Does orthodontic treatment affect oral health?

Author: Dr. Nhan Tam View: 540
Hello doctor, my teeth are very misaligned, I'd like orthodontic treatment to help me chew more effectively. Orthodontic treatment, on the other hand, necessitates the extraction of numerous teeth or the grinding of teeth between them. I wonder if orthodontic treatment affects the health of teeth? (Manh Tung – Lam Dong)


Thank you Manh Tung for sending your question to Nhan Tam Dental Clinic. Regarding the question of whether orthodontics affects the health of teeth, we would like to answer as follows.

Do you need to get an extraction before getting braces?

In orthodontics, tooth extraction is not necessary. Tooth extraction is only recommended when it is absolutely necessary to provide room for the teeth to be rearranged on the arch.

In fact, no orthodontist wants to extract a patient's tooth, unless absolutely necessary. A tooth with a good bite is still better than a "toothed" tooth, but the contact between the teeth is not good. In the past, tooth extraction was often considered "simple", and anyone could do it. Today, the requirements of orthodontic techniques, implantation require tooth extraction to be skillful, "maximum conservation". Therefore, equipped with full, modern and advanced tools is something that any dentist should invest in.

Not all cases need to have teeth extracted when wearing braces

Does orthodontic treatment affect oral health?

The chewing power of the teeth will depend on the tooth surface "actually in contact" with the opposite jaw when chewing. That means if you have impacted teeth, teeth that are tilted inward or outward, those teeth are “no chewing contact”.

In terms of tooth health, a tooth will have long-term durability and longevity if the tooth axis is placed in a perpendicular position relative to the jaw arch. For example, in the case of front teeth protruding forward, under the action of chewing force. The root part of the tooth can be affected, and the "health" of the tooth may not be as good as a tooth with a straight axis relative to the base of the jawbone.

Orthodontics not only brings beautiful teeth, but also improves chewing and health

When orthodontic treatment, the doctor will try to build the tooth axis in line with the jawbone base, in order to help the teeth have "health" when chewing.

In addition, in practice it is sometimes not possible to achieve the ideal axial tilt, as it is necessary to rely on the gap in the arch. If the patient's incisors are excessively protruding and the interstitial has been ground as much as possible, the patient should accept that the teeth are slightly protruding. Usually, the reason is that the patient arrives too late, when the teeth are already too much out. More or less, after orthodontic, the health of the teeth may not be as good as the original, however, to improve chewing function, many people still accept orthodontic treatment to be effective.

Thus, braces - orthodontics is not a "miracle" tool that can move teeth without gaps. Braces cannot help the front teeth move back, even 0.5mm if there is no space. Depending on your case, your doctor will advise you accordingly. Come to Nhan Tam Dental Clinic for doctors to consult directly based on the analysis of your teeth.

Customer image of braces in Nhan Tam Dental Clinic