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 want to correct the open bite by retaining the front teeth spacing. Is that possible?

Query: Hi doctor, I have a moderate open bite that I would like to fix through braces or aligners. However, I would like to retain the gap (3 mm) between my front teeth. Would this be possible? Please suggest to me, doctor, Thank you.   Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. Yes, treatment of open bite is possible with both aligners and braces. As you mentioned that it is about 3 mm, I would suggest you can try for aligners. If it had been severe, I would have suggested only braces and not aligners, as I feel it might not be that efficient....  Read Full »

Should I undergo premolar extraction after I have been on orthodontic treatment for the past two and a half years?

Query: Hi doctor, I have been on orthodontic treatment for the past two and a half years, and now my orthodontist tells me I have to take out four teeth (premolars) to stop the flare of my front upper teeth. Is that something I can trust? This flare was present during the first year of treatment, and it...  Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Welcome back to icliniq.com. There are certain borderline cases wherein the orthodontist is always in a dilemma whether the case can be finished without extractions or will be required. However, there is also a middle option for the same, that is IPR (interproximal reduction), where certain...  Read Full »

Are plastic retainers bad due to exposure and leaching of chemicals?

Query: Hello doctor, I have been wearing a plastic retainer each night for roughly ten years. I worry about the long-term health effects of plastics leaching chemicals and microplastics. I wonder if a removable silver or gold grill would do a similar job as a plastic retainer without the potential exposure...  Read Full »


Dr. Mayank Khandelwal

Answer: Hello,Welcome to icliniq.comGreetings of the day. I hope you are doing well. Wearing the same plastic retainer for ten years is a long time. You are spot on with your concern regarding the effects of retainers. All your worries regarding the leaching of chemicals and degradation of materials are val...  Read Full »

Can I cut the extra orthodontic wire that is poking inside the mouth?

Query: Hi doctor,I visited an orthodontist about two days ago, and they put on two new brackets. But yesterday, one of the brackets fell off, so I clipped the wire with fingernail clippers, and it is not bugging me anymore; it is not pokey. But, in the other three corners of my mouth, they decided to make ...  Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. I understand your concern. I would suggest not cutting out any extra part of the wire. The extra part of the wire bent inwards is kept purposefully to avoid drifting your teeth forwards (called tipping or proclination). The brackets tend to take teeth forward, and to avoi...  Read Full »

Is resizing of retainer necessary after getting a new crown?

Query: Hello doctor,I am a former patient of braces. I have gotten a crown on one of my teeth after braces, and I am not sure if I need to get a new retainer, get a resizing to fit my crown and my other teeth, or neither. To be honest, I have not been the best with my retainers, but I am not sure if that w...  Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Wecome to icliniq.com. Retainers are an essential part of orthodontic treatment as they keep all the corrections achieved during the orthodontic treatment intact till bones and surrounding tissues mature. In general, it takes approximately one year for this process to complete since the end of...  Read Full »

The spaces are closed after a year of orthodontic treatment. Am I close to taking them off?

Query: Hello doctor,I have had braces for a year. My orthodontist had told me I only needed a closure of one tiny gap left in my top teeth. They initially asked me to book one monthly appointment with them and then two fortnightly appointments. Once the gap is finally closed, how long should I wait to fina...  Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. I hope you are doing well. It is good to hear that you are on the verge of completing your orthodontic treatment and having a beautiful smile. Based on your appointment schedule, I feel you will be off your braces in about two to three months, depending on when your ne...  Read Full »

How long does it take for space closure during orthodontic treatment?

Query: Hi doctor, A year ago, my four teeth were extracted for braces (two uppers and two lower teeth). In the lower jaw, the teeth started moving to fill the gaps, but in the upper jaw, the teeth have not moved still and are looking ugly. Is this normal? If yes, how long will it take to move? Thank you.  Read Full »


Dr. Mayank Khandelwal

Answer: Hi, Welcome to icliniq.com. Orthodontic treatment is broadly divided into four phases : 1) Leveling and aligning. 2) Space closure. 3) Finishing and detailing. 4) Retention. As you mentioned about four teeth getting extracted, it is a normal procedure followed worldwide for certain cases. Leveling a...  Read Full »

I feel nauseous after wearing a rapid palatal expander. Why is it happening?

Query: Hello doctor, I got an RPE on my upper jaw a few days back, and I have been puking for days since that. It has nothing with my diet, and I even went to a doctor. The feeling of the device on my tongue gets me nauseous and sick every day. I am not sure as to what I should do.  Read Full »


Dr. Mayank Khandelwal

Answer: Hello, Welcome to icliniq.com. A rapid palatal expander (RPE) is a device placed on the upper jaw to expand the upper (palatal) bone with a key that needs to be rotated at fixed intervals. As you mentioned about the pukish feeling, I would like to know a few more details. 1. Are you having an enhanc...  Read Full »

I am undergoing aligner treatment, and I have sudden pain. Why?

Query: Hello doctor, I am currently undergoing aligners treatment. I have had it for quite a few months, so I am used to the general soreness and tightness; however, I woke up today with one tooth being incredibly painful, almost unbearable even after taking tablet Panadol. Is there anything I can do to h...  Read Full »


Dr. Mayank Khandelwal

Answer: Hello, Welcome to icliniq.com. You seem to have an issue with the particular tooth and not the aligner you mentioned; the fitting is normal without much effort. Looking at the symptoms, you have most likely a periodontium (bone lesions) or cavity issue. You have developed a cavity in your tooth th...  Read Full »

My impacted canine could not move with the orthodontic treatment. Can I try again?

Query: Hi doctor,I had braces earlier and the orthodontist said that my tooth is ankylosed. He explained that my canine tooth will not come down. I even had the surgery to bring the canine down by attaching it to a hook and a chain, but nothing happened. Hence, I just want to know whether I can get the bra...  Read Full »


Dr. Mayank Khandelwal

Answer: Hi,Welcome to icliniq.com. Hope you are doing well.Yes, you can surely get your canine in place. The tooth in this condition is known as an impacted tooth.The impaction occurs due to the following reasons: Any obstruction or barrier preventing the tooth to come down.Lack of space for the tooth to en...  Read Full »

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