Wednesday, January 26, 2022

JuniorDentist.com

JuniorDentist.com


5 Types of Braces for Teeth – Metal, Ceramic, Self Ligating, Lingual and Aligners

Posted: 26 Jan 2022 06:14 AM PST

Types of Dental Braces

Orthodontic treatment or acceptance to Types of Braces for teeth has gained a lot of acceptance in recent times, many factors such as to correct spaces, crowding, aesthetic appearance or functional corrections are being done using Orthodontic treatment plans. The acceptance and increase in number of people willing to go for correction of teeth defects is due to the availability of more options than what it was a decade ago. With the availability of more aesthetic options like Aligners which are virtually invisible, more and more adults are willing to correct the aesthetic appearance of their teeth. But the type of Braces which can be used differs from patient to patient along with multiple additional appliances required to aid in the treatment process. "Note: We are not mentioning the pricing of Different types of Braces as they vary to an extreme extent depending on Country, Clinic, Orthodontist expertise, etc. So giving an estimated cost might vary from clinic to clinic and patient to patient depending on the duration and additional appliances required."

The 5 Types of Braces include

  1. Metal
  2. Ceramic
  3. Self Ligating
  4. Lingual Braces
  5. Clear Aligners
[caption id="attachment_6865" align="alignnone" width="415"]Types of Dental Braces Types of Dental Braces[/caption]

Metal or Conventional Braces:

These are the traditional Metal braces which come into mind when you hear about braces or orthodontic treatment. Earlier when Orthodontic treatment was first introduced, each tooth was encircled with a metal band, which has now been changed with a small bracket on the surface of the tooth to hold the wire in place. A single band can be used on the molar teeth as anchors. Advantages of metal braces are - they are Smaller, more comfortable, easy to maintain and most effective in attaining movement. Longer 4-8 weeks appointment gaps, most affordable. Better patient compliance. These advantages make them best suited for children and young adolescents as they are easy to maintain and have a harder bond when compared to the rest of the braces. The wires are held in place to the brackets using elastics which come in all types of colors. Being fixed it is preferred by parents Disadvantages of Metal Braces: Not aesthetic and more noticeable, Difficult to maintain, Can lead to Periodontal problems in patients with poor oral hygiene.

Ceramic Braces:

These are also called as Ceramic Braces or clear braces, they are made out of a clear material which is tooth colored. It is similar in shape and design as the metal braces but is less visible. Patients who opt for Ceramic braces are young adults and adolescents who want to aesthetically straighten their teeth but are not compatible with aligners as it is more affordable. Ceramic braces are a bulkier than metal braces and tend to stain more easily if not maintained properly. These are not advisable for all patients but are a good option for certain patients.

Self Ligating Braces:

These are similar to Metal braces in appearance and function but these have metal doors to keep the wires in place instead of elastic bands as in metal braces. In traditional braces the wires are kept in place with the help of Elastic bands or metal ties which tend to loose its power or elasticity after a certain number of days and no movement is achieved after this. While on the other hand the Self ligating brackets have a door mechanism which keeps  the wire in place and are always active keep moving the teeth faster as compared to traditional braces. There are two types of Self ligating braces - Active brackets and Passive brackets. The Active brackets have a sliding spring clip mechanism which press against archwire and always keep them active moving the teeth. The Passive brackets have a sliding mechanism which do not press against the archwire and thus are used to retain teeth without achieving movement.

Lingual Braces:

The term Lingual in dentistry suggests towards the tongue, so lingual braces mean placing the braces on the lingual or inner side of the teeth. This is a specialized technique which is the least commonly used procedure in orthodontic treatment, it requires special technique and methods. This option is restricted to certain types of cases and cannot be used in all cases, but these give a certain advantage over other methods giving complete invisibility, etc. There are certain disadvantages of Lingual braces as well, as they are placed on the inner side it will lead to change in speech for a certain period of time (lisp) and can also lead to trauma or ulcerations to the teeth.

Clear Aligners:

This is the latest technology in Orthodontic treatment which has gained a lot of popularity in recent years. This technology was popularized by a company called Invisalign which has become synonymous with Aligners. Clear Aligners have gained a lot of popularity due to their advantages of being Clear and transparent and almost invisible. It is most preferred by working professionals, but it has its limitations as well in comparison to traditional braces. The main Advantages of Clear aligners are - they are clear and transparent virtually invisible, removable, easy to maintain your teeth, easy to brush and floss, requires less dentist visits, faster than traditional braces in some cases. The main Disadvantage of Clear Aligners is the "High Cost" and the second one is the limitations to certain mal occlusions.

Friday, January 21, 2022

JuniorDentist.com

JuniorDentist.com


How Artificial Intelligence is becoming part of Dentistry

Posted: 20 Jan 2022 06:17 AM PST

Artificial Intelligence in Dentistry

Artificial Intelligence is slowly turning out to be an integral part of our everyday life. Right from the simple Google search you do to complicated stuff such as Scientific, Medical and also Robots roaming the face of other planets, AI which was touted to be the future is now slowly becoming the present. And Dentistry is not far behind is integrating Artificial Intelligence into our field - Diagnosing and treatments. Yomi a robot-assisted surgical device developed by a Start up named Neocis has helped clinicians place 10,000 dental implants in patients using the dental robotic platform. Artificial Intelligence in Dentistry Some terms which are useful when talking about AI are -
  • AI - Artificial Intelligence
  • ML - Machine Learning (It is a branch of AI which performs intelligent tasks without any prior knowledge or rules by just learning)
  • DL - Deep Learning
  • ANN - Artificial Neural Network
  • DNN - Deep Neural Network
  • CNN - Convolutional Neural Network
In Dentistry, the most commonly used AI technology is Convolutional neural network or CNN which is used in image recognition by taking in digital signals such as sound, image and video.

Application of AI in various Branches of Dentistry:

Orthodontics:

This is one branch of Dentistry where AI is already playing a vital role in determining the treatment plan and also aiding in designing the treatment protocol actively in the form of "Aligners treatment". ANN is being used actively in planning Orthodontic treatments and predicting treatment outcomes for patients. As some Orthodontic treatment requires extraction of teeth, clinical evaluation along with use of ANN can be a good measure in determining the need of tooth extraction. When ANNs were used to determine the need of tooth extraction considering clinical indices as well, it showed an accuracy of 80-93% to determine the need of extraction depending on the malocclusion.

Dental Radiology:

CNN has been trained to identify Teeth in a Periapical Radiograph, on testing it has demonstrated a precision rate of 95.8% to 99.45% which is close to the clinical work of a person having 99.98% precision rate. When the CNN algorithm was used in identifying Dental Caries from healthy tooth structure it has shown a precision rate of 75.5 to 93.3% in a sample size of 3000 radiographs of Posterior teeth. It showed a sensitivity rate of 74.5% to 97.1% in detecting Dental Caries using Radiograph alone. This is considerably higher when compared to clinicians who have a sensitivity rate of 19% to 94% when given only Radiographs to detect dental caries. With more refinement it can be a very useful tool in detecting Dental caries faster and making it easier for clinicians to process cases and come to a definitive diagnosis.

Cosmetic Dentistry:

Smile Designing has gained importance with many giving importance to their smile and aesthetics, 3D smile designing software's which use AI to show the end result of a patient's smile is an important tool for the clinician and the patient to come to a definitive conclusion about the treatment plan. Some software's such as DSD (Digital Smile Design) or DTS Pro (Digital Treatment Simulation) or Planmeca Romexis Digital Smile Design, etc. These software's make use of AI and Machine learning to help Dentist's design smiles in minutes.

Periodontics:

In Periodontics AI is used to diagnose between the two types of Periodontitis - Aggressive and Chronic. Diagnosing the type of Periodontitis can help in determining the treatment plan to a large extent. Papantanopoulos and colleagues have used ANN technology to distinguish between Aggressive Periodontitis and Chronic types by using immunologic parameters such as Leukocytes, IgG antibody titers and interleukins. ANN was used to identify these parameters which helped in differentiating AgP from CP having 90 to 98% accuracy. Other parameters were also included such as monocytes, eosinophil, neutrophil counts and CD4+/CD8+ T-cell ratio as inputs helping in more accurate diagnosis. Lee and coworkers have used CNN algorithm to determine the need for extraction of Periodontally Compromised teeth. With the help of CNN Algorithm, the accuracy of predicting the need for extraction was 73.4 to 82.8%. With 73.4% being Molar teeth with multiple roots while the Single rooted pre molars giving 82.8% accuracy.

Oral Pathology:

It is useful is identifying between Precancerous and Cancerous lesions of the Oral cavity, head and neck region using clinical as well as other diagnostic aspects. CNN has been used to detect tumor tissues in tissue samples as well as radiographs, and they have given promising results. The specificity in diagnosing head and neck cancer lesions has been 78-81.8% and 80 to 83.3% which is almost similar to clinicians. In a study which was conducted to distinguish between Ameloblastoma and OKC based on certain parameters, identifying which has become much easier and faster with AI integration. With AI integration using CAD/CAM in fabricating crowns, onlays etc it has made it possible for single sitting dentistry along with reducing contamination, operating time and also the time spent on the dental chair. With the advancements happening at a fast pace, we can expect a lot more integration of AI into Dentistry which can make us more efficient. References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7394756/

Wednesday, January 19, 2022

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Wednesday, January 12, 2022

Plan Forward Announces Strategic Partnership with Choice Payment Solutions

#delivered - Your latest Plan Forward blog is here!

Wednesday, January 5, 2022

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