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Crooked teeth? When orthodontics is the solution

Have you noticed that your teeth have shifted in recent years? Or does your child have crooked teeth and you're wondering if it's time for braces?

These are very common questions. Even today, many people think that orthodontics is only about a more beautiful smile, but in reality, misaligned teeth can make daily cleaning difficult, wear down tooth enamel, cause chewing problems, and in some cases even contribute to temporomandibular joint (TMJ) disorders.

The good news is that there are now various solutions available, from traditional fixed braces to transparent aligners, and many of these can also be used in adulthood.



What signs indicate that orthodontic treatment might be necessary?

Crooked teeth are not always easy to spot.


However, there are some signs that may indicate an alignment problem.

  • The teeth overlap.

  • There are noticeable gaps between some of the teeth.

  • Chewing is unpleasant or unnatural.

  • Some teeth wear down faster than others.

  • It's difficult to use dental floss.

  • The teeth appear to have shifted in recent years.

  • You often find yourself biting the inside of your cheek.

  • You are not satisfied with your smile in photos.


Even one of these signs can be a good reason to arrange an orthodontic examination.


Why do teeth still shift in adulthood?

Many patients are surprised to find that their smile has changed over time.


It is actually a fairly common phenomenon.

The causes can vary:

  • Loss of one or more teeth;

  • Bruxism;

  • Periodontal diseases;

  • natural growth of the arches;

  • old orthodontic treatments without sufficient retention.

For this reason, it is not unusual for patients to begin a new orthodontic treatment in their 40s, 50s or even 60s.

There is no age limit for starting orthodontic treatment.

If teeth and gums are healthy, orthodontic treatment can also be carried out in adulthood.

Naturally, the treatment plan is always individually tailored to the patient's characteristics.


Fixed braces or transparent aligners?

Today there are several options.


The choice depends primarily on the type of dental malocclusion and the treatment goals.

Permanently installed devices

Transparent dental aligners

Displayed even in the most complex cases

Ideal for many mild and moderate cases

NOT removable

Removable

Requires more attention to hygiene

Greater comfort and easier cleaning

Visible

Almost invisible

During the visit, the most suitable solution will be determined without proposing a standard treatment that is the same for everyone.



How long does orthodontic treatment take?


There is no universally applicable duration.

This depends on several factors:

  • Type of problem;

  • Age;

  • Patient cooperation;

  • Device used.


You will receive an individual time estimate during your visit.


What happens if crooked teeth are not corrected?

In some situations, incorrect alignment can lead to the following:

  • increased plaque formation;

  • Caries;

  • Gingivitis;

  • Tooth abrasion;

  • Difficulties chewing;

  • Aesthetic problems that can affect your confidence when smiling.


Early assessment allows us to determine whether treatment is actually necessary or not.


When is the right time to schedule an appointment?


It is advisable to see a dentist if:

  • You notice that your teeth are shifting;

  • You have difficulty cleaning certain areas of your mouth;

  • The smile no longer satisfies you;

  • Your child has very closely spaced teeth or an irregular bite;

  • You've had braces before, but your teeth have shifted again.


A visit to a specialist will allow you to find the most suitable solution, avoid unnecessary treatments, and evaluate all available options.


Frequently Asked Questions


Can teeth become crooked again after orthodontic treatment?

This can happen, especially if the braces are not worn as instructed by the dentist.

Are transparent aligners just as effective as fixed braces?

They can be very effective in the cases for which they are indicated. The choice depends on the clinical situation and the treatment goals.

Do braces hurt?

Mild discomfort may occur during the first few days, but this is usually temporary and related to getting used to the new environment.

How often should preventive health check-ups be performed?

The frequency varies depending on the type of treatment, but regular check-ups (once a month) are essential to monitor the progress of the therapy.


Advice from Dr. Silvia Parisi

Many patients come to the practice convinced they need braces, while others avoid them for fear it's too late. In fact, every case is unique.

An orthodontic consultation is not only helpful in deciding which appliance to use, but also in understanding whether treatment is truly necessary and which approach promises the best results for oral health.

Would you like to know if orthodontic treatment is right for you?

At the dental practice of Dr. Dalle Donne Andrea in Borgo Panigale (Bologna), we assess each case individually, explain the different treatment options and help the patient to choose the path that best suits their needs.

Book a visit You will receive a specialist medical examination and find out which treatment can help you improve your smile and mouth function.

 
 
 

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