Common "Orthodontic Treatment" queries answered by top doctors | iCliniq

Orthodontic Treatment

Orthodontic treatment is done to align teeth that are crooked or improperly positioned. They are used to close gaps between teeth, straighten crooked teeth, improve biting or chewing, prevent excessive tooth wear, and correct improper bite. The appliances used for orthodontic treatment are either removable or fixed.

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I do not wear my twin block appliance during meals. How long should I wear it?

Query: Hello doctor,How much longer will I need to wear a twin block appliance if I do not wear it only while eating meals compared to wearing it the whole day? I do not engage in contact sports or swimming, but I brush my teeth at least three times a day.Thank you  Read Full »

Dr. Mayank Khandelwal

Answer: Hello,Welcome to blocks are removable appliances used to correct the position of the lower jaw. They maintain the jaw in a forward position, forcing the muscles to stretch and adapt to the new alignment. For faster muscle adaptation, it is important to wear the appliance consistentl...  Read Full »

Are micro-implants and elastics good for class III malocclusion?

Query: Hi doctor, I want your advice on a case that can be found online, and I have attached that case link. The girl has a class three malocclusion, and I have the same. She proposed a treatment of distalizing the mandibular posterior dentition with a micro implant combined with intra-arch elastics, but s...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I understand your concern. I have seen the case link that you have posted along. I want to mention initially that the treatment protocols might be the same, but the end results may vary to some extent based on patient-to-patient biological responses. If you careful...  Read Full »

My expanders put pressure on the mouth. Please help.

Query: Hello doctor,I got orthodontic expanders a while ago, but they put pressure on the top of my mouth every time I turned them. So when I went to my orthodontist, they told me not to turn them anymore. Will that affect the treatment?  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to The expanders are given to expand the palate and create sufficient space for teeth eruption and crossbite correction. When we expand using the expanders, we exert pressure on the palatal sutures to separate them and gain the width. However, this separation is gradual...  Read Full »

Please review my CBCT results for undergoing Invisalign.

Query: Hello doctor, As I am planning to undergo orthodontic treatment with invisalign aligners for which my dentist advised me to take cone-beam computed tomography (CBCT). I do not understand what they meant by radiolucency. So, it would be great if you can simply explain the term radiolucency. I will be...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Congratulations on your decision to go ahead with invisalign. The report says radiolucency around the tooth root of 36. There is a white cap seen on the third tooth from the left in the lower region, which suggests tooth number 36 has previously undergone root canal ...  Read Full »

Is orthognathic surgery possible, and how long does it take?

Query: Hello doctor,I am attaching the X-rays of my teeth. Is orthognathic surgery possible in my case? If not, why? How long does it take for orthodontic treatment to be done? Thank you.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Hope you are doing well. Based on the photos attached (attachments removed to protect the patient's identity), there is a deficiency in your lower and middle face compared to the forehead area. However, these are X-ray images, and I would like to see the clinical pho...  Read Full »

Is it normal to get gum pain during ortho treatment?

Query: Hello doctor, I am 18 years old and have braces on my teeth. My orthodontist said he would not put a bracket on my milk tooth, but the permanent tooth next to my milk tooth has shifted. Now, there is a gap between the two teeth, which hurts. Should I be concerned about it?  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to You should not be concerned regarding the milk tooth being present and shifting out of the arch. They are not supposed to be handled with braces. The tooth will fall off soon and replace a permanent tooth. When the new tooth erupts, the orthodontist will put a bracke...  Read Full »

My upper front incisors are not straight despite the retainer.

Query: Hello doctor, I am 18 years old and have recently completed Invisalign in person with a trained orthodontist and have been wearing my retainer for just under a week. I have two problems which are concerning me. They are fine to wear for long periods of time, but when I remove them, my bite feels of...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I hope you are doing well. Before I answer your queries, I would like to know a few things. When was the scan for retainers done? During the last aligner set or after the last set protocol was over? Did you keep wearing the last aligners till your retainers were give...  Read Full »

I am told that RCT can hinder braces treatment. Is it so?

Query: Hello doctor, I have misaligned teeth as I had not used a retainer after using braces 16 years ago. Yesterday, the orthodontist informed me that I am not a selective patient for braces because of some root canal treatments I had. I have been told that it may shorten the roots of teeth. I have had th...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Thanks for writing in, and I understand your concern. Braces treatment may cause root resorption that shortens roots but does not occur in all cases. In my opinion, root resorption can reverse and resolve over time if detected early, and not all cases show the shorte...  Read Full »

My four teeth need to be extracted for placing braces. Why?

Query: Hi doctor, I put on braces last month for my upper teeth. I notice that if I am put on an expander, I will not need extraction. They want to extract four teeth. I want a second opinion. How long does it take for an expander to work? I only have 17 months left on my duty station.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Hope you are doing well. I thoroughly read your query and understand your concern. Orthodontics has changed a lot since its inception about 120 years ago. Previously, it was a non-extraction protocol that was in the trend, followed by extraction protocols in the 1970...  Read Full »

Is there any favorable treatment for overjet correction now?

Query: Hello doctor, I had braces for overjet correction some seven years back, but that was not so favorable. Recently I went to another dentist to correct the overjet. But my dentist told me that since I do not have enough space in my upper jaw, I would be unable to correct my overjet forever. Is there a...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I read your query and can understand your concern. You had your initial treatment at the age of 12 years (7 years ago). That time three premolars were extracted, and space closure was done after leveling and alignment. Please answer the following questions. Were you ...  Read Full »

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