General_Dentistry

What is general dentistry?

Lingual braces have archwires, brackets, and bands like conventional braces. The only difference is that they are installed behind the teeth facing the tongue, making them discreet. We recommend these braces to patients uncomfortable with traditional metal braces. They work as effectively as conventional braces; they are called lingual braces since they face the tongue.

Some common reasons for choosing lingual braces include

Lingual braces are invisible to onlookers as they are placed behind the teeth. Many adults prefer lingual braces as traditional braces are not ideal for them in social and professional situations.

The discoloration or the white spots resulting from wearing braces will be on the inside of the teeth rather than the outside when compared to other dental braces.

Customizing the lingual braces according to the patient’s needs makes them more effective and comfortable than standard or conventional braces.

Who Needs the Lingual Braces Procedure?

Kids and Adults

  • Because Lingual Braces leaves the roots of a tooth intact and able to grow, it’s used primarily in children with baby (primary) teeth, which have an immature root formation.
  • Baby teeth help maintain spacing for the permanent teeth that will follow, so leaving them intact is often a priority.
  • Studies have shown that this procedure can also be used effectively in adults and in children with secondary teeth, provided that enough healthy pulp exists within the tooth to keep it healthy and vital.

Outcome of Lingual Braces

A Lingual Braces is considered a restorative procedure. Most people who undergo the procedure can enjoy positive results for the rest of their lives. Still, how long results last depends on the way you take care of your teeth. Just as the rest of your teeth depend on good oral hygiene habits, your restored tooth requires regular brushing and flossing as well.

What are the conditions for Lingual Braces?

In some cases, snoring and sleep-disordered breathing are treated with surgery to shrink or remove excess tissue or correct a structural problem. Many of these procedures are minimally invasive. Your provider uses small incisions, and you may be able to go home the same day. Surgery for snoring includes:
  • Laser-assisted uvula palatoplasty (LAUP):
LAUP reduces tissue in the soft palate and improves airflow.
  • Radiofrequency ablation:
Also called Somnoplasty, this technique uses radiofrequency energy to shrink excess tissue in the soft palate and tongue.
  • Septoplasty:
This procedure straightens a deviated septum in the nose. A septoplasty improves airflow through the nose by reshaping the cartilage and bone.
  • Tonsillectomy and adenoidectomy:
The surgeon removes excess tissue from the back of the throat (tonsillectomy) or the back of the nose (adenoidectomy).

Pros And Cons Of Lingual Braces

Pros

Conscious sedation provides many benefits to patients who are anxious about dental appointments.
Help reduce anxiety during the procedure, allowing dentists to perform their work more effectively.
Make dental treatments less painful and uncomfortable by reducing sensitivity in certain areas.
Offer a fast-acting relief that wears off quickly after the procedure is completed.
Minimize any side effects associated with more invasive forms of sedation.

Cons

However, there are some drawbacks to conscious sedation as well.
Involves the use of medications which can lead to adverse reactions in some patients.
Does not guarantee pain relief for all types of procedures.
Discuss potential concerns with healthcare provider before starting treatment.
Discuss potential concerns with healthcare provider before starting treatment.

Benefits of Lingual Braces

  • Compared to a traditional root canal, a Lingual Braces is a cost-effective and less invasive procedure.
  • For children, it can eliminate tooth pain, inflammation, and tooth infection in a manner that can help to preserve baby teeth and reduce the spread of decay.
  • Unlike some other dental procedures, a Lingual Braces will allow the transition from baby teeth to permanent teeth to happen naturally.
  • Plus, a Lingual Braces can be completed in a single appointment.

Types Of Lingual Braces

Lingual Braces can be classified according to treatment objectives given by Ranely :

1. Primary Teeth

The indication of this Lingual Braces procedure is when pulp exposure occurs during caries removal in a primary tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure. Then, the coronal tissue is amputated, and the remaining radicular tissue is judged to be vital without suppuration, pus, necrosis, or excessive bleeding which cannot be controlled by a moist cotton pellet (with saline) after several minutes, and there are no radiographic signs of infection or pathologic resorption.

2. Devitalization

Another form of nonchemical devitalization emerged: electrosurgical Lingual Braces. Electrocautery releases heat that denatures pulp and reduces bacterial contamination. Experimentally, electrosurgery has been shown to reduce pathologic root resorption and periapical pathology, and a series of pulpal effects including acute and chronic inflammation, swelling and diffuse necrosis. It is reported that this method has high success rate in pulpotomies.

3. Preservation

Zinc oxide-eugenol (ZOE) was the first agent to used for preservation. In recent years, glutaraldehyde has been proposed as an alternative to formocresol based on: its superior fixative properties, and low toxicity. A non aldehyde chemical, ferric sulfate, has received some attention recently as a Lingual Braces agent. It minimizes the chances for inflammation and internal resorption. This category of pulp therapy is still in flux, although major changes in the future are not likely.

4. Regeneration

The ideal Lingual Braces treatment should leave the radicular pulp alive and healthy In this case, the tooth should be filled with noxious restorative materials within, thereby diminishing the chances of internal resorption, as well as formation of reparative dentin. Calcium hydroxide was the first agent used in pulpotomies that demonstrated any capacity to induce regeneration of dentin.

Before the Procedure

Here is how to prepare:

Timing

A Lingual Braces can take anywhere from 30 to 45 minutes, and in some cases, slightly longer.

Location

The procedure will take place in the dentist’s office.

What to wear

Since it’s a dental procedure, your child can wear any clothing that feels most comfortable for them.

What to bring

If your child has one, you can bring along an item that’ll be sure to comfort them after the procedure

During the Procedure

Lingual braces are completely customized to fit the wearer’s requirements. Our orthodontists will take the impression of your teeth and design these braces to fit your mouth perfectly.

We place the brackets individually on each tooth, and the archwire connects the brackets. The archwire is also customizable, making it all the more effective. 

Traditional braces have standardized brackets that are placed individually on each tooth one at a time.

Once the roof of the pulp is drilled through, it will bleed. This shows that the pulp is still healthy. If the pulp chamber is filled with pus or it’s empty and dry, then the dentist cannot continue with the Lingual Braces. They must then either perform a pulpectomy or tooth extraction. The coronal pulp will then be removed/excavated. When this is done, wet cotton swabs or pellets will be used to stop the bleeding and clean the area. Ideally, this bleeding should stop within a minute or two, or top five. Different dentists have their own time limits. If the bleeding doesn’t stop after that time then it shows that the pulp in the root is no longer healthy, and has probably been affected by tooth decay. So, a pulpectomy or a tooth extraction will have to be performed. Once the bleeding stops, then the radicular pulp (what of it can be seen) is treated and covered with special medication. This medication is usually either formocresol, ferric sulfate, or mineral trioxide aggregate (MTA). Your dentist may also opt to use laser treatment in place of medications to treat the pulp as pulpotomies done with lasers have very high success rates. After this is done, the pulp chamber of the tooth is sealed with zinc oxide eugenol (ZOE) or some other base. The tooth is then restored. This is usually done with a stainless steel crown.

Post-Procedure

Your child may experience some pain and/or swelling after the procedure. The healthcare provider will likely prescribe pain medication to help with this.

Taking care after the Procedure

Your healthcare provider will likely give you instructions on the kinds and temperatures of food your child can eat for days immediately following the procedure. Your healthcare provider will also likely instruct that your child avoid eating candy or other sticky foods until the stainless steel crown used to restore the teeth falls out by itself.

What are the risks or complications of Lingual Braces?

Sedation dentistry is typically safe when administered by a licensed healthcare provider. However, there’s a small risk of complications. Possible short-term risks include:
Lingering drowsiness.
Nausea and vomiting.
Can be difficult to predict the effect of oral sedation medications.
Headaches.
Dry mouth (xerostomia).
Bruising from the IV.
It can also be difficult to predict the effect of oral sedation medications. Rarely, people may have an allergic reaction. There are drugs available that can counteract these issues.

What to expect?

Dent Care is committed to providing the safest and highest quality care to patients. We measure our performance against our own rigorous standards and compare the outcomes of our care with top medical centers nationwide in our effort to continually improve the care we provide. We believe that sharing our results with the public is an obligation and a critical factor in our mission of continuous improvement.
Superior care and outcomes
Outstanding patient safety
Care delivered in a timely manner

FAQ's

1. How long do I need to wear lingual braces?

It depends on the dental case in question. The treatment takes an average of 12 to 18 months. Our orthodontists will give an accurate picture during the initial consultation itself.

2. How often should I go for a dental checkup after getting lingual braces?

Our dental staff will schedule regular checkups. This way, our orthodontists can check your progress and adjust your braces accordingly.

FAQ's

3. Can only my front teeth be straightened with lingual braces?

Yes! Lingual braces target certain sections of the teeth, including the front teeth. In such cases, the treatment will be quicker and more affordable.

4. Do lingual braces give the wearer a lisp?

In the initial days, you may experience a lisp. But the lisp goes away as your tongue adjusts to the braces.

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