Teeth good, all good - teeth and jaw anomalies

Word has gotten around that proper and regular dental care must be an integral part of the daily hygiene ritual. But many dental problems can not be reduced exclusively to bad toothbrushing habits: Who wants to chew well, also needs a functioning upper and lower jaw.

Slate tooth instead of "steep tooth"

There are numerous anomalies in teeth and in the jaw. Most can be remedied with orthodontic treatment over a multi-year period. The causes for the misalignments are about half genetically determined, in the other 50 percent but thumb sucking and bad nipple habits are the reason for crooked teeth. Caries in toddler age or even the loss of primary teeth also leads to problems in upper and lower jaw.

If teeth overlap, are crooked or too tight, then it is usually not only the beaming smile that strikes the affected person. Also, the cleaning and removal of dental plaque with dental floss are difficult. A so-called tooth defect increases the caries and Paradontoserisiko significantly.

If the teeth in the upper and lower jaws do not meet properly when biting, both chewing and digestive powers of the body are affected. In the worst case, gastrointestinal irritation can be the result. Speech defects and a greater susceptibility to colds and inflammation in the mouth and throat are also attributed to malocclusions and problems in the jaw. Headaches and tension in the area of ​​the entire spine, especially in the mouth and neck area, are often caused by incorrect loading of the jaw.

So there are enough reasons to deal with possible problems in the jaw at an early stage.

From the dentist to the orthodontist

Crooked teeth are often noticed early by the parents. Although orthodontic treatment usually begins at the earliest at the age of eight or nine, the dentist may recommend an appointment with an orthodontist earlier, possibly at kindergarten age.

An early visit to the orthodontist may be important in the course of a treatment that begins during the tooth replacement and before the completion of jawbone growth. Often, at an early stage, simple procedures such as oral atrial plates or removable braces are a good preparation for later treatment, which can then be less laborious.

Dental aesthetics for adults

Meanwhile, more and more adults wear braces. The new materials, such as ceramic or fiberglass brackets, are more in keeping with the aesthetic requirements of older generations than colorful rubber bands or metal brackets. In addition, in adults tend to TMJ complaints are treated. The orthodontist can also help with the preparation for later prostheses and correct misaligned teeth.

An orthodontic treatment is possible in every year of life, when the teeth are caries-free and the gums are inflammation-free.

The treatment

To make an accurate diagnosis, impressions are taken from the rows of teeth, X-rays and, if necessary, photos taken during the course of the 3-5 years of treatment. Subsequently, a treatment and cost plan is created, which is discussed with the patient. The orthodontic treatment plan is reviewed and approved by the reimbursement bodies - usually the health insurance companies or the supplementary insurer service centers. Thereafter, the patient and, in the case of minors, the parents must sign a treatment contract. Only then is there an appointment for the actual start of treatment.

Before starting the actual treatment, the following steps are clarified:

  1. The objective of the treatment,
  2. the treatment plan,
  3. the type of therapy (fixed or removable aids),
  4. the definition of beginning and duration,
  5. the impact assessment and
  6. the cost planning.

During the entire treatment period, the patient must work intensively. This means that inspection visits must be made every 3 to 8 weeks, and the braces, braces, headgears or other treatment equipment must be worn according to the instructions during the day and / or throughout the night. The good dental care and regular check-ups at the dentist are also an integral part of the treatment program.

Clasps, Brackets & Co.

Whether fixed braces, brackets or so-called non-compliance devices - devices that move the teeth without the active involvement of the patient, are used for treatment, decides the orthodontist. As a rule, this decision is made with the involvement of the patient and the parents.

Above all, it is important that the wearing times are adhered to. This is especially true for the so-called retention phase, in which the new tooth and jaw position must be secured and stabilized with appropriate retention devices until the teeth remain in the desired position. This stabilization time is usually longer than the active treatment phase, but crucial to the long-term success of the treatment.

The invisible braces

Since 1997, there is a new treatment method for malocclusions. The Invisalign® rails are almost invisible and can do without wires and metal. According to the German Society of Orthodontics, the new system offers some not insignificant advantages:

  • The removable rails are almost invisible.
  • Domestic dental care (brush, dental floss) is possible without restriction.
  • The Invisalign system also offers advantages in wearing comfort and speech, in that it is an enrichment of the treatment instruments for certain occupational groups with special aesthetic and functional needs (eg public figures, wind musicians).

Even initial concerns that the wearing of the splints could have negative effects on the condition of the gums or the temporomandibular joint function are, according to current knowledge, unfounded. However, the system can only be used under certain conditions:

  • All milk teeth must be replaced by permanent teeth,
  • and complete the skeletal growth.

Thus, the invisible braces is suitable for almost all teenagers over 15 years and all adults. However, the Association of Orthodontists also sees a considerable amount of treatment, which is also associated with increased laboratory and material costs. The rails are manufactured using the 3D process and must always be manufactured individually. Manufacturers and orthodontists communicate interactively, the manufacturer takes over the duties of a dental laboratory. The Invisalign procedure is therefore only recommended for well-trained practitioners who have a good command of the entire orthodontic spectrum in diagnostics and therapy.


The costs of an orthodontic dental orthodontic treatment are covered in full by the statutory health insurance funds if the treatment is properly carried out and completed. In addition, the insured usually pay a 10% contribution per quarter during the treatment, which will be reimbursed according to the final report of the orthodontist. If several children are treated simultaneously in a family, the own contribution decreases.

For over-18-year insureds, the costs will be covered if there are severe anomalies that require combined oral and orthodontic treatment. The invisible braces is usually not completely taken over by the health insurance companies - here, too, is worth talking to the insurer.

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