Aesthetics and functionality are two fundamental and complementary aspects of human physiology.
The objective of a Orthodontic Therapy is to correct and create a normal structure and function of the teeth and jaw, as well as, create harmony between the teeth, the gums and the smile.
By valuing many of the interdisciplinary and different aspects of orthodontics, we are able to achieve excellent and permanent results in the time frame, as well as, in relation to the age of the patient and to the particularity of the face.
Focuses on the process of cranio-facial development and its effect on the relationship between the jaw and the lower jaw, as well as between the teeth.
The abnormal relationship between the dental arches represents any anomalies between the relationship of the teeth with the jaw and mandibular bone structure.
A 3D analysis of the craniofacial structure is required for diagnosis.
The diagnosis is based on the Orthodontic check-up, comprising the following examinations:
- medical examination,
- photographic documentation,
- radiology examinations,
- cephalometric analysis
- analysis of dental arch models (plaster dental casts).
In particular, the Orthodontic Cephalometric analysis is a fundamental elements in diagnosing and determining therapeutic treatments.
The therapeutic approach of “ having a beautiful smile “ does not only depend on the simple aligning of the teeth, but also the correction of the skeletal structures, neuro-muscular components and soft tissue (tongue, cheeks, lips, nose).
As such, the analysis of maxillo-facial development is strictly tied to the biotype of the patient and the possible presence of abnormal habits (childhood swallowing, oral breathing, gnashing of the teeth and cranio-facial and dental trauma), as well as other elements.
The role of the Orthodontist is to restore adequate chewing, bring back breathing, phonetics and physiological swallowing, as well as, tooth alignment and disimpaction.
The clinical practicalities of the Orthodontist, has to therefore consider the dynamic development phases of the patient, checking the processes of growth and following the teeth changes.
These aspects influence the treatment choices and require a diverse approach with patients in development phases and in adulthood.
For this purpose, the type of removable appliances or fixed braces chosen and the timing in which to apply them has to strictly correlate with the orthopaedic or orthodontic objective that must be followed at certain stages. These may include the developmental phase or the stage of change from baby to adult teeth, or at the appearance of particular clinical situations.
All the clinical, diagnostic and therapeutic activity (visits, check-ups, brackets bonding, arch replacement, fitting and checks of the braces, periodic checks during therapy and in the phase of retention, etc) are medical acts, and must be carried out by the Specialist and at IOS are carried out by Dr. Alberto Barenghi.
Adult patients, who need serious clinical management, may require an Orthodontic – Surgical solution. Therefore, the Orthodontist may collaborate with a Maxillo-Facial Surgeon in diagnosing and following therapeutic treatments.
In the case of “dental impactions”, the role of the orthodontist is fundamental and makes it possible to recover and conserve the tooth in question, guiding it to a physiological position within the dental arch.
In the case of “dental agenesis”, the Orthodontic treatment is able to restore a balance in the dental composition, as well as, produce an ideal aesthetic, in relation to the specific clinical situation.
It must be noted that the Orthodontic Technical Laboratory, based on the clinical indications and the impressions taken by the Orthodontist, completes the manufacturing of the orthodontic appliances.