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your number?
Pré-ados
Les traitements en denture mixte, c’est-à-dire entre l’âge de 7 et 10 ans, concernent essentiellement les patients qui présentent un décalage entre la mâchoire supérieure et la mâchoire inférieure, dans un ou plusieurs des sens de l’espace : décalage antéro-postérieur (avant – arrière), décalage transversal (largeur) et décalage vertical (béance) .
Ces traitements peuvent également intéresser les anomalies d’éruption dentaire ou les habitudes pernicieuses (succion du pouce, tétée de la langue, etc.).
En règle générale, les traitements pour cette tranche d’âge durent entre 6 et 15 mois, en fonction de la difficulté.
Ados
Lorsqu’il n’existe plus de dents de lait, les traitements d’orthodontie peuvent aller d’un simple alignement à la gestion de cas plus complexes.
Ces traitements sont généralement menés en technique multi-attaches (petits brackets collés sur la face externe des dents), métallique ou céramique (transparente) lorsque cela est possible.
Plus rarement, un traitement en technique Invisalign (Invisalign teen) peut être entrepris.
A l’adolescence, en fonction du cas, le traitement peut durer de 9 mois à 36 mois.
Pour obtenir une prise en charge de la part de la Sécurité Sociale, il suffit de débuter le traitement avant l’anniversaire des 16 ans.
Adultes
Les traitements orthodontiques chez l’adulte permettent d’obtenir des résultats aussi satisfaisants que chez l’enfant.
Une première consultation à l’aide de radiographies permettra de définir les objectifs de traitement (simplement esthétiques ou esthétiques et fonctionnels).
Les traitements chez l’adulte, lorsqu’ils ont pour but l’esthétique du sourire et la correction du décalage, durent le même temps que chez l’enfant.
Le traitement peut être beaucoup plus court (6 à 15 mois) si les objectifs sont limités à l’esthétique.
L’objectif esthétique en orthodontie doit tenir compte de la physionomie du visage.
Nouveautés
Les brackets transparents en céramique ne jaunissent plus.
- Des traitements sans défaut d'élocution et invisibles peuvent être proposés aux adultes et en général aux patients de plus de 15 ans (technique linguale avec nouvelles attaches minuscules collées sur la face interne des dents ou technique Invisalign avec des gouttières transparentes).
Les temps de traitement sont de plus en plus courts.
- Les résultats sont systématiquement stabilisés à l'aide de contentions collées et/ou amovibles pour éviter les récidives.
Pré-prothetique
Souvent chez l'adulte, après des pertes dentaires anciennes, il existe des mouvements secondaires rendant difficiles une réhabilitation prothétique.
Il est alors nécessaire d'avoir recours à l'orthodontie pour "réaligner les dents" avant que le dentiste ne réalise la ou les prothèses.
On peut dans certains cas être amené à utiliser des micro-implants et des appareils orthodontiques invisibles.
Invisibles
L’évolution des techniques orthodontiques modernes et des matériaux nous permettent désormais de proposer, selon le cas, des appareils invisibles, confortables, efficaces et n’occasionnant pas de défaut d’élocution (sauf les premiers jours d'adaptation). Il s’agit de la technique linguale avec des brackets collés sur la face interne des dents et de la technique Invisalign avec des gouttières extrêmement fines et transparentes.
Alignement dentaire par gouttières invisibles Un traitement Invisalign consiste en l’élaboration d’un modèle informatique du traitement puis en la fabrication d’une série de gouttières transparentes fines, confortables, invisibles et individualisées pour le patient. Chaque gouttière est légèrement différente, déplaçant progressivement les dents jusqu’à la position finale désirée. Ce traitement orthodontique esthétique a été imaginé il y a plus de 10 ans aux Etats-Unis et a fait ses preuves (plus de 1 300 000 cas traités dans le monde).
Micro implant
Le micro-implant, appelé aussi mini-vis est un petit auxiliaire de 1,5 mm de diamètre utilisé désormais régulièrement en orthodontie.
Il constitue un ancrage osseux à partir duquel l’appareil orthodontique prendra appui pour déplacer les dents de façon efficace et rapide.
Stabilisation
La stabilisation du résultat est indispensable.
Après un traitement orthodontique, les dents ont tendance à se déplacer à nouveau .
Des fils de contention sont collés (sur la face interne des dents antérieures supérieures et/ou inférieures, et donc invisibles).
Il est également parfois possible de demander au patient de porter pendant quelques mois des appareils de contention amovibles, uniquement la nuit (gouttières transparentes ou plaques rose de contention).v
Ainsi, le résultat est parfaitement stabilisé.
Pour les adolescents, la place disponible pour l’évolution des dents de sagesse est évaluée et une germectomie de celles-ci est demandée à un praticien spécialisé s’il est estimé qu'elles n’évolueront pas en bon alignement avec le reste de leur arcade dentaire et entraîneront un risque d’apparition d’encombrement après le traitement orthodontique.