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Orthodontics is a branch of dentistry that focuses on the alignment and straightening of teeth, as well as correcting bite problems. One of the most common treatments in orthodontics is the use of braces, which are devices used to apply constant, gentle pressure to the teeth in order to move them into the desired position.

But how exactly do braces work, and what is the biology behind orthodontic-facilitated tooth movement?

When teeth are subjected to constant pressure, they will naturally try to move in the direction of that pressure. This is because the teeth are held in place by a group of specialized cells called periodontal ligament cells, which are found in the periodontal ligament (PDL) that surrounds the tooth. These cells are responsible for anchoring the tooth to the jawbone, as well as allowing for movement of the tooth when subjected to force.

When a tooth is subjected to pressure from a brace, the PDL cells on the side of the tooth facing the direction of the pressure will become stretched and elongated. At the same time, the PDL cells on the opposite side of the tooth will become compressed and shortened. This creates tension in the PDL, which prompts the cells to divide and multiply in order to maintain their ability to hold the tooth in place.

As the cells divide and multiply, the tooth is slowly moved in the opposite direction of the pressure. This process is called orthodontic facilitated tooth movement. It occurs in small increments over a period of time, with the rate of movement determined by the amount of force applied and the duration of treatment.

The biology behind orthodontic facilitated tooth movement is a complex and fascinating process that involves the interaction of various cells and tissues in the mouth. By understanding how braces work and the role that the PDL plays in tooth movement, orthodontists are able to effectively straighten and align teeth to improve the overall health and appearance of their patients' smiles.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

Braces, also known as orthodontic braces, are a common treatment option for correcting misaligned teeth and improving overall oral health. While they can be a highly effective treatment, it can take a long time for braces to work and produce the desired results. In this blog post, we will explore some of the reasons why braces take so long to work and what you can expect during the treatment process.

One of the main reasons why braces take a long time to work is due to the nature of the treatment itself. Orthodontic treatment is a slow and gradual process that involves applying constant, gentle pressure to the teeth over an extended period of time.This pressure helps to gradually move the teeth into their proper alignment, but it takes time for the teeth to respond to this pressure and make the necessary adjustments. Your teeth are held into your mouth by your jaw bone, the periodontal ligament, and gum tissues. When the tooth feels pressure from the braces, your bone and tissue to break down and your periodontal ligaments to loosen, allowing the teeth to move where we want them to move. Then, new bone needs to be created and your ligaments need to stiffen to hold your teeth in their new position.

Another factor that can affect the length of time it takes for braces to work is the severity of the misalignment. If your teeth are severely misaligned or have a complex bite issue, it may take longer for braces to correct these issues. Similarly, if you have any underlying dental health issues that need to be addressed before beginning orthodontic treatment, this can also add time to the treatment process.

In addition to the factors mentioned above, the length of time it takes for braces to work can also depend on your age, overall oral health, and how closely you follow your orthodontist's instructions. Children and adolescents tend to respond more quickly to orthodontic treatment because their teeth are still growing and their jawbones are more pliable. Adults, on the other hand, may take longer to see results because their teeth and jawbones are fully developed and more resistant to change.

Overall, the length of time it takes for braces to work can vary widely depending on a variety of factors extending anywhere from 6 months to 3 years. On average, treatment with braces can take anywhere from 18 to 20 months, but in some cases, it may take even longer. It's important to keep in mind that orthodontic treatment is a long-term commitment, and it's essential to be patient and follow your orthodontist's instructions closely.

If you're considering braces as a treatment option, it's essential to have realistic expectations and be prepared for a long-term commitment. While it may take a while for braces to work and produce the desired results, the end result is a healthy, beautiful smile that is well worth the wait. So, it is important to be patient and follow your orthodontist's instructions closely to ensure the best possible results.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

Orthodontics is a branch of dentistry that focuses on the correction of misaligned teeth and jaws. While many people may think of orthodontics as a cosmetic procedure, the importance of orthodontics extends far beyond just improving the appearance of your smile. In fact, orthodontic treatment can have a significant impact on your overall oral health and quality of life.

One of the main benefits of orthodontics is that it can help to prevent dental health problems. When teeth are misaligned, it can be difficult to properly clean them, which can lead to an increased risk of tooth decay and gum disease. Orthodontic treatment can help to realign the teeth and jaws, making it easier to brush and floss effectively and reduce the risk of these dental health problems.

Orthodontic treatment can also improve the function of the teeth and jaws. Misaligned teeth and jaws can cause issues with biting, chewing, and speaking, which can lead to discomfort and difficulty with everyday activities. Misalignment left untreated may have long-term negative consequences including excessive tooth wear, jaw/joint pain (i.e. Temporomandibular Joint Disfunction), gum recession, tooth mobility, and bone loss. Orthodontic treatment can correct these issues, improving the function of the teeth and jaws and making it easier to perform everyday tasks.

In addition to the practical benefits, orthodontics can also have a positive impact on a person's self-esteem and overall quality of life. A healthy and attractive smile can boost confidence and improve social interactions, leading to a better overall quality of life.

It is important to visit an orthodontist for a consultation if you are concerned about the alignment of your teeth or jaws. Early detection and treatment can often lead to better results and can prevent more serious dental health problems from occurring in the future. While orthodontic treatment can take some time, the long-term benefits to your oral health and overall quality of life make it well worth the investment.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.