HomeAnswersOrthodontistdental bracesHow will power chains help in closing the gaps between teeth?

My braces are not activated by power chains and creating gaps. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 21, 2020
Reviewed AtJuly 11, 2023

Patient's Query

Hello doctor,

Why my ortho does not put brackets in power chains while missing one or two spots? I have straight teeth and I am in the sixth year with braces. I think instead of closing gaps, this is creating gaps. Please help.

Hello,

Welcome to icliniq.com.

There are different types of power chains that are available for the treatment depending on the interlink space. They are Short (connects every alternate bracket), Long (connects every third bracket) and Closed (connects each bracket). So depending on the stage of your treatment, either of the types can be used which may or may not connect individual brackets. Also, we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion. Complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual. Also, the density of your alveolar bone and your body's bone remodeling rate affects the duration of final results. So in order to give a definitive diagnosis, we would require your treatment history which includes preoperative and post-operative clinic photographs (intraoral and extraoral both), preoperative dental x-rays (OPG and lateral cephalogram), treatment history including the types of malocclusion, brackets used, wires used and the movements caused, oral hygiene maintenance routine that you follow during the braces treatment. Waiting for your reply.

Preventive measures

Brush twice daily with flouride containing paste. Use salt water gargles everyday especially after meals. Do tongue cleaning on regular basis. Have a periodic check up with your dentist once every six months and also for oral prophylaxis (teeth cleaning and polishing) once every six months.

Regarding follow up

Have a follow-up after providing the required information.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arya Kaushik Bharat
Dr. Arya Kaushik Bharat

Dentistry

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