Mouth pain

Pain is a totally personal experience that cannot be shared and that constitutes one of the main concerns of man. It is the most common symptom by which they come to consult the doctor.

We have already said that it is an experience that cannot be shared, since by applying identical painful stimuli to different individuals, they perceive it differently. We cannot feel exactly the same as another person. There is a great sensitivity to pain on the face and in the mouth. Dentists must differentiate the source of pain.

Here we are going to break down characteristics of different types of pain, focusing mainly on mucosal pain, dental pain and periodontal pain (which comes from the tissues that form the periodontium, which is the area surrounding the tooth).

Mucous pain

The mucosa of the oral cavity can be damaged by many factors, such as alcohol, tobacco, certain drugs administered orally or topically, dentinal defects, poorly adapted restorations or prostheses etc., but it can also be affected by local or systemic diseases with repercussion in the oral cavity, producing lesions that will produce pain.

These are injuries that will only hurt when a stimulus is applied. The site of the injury and the place where the stimulus originates are the same. The more stimulus, the more pain. Hence, the pain that is perceived is proportional to the stimulation. An injury will hurt when the pressure we exert on it is in the area of ​​the injury, and the more we press, the more pain we will feel.

We are going to make a classification of the mucous lesions that produce pain:

On the one hand, there are the infections, whether they are viral, fungal or bacterial. Certain iatrogenic injuries can also cause pain, as is the case of trauma, as well as chemical, physical agents. Squamous cell carcinoma (which is a neoplasm), recurrent naphtha, and certain much-macular diseases can be painful.

We found infectious lesions, which can be viral, bacterial and fungal. Nowadays, the prevalence of oral infections is increasing, especially in patients with low immunity, with viral and mystic infections being more frequent than bacterial ones.

There are three groups of viruses that are capable of producing painful vesicular eruptions in the mucosa. They are herpes simplex, herpes varicella zoster and coxsackie. They remain latent in the organism after infection, so that recurrences are frequent, that is, when certain factors called precipitants (such as stress) occur in people who have the virus, the symptoms of the virus return. The illness.

The difference is that in the oral mucosa, when it appears for the first time, there is a great systemic affectation and local pain is one of the main problems, but in relapses it is usually less important. In cold sores, for example, recurrences will not be very painful (with some exceptions).

We have already said that bacterial infections are less frequent, but we must mention the GUNA, acute ulcer necrotizing gingivitis, because of its importance. It is an inflammatory and destructive process of the gums, which causes significant gingival pain. It is a type of moderate or intense pain, which is not caused by any external stimulus, but appears spontaneously, and which is constant.

Regarding mystic infections, that is, fungi, we can assure that the most common fungal infection of the upper digestive tract is candidiasis. There are varieties of candidiasis, being the one that produces pain that is called painful antibiotic tongue (so called because it is common to appear with prolonged use of antibiotics).

Among the iatrogenic causes, the most frequent are injuries, which can be caused by bites, by mechanical irritation of poorly adapted prostheses, etc. It is a type of mild or moderate pain, and will cease when the tissue heals. If the lesion becomes infected, the pain will increase.

Among the chemical agents that produce pain, the one that produces it most frequently is acetylsalicylic acid (aspirin), since in contact with the mucosa, it leads to chemical necrosis, and ulcers occur. And between the physical agents would be the thermal and electrical burns.

Neoplastic lesions of the mucosa, such as squamous cell carcinoma, will only cause pain when they are very advanced and very intense.

Canker sores are one of the most frequent injuries, and annoying during the first days. It is the loss of acute substance, painful, initially necrotic and recurrent. Although the injury persists, it only hurts the first few days.

Among the mucocutaneous diseases, there is lichen planes, with diverse clinical forms, being the only one that hurts the erosive type. If they are very large, they will produce severe pain, which will even hinder the intake of food. Pemphigus vulgaris produces lesions of the bullous type, which will hurt if they are over infected.

Dental pain

The dental pain is one of the most annoying pains that the human being suffers, and is the most frequent cause for which the patients go to the dental clinic.

The sensation of dental pain originates in the receptors located in the pulp (which is endowed with nerve fibers) or dentin.

Cement and enamel are insensitive. When the pain produced for example by a decayed tooth is observed, we see that the location of the pain is not clearly shown, since the patient may feel it referred to other areas. The dental pain presents a great variability in its characteristics and its intensity.

What dental pains can there be?

Dentinal pain

It is a type of intense pain and lasts a few seconds, and occurs before extreme stimuli. (These stimuli can be cold or hot drinks, acids or sweets etc.) Natural stimuli, such as extreme changes in temperature, can be noticeable in very sensitive teeth, but it does not have to indicate a dent in alteration.

It is a pain that is not very well localized; the patient does not know how to say which tooth hurts, and indicates an area and not a tooth like that affected by the pain. Almost always, the cause of this pain is cavities. A restoration in poor condition, the loss of a filling, abrasions of the enamel etc. These are situations that can make the tooth more sensitive to pain.

Pulp pain

The response of the pulp to an external stimulus depends on the intensity of the stimulus applied, and the state of the stimulus. The pulp undergoes modifications with age and other non-physiological situations, etc. and it is difficult to evaluate the state at all times, so the diagnosis of the type of pathological process suffered by the pulp is not simple.

The pain can vary from light to unbearable, it can appear spontaneously without external stimuli, or thermal or chemical stimuli. It can be intermittent, with periods without pain, or continuous. We see, therefore, that it is a type of pain with a wide margin of variability.

In the face of pain in the oral area, the dentist will usually think that it is a dental pain, and it will possibly be the first type of pain that will tend to rule out. The pulpal pain that we can find can be acute or chronic.

Acute pulpal pain may appear spontaneously, as a brief and intense prick that alters the individual momentarily, or to various stimuli, giving rise to the cold and heat, or increasing with heat and decreasing by cold. It can be continuous or intermittent, momentary or maintained. It usually increases at bedtime because it increases the blood pressure of the skull. It ceases when the tooth receives the appropriate treatment or after a while, since after this acute inflammation of the pulp, it dies producing its necrosis.

As in dentinal pain, it is difficult to locate the tooth that suffers pain, especially when the pain is mild.

Chronic pulpal pain is usually the consequence of the continuity over time of an acute alteration. The pain can vary from intense, as in an acute injury, to simply being a discomfort that does not stop.

Mixed pain would occur twice; or when the periodontium has been affected because the acute inflammation of the pulp with involvement of the precipice (the final part of the root of the tooth) is rapid, or when the pulp is affected secondarily (ascending) from a pathological process which occurs initially in the periodontium.

We have already said that practically the first thing that the dentist looks for when the patient refers an oral pain, is an injury or a possible cause that affects the tooth. Tooth decay is the most frequent cause of tooth pain. The dentist will look for carious lesions.

To know if it has affected the periodontium, the patient will refer pain when chewing or under pressure, so the diagnosis will be easier.

When the patient shows great sensitivity to thermal and electrical stimuli (those caused by the dentist), it will generally be an acute pulpitis. If the stimuli are light, increasing the painful response over time, it will be a chronic process.

Anesthetizing the tooth we will see if the pain that was a dental pain stops, we will look for the cause and we will carry out the opportune treatment. As caries, which is usually the most frequent cause of dental pain, progresses, more drastic treatments for the tooth will have to be made (such as endodontic – killing the nerve), so it is important to locate the pain and treat it as soon as possible.

New treatment for retracted gums

A therapy to regenerate the retracted gums would give long-term results and would be an alternative to major dental surgery, a small study revealed.

One option to treat severe periodontal disease is surgery to replace lost tissue around the teeth and roots. Traditionally, that included removing tissue from the patient’s palate and using it as a graft in the retracted gums.

The surgery is effective, but it demands suturing on the palate and causes pain.

In the new study, published in the Journal of Periodontology, a team at Tufts University in Boston analyzed the long-term results of an alternative procedure called guided tissue regeneration (GTR).

The study evaluated a specific technique of GTR developed in Tufts that includes the extraction of blood from the patient to obtain a type of blood cells, platelets, which are rich in proteins called growth factors, which promote tissue repair and healing.

Then, platelets are moistened with a collagen membrane, which is sutured at the root of the retracted gingiva.

Doctors Terrance J. Griffin and Way S. Cheung controlled six patients treated with this technique in a total of 37 teeth.

At six months, the new tissue completely covered the roots of two thirds of the treated teeth. At three years, 57 percent maintained the total covering of the roots. The long-term results are comparable to those of traditional graft surgery, Griffin told Reuters Health.

“The new treatment reduces pain and discomfort, covers the roots excellently and increases patient satisfaction with the results, now we know that it remains stable after three years,” added the expert.

The treatment is not yet available, said Griffin, although he is becoming better known.

The author pointed out that the retraction of the gums, which is the disease for which this therapy was designed, is just a form of periodontal disease. “The good news is that researchers are making tremendous progress in tissue regeneration treatments,” he concluded.

Melons, sardines, dairy products and water help to protect oral health

The intake of fruits such as melon or watermelon, sardines, salads, dairy products and water are foods that help to take care of oral health in summer.

In fact, melon and watermelon contain more than 90 percent water, are fruits rich in vitamins A and C, as well as minerals such as potassium. In addition, the melon stands out for being rich in B vitamins, and one of them, folic acid, prevents the formation of ulcers in the mouth.

Also, seafood and fish such as sardines contain fluoride that helps prevent the onset of tooth decay and, those that have Omega 3 fatty acids, can control gingival inflammation. Similarly, tomato helps prevent different types of cancer, including the mouth, and dairy products provide calcium, as well as vitamins A and B.

Water is also an essential element for oral health because its intake favors good hydration of the gums and mucous membranes.

Oral abscess

Do you have a very intense toothache, and do you notice swelling or redness in the mouth or face? Although you can apply some basic home remedies to temporarily relieve pain, it is urgent that you consult a dentist. These discomforts can be symptoms of a dental abscess, and if you do not remedy it quickly, it may become a serious health problem.

The pangs in the mouth do not let you sleep, your gums are red and swollen and you even feel feverish. Because of the symptoms, it could be a dental abscess, a painful condition that should be treated by the dentist as soon as possible. This time, the treatment will take time, but with experience you will learn that it is best to avoid it with proper oral hygiene. Here we explain what it consists of.

Tooth abscess is a painful infection that starts at the root of a tooth or between the gum and the teeth, and can spread to the mouth, face, jaw, or throat. The most common cause of these abscesses is the growth of bacteria in a poorly attended caries, which can pass to the soft tissues and bones of the face and neck. It can also be due to trauma to the teeth or to gingivitis or gum disease.

An infected tooth that has not received proper care can cause an abscess. Poor oral hygiene (such as not brushing teeth or not using dental floss) is one of the causes of tooth decay. The bacterium of the caries extends sometimes to the gums, the cheeks, and the throat or under the tongue, and can even reach the jaw or the facial bones (of the face).

The infection fills with pus, and becomes progressively more painful as the tissues swell. The pain subsides when the abscess opens on its own and the pus comes out, or when the dentist drains it surgically. But sometimes, the infection develops to the point where inflammation blocks the airways, and causes difficulty in breathing. In these more severe cases, the abscess causes fever, vomiting, sweating, nausea and malaise.

What are the signs of an abscess?

It could be an abscess if you notice the following symptoms:

  • Severe and continuous pain, sometimes in the form of strong punctures.
  • Inflammation of the mouth or gum
  • Redness of the mouth and face.
  • Great sensitivity of the teeth to heat or cold.
  • Pain when chewing or touching the infected area.
  • Inflammation of the neck ganglia.
  • Bitter taste in the mouth and bad breath.
  • An open sore from which pus comes.
  • Inflammation in the area of ​​the upper or lower jaws.
  • Difficulty opening the mouth or swallowing.
  • General discomfort.
  • Vomiting
  • Shaking chills.

What you can do to have a momentary relief:

If you have tooth decay or you feel toothache, you could take a non-steroidal anti-inflammatory painkiller, such as ibuprofen (Advil, Motrin) or naproxen (Aleve). So improve inflammation and pain, as long as you have no contraindication to take it, like you have have ulcers in the stomach. If you have doubts, consult your doctor.

If the abscess opens alone, rinse your mouth with warm salt water to clean it and to help drain the pus.

Be careful, you have to go to the dentist.

If the infection persists and the pain is very intense and it is not relieved by over-the-counter analgesics, go to the dentist right away. However, sometimes the root of the affected tooth dies as a result of the infection and the pain stops. But still, anyway, you must go to the dentist (although you do not feel pain, the infection can remain active and continues to spread and destroy the tissues). And if the pain is intolerable and you feel short of breath or swallowing, or if you have a fever, chills, nausea or diarrhea, you should also consult the doctor.

If the abscess does not open itself, it is very likely that the dentist will have to make an incision (cut) for the pus to come out, and you may need antibiotics to fight the infection. Follow-up visits are important to check that everything is going well. The goals of treatment are to eliminate all infection, preserve the tooth and prevent complications. To achieve them, you may need other therapies such as endodontic or root canal treatment (which involves removing the pulp from the tooth that contains the nerve and its vessels and sealing the canal) in order to save the tooth or, if not It is possible, sometimes it is required the extraction (that they take you out) of the damaged tooth.

In any case, it is essential that you seek medical help as soon as possible. If the pus is not completely eliminated, and the infection extends to the lower part of the mouth or neck, it can affect the respiratory tract and make it difficult or impossible to breathe, thus constituting a threat to life.

How to prevent dental abscess.

Prevention plays an important role in keeping your teeth healthy. Brushing and flossing daily reduce the risk of tooth decay and abscesses. You should also seek quick professional attention if you hit the teeth that result in someone breaking, splintering, loosening or flaking the enamel.

And regular visits to the dentist are essential for a good mouth check. Do not forget that a caries, however small, should be treated right away to prevent an abscess from developing. It is the best way to maintain your oral health, which is an important part of general health.

Oral health is essential in women

The hormonal changes that the woman undergoes in certain stages of her life condition extraordinarily the appearance of some oral disorders and these, in turn, become a frequent and worrying health problem for the female sex.

The diseases of the gums, although they are also habitual and transcendental in the men, acquire in the woman a greater dimension, especially in the puberty, the pregnancy and the menopause.

Although periodontal disease affects both men and women, and in similar proportions, it has been shown that female hormones are directly related to the weakness of the gum, so that with the same amount of bacteria the inflammatory response of the organism is greater, producing gingivitis and aggravating periodontitis?, says Dr. Pedro Bullón, Professor of Stomatology at the University of Seville.

And it is that oral health care acquires a special significance in women and, even more so, in certain stages of their lives. There are specific hormonal changes in women that often cause differentiated periodontal disease. During the woman’s life there are periods in which the gums will be more susceptible to inflammation and suffering from diseases, mainly for hormonal reasons.

In puberty, before menstruation, during pregnancy and in menopause periodontal diseases have a special prominence?? In fact, there are periodontal pathologies typical of a specific situation in women, such as gestational gingivitis, which affects the majority of pregnant women and is characterized by hypertrophy of the interdental papillae and a marked increase in vascularization.

There are also tumor forms in the mouth, such as polis or gingival granulomas, which appear in pregnancy and can spontaneously disappear after the same with a correct control of the bacterial plaque, although frequently they need to be eliminated with surgery.

Take care of your gums … during puberty

Unlike what is usually accepted, periodontal disease is not only an adult problem; practically all adolescents suffer from gingivitis due to bacterial plaque, which is the first stage of periodontal disease ??. In adolescence, periodontal diseases can progress and worsen.

At puberty marked signs of inflammation may develop in the gums, without a clear increase in plaque levels. It is called pubertal gingivitis?? And it is associated with increases in sex hormones, estrogen and progesterone, which occur around the age of 12. These hormonal changes produce an increase in blood circulation in the gums, which favors an exaggerated inflammatory response to the action of bacteria, bleeding is common.

It is a generally transient situation, and reversible after puberty, at least partially. The elimination of bacterial plaque through proper hygiene instructions and / or dental prophylaxis (“mouth cleaning”) are the key factors in controlling symptoms. Occasionally, some women have a menstrual gingivitis, presenting bleeding and inflammation of the gums with a bright red tone as well as ulcers on the cheeks. Menstrual gingivitis occurs just before menstruation and disappears once it has started.

Take care of your gums … during pregnancy

Alterations in hormone levels that occur during pregnancy affect the blood vessels of the gums, the functioning of the cells of the periodontium (tissue that surrounds and supports the teeth), the bacteria of the plaque and the local immune system. This explains why the inflammation of the gums increases during pregnancy, and usually disappears after delivery (what is known as gingivitis of pregnancy or gravid arum). Nowadays, the importance of the inflammatory-infectious dental pathology, such as periodontitis, is known in the possibility of triggering threats of preterm delivery (before the 37th week of gestation).

As Professor Joseph Maria Laila explains, this phenomenon is closely linked to the release of prostaglandins, which are oxytocic substances that act first in cervical ripening and, subsequently, as inducing uterine contractions. In addition, changes in salivary pH, increase in saliva, and changes in dental plaque during pregnancy are factors that should be taken into account in these women.

Periodontal disease can affect 36-100% of pregnant women (according to studies), as long as there is previous gingivitis. The gum is intensely red, bleeds easily, is thickened and with a clear increase in size between the teeth, which allows more bacteria to be below the gum.

If the pregnant woman has gingivitis or periodontitis prior to pregnancy, there is an additional risk of adverse pregnancy outcomes, mainly premature delivery or low weight. It is estimated that the risk of premature birth can be tripled if the mother has periodontitis (the risk ranges from 2.30 to 5.28, depending on the studies).

In addition, periodontal disease has been linked to the increase in the time a woman takes to become pregnant; It is suggested that periodontitis could be a factor to consider (similar to the control of obesity) to increase the chances of getting a pregnancy.

The effect of periodontitis in the control of diabetes is also known. The control of gingival health is essential in cases of gestational diabetes, to avoid possible complications in both the mother and the fetus. Pregnancy implies the need to feed the future child and the female organism undergoes a stress that can generate pathologies. The mouth as part of that organism is influenced by all those circumstances, but also the oral pathology can alter the evolution of pregnancy or can worsen certain systemic pathologies?

Therefore, need to resolve the possible periodontal problems of the woman before pregnancy or, at the latest, in the first weeks of the same is stressed.

They perform to strengthen their bones, it is recommended that pregnant women or those who pretend to have a child follow a special care with oral health and prepare orally to be mothers (visits to the dentist, proper oral hygiene, and periodontal treatments if necessary).

An adequate technique of oral hygiene (frequent use of toothbrush, interdental brushes and / or dental floss) is essential, not only to reduce gingivitis to a minimum, but to prevent the appearance of possible adverse effects in pregnancy. The visit to the dentist or periodontics during pregnancy can prevent, as well as identify and treat, the signs and symptoms of gingivitis gravid. Periodontal treatments during pregnancy are beneficial for the health of the mother’s gums and safe for the fetus.

Take care of your gums … during menopause

During menopause, both estrogen levels (reducing the anti-inflammatory effect of these hormones on the gums) and progesterone are reduced (bone density decreases and osteoporosis appears). At this stage of the woman’s life, estrogen deficiency produces significant alterations in the tissues of the mouth, with less secretion and changes in the biochemical composition of saliva, and disorders in the oral flora.

Usually, in menopausal women periodontal disorders such as atrophic gingivitis (with an abnormal pallor), postmenopausal gingivostomatitis (bright and dry gums, easy bleeding and color that varies between pale and reddish) and oral discomfort, with a burning sensation, can be appreciated. Dryness and bad taste (“Burning mouth syndrome”).

In this situation, the maintenance of low levels of bacterial plaque is essential. Visits to the dentist or periodontics should be made periodically, in order to identify any changes at the oral level. In the case of taking oral bisphosphonates (to treat osteoporosis), the specialist should be informed so that he / she takes the appropriate preventive and therapeutic measures.

Oral hygiene in elderly people

The oral health problems affect virtually all seniors. Just look at the data of the World Health Organization, which indicate that about 30% of people in the population group between 65 and 74 years of age do not have natural teeth. This may be due to the fact that nearly 100% of adults have some dental caries, a problem that if left untreated can lead to the loss of the piece.

However, there are other factors, among which is the aging process itself, which affect oral health in the elderly.

Causes of oral problems in the third age

One of the main enemies of the mouth of the elderly is their own age. The aging process determines the state of the gums and teeth that, if they have not been properly cared for during the previous years, will already present a problem such as decay.

It is also common for there to be a retraction of the gums, which causes the root of the tooth to be more exposed, with less support tissue and, therefore, with less support and more likely to be lost.

To these situations are added other factors that affect the oral health of older adults such as:

Lack of hygiene: problems of mobility or dexterity, forgetfulness, or simple laziness, result in not following the appropriate hygienic recommendations, which causes various disorders and infections.

Taking medicines: some drugs, such as diuretics, anxiolytics, or anti-inflammatories, among others, cause a reduction in the production of saliva, which is responsible for protecting the teeth and gums. Also some medical treatments, such as chemotherapy, cause side effects in the oral cavity.

Exposure to toxic agents: smoking or drinking alcoholic beverages affects oral health, especially among older people, who may already have weakened.

Suffering certain diseases: rheumatoid arthritis, diabetes, or multiple sclerosis, among others, have among their symptoms conditions in the oral cavity. In addition, suffering from dementia, Parkinson’s disease or Alzheimer’s disease, hinders or prevents the patient from following proper dental hygiene. On the other hand, those who have a hiatus hernia with gastric reflux may present a deterioration of tooth enamel due to the acidity of the gastric juices.

Orthodontics for adults, the most comfortable option

Although some adults have qualms when it comes to undergoing orthodontics, orthodontics for adults is highly recommended as a more comfortable and less invasive option than other treatments.

Obviously, the aesthetic factor often prevails in the choice of orthodontics, but it must also be clear that a healthy and well aligned dentition helps to improve the functioning of the mouth since it avoids problems such as jaw tensions or accelerated wear of the teeth.

What types of orthodontics for adults are there?

For adults there are different types of invisible, fixed or aesthetic orthodontics in order to improve the bad position of the teeth and recover functionality.

Fixed orthodontics with metal braces.  Manufactured with high quality stainless steel, these metal brackets are the most widespread and economical. It is a modern orthodontics that helps to correct the bad position.

Orthodontics with aesthetic fixed appliances. This type of orthodontics incorporates esthetic porcelain braces. The duration of treatment is 24 months.

Fixed orthodontics with aesthetic sapphire brackets .This orthodontic treatment includes fixed appliances and sapphire brackets, which are hardly noticeable once placed. Like porcelain, they are designed to harmonize with the natural color of a tooth enamel. Sapphire brackets are the highest quality aesthetic brackets because they are completely transparent and do not stain. The treatment usually lasts 12 to 24 months.

Fixed orthodontics with Quad-Helix. It is an interceptive orthodontics with a Quaid-Helix device, which has an orthopedic effect for the upper arch for approximately 6 months.

Invisible orthodontics .The most modern and revolutionary of orthodontics. Use practically invisible and removable aligners that are made to measure for each patient. Nobody will notice that you carry devices.

How old can an adult orthodontics be?

More and more adults are deciding to undergo orthodontic treatments. Although as we get older orthodontics is more infrequent, specialists say they can be performed at any age. It is only necessary to take into account two basic aspects: that they are indicated, either for reasons of oral health or for aesthetic reasons, and that the necessary requirements are met in order to make the correction. In fact, between 40 and 50 years, some dental imbalances that until then were hidden and that advice orthodontics begin to manifest as it brings advantages to our life.

What is the duration of an orthodontics in adults?

Keep in mind that orthodontics in adults is different than in children. Bones no longer have a chance to grow and some teeth may have been lost. Also influences the fact that there have been previous treatments such as crowns or implants. Therefore, returning the teeth to their natural position can have a longer duration.

The standard duration of orthodontics in adults is between 12 and 24 months, depending on the degree of the bad position of the teeth and the oral state.

The price of orthodontics in adults

The price of orthodontics varies depending on the type chosen and the quality and condition of the brackets. Without going any further, the modern invisible orthodontics can cost up to 8,000 euros.

If you are thinking about opting for orthodontics, do not hesitate to contact us. We have at your disposal the most competitive orthodontic prices in the best centers of your city. Do not think about it anymore and smile happily!

Orthodontic micro screws

The microtornillos, also called micro implants, are very small screws, we refer to screws of a thickness that varies between 1.4 mm and 2.0 mm in thickness and between 6 mm and 12 mm in length.

The microtornillos changed the orthodontics radically allowing to realize dental movements that formerly could not be done or were very difficult to realize. This means finishing the treatment in less time and having more control when moving groups of teeth.

While some patients may have certain fears, very understandable, before the placement of the microtronillos, comfort for the patient improves dramatically thanks to the microtornillos during the year / year and a half of treatment. Formerly to get certain movements and perform orthodontics were placed in the mouth large and very uncomfortable on the palate and on the inside bothering to talk, to swallow, accumulated dirt and were very difficult to clean. Today all this has gone down in history.

As in everything there are many brands and varieties of microtornillos. But basically there are the oldest micro screws that required a small incision (cut) in the gum and then could be placed through a small hole previously prepared. And those that are used today, microtornillos in which the placement has become a very simple procedure that lasts approximately 30 seconds thanks to the so-called self-drilling microtornillos and autoroscantes. This means that there is no need to make any incisions or holes prior to placement. The same screw is equipped with an active part that allows this type of placement.

Orthodontics adults

To date, aesthetics and oral health have led to an increasing demand for orthodontic treatments in adults. The most requested orthodontics in these cases is invisible orthodontics; lingual orthodontics, ceramic brackets and transparent aligners. We can correct dental positions incorrectly and if it was necessary to perform orthographic surgeries for a good harmony. A good occlusion increases the longevity of our teeth.

Apparatus

The equipment we use can be fixed or removable depending on the case.

Metal brackets: Device that is cemented to the tooth to perform on it orthodontic forces. It consists of a base prepared to cement over the tooth and a part with a groove, where the arch will pass, and some fins, which will serve to place the system that links the arch. Each piece of the mouth has a type of bracket assigned and in some cases they can carry attachments, like hooks, etc.

Ceramic or aesthetic brackets: The bracket is transparent instead of metallic. For cases where aesthetics prevail.

Mini implants: Mini implants are used in orthodontic treatments to achieve anchoring. The term anchoring is very important in this specialty, since in most orthodontic treatments the posterior teeth are used to anchor and move the previous pieces. The mini implants have revolutionized the orthodontic treatments, since with them we can create the anchor without leaning on the posterior pieces, getting to correct problems previously very difficult to solve.

Retainers: Once the treatment is finished, the orthodontist proceeds to remove the brackets and place retainers, which are used to keep the teeth in their new positions until your bone, gums and muscles adapt to the new dental relationship.

Removable appliances: Consists of a resin device that has multiple functions such as expansion of the palate, slow bone growth, reeducate swallowing, digital suction restriction.

Orthodontics and pediatric dentistry

Orthodontics

It consists of the placement of fixed or removable appliances to correct dental malpositions in children or adults. In adults we can opt for a more aesthetic type of orthodontics.

Orthodontics with metallic bracket

It is the conventional bracket placed in the front of the tooth.

Invisible Orthodontics Invisible

Orthodontics is an alternative to traditional braces. It can treat a large number of orthodontic problems more comfortably and aesthetically. It is a set of transparent splints, which placed progressively, moving the teeth to their correct position.

Lingual

Orthodontics In lingual orthodontics the brackets are placed on the inside of the tooth. The final result is the same as that of conventional orthodontics with the obvious aesthetic advantage.

Pediatric Dentistry

It is the dental treatment in children whose objectives will be focused on getting good communication with the child and their parents, obtaining information about the child’s dental and medical history, exploring and taking x-rays if necessary, explaining to the child and their parents the objectives therapeutic and carry out a simple operative procedure.