Each treatment plan with invisible trays provides for a digital programming of the dental movement, thanks to a software that is able to reproduce a virtual model of the patient’s mouth.
The teeth are moved according to the orthodontist’s instructions and each tray is programmed to make a gradual movement of each individual tooth.
Today we can also treat small patients and adolescents with invisible aligners, the choice of the treatment plan will always depend on the diagnosis and the treatment plan that the Orthodontist will consider suitable for the patient.
The trays must be worn all day and night, they can be removed to eat, it is possible to drink with the trays.
Trays and aligners are the same thing: invisible braces in a patented elastic plastic material that the patient removes to eat and changes every 7 or 14 days according to the orthodontist’s instructions, that are used to align the teeth.
The bite, on the other hand, is a sort of “mouthguard” which, depending on the purpose, can serve to protect the teeth from trauma or to treat joint disorders: not all bites are the same and are not used to move the teeth.
The first 3-4 days that a patient wears trays for the first time may have some transient disturbances: increased salivation, slight defect in the pronunciation of some letters, sensation of pressure or soreness on the teeth.
All of these problems are transient and once the patient gets used to it they will not even notice that they are wearing the trays.
Of course, the trays can be safely worn during physical activity of any kind (swimming, running, football, boxing etc …)
If the patient is missing one or more dental elements, it is possible to insert a false element in the trays that simulates the presence of a real tooth and therefore closes any “holes” present.
The cost of a therapy with trays is not always the same, there are different types of treatment depending on the greater or lesser complexity of the treatment.
The cost of therapy with trays is therefore largely comparable to that with a traditional brace.
An Orthodontist is a dentist who, after graduation, attended a 3-year specialization school in Orthodontics, devoting himself/herself exclusively to the study of malocclusions and orthodontic treatment of adults and children.
Not all Orthodontists are necessarily specialized and, therefore, cannot be defined as Specialists.
Dr. Elettra Chisci has obtained the title of Specialist in Orthodontics at the School of Specialization of the University of Ferrara and constantly follows refresher courses to ensure the most appropriate therapies and to deepen the different techniques of Orthodontics.
Malocclusions can benefit from orthodontic treatment at any age.
Many orthodontic problems are easier to correct if treated early, therefore before the growth is over or all the teeth have fallen out: it is therefore recommended to have the first orthodontic check between 5 and 7 years of age.
There are no better braces than others, each patient based on age and malocclusion must be evaluated to decide which is the most suitable orthodontic therapy and, therefore, which brace is more effective to treat his problem.
Yes, it is necessary to take x-rays before starting orthodontic therapy, fortunately with modern digital x-rays the dosage is extremely low.
The radiographs that are taken before starting orthodontic therapy are the telecranium and orthopanoramic; these together with the photo and the impressions are used by the Orthodontist to study the case and to thoroughly evaluate the patient’s malocclusion.
Even in children it is essential to take x-rays: the orthopanoramic is used to verify that there are no problems with eruption of some teeth, that there are no extra teeth or other pathologies and information that cannot be seen at a simple examination.
The teleradiography is used to understand the type of growth of the patient and therefore to make the therapeutic choices that guide it in the correct direction.
cavities is a pathological process that occurs when bacterial plaque attacks the tooth enamel due to lack of hygiene.
This process, if you do not brush your teeth well and do not carry out checks and oral hygiene sessions, can affect the teeth of those who have braces as well as those who do not.
Orthodontic braces do not cause decay or staining of the teeth, it is the lack of hygiene that causes these problems.
Those who have a fixed brace must have greater care and attention to dental hygiene because food and plaque can also accumulate around the brace.
Of course, there are no contraindications to hygiene during orthodontic treatment, indeed it is strongly recommended to do it to prevent plaque from accumulating between the teeth and the brace.
In our Center, patients who wear the brace are also followed by the hygienist with professional hygiene sessions and fluoride applications aimed at minimizing the risk of tooth decay or pigmentation.
There is usually a transient adaptation phase of 5/7 days during which the new device can create some transient discomfort.
The most common complaints due to the presence of an orthodontic brace are a slight sensation of soreness or pressure on the teeth, a slight increase in salivation and the presence of some small aphthae: the orthodontist, depending on the type of brace, will recommend some useful tools to relieve the discomfort and eventually will indicate an anti-inflammatory medicine.
Teeth can move throughout life even after orthodontic therapy. This is why it is important to maintain the result obtained after a long journey.
The maintenance braces can be fixed or mobile, it will be the orthodontist who followed the patient during his/her therapy to decide which is the most suitable device.
The first approach to the dentist should never correspond to the need to treat a tooth, especially in children. For this reason it is important to make a first dental visit even at 2/3 years, to evaluate the eruption of the first milk teeth, to intercept any problems early and to instruct parents on the correct oral hygiene maneuvers that can be carried out from the first tooth.
After the first visit, it is advisable to carry out periodic checks every 6-12 months so that the child becomes familiar with the figure of the dentist and in case there will be a need to treat a tooth, he/she already knows the environment and is at ease.
Of course, like permanent teeth, milk teeth also need to be cared for! This is to avoid painful situations or emergencies that are more difficult to treat in young children and to keep the milk tooth longer.
Maintaining deciduous teeth serves to maintain space for future permanent teeth that will have to erupt: some milk teeth fall out at 12, so any pathologies must be treated early.
Milk teeth can get stained due to lack of or insufficient home hygiene, due to wrong eating habits; in pediatric age gingivitis and inflammation of the oral cavity can occur: it is clear that even children may need to clean their teeth and repeat it if necessary.
During the oral hygiene session the child is also explained how to properly clean the teeth and the parents are given instructions on the toothpastes to use and the eating habits to change, it is therefore a first fundamental approach to lay the foundations of oral health.
The fear of the dentist in children very often comes from stories heard by friends or parents or from previous negative experiences; it is essential to reassure the child and use a suitable terminology that does not scare him.
In the Chisci Dental Center we care about the well-being of little patients, so we always try to put them at ease with cartoons, games and a calm environment, respecting their times and needs. When necessary, a light conscious sedation can be used to make the dental experience free of any anxiety, pain or discomfort.
Whether the traumas occur on milk teeth or on permanent teeth, it is always advisable to have a check-up by the dentist as soon as possible: in this the specialist will be able to assess the extent of the damage and any necessary therapies or checks.
Trauma to milk teeth can cause damage to underlying permanent teeth and therefore should never be underestimated.
In the event that following the trauma one or more teeth are lost or fractured, it is necessary to keep the fragment in saliva or milk and go to the dentist as soon as possible to reposition the tooth or re-glue the fragment: if the dentist will intervene as soon as possible, the greater the chances of success will be.
The veneers are very thin ceramic plates: they are fragile, but once cemented on the tooth they become one with it and therefore very resistant.
In order to create a natural smile and contextualize it within the patient’s face, a careful evaluation is always made through photos of the patient’s face and lips.
When we smile usually at least 8 teeth are exposed (4 upper incisors and 4 lower incisors) and to have an aesthetically acceptable and homogeneous result it may be necessary to extend to more dental elements.
Each case must be studied to evaluate the most suitable solution together with the patient.
None, it’s a different way of referring to the same material. Veneers in ceramic, porcelain or Lumineers are different terms to indicate the same thing and have high aesthetic and strength properties.
No, the ceramic veneers retain their original color over time.
Ceramic is in fact a glassy material and is not subject to change color, or to change over time.
As with natural teeth, it is necessary to take care of the veneers by brushing your teeth normally and passing the floss, it is also essential to periodically clean your teeth professionally.
The attention that you must have with the veneers follow the same rules that apply to natural teeth: you must avoid too hard foods, chewing gum, avoid tearing, trauma and biting your nails.
Of course, it is possible to close the spaces between the teeth, modify their shape or increase their size by making a careful aesthetic and occlusal evaluation to plan the treatment with the veneers.
In some cases it may be necessary to intervene first orthodontically by placing the brace for a short time and then with the veneers.
The veneers were created mainly for the aesthetic treatment of the anterior sector, so they are the standard choice when you want to improve dental aesthetics.
The materials used for the veneers are highly aesthetic and give a natural result, without compromising the health or strength of the tooth.
Normally it is recommended to carry out hygiene every 6 months to avoid gingival problems. In some cases (for example patients with periodontal disease) it may be necessary to perform the oral hygiene session at a closer distance.
If the sensitivity is not due to the presence of cavities, there are specific professional products that can be applied in outpatient clinics to effectively reduce dental sensitivity. These products can also be applied during the oral hygiene session for greater patient comfort.
Before, during and after pregnancy it is recommended to carry out regular hygiene sessions and check-ups to avoid the incidence of acute gingival or carious diseases.
Often the hormonal changes due to pregnancy can exacerbate pre-existing gingival pathologies and for this reason it is strongly recommended to undergo regular hygiene sessions.
Periodontitis (commonly called “pyorrhea”) is a disease of the supporting tissues of the tooth due to the accumulation of plaque and tartar under the gum which can lead to the formation of pockets and in advanced stages to dental mobility up to the loss of the tooth itself.
The causes of periodontitis can be many: wrong lifestyles (smoking, poor hygiene …), systemic diseases (diabetes), heredity.
Periodontitis can be identified and treated by the hygienist by measuring the pockets and subsequent polishing, which consists of a more thorough manual cleaning.
Patients suffering from periodontal disease can therefore be treated and need more frequent checks to avoid relapses.
In the absence of gum disease or cavities, teeth whitening is a safe procedure that can be performed by patients of age.
Professional dental whitening is carried out in one or two sessions with specific and safe products that do not damage the enamel and the subsequent application of desensitizing products.
The duration of whitening depends on many factors, it is important to follow the instructions of the hygienist immediately after whitening and then undergo regular hygiene sessions.
In the absence of bad habits, such as smoking or other intakes of pigmenting substances, professional whitening lasts about a year.
The teeth and gums of children, like those of adults, can suffer from diseases such as cavities and gingivitis: this is why it is important to take care of them by carrying out regular hygiene sessions.
Having a healthy mouth from childhood reduces the risk of dental problems in adulthood, and from childhood it is good to learn the correct oral hygiene maneuvers.
It is scientifically proven that the sealings, carried out correctly, reduce the risk of cavities.
Sealing is a non-invasive intervention that is carried out on the chewing surface of the first permanent molars: the furrows are cleaned and then sealed with a resin containing fluoride, so that the food can no longer stop inside and the enamel is strengthened.
It is usually done between the ages of 6 and 8 when these teeth erupt, but in some cases they can also be done on other permanent teeth or milk teeth.
Patients who have one or more implants can perform dental hygiene and it is important that they undergo them on a regular basis to preserve gum health.
Like natural teeth, implants can also have gum problems if you do not undergo regular checks and hygiene sessions.
Patients who wear fixed or mobile orthodontic braces can clean their teeth without problems, it is essential to undergo regular oral sessions during orthodontic treatments to avoid gum inflammation, cavities or demineralization of the enamel.
Sometimes the temporomandibular joint disorders can be confused with pains of dental origin: it is essential to be examined in order to make a correct diagnosis and set the appropriate treatment plan.
Bruxism or nocturnal grinding is an involuntary activity that can arise for multiple non-dental reasons. It is important to carry out an interdisciplinary assessment as the use of a bite may prove to be insufficient or limited.
In children, the lock is often a para-physiological and transitory condition: it is always good to take children to periodic checks to monitor dental-skeletal growth and any parafunctions.
The temporomandibular joint can present problems, like any joint of our body.
When the disturbances become frequent, acute or limit our chewing capacity causing pain, it is advisable to carry out a medical check to evaluate the functionality of the joint.
cavities is a progressive disease that attacks the tooth enamel and if left untreated it proceeds to reach the pulp of the tooth, causing inflammation.
In the initial phase, cavities are often asymptomatic and it is necessary to intervene before they become more extensive to avoid losing structure, it is advisable to intervene early when they are identified.
The diagnosis of cavities is made clinically by the dentist through the use of different means: checking the presence of cavities with the probe and making intraoral radiographs.
it is important to undergo regular checks in order to be able to identify cavities early, since in the initial stages these are often asymptomatic.
The bacteria that cause cavities attack the dental enamel: if proper oral hygiene is not maintained, an obturated tooth can then decay again in a different point or in the vicinity of the filling
Like permanent teeth, milk teeth can also form cavities, be painful and, in the worst case, even an infection (abscess). Infections on milk teeth as well as their early loss can cause problems with the underlying permanent tooth bud.
In addition, some milk teeth can remain up to 12 years of age: it is therefore important to take care of milk teeth to avoid acute painful pathologies and to try to keep them until they fall naturally.
Once devitalized, the tooth loses sensitivity and becomes more fragile: it is therefore possible that with chewing it may fracture or break and in some cases it is necessary to extract it.
Precisely to prevent a devitalized tooth from breaking, it is necessary to protect it with an onlay or a crown that allows it to last longer over time.
Before starting the devitalization session, the dentist performs a local anaesthesia, so that the patient does not feel any discomfort or pain for the entire duration of the endodontic treatment.
After a devitalization you may feel a slight discomfort and for this reason the dentist may find it necessary to prescribe painkillers.
Very deep cavities can lead to the loss of tooth vitality: in some cases it can be an acute painful event, in others the loss of vitality is progressive and the patient may not feel pain.
The dentist uses special diagnostic tools to check the vitality of the tooth (percussion test, sensitivity test to cold, intraoral radiographs …) and when a tooth is not vital it is necessary to carry out endodontic therapy (or root canal therapy, or devitalization) to remove necrotic tissue, disinfect the canals and seal them.
This procedure is carried out to reduce the bacterial load that can cause infections and ensure a longer life of the tooth.
In some cases a devitalized tooth can cause pain after a long time: this can be due to different pathologies (fractures, granulomas, cysts …).
When a devitalized tooth hurts, it is necessary to undergo a dental examination in which the dentist, through appropriate means (intraoral radiographs, orthopanoramic …), can evaluate the presence of any pathologies affecting the devitalized tooth and formulate the most appropriate treatment plan.