Braces (Orthodontic treatment)

Orthodontics is the specialty of dentistry focused on the diagnosis and treatment of dental and associated facial irregularities. The results of orthodontic treatment can be dramatic - beautiful smiles, improved dental health and an enhanced quality of life for many people of all ages.

Orthodontics (braces) corrects the alignment of teeth for a proper bite. Improper bite causes crowded, overlapping teeth which trap food, are difficult to brush and more prone to decay. Improper bite also makes it difficult to chew food, thus affecting digestion and general health. In some cases, there is lack of speech clarity. There might be protruding teeth, which are detrimental to appearance and confidence.

We at Stoma Advance Dental Care recommend, that alignment of teeth must be done before opting for any cosmetic treatment like veneers, laminates etc. The treatment usually takes six months to two years to complete depending upon the severity of the problem.

Outstanding results are dependent on maximizing the coordination of care between you and our practice. We are committed to delivering the best possible service and we recommend orthodontic treatment (braces) not just for children but adults to straighten teeth, close gaps and enhance their smile.

Smile Designing
Orthodontic Disorders

At Stoma Advance Dental Care the following Orthodontic disorders are corrected:-

Crossbite occurs in the front and/or the sides of the mouth when one or more upper teeth bite on the inside of the lower teeth. Early correction of crossbite is recommended. The condition can be corrected by braces or other appliances like palate expander as per your requirement.

Openbite is an insufficient vertical overlap of the teeth caused by oral habits such as tongue thrust, digit sucking, or when the jaws don't grow proportionately. This is corrected by braces, elastics and in some cases jaw surgery.

Class II Overbite also known as deep bite, is due to a disproportionate amount of eruption of front teeth, or over development of the bone that supports the teeth. We need braces or other appliances to correct jaw growth modification and tooth movement.

Overjet also known as protrusion is when the lower teeth are too far behind the upper front teeth. This can be caused by oral habits such as thumb or finger sucking or tongue thrusting. The condition is corrected through jaw growth modification and tooth movement using a functional appliance, braces, headgear and/or elastics.

Underbite Class II is where the lower teeth protrude past the front teeth. Underbite can also be caused by flared lower incisors, retruded upper incisors, or a combination of all the above. This is corrected by using appliances on the teeth along with nighttime headgear wear. In some cases, extraction of teeth and/or jaw surgery is needed.

Crowding Teeth is the lack of space for all the teeth to fit normally within the jaws, caused by improper eruption of teeth and early or late loss of primary teeth. Extra space is created by expansion of the dental arches, or in severe cases, by extraction of selected permanent teeth. Once space is created, braces will align the teeth.

Spacing Teeth is an excess of space for teeth, resulting in gaps between your teeth. This generally occurs when the teeth are smaller than the available space. The spaces can be closed by moving the teeth together and properly aligning them within the arch.

Impacted Teeth is a tooth which fails to grow for various reasons like early loss of primary teeth or crowding of the permanent teeth. Wisdom teeth are the most commonly impacted teeth, but canines and premolars are also occasionally impacted. This problem should be corrected because it damages the root structure of adjacent teeth, interfere with the sinus cavity, leave unwanted spaces, improper chewing function, lead to cyst development and causes asymmetric alignment of the teeth. Braces are used to create space, if it does not then erupt on its own, then an oral surgeon exposes it and over the course of several months, moved orthodontically into the correct position. Some impacted teeth are extracted.

Missing Teeth is simply the absence of a tooth or teeth either a genetic issue or lost due to trauma. We either close the space by braces or implant a tooth to replace the missing tooth.

Impacted & Missing Teeth for better understanding of impacted and missing teeth, we have provided the following multimedia presentation.

TMD or Temporo-Mandibular Joint Dysfunction is a multi causal collection of jaw joint problems sometimes associated with neck and back spasms, arthritis, cranial neuralgias, even fibromyalgia; but more often than not, it's the direct result of a bad bite with a heavy habit of tooth clenching and grinding Typical symptoms include joint and/or face pain, clicking or crackling joints, ringing in the ear, headaches, limited opening of the mouth, and soreness after chewing certain foods or after long dental procedures. TMD is corrected by Splint therapy. This consists of biweekly visits for relining and/or adjusting the splint for 3-6 months or until the TMJ complaints are resolved. It must be worn full time, especially while eating, otherwise it will not work.


Better smile and health.

Crooked teeth difficult to clean lead to cavities, gum diseases and eventual loss of teeth.

Bad bites also can result in abnormal or excessive wear of the tooth surfaces.

Pains in the jaw joints, headaches neck or facial pains, hearing difficulties, rigging in the ears, dizziness and muscle twitching.

Digestive disturbances resulting from the inability to chew food properly.

Protruding teeth are more prone to accidents and injuries.

Speech and pronunciation become better after the orthodontic treatment.

Treatment Age

Our practice provides orthodontic treatment for adults, adolescents and children depending upon the classification of face and crowding, protrusion, spacing, impacted and missing teeth. We recommend that an orthodontic evaluation take place at age seven for all children. This early evaluation helps give better result as face and jaw bones are yet to develop.

On the other hand, headgear works best if instituted about age 8 1/2 or 9. Palatal expansion is another procedure, the earlier -- the better. Space maintenance alleviates crowding or guides permanent teeth into place, taking advantage of the "leeway space" and avoiding the extraction of permanent teeth. But early braces on the front teeth is rarely required unless part of a "guidance eruption" scheme.

Generally, full orthodontic appliances are not placed on the teeth until all the permanent teeth have erupted, especially the second molars. This will generally occur between the ages of 10 and 13 in females and 12 and 14 in males. This shorts the total time that the patient is in braces. Full orthodontic treatment should be possible to complete within 20-30 months depending upon the level of cooperation that the patient is willing to sustain. The best orthodontic treatment requires teamwork between dentist and your child. We have designed treatment to minimize treatment time with optimal orthodontic results.

Adult Orthodontics

Most people are under the impression that braces are meant only for children. But 40% of our patients are adults who seek our help to straighten teeth, close gaps or enhance their smile.

Orthodontic specialist goal is just not the smile but to improve teeth and gums and eventual check tooth loss. Because an adult’s facial bones are no longer growing, certain corrections cannot be accomplished with braces alone. Very dramatic facial changes are possible with a combined approach of surgery and orthodontics. Should you require this type of treatment, contact Stoma Advance Dental Care.


Once the active period of treatment is completed, braces are removed. The next step is retention. Retainers are utilized to hold your teeth in their new positions until your bone, gums, and muscles adapt to the new teeth positions. You must wear your retainer as instructed, otherwise your teeth move toward their original positions and the benefit of wearing your braces is lost.

Time to wear retainers varies with each patient. Some people may need retainers for an extended period of time in order to eliminate shifting of the teeth. In some cases, permanent retention may be necessary. The retention period should not be neglected.


Recall appointments are integral part of the orthodontic treatment. The success of the treatment is assessed during the recall appointments.

Orthodontics at Stoma

We offer assured outcomes due to the presence of Dr. Ashok Dhoble, an extremely experienced orthodontist.

Initial Visit

You will be given a thorough oral examination to assess whether orthodontic treatment is needed. Full diagnostic record may be taken at this visit. Child must be accompanied by the parent.

Conference Appointment

After a study of the diagnostic records, we arrive at an accurate appraisal. We would like to avoid any future misunderstanding about our treatment plan and its ultimate objectives. During the conference an estimated length of time for the treatment period will be given. You are also informed about the treatment cost.

At the end of the first appointment, orthodontic appliances are placed in the mouth, the patient is given thorough, illustrated and interesting explanations and instructions as to the proper way to take care of the newly acquired appliances. Tooth brushing technique is gone over in detail. The reasons for brushing in a specific way are explained. Questions are invited and answered to the best of our ability.

Photographs: Full face and profile photographs are taken to show the relationship between your nose, lips and chin.

Models: Plaster models of your mouth are made so that your dentist can measures your tooth size, how your teeth fit together, and determine how much space is going to be needed in the future. These models enable your doctor to work out the details of your treatment even when you’re not in the clinic.

X-Rays: X-rays will be taken of your head and your teeth. These x-rays will reveal your bone structure and how your teeth fit together.