment? 🦷 🦷 Can control jawbone growth and The most efficient time due to rapid tooth movement no see! If I had to choose just one age for orthodontic treatment, most orthodontists would recommend the growth period. teenagers It talks about. 🧒👧 Since jawbone growth is still ongoing during this period, it is not only about simply aligning the teeth evenly Correctly controlling even the direction of jaw growth There is a huge advantage in being able to do it. Furthermore, the speed of tooth movement is relatively faster compared to adults. In fact, if orthodontic treatment is started during middle or high school, the range of treatment available is much wider than for adults. ⚠️ Parents occasionally ask, "Should I postpone braces due to academic stress or studying? 📝". If possible, do not delay it too much... It is good to receive benefits during the growth period. I tend to say that. 3️⃣ What is the most common reason patients in their 20s visit the dental orthodontics consultation room? 👱♀️👱♂️ 🦷 Interest in appearance is increasing, and people decide on treatment themselves. This is because it is the time for economic independence! The age group that most actively seeks orthodontic consultations at actual dental clinics is by far the 20s It is. 🎓 This is because many people decide on their own after becoming financially independent as they start their careers or college lives. It is also a time when interest in one's appearance increases significantly, especially when facing important events such as job hunting or marriage. ✔️ As a result, the device is not easily visible to others Ceramic braces, clear braces , or quickly proceed only with the necessary parts Partial correction Consultations primarily focus on aesthetics. 4️⃣ I'm in my 30s, can I start? It's never too late! 💼 🦷 If your teeth are gradually becoming misaligned or you feel tooth wear Now is the time to start orthodontic treatment. There is a regret that patients in their 30s most frequently express in the consultation room. It is the sentiment, "Ah... I should have just done it when I was in my 20s ㅠㅠ." 🥲 Many people visit our clinic after personally experiencing their teeth becoming increasingly misaligned as they age, having kept putting it off due to busy work lives. People in their 30s usually visit with these kinds of concerns: 🔸 When the front teeth start to spread apart little by little 🔸 When food keeps getting stuck due to extra teeth 🔸 When tooth wear occurs or the chewing sensation is abnormal 💡 A word of advice from the director! There is absolutely no need to worry that the corrective effect will be diminished just because you are in your 30s! On the contrary, since you clearly recognize the necessity of the treatment and are diligently following the doctor's instructions, Age group with excellent treatment cooperation That's what they say. 👍 5️⃣ Did you know that orthodontic treatment in people in their 40s is much more common than you might think? 🏢 🦷 Not only changes in appearance 'Functional purpose' to protect dental health This gets bigger. From their 40s onwards, the reasons for deciding to get braces differ slightly from previous generations. Of course, becoming prettier is good, but, I want to use my teeth for a long time The functional reasons become much more significant. 🩺 ⚠️ As you age, your gums may gradually recede or your teeth may spread apart, causing discomfort when chewing food, and you may even experience symptoms such as loose teeth. If If you have periodontal disease (gum disease) First, you can restore your dental health by thoroughly treating your periodontal tissues and then combining this with orthodontic treatment. 6️⃣ Is orthodontic treatment really possible for people in their 50s and 60s? 👵👴 🦷 The important thing is not age 'Condition of the Gum Bone'! It is Fully Possible Even for Those in Their 60s do. Many people say, "Doctor, why would I need braces at this age?" but in the actual consultation room, it is very easy to find patients in their 50s and 60s. 😮 What is truly important in orthodontics is not your age on your resident registration, but the one supporting your teeth Condition of the gum bone (alveolar bone) no see. ❌ Even if you are in your 20s, if your gum condition is terrible, orthodontics is difficult, and Conversely, even for seniors in their 60s, it is entirely safe as long as their gum bone is in good condition and healthy. Recently, for the care of aging teeth Orthodontics to create space before implant placement, orthodontics prior to bridge prosthetics Treatment is being actively carried out for purposes such as , or partial correction of the front teeth. ✨ 7️⃣ The era of braces for those over 70! What is more important than age? 💯 🦷 It seems like it is possible up to a certain age. Is this treatment absolutely necessary for my current condition? We need to consider this. While it was hard to imagine in the past, now that we have entered the era of centenarians, even seniors in their 70s and older are visiting dental clinics for orthodontic consultations. ☀️ The main goal for this age group is not beauty. To use your remaining natural teeth for a long, long time. no see. Orthodontic treatment acts as a reliable solution when teeth have tilted sideways and are damaging the gums, or when there is insufficient space to place implants. Ultimately, orthodontic treatment is not something to be given up on due to age, Personalized treatment tailored to my current oral condition no see. 🔸 Teenagers: Growth regulation and proper skeletal guidance 🔸 20s~30s: Improvement of aesthetic teeth alignment and confidence in appearance 🔸 Age 40 and older: Restoring lost function and preserving precious teeth 💬 FAQ (Frequently Asked Questions) Q1. If I get braces at an older age, will my gums become weaker or my teeth become sensitive? A1. During orthodontic treatment, you may temporarily feel slight sensitivity or looseness as your teeth move. However, if you carefully diagnose the condition of your gums and adjust the force gradually without straining yourself, it can actually correct crooked teeth and improve brushing effectiveness, so in the long run, Prevent gum disease and preserve healthier teeth You can do it. 🦷 Q2. Does adult orthodontics take much longer than orthodontics during the growth period? A2. Since adults have a slightly slower rate of bone metabolism compared to growing children, tooth movement may take a little longer. However, because adult patients follow the dentist's instructions very strictly, such as appliance management and wearing rubber bands, ( Excellent cooperation ), the actual total treatment period often does not differ significantly when compared to children in their growth stage. ✨ 🎯 Conclusion: Don't put it off because of age concerns! 📌 There is no set age limit for orthodontic treatment, and optimal treatment methods exist for each age group from the teens to the 70s. 📌 Management Points: Regardless of age, the key to successful correction is... Healthy gum condition no see. ⚠️ Necessity of specialist consultation: "Isn't it too late to start now?" Rather than spending time worrying alone, please visit a dental clinic first to get an accurate diagnosis of the current condition of your teeth and gums. There are so many people who say, "Director, if I had known this would happen, I would have come for a consultation sooner! 👍" Starting now is the earliest time in the rest of my life. ✨ Seoul Centum Dental Clinic Chief Director Lee Hyun-seop Specialist in Integrated Dentistry Graduated from Korea University Master of Dentistry, Kyung Hee University College of Dentistry Regular member of the Korean Academy of Oral and Maxillofacial Implantology Regular member of the Korean Endodontic Society Regular member of the Korean Academy of Integrated Dentistry Member of the American Academy of Aesthetic Dentistry (AACD) Member of the American Academy of Implant Dentistry (AAID) Full member of the International Congress of Implantologists (ICOI) Experience in placing over 17,000 implants Possesses extensive overseas experience visiting over 10 countries Experience with numerous complex implant cases 📌 Read together 🔗 [Health Column] Why Are Impacted Wisdom Teeth a Problem? Pain, Inflammation, and Damage at a Glance 🔗 [Health Column] Curious about implant lifespan? How long can they be used? 🔗 [Health Column] I heard there are so many types of implant bone grafts… What criteria should I use to choose one?
Hello, this is Gangnam Saero Dental Clinic. Chief Director Jeong Jae-wook It is. ✨ 🤔 "Will it be effective to start at this age?" Have you ever worried about this at least once, when someone around you starts orthodontic treatment, or when you are bothered by crooked teeth in the mirror? To start with the conclusion, regarding orthodontics There is absolutely no such thing as 'too late'! We will clearly highlight the key points regarding the distinct advantages and unique characteristics of adult correctional care, which are distinct from adolescent correctional care. Shall we begin the journey to find a confident smile right now? 💕 1️⃣ What is the difference between adolescent correction and adult correction? 👋 The biggest difference is right Presence or absence of growth It is located at. During adolescence, bones are soft and growth plates are open, making skeletal corrections such as prognathism or retrognathism possible. On the other hand, since growth has ended in adults, it is difficult to change the position of the skeleton, but the teeth and angles within the hard bone It can be corrected very precisely and without error. . 🎯 Even though it may look like similarly crooked teeth on the outside, adults need a customized movement plan that is perfectly tailored to their current skeletal condition. Just because your bones are strong doesn't mean correction isn't possible, so I recommend getting a precise diagnosis tailored to your skeletal structure first! ✔️ 2️⃣ Is adult orthodontics more painful and much slower? 👋 Slow down a little, but Healthier and more stable Moving! It is true that adults have higher bone density, so their cellular metabolism is slightly slower than that of adolescents. commonly 24~30 months It takes about that long, so it can be several months longer than for adolescents. ⏳ You may experience a dull ache for the first 2 to 3 days, but this is as your teeth find their proper positions Healthy Signs So you can rest assured! You may feel a heavy pain on the first night you wear the device, but you will surprisingly adapt within a few days. If you are very worried about pain and the duration, 'self-ligating braces,' which reduce pain by minimizing friction, or 'clear braces,' which offer a clean appearance, can be good alternatives. 💡 3️⃣ Are there any advantages to being an adult? 👋 Overwhelming cooperation and Thorough self-management is the best weapon. Adult orthodontics has 3 powerful advantages (TOP 3) unique to adults! 💎 🔸 1. Overwhelming cooperation with treatment 🤝 Unlike adolescents who are led by their parents, adults begin this process of their own strong will, so please strictly follow the doctor's instructions and precautions. This directly leads to the completeness of the treatment results. 🔸 2. Thorough Oral Hygiene Management 🪥 Because they meticulously use toothbrushes, interdental brushes, and dental floss on their own, the risk of cavities or gum disease that may occur during orthodontic treatment is significantly lower compared to adolescents. 🔸 3. Precise predictability without variables 📐 Since growth has already stopped, there is no unexpected variable called skeletal change. You can establish an error-free treatment plan by predicting future changes in facial shape or dental alignment with greater precision. The advantages of being an adult are maximized, especially in 'clear braces,' where self-care is essential. ✨ 💬 Ask Me Anything! (FAQ) Q1. Is it true that getting braces at an older age causes holes (black triangles) to form between the gums? It’s not that a new gum disease is developing; it’s just a phenomenon where the overlapping teeth straighten out, revealing the previously empty spaces! 😮 This can be sufficiently aesthetically corrected with procedures such as 'interdental reduction' or 'resin treatment,' so you do not need to worry too much. On the contrary, in the long run, it corrects the alignment of the teeth, which is of great help in preventing gum disease. Q2. Is 'extraction orthodontics,' which involves pulling out healthy teeth, absolutely necessary for adult orthodontics? Absolutely not! Whether or not to extract a tooth is determined not by the patient's age, but by the availability of space for the tooth to move and the degree of protrusion of the mouth. Recently, with the advancement of digital equipment, there has been a significant increase in cases where the dental arch is expanded or the teeth are pushed back to proceed without extraction. 🦷 Q3. I had braces when I was young, but they have become misaligned again as I have gotten older. Is it possible to have them re-corrected? Yes, of course it is possible! There are many adult patients who can restore their teeth to a straight alignment in a short period of time through partial orthodontics or clear aligners, especially in cases where crowded teeth have grown in again or teeth have gradually shifted due to neglecting retainer care. 😊 🎯 Conclusion: An investment in your youngest days for future oral health If crooked teeth are left untreated, food gets trapped between them, causing cavities and periodontitis (gum disease). Adult orthodontics goes beyond simple cosmetic purposes, The most reliable preventive treatment to protect your teeth and gums for a lifetime no see. ⚠️ Rather than wasting time hesitating thinking it's 'too late,' first have an experienced and trustworthy Prosthodontics specialist Find us and start with accurate digital precision diagnosis and consultation! It is the greatest gift you can give your future self. ✨ Dr. Jae-wook Jeong, Chief Director of Gangnam Saero Dental Clinic Ministry of Health and Welfare specialist in Prosthodontics Graduated from Yonsei University College of Dentistry Master's degree from Yonsei University Graduate School of Dentistry Internship at Yonsei University Severance Hospital, Sinchon; completed residency in Prosthodontics. Certified Specialist and Regular Member of the Korean Academy of Prosthodontics Outstanding member of the Korean Academy of Oral and Maxillofacial Implantology (KAOMI) Regular member of the Korean Academy of Temporomandibular Joint and Occlusion Regular member of the Korean Academy of Aesthetic Dentistry Former Adjunct Professor, Yonsei University College of Dentistry Formerly served as Chief Director of Yonsei Good Day Dental Clinic Yangjae Branch Current) Board Member, Specialist Committee, and Academic Affairs Committee Member of the Korean Academy of Prosthodontics Current Director of Academic Planning, Korean Academy of Oral and Maxillofacial Implantology (KAOMI) View more of Director Jung Jae-wook's expert columns > [Health Column] No-Prep Laminates, Are They Really 'No Prep'? A Summary of Key Points You Must Know [Health Column] Airnate – Why Minimally Removed Laminates Allow for Reshaping Your Teeth in Just One Week 👉 If you would like to find out more details about teeth whitening and aerates from Director Jae-wook Jeong of Gangnam Saero Dental Clinic >
hello, Director Jo Byeong-ju of Shine Orthodontics no see. 👋 There are certain questions that people considering orthodontic treatment ask most frequently in the consultation room. These are inquiries mixed with concern, such as, "Do I really have to have teeth extracted?" and "Can a protruding mouth be corrected with non-extraction orthodontics?" There is a lot of information on the internet claiming that non-extraction is always better or that extraction drastically changes one's face, which further confuses patients. However, actual orthodontic treatment is not determined solely by whether or not to extract a tooth, Comprehensive diagnosis of tooth alignment, facial shape, degree of space shortage, etc. You must do it. In this column, I will explain the true differences between extraction and non-extraction orthodontics and provide clear selection criteria in an easy-to-understand manner. I hope this helps you find the right treatment direction for you! ✨ 1️⃣ What is the most important key point regarding tooth extraction versus non-extraction in orthodontic treatment? 📐 The essence that determines the success or failure of orthodontic treatment lies in 'securing space' to move the teeth. For both extraction and non-extraction orthodontics, the key to the treatment outcome is how much space can be secured to properly align the teeth. This is because only when adequate space is secured in our mouth can we use it to push a protruding mouth inward and straighten crookedly overlapping extra teeth. Generally, when performing extraction orthodontics Premolars (small molars) with a width of about 7 to 8 mm You will gain that much extra space by extracting the tooth. On the other hand, with the recent development of various orthodontic devices non-extraction By utilizing every possible means to the fullest extent through orthodontics, it has become possible to create space comparable to that of tooth extraction. Representative techniques for creating space without tooth extraction include Arch expansion (3~4mm) , Interdental reduction/IPR (3~4mm) , Posterior movement of molars (3~4mm) There are methods available, and by combining all of them, it is possible to secure about 9mm of usable space. < Case of Posterior Molar Movement > 📍 Example: If the space for tooth alignment is too narrow, resulting in severe crowding or a situation where a protruding mouth needs to be moved back significantly, securing space through premolar extraction can be a clear solution. However, if conditions allow for the precise application of non-extraction techniques, meaningful space can be achieved without extracting teeth. 📌 "Rather than relying solely on extreme online reviews and insisting on a specific method, it is essential to first undergo a precise dental diagnosis to determine the actual amount of space missing." 2️⃣ Can non-extraction space creation methods be applied equally to all patients? 📐 The three techniques for creating space without tooth extraction must be applied strictly and selectively based on the patient's oral and jawbone structure. The three methods for creating space for tooth movement through non-extraction orthodontics are excellent alternatives, but unfortunately, they cannot be unconditionally applied to all patients. This is because each patient has different anatomical characteristics. ① Expansion of the dental arch : This method is actually Limited use only for patients with a narrow jaw width You must do it. If this procedure is performed excessively on a patient with a normal jaw width solely for the purpose of widening the space, the overall occlusion may collapse or long-term stability after treatment may be significantly compromised. ② Interdental Reduction (IPR) : The side of the tooth Finely trim by 0.2~0.5mm It is a method of gathering the entire gap space. Generally, if the procedure is performed within 0.5mm per area, there are no problems with dental health, and it is advantageous to distribute the work evenly across multiple tooth surfaces rather than grinding down a large portion of a single tooth. If performed to the maximum extent on all areas, approximately 3mm of space can be obtained per side. ③ Posterior movement of molars This is a technique that creates space in the front by pushing the entire dentition backward. The most important thing here is Does there actually exist space within the bone for the molars to move backward? no see. In particular, a precise 3D diagnosis must be performed beforehand to determine if there is available space in the posterior area of the mandible (lower jaw). 📍 Example: If posterior movement is forcibly attempted on a patient who has absolutely no space to push the molars back due to structural limitations of the lower jawbone, the teeth may not move properly or side effects may occur. 📌 It is essential to receive a precise diagnosis from an orthodontist to determine whether arch expansion is necessary, or if the tooth structure allows for the safe application of interproximal reduction or posterior movement. 3️⃣ If you are on the borderline between extraction and non-extraction, what criteria should you use to make a decision? 📐 For borderline patients with a space shortage of 4 to 7 mm, the decision is made by comprehensively considering tooth shape, caries activity, type of appliance, and the patient's pain sensitivity. Based on the results of a precise examination, if the required space is significantly lacking by more than 9mm on each side, extraction is easily determined, while if it is slightly lacking by 4mm or less, non-extraction is recommended. The problem lies with 'borderline patients' who have a space deficiency of 4 to 7 mm. In this case, since both methods are possible, you must use the following five detailed criteria as a guide. ① Shape of the teeth: If the shape is close to a triangle, non-extraction treatment is much more advantageous. do. This is because it is shaped to fully utilize Interproximal Reduction (IPR), and the reduction can naturally reduce the 'black triangle,' the empty space between teeth. ② Number of prosthetics and dental caries (cavity) activity: If you have a lot of dental prosthetics in your mouth or an environment where cavities form easily, extraction orthodontics is actually better. This is because it is difficult to adequately perform interdental reduction, which involves finely grinding the sides of the teeth, in such an oral condition. ③ Type of calibration device used: Invisalign achieves arch expansion much faster, but traditional brackets (wire devices) perform molar posterior movement better. do. Therefore, even for patients who appeared capable of non-extraction posterior movement based on brackets, insisting on using Invisalign may actually lead to a situation where extraction becomes necessary. ④ Anatomical spatial limits: Regardless of whether wisdom teeth are extracted, it is necessary to determine how much bone space remains behind the molars that can actually be moved, and whether the jawbone is capable of accommodating arch expansion. If both non-extraction pathways are structurally blocked, it is advisable to choose extraction for a clean result. ⑤ Discomfort and pain felt by the patient: This is a point that many people misunderstand, In fact, the tooth extraction treatment itself is almost painless. In fact, arch expansion devices or posterior movement devices used in non-extraction orthodontics often cause greater discomfort and pain in the mouth. Therefore, if you prefer a slightly more comfortable and less cumbersome process during the orthodontic treatment period, we recommend tooth extraction. 📍 Example: If a borderline patient with square-shaped teeth and significant traces of cavity treatment finds it difficult to tolerate the pain and foreign body sensation of complex non-extraction devices, choosing to extract premolars rather than forcing a non-extraction procedure may be advantageous in terms of both the treatment process and the outcome. 📌 "When you are teetering on the edge, that is precisely when in-depth communication with medical staff truly shines. Please share your lifestyle and pain tendencies with the medical team in detail." 🔍 FAQ (Frequently Asked Questions) Q1. Doesn't interproximal reduction (IPR) cause significant tooth sensitivity during non-extraction orthodontics? A1. No, you don't need to worry too much. 🙅♂️ Common tooth sensitivity usually occurs when the neck of the tooth (cervical area) is worn down. During interdental reduction, the area that is ground down very finely is the outermost 'proximal enamel' region of the tooth, where sensory nerves are not distributed. Since the amount removed is also very minimal, you do not need to worry about side effects such as sensitivity. However, if not performed precisely, food particles can get trapped between the teeth, creating an environment where cavities (dental caries) are likely to develop, so the procedure must be performed accurately by a skilled specialist. Q2. After having wisdom teeth extracted, will space naturally form to push the molars back? A2. It is half right and half wrong. 💡 When extracting a wisdom tooth that has erupted straight into the mouth, available space is created to push the molars backward by utilizing that opening. However, for impacted wisdom teeth that are completely buried in the gum bone, simply extracting them does not automatically create space for the tooth to move. In this case, the limit of the practically usable posterior space is determined by the anatomical boundary between the soft tissue and bone behind the tooth, rather than the presence or absence of wisdom teeth. 📋 Conclusion Today, we have taken a detailed look at the key criteria for tooth extraction versus non-extraction, which is the biggest concern for those facing orthodontic treatment. Having operated an orthodontic clinic in Nowon for a long time and personally treated countless cases, there are certainly tricky cases where even I, as an expert, agonize deeply over which approach—extraction or non-extraction—will bring the most perfect results to the patient. This is because orthodontic treatment is a precise medical field that must encompass not only visible gaps between teeth but also the condition of the gums, the overall treatment duration, changes in facial shape, and even the anatomical limitations imposed by the appliance. ⚠️ Please make sure to remember this! 📌 Rather than blindly deciding on a treatment method based solely on rumors such as "non-extraction is better" or "extraction is faster," the first step is to thoroughly examine your precise diagnostic condition. 📌 The wise choice at the borderline may vary depending on the shape of your teeth (whether they are triangular), the activity of cavities, and your sensitivity to pain. Above all, the most important key to success is to accurately align your desired aesthetic and functional goals through constant communication with medical professionals, and for the doctor and patient to move forward step by step while looking toward the same goal. As this is a significant journey that determines your smile and dental health for a lifetime, I sincerely hope you find a trustworthy orthodontist to discover the right solution that fits your oral structure perfectly. 🦷 Shine Orthodontics Director Cho Byeong-ju Graduated from Seoul National University Graduate School of Dentistry / Doctor of Dental Surgery Catholic University of Korea Seoul St. Mary's Hospital Department of Orthodontics Intern / Resident Graduated from Catholic University of Korea Graduate School of Medicine with a minor in Plastic Surgery / Master of Medicine Visiting Professor, Department of Orthodontics, Catholic University of Korea Seoul St. Mary's Hospital Visiting Professor at CHA University Gangnam Hospital Invisalign Official Faculty Regular member of the Korean Association of Orthodontists (KAO) Member of the Korean Society of Clinical Orthodontists (KSO) 2019/2020/2021/2022 Awarded the Excellent Case Presentation by the Korean Association of Orthodontists
I found out about the ceramic dental clinic through Cashwalk. I decided to get braces right away after a friendly consultation, and it all started immediately. Dr. Kim Seon-min was in charge of my treatment, and she was so eager to make my smile as beautiful and perfect as possible that she put even
The friendly and professional treatment is impressive. I am looking forward to the results after the orthodontic treatment. There are no additional costs, just as stated in the event, and the detailed explanations and attentive care from the doctor are truly satisfying and trustworthy. This is a cli
From the reservation consultation to desk registration, imaging, and dental consultation, the process is systematic, and the staff are proactive in helping and very friendly. I had many questions about my dental concerns and condition, but they carefully examined everything and gave honest answers,
I decided to start orthodontic treatment as my upper teeth were misaligned and colliding with my lower teeth while chewing. After consulting with several clinics, I chose this one because it was the most affordable due to a promotional event, the clinic is relatively new, equipped with modern facili
I visited several dental clinics for orthodontic treatment, and it seems like I made the right choice coming to Dobong Dental Clinic. Haha. I was considering going to Gangnam, but since I need to visit often for orthodontics and this place is close to home, I chose it because the explanations were v
I received orthodontic treatment at Seoul Line Dental Clinic. Thank you to the doctor for evenly aligning my teeth.
I came for laminates because my teeth are on the smaller side compared to others and I was told that orthodontics wouldn't work for me. The staff explained everything kindly, which made it easy to understand and I really appreciated that.
After getting braces at a late age and having four teeth extracted, my lips have curled inward and shrunk, which has been really concerning, so I became interested in lip fillers. I've been doing this once a year, and this is my third visit to Berry Good Plastic Surgery. Maybe it's because she's you
I need braces, so I am going to a ceramic dental clinic. They are very kind and do a great job from the consultation to the orthodontics. I'm glad I chose this ceramic dental clinic.
When I complained about discomfort at a general dental clinic, everyone said it was fine. But here, they immediately pointed out an overbite issue. Wow, specialists really are different! I received a lot of explanations which were a bit confusing, but during our conversation, they captured summaries
| Treatment price range | Discounted price range |
|---|---|
| ₩30,000 ~ ₩9,900,000 | ₩30,000 ~ ₩6,000,000 |
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