What is Orthodontics and Dentofacial Orthopedics? Orthodontics and Dentofacial Orthopedics are two closely related fields of dentistry that deal with the correction of misaligned teeth and jaws. Orthodontics is primarily concerned with the treatment of teeth that are positioned incorrectly. When your teeth are not aligned properly, it can lead to oral health issues such as tooth decay and gum disease because cleaning can be more difficult. It can also cause extra stress on the chewing muscles, leading to headaches, TMJ syndrome, and neck, shoulder, and back pain.
Periodontally Accelerated Osteogenic Orthodontics (PAOO) is a surgical procedure used to accelerate the orthodontic treatment process. This technique combines periodontics, orthodontics, and surgery to help patients achieve desired results in a shorter time span.
In the PAOO technique, the cortical bone, which is the outer layer of the jawbone, is surgically scarred on both the labial (lip side) and lingual (tongue side) sides of the teeth that are to be moved. After this process, grafting is done.
PAOO is often used in combination with fixed orthodontic treatment as an adjunctive procedure. The PAOO procedure involves the combination of selective alveolar corticotomy (bone cutting), particulate bone grafting, and the application of orthodontic force.
It's important to note that the effectiveness of PAOO may vary depending on individual patient factors. Always consult with a qualified dental professional to discuss the best treatment options for you.
Facial asymmetry refers to discrepancies in the size, position, and shape of facial features. It's important to note that perfect symmetry is rare, and slight asymmetry is normal and often considered attractive. However, significant facial asymmetry may be a concern for some people and can be addressed through a range of treatments.
Cleft lip and palate are common birth defects that occur when a baby's lip or mouth do not form properly during pregnancy. The conditions can occur on one or both sides of the mouth and can range in severity. Surgical intervention is often required to correct these issues, and the role of an oral and maxillofacial surgeon is crucial in the care and treatment process.
The initial cleft lip surgery is usually performed by the time a baby is 12 months old. The goal of this surgery is to close the gap in the lip and to provide a more normal function and appearance. The procedure involves making incisions on either side of the cleft to create flaps of tissue that are then stitched together.
Cleft palate repair is a more involved procedure, with the first surgery taking place between the ages of 6–12 months. This surgery aims to close the opening in the roof of the mouth (palate) to separate the mouth and nose, which helps improve feeding and speech development. The procedure involves placement of bone from the hip into the bony defect, and closure of the communication from the nose to the gum tissue in three layers.
The care for a child born with a cleft lip and palate deformity often spans over a 20-year term, involving multiple surgeries and treatments to address ongoing issues related to growth, speech, hearing, and dental health. The multidisciplinary cleft palate team usually includes oral and maxillofacial surgeons, otolaryngologists, plastic surgeons, genetics experts, pediatricians, and other specialists as needed.
Despite the complexity of the condition, with proper surgical intervention and ongoing care, most children with cleft lip and palate can achieve a normal appearance and function.
Orthodontists are dentists who have undergone additional years of training specifically in the field of orthodontics. They specialize in diagnosing, preventing, and treating dental and facial irregularities such as malocclusions (bad bites), overcrowded or misaligned teeth, and certain types of jaw conditions.
In some cases, orthodontic treatment may also involve the use of appliances other than braces, such as aligners, retainers, archwires, elastics, mouthguards, and even orthodontic surgery in certain situations.