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Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite - when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite - when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.

Parts of Braces

• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.

By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

A palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars and is used to make the bottom and upper teeth fit together better. It also makes more room for teeth and helps to promote a broader, more aesthetic smile.

Palatal expansion is usually not painful, but you may feel some minor discomfort. It’ll take a little time for you to get used to your appliance, so you may experience difficulty speaking and swallowing for the first day or two.

Adjusting your appliance as directed will ensure you keep on schedule with the rest of your orthodontic treatment plan. It takes about a few weeks to achieve the desired amount of expansion, after which you’ll keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Our team at will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.