Parents and children often use the term "crooked teeth" to describe the various issues that lead them to seek orthodontic treatment.
This typically refers to teeth and jaws that are not in harmony. Crowded teeth, teeth that are not in the correct position or angle, or teeth that are overly prominent or recessed are common complaints among patients. Most cases of crooked teeth are treatable, and orthodontic treatment can significantly enhance the appearance of teeth and improve the smile.

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What are the possible causes of crooked teeth?

1. Genetic factors - There are many hereditary factors that influence the alignment of teeth, including:

   • Jaw size and positioning - The relationship of one jaw to the other and both jaws to the skull.

   • Number of teeth - Missing or extra teeth are common and can significantly affect tooth alignment.

   • Tooth size - An imbalance in tooth size can impact alignment within the arch and the relationship between the upper and lower teeth.

2. Environmental factors - External influences also play a significant role in causing crooked teeth:

   • Breathing - Mouth breathing due to allergies or recurrent upper respiratory infections can have a major impact on the shape of the upper dental arch and tooth alignment.

   • Tooth eruption - Teeth erupting in an incorrect position or angle will inevitably lead to crooked teeth in that area.

   • Habits - Long-standing habits can significantly affect tooth positioning. An example of such a habit is prolonged thumb-sucking or pacifier use beyond the normal age.

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What percentage of the population requires orthodontic treatment?

Studies conducted on various populations using recognized orthodontic indices have shown that up to 70% of the population may require orthodontic treatment for either medical or aesthetic reasons.

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Why is it important to straighten teeth when they are crooked?

1. Medical reasons - Crowded teeth can make oral hygiene maintenance challenging, thereby increasing the risk of dental diseases (e.g., cavities) and gum diseases (e.g., gingivitis, gum recession).

2. Aesthetic reasons - Straight teeth contribute to an aesthetically pleasing appearance, enhancing facial harmony. A better outward appearance boosts self-confidence and quality of life.

3. Functional reasons - Bite irregularities and orthodontic issues can be associated with difficulties in chewing, breathing, and other functions.

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How do you determine the need for orthodontic treatment in cases of crooked teeth?

1. Initial orthodontic evaluation - This involves an initial diagnosis of the problems, assessment of the need for treatment, and determination of the appropriate timing. If treatment is deemed necessary and timely, the patient will proceed to complete the required imaging and documentation.

2. Completing documentation - The second stage involves completing X-rays, photographs of the face and teeth, and additional records as needed.

3. Comprehensive examination - This detailed examination builds on the initial evaluation and allows for the development of a precise treatment plan.

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What are the methods for straightening teeth?

1. Clear aligners (invisible orthodontics) - Thin, custom-made trays made of transparent plastic are created after a precise 3D scan of the teeth in both jaws. This is the most advanced method, where the entire treatment is planned digitally, and the aligners are designed to move the teeth exactly to the desired positions.

   Advantages of this method:

   • Precision and custom fit.

   • Improved oral hygiene during treatment.

   • Comfort during treatment.

   • Excellent aesthetics.

2. Braces (traditional orthodontics) - This classic method involves brackets (braces) that are bonded to the teeth. There are two versions of brackets:

   • Metal brackets

   • Clear brackets - Made of ceramic, offering enhanced aesthetics and reduced visibility compared to metal brackets.

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What is the success rate of orthodontic treatments?

In most cases, the success rate is excellent. Comparing before-and-after images of orthodontic treatment highlights the significant aesthetic transformation.

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Are there cases where spontaneous improvement can occur without orthodontic intervention?

In specific cases, some improvement may occur naturally without orthodontic treatment. After an orthodontic evaluation, it can be determined whether it’s advisable to wait for improvement or proceed with treatment to prevent deterioration.

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How is it decided that orthodontic treatment has achieved its goals and can be finished?

1. Objective aesthetic and bite measurements - These indicators help determine whether the treatment objectives have been met. Examples include eliminating crowding, closing gaps, achieving proper alignment in three dimensions, and ensuring a functional bite.

2. Patient satisfaction - Sometimes, the patient is very pleased with the results and requests to conclude the treatment.