Fahmi Rizwansyah says:
LASIK surgery is one type of refractive surgery. Refractive surgery can eliminate the need for eyeglasses or contact lenses in people with these conditions:
* Nearsightedness
* Farsightedness
* Astigmatism (unevenly curved cornea)
* Presbyopia (age-related loss of sharp close-up focusing)
Done on both eyes, these procedures work by changing the eyes' focus to improve vision.
You might assume that refractive surgery is fairly new. But it goes back about 100 years! You're right, however, to think that today's state-of-the-art refractive surgery procedures are of more recent development. These newer techniques were first performed in the U.S. in 1978.
Types of Refractive Surgery
Three types of refractive surgery procedures are available. They include:
* Excimer laser procedures (including LASIK surgery)
* Artificial lens implantation
* Cornea reshaping procedures (including radial keratotomy, the first-used refractive surgery)
The Excimer Laser Used in LASIK Surgery
Developed in the 1980s, the excimer laser is computer-controlled.It gives eye surgeons the ability to remove precise amounts of tissue from the surface of the eye. This provides a high degree of safety and precision for laser-assisted procedures like LASIK.
LASIK Surgery Steps
LASIK is an abbreviation for "laser-assisted in situ keratomileusis." The steps of LASIK surgery include:
1. Eye numbing drops are given before surgery to prevent pain.
2. The eye surgeon creates a flap in the cornea. The surgeon may use either an instrument called a microkeratome or a femtosecond laser. The flap is folded back to reveal the cornea's midsection (stroma).
3. The excimer laser vaporizes part of the stroma.
4. The corneal flap is put back in place. It reattaches within a few minutes without sutures.
5. Eye drops or ointment is applied to aid healing.
Recovery from LASIK surgery is usually fast and painless.You may notice improved vision by the next day or sooner.
Procedures Related to LASIK Surgery
Doctors have developed other surgeries similar to the standard LASIK procedure. These include the following.
* Epi-LASIK uses a special instrument, the Epi-keratome, to create the corneal flap on the layer of cells covering the cornea (epithelium). Epi-LASIK is used in patients with corneas too thin to allow the standard LASIK surgery.
* Wavefront-guided LASIK creates a highly detailed "map" of how light moves through the eye. This shows even the subtlest distortions of focus. The goal is to reduce the chance of after-surgery problems such as glare, light "halos," and poor night vision.
* PRK (photorefractive keratectomy) corrects low to high nearsightedness, low to moderate farsightedness, and astigmatism. The eye surgeon removes the epithelium. Then the surgeon uses the excimer laser to reshape the cornea. Healing occurs with help from a "bandage contact lens" applied at the end of the procedure. Healing takes three to four days and may involve some discomfort. Full recovery may take several weeks. For these reasons, LASIK surgery has generally replaced PRK except for patients with corneas too thin for LASIK surgery.
* LASEK (later epithelial keratomileusis) is similar to PRK. The difference is that the surgeon replaces the epithelium after completing the surgery. LASEK may be recommended for people with thin corneas. As with PRK, healing may involve some discomfort.
Implant Refractive Surgery
Several types of refractive surgery rely on implants to help improve vision. These procedures include the following:
* Intrastromal corneal ring segment (INTACS) implants
* Phakic intraocular lenses (IOLs)
* Accommodative IOLs, multifocal IOLs, and refractive lens exchange
Each implant is described below.
* Intrastromal corneal ring segment (INTACS) implants. Semicircular pieces of plastic are implanted in the cornea. These objects are called INTACS (intrastromal corneal ring segments). They change the cornea's shape and adjust the person's power to focus. INTACS are inserted through a small corneal incision. The incision is closed with two small sutures, or stitches, typically removed two to four weeks later. If necessary, INTACS can be removed. The cornea returns to its original shape within a few weeks.
* Phakic IOLs. These areused for people whose degree of nearsightedness or farsightedness is too high for safe use of the excimer laser. The procedure is similar to cataract surgery except that the natural lens is not removed. The eye surgeon positions a vision-correcting plastic lens in front of the patient's natural lens, which is left in place to preserve reading vision. Because the eye is actually entered, phakic IOL surgery carries a higher risk of complications.
* Accommodative IOLs, multifocal IOLs, and refractive lens exchange. These implants areused to treat nearsightedness, farsightedness, and presbyopia. Vision-correcting, surgically implanted artificial lenses replace natural lenses. No corneal reshaping is done.
Surgery to Reshape the Cornea
Two surgical procedures are used to change the shape of the cornea, achieving vision correction. These procedures include the following:
* Conductive keratoplasty (CK) uses heat to reshape the cornea. The heat source may be a type of laser (not the excimer laser used in LASIK surgery). The heat is applied to the cornea's outer edge so it tightens and makes the cornea steeper. This can be used to correct farsightedness, presbyopia, and near-focus problems in people over age 40. CK causes little or no discomfort. It improves vision almost instantly. This effect may not last, however. Later re-treatment may be required.
* Radial keratotomy (RK) is the first form of refractive surgery used in the U.S. It has been largely replaced by LASIK surgery. RK may be chosen to correct very mild nearsightedness and astigmatism. The eye surgeon uses a diamond scalpel to make spoke-like (radial) cuts on the cornea. These cuts flatten and reshape the cornea. RK weakens the eye's structure, a primary reason it is seldom done now.
Who Can - and Cannot -- Have LASIK Surgery or Other Refractive Procedures?
Everyone considering refractive surgery should make the decision only after meeting with a refractive surgeon. General requirements include:
* Being age 18 or older
* Having healthy eyes
* Not needing a new eyeglass or contact lens prescription over the past year
* Having vision that refractive surgery can correct
Most forms of refractive surgery cannot be done on people who:
* Have a history of eye disease, including autoimmune disease, or previous eye injury
* Take certain prescription medications known to affect vision or corneal healing
* Are pregnant or nursing
Ask your surgeon about the risks of surgery as well as the benefits. That way, you can make a more informed decision. The outcome will be more likely to meet your expectations.
The Cost of LASIK Surgery
Most types of health insurance will not pay for refractive surgery. Only about 3% of LASIK surgery procedures cost less than $1000 per eye. The good news is that the cost seems to be coming down.
On average nationally in mid-2006, the cost of having LASIK surgery done on both eyes was $1950. Using wavefront technology or the "laser microkeratome" costs more. Price also varies slightly by region.
Be sure your surgeon makes clear what is and is not included in the price you are quoted. Ask, too, if you will have to pay more if you need follow-up visits or treatment for complications.
by webMD
Cheers, frizzy2008.
Undangan resepsi pernikahan Demian dan Yulia Rahman
Fahmi Rizwansyah says:
Aku share yaa...bagus soalnya....
Cheers, frizzy2008.
Aku share yaa...bagus soalnya....
Cheers, frizzy2008.
The World Of Touch
Fahmi Rizwansyah says:
With more than 200 variations of massage, how do you know what's what, and what's best for you?
Almost anyone - from infants to seniors - can enjoy the benefits of a good massage.
Massage is one of the oldest healing arts. Chinese records dating back 3,000 years document its use. The ancient Hindus, Persians, and Egyptians applied forms of massage for many ailments, and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems.
Today, the benefits of massage are varied and far-reaching, says Les Sweeney, executive vice president of Associated Bodywork and Massage Professionals (ABMP). Massage therapy has proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as so many of us already know, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.
But with more than 200 variations of massage, bodywork, and somatic therapies, how do you know what's what, and what's best for you? First, a definition of the different therapy categories is in order, says Sweeney.
* Massage is the application of soft-tissue manipulation techniques to the body, generally intended to reduce stress and fatigue while improving circulation. It taps into the energy systems in the body.
* Bodywork includes various forms of touch therapies that may use manipulation, movement, and/or repatterning to affect structural changes to the body.
* Somatic, which means "of the body," is often used to describe a body/mind or whole-body approach as opposed to a physical perspective only.
According to William F. Burton, Jr., a professional massage therapist/bodyworker and co-owner of the Enraptured Day Spa in Philadelphia, most varieties of massage and bodywork therapies can be broken down into four broad categories:
1. Contemporary Western massage
2. Oriental methods
3. Structural/functional/movement integration
4. Non-Oriental energetic methods
Here's a brief explanation of some of the more common techniques of Western and Oriental massage.
Swedish massage: This is the predominant example of Western massage and is the most commonly used method in the United States. Developed in Sweden in the 1830s, it uses a system of long, gliding strokes, kneading, and percussion and tapping techniques on the more superficial layers of muscles. It is designed to increase circulation, which may improve healing and decrease swelling from an injury. This technique also results in generalized relaxation.
Neuromuscular massage : Trigger point massage and myotherapy are varieties of neuromuscular massage, which applies concentrated pressure on trigger points of pain and passive stretching of specific muscles.
Deep tissue massage : This approach is used to alleviate chronic muscle pain by reaching deeper muscles in problem areas.
Sports massage: This uses techniques similar to deep tissue massage but more specifically adapted to deal with the needs of athletes (both professional and the weekend variety); it's often used before or after athletic events as part of an athlete's training and to promote healing from injuries.
Manual lymph drainage massage: This approach improves the flow of lymph fluid with rhythmic strokes and is used primarily in conditions with poor lymph flow, such as edema.
Oriental methods of massage are based on the principles of Chinese medicine and the flow of energy or chi through the body's meridians, or energy points, says Burton. In Oriental massage techniques, pressure is applied by finger or thumb tips to predetermined points rather than by the sweeping broad strokes of Western massage.
There are more than a dozen varieties of Oriental massage and bodywork therapy, but the most common forms in the U.S. are acupressure, shiatsu, Jin Shin Jyutsu, and Jin Shin Do Bodymind Acupressure.
Acupressure and shiatsu : These are similar varieties of finger pressure massage, with pressure applied to specific points that correspond with acupuncture points. In acupressure and shiatsu, pressure is applied to specific points with the thumb, finger, and palm to release muscle tension and increase circulation. Acupressure is the more generic term used for this approach and shiatsu is the Japanese version.
Jin Shin Jyutsu: This approach comes from an ancient Japanese healing tradition that uses touch to restore the internal flow of energy through the body by releasing energetic blockages. In this therapy the touch is very light a holds each pressure point for several minutes.
Jin Shin Do Bodymind Acupressure: Developed by a California psychotherapist, this approach applies stronger acupressure on the points and for a longer period of time than does Jin Shin Jyutsu. It focuses on the deep release of muscular tension through gentle yet deep finger pressure.
Thai massage: At least 2,500 years old, Thai massage focuses on balancing energy. If you're receiving a Thai massage, you'll be placed into yoga-like postures while the "Sen" energy lines are compressed rhythmically with hands, thumbs, forearms, elbows, knees, and feet.
Tui Na: Tui Na has been used in China for more than 2,000 years. The combination of massage and manipulation techniques is designed to improve the flow of energy so the body can naturally heal itself.
The strokes that massage practitioners use also vary, as do their effects, says Burton. A few of the more common strokes and their effects include:
* Feather stroking: soothing/sedative (may be ticklish)
* Fan stroking: soothing
* Circular thumb stroking: loosens tight areas
* Kneading: loosens and stimulates
* Skin rolling: stimulates
* Compression/pressure: breaks down muscular adhesions
* Percussion: stimulates (fast); relaxes (slow)
If you have a certain technique in mind, ask the massage therapist about his or her training, suggests Jeanne Girard, a vice president of the American Massage Therapy Association and a massage therapist in Canon City, Colorado. "If the therapist doesn't have training in what you need, he or she will refer you to someone who does."
As beneficial as massage can be, there are some people who shouldn't have one, says James Dillard, MD, DC, L.Ac, Oxford Health Plans' medical director for complementary and alternative medicine and author of Chronic Pain Solution. "You want to have intact skin, muscles, bones, and tissues before having a massage," says Dillard. That means if you have any fractures, infections, active cancer, orthopaedic conditions, or skin problems, massage is a no-no until you've recovered.
When choosing a type of massage, know what's best for you, says Dillard. "Do you want a gentle, serene experience, or would you like more pressure?" Don't be afraid to communicate with the massage therapist, he adds. Tell the therapist about any medical conditions or concerns you have, and if you're uncomfortable at any point during the massage, let the therapist know.
To get the most benefit from the massage, try to relax for the rest of the day, Dillard says. "You want the glow to last."
Having a massage on your lunch hour and then going back to a stressful afternoon on the job is not a great idea, agrees Jeanne Girard. "Don't overtax your body."
Girard also suggests that you drink plenty of water before and after the massage to help flush out the toxins that massage loosens up. (One other piece of advice, courtesy of Dillard: If you do drink a lot of water before the massage, make sure you go to the bathroom before the massage!)
Stretching beforehand allows the therapist to get into your muscle tissue more easily, says Girard; when it's cold outside, a warm shower or bath beforehand will also loosen your muscles.
And just how often should you have a massage? That's easy, says Dr. Dillard. "As often as you can afford it!"
Thirty-three states require massage therapists to be licensed, says ABMP's Les Sweeney. To find a practitioner near you, you can visit ABMP's web site or the web sites of the American Massage Therapy Association, or the American Organization for Bodywork Therapies of Asia.
By Carolyn J. Strange
WebMD Feature
Reviewed by Brunilda Nazario, MD
Cheers, frizzy2008.
With more than 200 variations of massage, how do you know what's what, and what's best for you?
Almost anyone - from infants to seniors - can enjoy the benefits of a good massage.
Massage is one of the oldest healing arts. Chinese records dating back 3,000 years document its use. The ancient Hindus, Persians, and Egyptians applied forms of massage for many ailments, and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems.
Today, the benefits of massage are varied and far-reaching, says Les Sweeney, executive vice president of Associated Bodywork and Massage Professionals (ABMP). Massage therapy has proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as so many of us already know, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.
But with more than 200 variations of massage, bodywork, and somatic therapies, how do you know what's what, and what's best for you? First, a definition of the different therapy categories is in order, says Sweeney.
* Massage is the application of soft-tissue manipulation techniques to the body, generally intended to reduce stress and fatigue while improving circulation. It taps into the energy systems in the body.
* Bodywork includes various forms of touch therapies that may use manipulation, movement, and/or repatterning to affect structural changes to the body.
* Somatic, which means "of the body," is often used to describe a body/mind or whole-body approach as opposed to a physical perspective only.
According to William F. Burton, Jr., a professional massage therapist/bodyworker and co-owner of the Enraptured Day Spa in Philadelphia, most varieties of massage and bodywork therapies can be broken down into four broad categories:
1. Contemporary Western massage
2. Oriental methods
3. Structural/functional/movement integration
4. Non-Oriental energetic methods
Here's a brief explanation of some of the more common techniques of Western and Oriental massage.
Swedish massage: This is the predominant example of Western massage and is the most commonly used method in the United States. Developed in Sweden in the 1830s, it uses a system of long, gliding strokes, kneading, and percussion and tapping techniques on the more superficial layers of muscles. It is designed to increase circulation, which may improve healing and decrease swelling from an injury. This technique also results in generalized relaxation.
Neuromuscular massage : Trigger point massage and myotherapy are varieties of neuromuscular massage, which applies concentrated pressure on trigger points of pain and passive stretching of specific muscles.
Deep tissue massage : This approach is used to alleviate chronic muscle pain by reaching deeper muscles in problem areas.
Sports massage: This uses techniques similar to deep tissue massage but more specifically adapted to deal with the needs of athletes (both professional and the weekend variety); it's often used before or after athletic events as part of an athlete's training and to promote healing from injuries.
Manual lymph drainage massage: This approach improves the flow of lymph fluid with rhythmic strokes and is used primarily in conditions with poor lymph flow, such as edema.
Oriental methods of massage are based on the principles of Chinese medicine and the flow of energy or chi through the body's meridians, or energy points, says Burton. In Oriental massage techniques, pressure is applied by finger or thumb tips to predetermined points rather than by the sweeping broad strokes of Western massage.
There are more than a dozen varieties of Oriental massage and bodywork therapy, but the most common forms in the U.S. are acupressure, shiatsu, Jin Shin Jyutsu, and Jin Shin Do Bodymind Acupressure.
Acupressure and shiatsu : These are similar varieties of finger pressure massage, with pressure applied to specific points that correspond with acupuncture points. In acupressure and shiatsu, pressure is applied to specific points with the thumb, finger, and palm to release muscle tension and increase circulation. Acupressure is the more generic term used for this approach and shiatsu is the Japanese version.
Jin Shin Jyutsu: This approach comes from an ancient Japanese healing tradition that uses touch to restore the internal flow of energy through the body by releasing energetic blockages. In this therapy the touch is very light a holds each pressure point for several minutes.
Jin Shin Do Bodymind Acupressure: Developed by a California psychotherapist, this approach applies stronger acupressure on the points and for a longer period of time than does Jin Shin Jyutsu. It focuses on the deep release of muscular tension through gentle yet deep finger pressure.
Thai massage: At least 2,500 years old, Thai massage focuses on balancing energy. If you're receiving a Thai massage, you'll be placed into yoga-like postures while the "Sen" energy lines are compressed rhythmically with hands, thumbs, forearms, elbows, knees, and feet.
Tui Na: Tui Na has been used in China for more than 2,000 years. The combination of massage and manipulation techniques is designed to improve the flow of energy so the body can naturally heal itself.
The strokes that massage practitioners use also vary, as do their effects, says Burton. A few of the more common strokes and their effects include:
* Feather stroking: soothing/sedative (may be ticklish)
* Fan stroking: soothing
* Circular thumb stroking: loosens tight areas
* Kneading: loosens and stimulates
* Skin rolling: stimulates
* Compression/pressure: breaks down muscular adhesions
* Percussion: stimulates (fast); relaxes (slow)
If you have a certain technique in mind, ask the massage therapist about his or her training, suggests Jeanne Girard, a vice president of the American Massage Therapy Association and a massage therapist in Canon City, Colorado. "If the therapist doesn't have training in what you need, he or she will refer you to someone who does."
As beneficial as massage can be, there are some people who shouldn't have one, says James Dillard, MD, DC, L.Ac, Oxford Health Plans' medical director for complementary and alternative medicine and author of Chronic Pain Solution. "You want to have intact skin, muscles, bones, and tissues before having a massage," says Dillard. That means if you have any fractures, infections, active cancer, orthopaedic conditions, or skin problems, massage is a no-no until you've recovered.
When choosing a type of massage, know what's best for you, says Dillard. "Do you want a gentle, serene experience, or would you like more pressure?" Don't be afraid to communicate with the massage therapist, he adds. Tell the therapist about any medical conditions or concerns you have, and if you're uncomfortable at any point during the massage, let the therapist know.
To get the most benefit from the massage, try to relax for the rest of the day, Dillard says. "You want the glow to last."
Having a massage on your lunch hour and then going back to a stressful afternoon on the job is not a great idea, agrees Jeanne Girard. "Don't overtax your body."
Girard also suggests that you drink plenty of water before and after the massage to help flush out the toxins that massage loosens up. (One other piece of advice, courtesy of Dillard: If you do drink a lot of water before the massage, make sure you go to the bathroom before the massage!)
Stretching beforehand allows the therapist to get into your muscle tissue more easily, says Girard; when it's cold outside, a warm shower or bath beforehand will also loosen your muscles.
And just how often should you have a massage? That's easy, says Dr. Dillard. "As often as you can afford it!"
Thirty-three states require massage therapists to be licensed, says ABMP's Les Sweeney. To find a practitioner near you, you can visit ABMP's web site or the web sites of the American Massage Therapy Association, or the American Organization for Bodywork Therapies of Asia.
By Carolyn J. Strange
WebMD Feature
Reviewed by Brunilda Nazario, MD
Cheers, frizzy2008.
Dental Health: Braces and Retainers
Fahmi Rizwansyah says:
If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten your teeth, including braces and retainers.
Ask your dentist to refer you to an orthodontist, a dentist who specializes in correcting irregularities of the teeth.
The orthodontist will ask you questions about your health, conduct a clinical exam, gather impressions of your teeth, take photos of your face and teeth, and order X-rays of your mouth and head. An appropriate treatment plan is made based on analysis of the gathered information.
In some cases, a removable retainer will be all that's necessary. In other rare cases (especially when there is an extreme overbite or underbite), surgery may be necessary. In most cases, however, braces will be needed.
What Types of Braces Are Available?
If braces are indeed the solution for you, your orthodontist will prescribe an appliance specific for your needs. The braces may consist of bands, wires, and other fixed or removable corrective appliances.
Generally, there are three types of braces:
* Brackets: Made of stainless steel or clear or tooth-colored ceramic or plastic, brackets are bonded to the front of each tooth. Ceramic or plastic brackets are often selected for cosmetic reasons. Plastic brackets, however, may become stained and discolored by the end of treatment. Another disadvantage of ceramic or plastic brackets is that they cause more friction between the wire and brackets, which can increase treatment time.
* Lingual-type brackets: These are brackets that attach to the back of teeth, hiding the bracket from view.
* Traditional bands: These are the generally outdated "full metal-mouth" look, which consists of the use of metal brackets soldered to metal bands that wrap around each tooth.
Newer "mini-braces," which are much smaller than traditional braces, may be an option for some. Your orthodontist will discuss the various types of available braces with you and determine which might be the best option for you.
How Do Braces Work?
In their entirety, braces work by applying continuous pressure over a period of time to slowly move teeth in a specific direction. As the teeth move, the bony tooth socket reabsorbs and changes shape as pressure is applied.
Braces are made up of the following components:
* Brackets are the small squares that are bonded directly to each tooth with a special dental bonding agent or are attached to orthodontic bands. Brackets act like handles, holding the arch wires that move the teeth.
* Orthodontic bands are stainless steel, clear or tooth-colored materials that are cemented with dental bonding agents or cement to teeth. They wrap around each tooth to provide an anchor for the brackets. The clear or tooth-colored bands are more cosmetically appealing options but are more expensive than stainless steel. They are not used in all patients. Some people have only brackets and no bands.
* Spacers are separators that fit between teeth to create a small space prior to placement of orthodontic bands.
* Arch wires attach to the brackets and act as tracks to guide the movement of the teeth. Arch wires can be made of metal or be clear or tooth-colored.
* Ties are small rubber rings or fine wires that fasten the arch wire to the brackets. They can be clear, metal or colored.
* A buccal tube on the band of the last molar holds the end of the arch wire securely in place.
* Tiny elastic rubber bands, called ligatures, hold the arch wires to the brackets.
* Springs may be placed on the arch wires between brackets to push, pull, open or close the spaces between teeth.
* Two bands on the upper teeth may have headgear tubes on them to hold the facebow of the headgear in place. (A headgear is another tool used by orthodontists to aid in correcting irregularities of the teeth; see below)
* Elastics or rubber bands attach to hooks on brackets and are worn between the upper and lower teeth in various ways. They apply pressure to move the upper teeth against the lower teeth to achieve a perfect fit of individual teeth.
* Facebow headgear is the wire gadget that is used to move the upper molars back in the mouth to correct bite discrepancies and also to create room for crowded anterior teeth. The facebow consists of an inner metal part shaped like a horseshoe that goes in the mouth, attaching to buccal tubes, and an outer part that goes around the outside of the face and is connected to a headgear strap.
How Long Will I Have to Wear Braces?
The time required for treatment varies from person to person, depending on the severity of the problem; the amount of room available; the distance the teeth must travel; the health of the teeth, gums, and supporting bone; and how closely the patient follows instructions. On average, however, once the braces are put on, they usually remain in place for 1 to 3 years. After braces are removed, most patients will need to wear a retainer all the time for the first 6 months, then only during sleep for many years.
How Often Will I Need to See the Orthodontist During Treatment?
Your orthodontist will want to see you about every month or so in order to make sure that the braces are exerting steady pressure on your teeth. To create more tension and pressure on your teeth, your orthodontist will make adjustments in the wires, springs, or rubber bands of your braces. In some cases, braces alone aren't enough to straighten the teeth or shift the jaw. In these situations, an external appliance, such as a headgear may need to be worn at home in the evening or through the night.
Will Braces Cause Pain?
Some of the adjustments your orthodontist may make to your braces may make your mouth feel sore or uncomfortable. When needed, over-the-counter pain relievers like Motrin or Tylenol can help relieve the pain. If you always experience a lot of pain after your braces are adjusted, talk to your orthodontist about it; he or she may be able to make the adjustments a bit differently.
Does the Age at Which I Get Braces Affect the Success of Treatment?
The mechanical process used to move teeth is the same at any age. So the benefits of orthodontic treatments are available to both children and adults who wish to improve their appearance and bite. The main differences between treatments in adults and children is that certain corrections in adults may require more than braces alone and the treatments may take longer because adult bones are no longer growing.
Can I Continue to Play Sports While Wearing Braces?
You can continue to participate in any sport you choose. When playing sports where there is a possibility of getting hit in the mouth, a specially designed mouthguard will need to be worn. The mouthguard, made of durable plastic, is designed to fit comfortably over your braces and will protect the soft tissues inside your mouth.
What Care Can I Expect After the Braces Come Off?
After your braces are taken off, your teeth will be thoroughly cleaned. Your orthodontist may want to take another set of X-rays and bite impressions to check how well the braces straightened your teeth and to see if any wisdom teeth have developed. If wisdom teeth are beginning to come in after your braces have been removed, your orthodontist may recommend the wisdom teeth be pulled to prevent your newly straightened teeth from shifting position in your mouth.
Your orthodontist will also fit you with a retainer. A retainer is a custom-made, removable appliance that help teeth to maintain their new position after braces have been removed. Retainers can also be used to treat minor orthodontic problems. The use of a retainer is a very important part of post-braces care. Retainers, which are typically made of rubber or clear plastic and metal wires that cover the outside surface of the teeth, need to be worn all the time for the first 6 months and then usually only during sleep. The time frame for wearing a retainer will vary from patient to patient. The reason why a retainer is needed is that even though braces may have successfully straightened your teeth, they are not completely settled in their new position until the bones, gums, and muscles adapt to the change. Also, after long periods of time, teeth tend to shift.
How Much Co Braces Cost?
The cost of braces varies, but you can expect the cost to be between $1,800 and $5,500. Some insurance carriers provide partial coverage for orthodontic treatment while others provide none at all. Check with your insurance provider for the specifics of what your policy covers.
by webMD
Reviewed by the doctors at The Cleveland Clinic Department of Dentistry.
Cheers, frizzy2008.
If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten your teeth, including braces and retainers.
Ask your dentist to refer you to an orthodontist, a dentist who specializes in correcting irregularities of the teeth.
The orthodontist will ask you questions about your health, conduct a clinical exam, gather impressions of your teeth, take photos of your face and teeth, and order X-rays of your mouth and head. An appropriate treatment plan is made based on analysis of the gathered information.
In some cases, a removable retainer will be all that's necessary. In other rare cases (especially when there is an extreme overbite or underbite), surgery may be necessary. In most cases, however, braces will be needed.
What Types of Braces Are Available?
If braces are indeed the solution for you, your orthodontist will prescribe an appliance specific for your needs. The braces may consist of bands, wires, and other fixed or removable corrective appliances.
Generally, there are three types of braces:
* Brackets: Made of stainless steel or clear or tooth-colored ceramic or plastic, brackets are bonded to the front of each tooth. Ceramic or plastic brackets are often selected for cosmetic reasons. Plastic brackets, however, may become stained and discolored by the end of treatment. Another disadvantage of ceramic or plastic brackets is that they cause more friction between the wire and brackets, which can increase treatment time.
* Lingual-type brackets: These are brackets that attach to the back of teeth, hiding the bracket from view.
* Traditional bands: These are the generally outdated "full metal-mouth" look, which consists of the use of metal brackets soldered to metal bands that wrap around each tooth.
Newer "mini-braces," which are much smaller than traditional braces, may be an option for some. Your orthodontist will discuss the various types of available braces with you and determine which might be the best option for you.
How Do Braces Work?
In their entirety, braces work by applying continuous pressure over a period of time to slowly move teeth in a specific direction. As the teeth move, the bony tooth socket reabsorbs and changes shape as pressure is applied.
Braces are made up of the following components:
* Brackets are the small squares that are bonded directly to each tooth with a special dental bonding agent or are attached to orthodontic bands. Brackets act like handles, holding the arch wires that move the teeth.
* Orthodontic bands are stainless steel, clear or tooth-colored materials that are cemented with dental bonding agents or cement to teeth. They wrap around each tooth to provide an anchor for the brackets. The clear or tooth-colored bands are more cosmetically appealing options but are more expensive than stainless steel. They are not used in all patients. Some people have only brackets and no bands.
* Spacers are separators that fit between teeth to create a small space prior to placement of orthodontic bands.
* Arch wires attach to the brackets and act as tracks to guide the movement of the teeth. Arch wires can be made of metal or be clear or tooth-colored.
* Ties are small rubber rings or fine wires that fasten the arch wire to the brackets. They can be clear, metal or colored.
* A buccal tube on the band of the last molar holds the end of the arch wire securely in place.
* Tiny elastic rubber bands, called ligatures, hold the arch wires to the brackets.
* Springs may be placed on the arch wires between brackets to push, pull, open or close the spaces between teeth.
* Two bands on the upper teeth may have headgear tubes on them to hold the facebow of the headgear in place. (A headgear is another tool used by orthodontists to aid in correcting irregularities of the teeth; see below)
* Elastics or rubber bands attach to hooks on brackets and are worn between the upper and lower teeth in various ways. They apply pressure to move the upper teeth against the lower teeth to achieve a perfect fit of individual teeth.
* Facebow headgear is the wire gadget that is used to move the upper molars back in the mouth to correct bite discrepancies and also to create room for crowded anterior teeth. The facebow consists of an inner metal part shaped like a horseshoe that goes in the mouth, attaching to buccal tubes, and an outer part that goes around the outside of the face and is connected to a headgear strap.
How Long Will I Have to Wear Braces?
The time required for treatment varies from person to person, depending on the severity of the problem; the amount of room available; the distance the teeth must travel; the health of the teeth, gums, and supporting bone; and how closely the patient follows instructions. On average, however, once the braces are put on, they usually remain in place for 1 to 3 years. After braces are removed, most patients will need to wear a retainer all the time for the first 6 months, then only during sleep for many years.
How Often Will I Need to See the Orthodontist During Treatment?
Your orthodontist will want to see you about every month or so in order to make sure that the braces are exerting steady pressure on your teeth. To create more tension and pressure on your teeth, your orthodontist will make adjustments in the wires, springs, or rubber bands of your braces. In some cases, braces alone aren't enough to straighten the teeth or shift the jaw. In these situations, an external appliance, such as a headgear may need to be worn at home in the evening or through the night.
Will Braces Cause Pain?
Some of the adjustments your orthodontist may make to your braces may make your mouth feel sore or uncomfortable. When needed, over-the-counter pain relievers like Motrin or Tylenol can help relieve the pain. If you always experience a lot of pain after your braces are adjusted, talk to your orthodontist about it; he or she may be able to make the adjustments a bit differently.
Does the Age at Which I Get Braces Affect the Success of Treatment?
The mechanical process used to move teeth is the same at any age. So the benefits of orthodontic treatments are available to both children and adults who wish to improve their appearance and bite. The main differences between treatments in adults and children is that certain corrections in adults may require more than braces alone and the treatments may take longer because adult bones are no longer growing.
Can I Continue to Play Sports While Wearing Braces?
You can continue to participate in any sport you choose. When playing sports where there is a possibility of getting hit in the mouth, a specially designed mouthguard will need to be worn. The mouthguard, made of durable plastic, is designed to fit comfortably over your braces and will protect the soft tissues inside your mouth.
What Care Can I Expect After the Braces Come Off?
After your braces are taken off, your teeth will be thoroughly cleaned. Your orthodontist may want to take another set of X-rays and bite impressions to check how well the braces straightened your teeth and to see if any wisdom teeth have developed. If wisdom teeth are beginning to come in after your braces have been removed, your orthodontist may recommend the wisdom teeth be pulled to prevent your newly straightened teeth from shifting position in your mouth.
Your orthodontist will also fit you with a retainer. A retainer is a custom-made, removable appliance that help teeth to maintain their new position after braces have been removed. Retainers can also be used to treat minor orthodontic problems. The use of a retainer is a very important part of post-braces care. Retainers, which are typically made of rubber or clear plastic and metal wires that cover the outside surface of the teeth, need to be worn all the time for the first 6 months and then usually only during sleep. The time frame for wearing a retainer will vary from patient to patient. The reason why a retainer is needed is that even though braces may have successfully straightened your teeth, they are not completely settled in their new position until the bones, gums, and muscles adapt to the change. Also, after long periods of time, teeth tend to shift.
How Much Co Braces Cost?
The cost of braces varies, but you can expect the cost to be between $1,800 and $5,500. Some insurance carriers provide partial coverage for orthodontic treatment while others provide none at all. Check with your insurance provider for the specifics of what your policy covers.
by webMD
Reviewed by the doctors at The Cleveland Clinic Department of Dentistry.
Cheers, frizzy2008.
Make Over Your Mouth
Fahmi Rizwansyah says:
From a mere cleaning to tooth whitening to "smile design," a trip to the dentist can be a cosmetic experience these days.
If you're in the market for a makeover, there are many beauty specialists who can help you. You might turn to a hair stylist, cosmetic surgeon, or dermatologist. You probably wouldn't think of going to the dentist, yet dentists can do things for your appearance that no one else can.
It goes far beyond scraping the plaque off your choppers during a biannual checkup. "We have procedures where we can change the shape, size, and color of the teeth," says Michael Malone, a cosmetic dentist in Lafayette, La., and president of the American Academy of Cosmetic Dentistry.
Cosmetic dentistry isn't exactly a dental specialty. Those who call themselves cosmetic dentists usually do cleanings and drill cavities, too. They're just particularly interested in aesthetics, and they have extra training to do cosmetic procedures.
Tooth Whitening
The simplest and most common thing they do is tooth whitening. This is nothing new, but it is cheaper and easier today than it used to be.
"We were doing it 30 years ago," Malone says. "We were using at that time a very, very strong solution of hydrogen peroxide -- so strong that if it touched the lips or the gums it would actually injure a person."
In this type of tooth-whitening treatment, called "power bleaching," teeth are isolated with rubber dental dams, and the peroxide solution on the teeth is heated up with lamps.
"It worked, but it was so much trouble that very few people would go through it," Malone says. "Also, it was quite expensive because it took so long in the dental chair."
Power bleaching is still available, but there's a cheaper alternative. A new tooth-whitening technique uses lower-strength peroxides that are left on the teeth longer.
After the dentist makes sure your teeth are healthy enough for the treatment, you have an impression of your teeth taken, and the impression is used to make a tray that holds a peroxide gel on the teeth. You wear this tray at home for a few hours every day, over the course of one to five weeks.
The resulting brilliant whiteness still isn't cheap. Depending on where you live, a take-home tooth whitening can cost anywhere from $150-$1,000. An in-office bleaching tends to be more expensive.
'Smile Design'
Tooth whitening can be just the beginning. If you want to get serious, you can have your teeth and gums overhauled completely. "Smile design" is what San Francisco cosmetic dentist Jerry Bellen calls it.
"Smile design is looking at the positions of somebody's teeth, and how the teeth are framed by the lips," he says.
For example, if your gums show too much when you smile, that can be fixed. "We do what's called a gum lift," Bellen says. "The technical term for it is crown lengthening."
This is a surgery that can be done in the dentist's office, whereby the gums are pushed up so that more of the teeth show. "Surprisingly, there isn't much pain," Bellen says. "It's a fairly minor surgery."
You can also have your teeth shaped any way you want them to be. Bellen says that lengthening and rounding the edges of your front teeth can actually make you look younger. A lifetime of chewing (and especially of nail biting) wears down your teeth. Even after a facelift, worn teeth can add years to your appearance.
To shape a tooth, a cosmetic dentist may bond a resin or porcelain veneer or crown to it. Resin bonding is the older method. "It still is good and used a lot today," Malone says, but it doesn't last as long as porcelain, the newer material.
Resin may, in time, wear out or become discolored, whereas porcelain doesn't. The other difference is that resin bonding is done in the dentist's chair, usually in one visit. For a porcelain veneer, a mold is sent away to a dental lab to be made, then bonded on later.
In addition to shaping teeth attractively, a cosmetic dentist can give you pouty lips. "We take profile photographs of the lips," Bellen says, "If somebody wants a fuller lip, we can actually increase the bulkiness of the veneer," so that it pushes the lip outward.
Tetracycline stains can also be covered with veneers. "When tetracycline [a commonly used antibiotic] is given as a child, it tends to stain developing teeth," Bellen says. "It happens in bands -- striations across the teeth."
If your molars are a mess of metal fillings, that can be fixed by grinding them down and capping them with new porcelain crowns.
The Architecture of a Smile
Bellen says a cosmetic dentist can do just about anything needed to improve your smile, but he stresses the work must be carefully planned. "I go though a pretty detailed evaluation before I start any work at all," he says.
Your bite -- the way your teeth fit together when your mouth is closed -- is an important consideration. "You can put porcelain on everything and not pay attention to the bite, and have everything break down," Bellen says.
That means that before any veneers or crowns go on, your teeth may need to be realigned, and you may even need jaw surgery. "I, as a cosmetic dentist, will diagnose and plan the treatment," Malone says. Then he may involve other professionals, such as an orthodontist or an oral surgeon.
When teeth need to be realigned, it's usually an orthodontist who takes care of it. And you may not need braces. Many people can have their teeth straightened with the Invisalign system, which uses clear plastic "aligners" to gradually move the teeth around. Although it is widely accepted, "You cannot use Invisalign for every case that you can use braces for," Malone says.
Often the jaw can be repositioned without surgery, but sometimes an oral surgeon may need to join the team. As part of a "whole mouth rehabilitation," as Bellen terms it, some people need to have a severely recessed or protruding jaw corrected.
How much you want done depends on how much time you're willing to commit to it, and how much money you have at your disposal. Strictly cosmetic dental work isn't covered by insurance, and the cost can be steep. Veneers, for example, may cost as little as $250 and as much as $2,000 -- per tooth.
Again, you would be paying for a lot of time in the chair. Bellen says he sometimes works on a single patient for a full eight-hour day. What's more, the end result can take many months to accomplish. "There are cases I have in progress right now that have been going on for a year," he says.
But for some, an elaborate and costly production may be worth it in the end. "People smile more when they have nice-looking teeth," Bellen says. "Your whole face brightens up."
By Martin F. Downs
WebMD Feature
Reviewed by Cynthia Dennison Haines, MD
Cheers, frizzy2008.
From a mere cleaning to tooth whitening to "smile design," a trip to the dentist can be a cosmetic experience these days.
If you're in the market for a makeover, there are many beauty specialists who can help you. You might turn to a hair stylist, cosmetic surgeon, or dermatologist. You probably wouldn't think of going to the dentist, yet dentists can do things for your appearance that no one else can.
It goes far beyond scraping the plaque off your choppers during a biannual checkup. "We have procedures where we can change the shape, size, and color of the teeth," says Michael Malone, a cosmetic dentist in Lafayette, La., and president of the American Academy of Cosmetic Dentistry.
Cosmetic dentistry isn't exactly a dental specialty. Those who call themselves cosmetic dentists usually do cleanings and drill cavities, too. They're just particularly interested in aesthetics, and they have extra training to do cosmetic procedures.
Tooth Whitening
The simplest and most common thing they do is tooth whitening. This is nothing new, but it is cheaper and easier today than it used to be.
"We were doing it 30 years ago," Malone says. "We were using at that time a very, very strong solution of hydrogen peroxide -- so strong that if it touched the lips or the gums it would actually injure a person."
In this type of tooth-whitening treatment, called "power bleaching," teeth are isolated with rubber dental dams, and the peroxide solution on the teeth is heated up with lamps.
"It worked, but it was so much trouble that very few people would go through it," Malone says. "Also, it was quite expensive because it took so long in the dental chair."
Power bleaching is still available, but there's a cheaper alternative. A new tooth-whitening technique uses lower-strength peroxides that are left on the teeth longer.
After the dentist makes sure your teeth are healthy enough for the treatment, you have an impression of your teeth taken, and the impression is used to make a tray that holds a peroxide gel on the teeth. You wear this tray at home for a few hours every day, over the course of one to five weeks.
The resulting brilliant whiteness still isn't cheap. Depending on where you live, a take-home tooth whitening can cost anywhere from $150-$1,000. An in-office bleaching tends to be more expensive.
'Smile Design'
Tooth whitening can be just the beginning. If you want to get serious, you can have your teeth and gums overhauled completely. "Smile design" is what San Francisco cosmetic dentist Jerry Bellen calls it.
"Smile design is looking at the positions of somebody's teeth, and how the teeth are framed by the lips," he says.
For example, if your gums show too much when you smile, that can be fixed. "We do what's called a gum lift," Bellen says. "The technical term for it is crown lengthening."
This is a surgery that can be done in the dentist's office, whereby the gums are pushed up so that more of the teeth show. "Surprisingly, there isn't much pain," Bellen says. "It's a fairly minor surgery."
You can also have your teeth shaped any way you want them to be. Bellen says that lengthening and rounding the edges of your front teeth can actually make you look younger. A lifetime of chewing (and especially of nail biting) wears down your teeth. Even after a facelift, worn teeth can add years to your appearance.
To shape a tooth, a cosmetic dentist may bond a resin or porcelain veneer or crown to it. Resin bonding is the older method. "It still is good and used a lot today," Malone says, but it doesn't last as long as porcelain, the newer material.
Resin may, in time, wear out or become discolored, whereas porcelain doesn't. The other difference is that resin bonding is done in the dentist's chair, usually in one visit. For a porcelain veneer, a mold is sent away to a dental lab to be made, then bonded on later.
In addition to shaping teeth attractively, a cosmetic dentist can give you pouty lips. "We take profile photographs of the lips," Bellen says, "If somebody wants a fuller lip, we can actually increase the bulkiness of the veneer," so that it pushes the lip outward.
Tetracycline stains can also be covered with veneers. "When tetracycline [a commonly used antibiotic] is given as a child, it tends to stain developing teeth," Bellen says. "It happens in bands -- striations across the teeth."
If your molars are a mess of metal fillings, that can be fixed by grinding them down and capping them with new porcelain crowns.
The Architecture of a Smile
Bellen says a cosmetic dentist can do just about anything needed to improve your smile, but he stresses the work must be carefully planned. "I go though a pretty detailed evaluation before I start any work at all," he says.
Your bite -- the way your teeth fit together when your mouth is closed -- is an important consideration. "You can put porcelain on everything and not pay attention to the bite, and have everything break down," Bellen says.
That means that before any veneers or crowns go on, your teeth may need to be realigned, and you may even need jaw surgery. "I, as a cosmetic dentist, will diagnose and plan the treatment," Malone says. Then he may involve other professionals, such as an orthodontist or an oral surgeon.
When teeth need to be realigned, it's usually an orthodontist who takes care of it. And you may not need braces. Many people can have their teeth straightened with the Invisalign system, which uses clear plastic "aligners" to gradually move the teeth around. Although it is widely accepted, "You cannot use Invisalign for every case that you can use braces for," Malone says.
Often the jaw can be repositioned without surgery, but sometimes an oral surgeon may need to join the team. As part of a "whole mouth rehabilitation," as Bellen terms it, some people need to have a severely recessed or protruding jaw corrected.
How much you want done depends on how much time you're willing to commit to it, and how much money you have at your disposal. Strictly cosmetic dental work isn't covered by insurance, and the cost can be steep. Veneers, for example, may cost as little as $250 and as much as $2,000 -- per tooth.
Again, you would be paying for a lot of time in the chair. Bellen says he sometimes works on a single patient for a full eight-hour day. What's more, the end result can take many months to accomplish. "There are cases I have in progress right now that have been going on for a year," he says.
But for some, an elaborate and costly production may be worth it in the end. "People smile more when they have nice-looking teeth," Bellen says. "Your whole face brightens up."
By Martin F. Downs
WebMD Feature
Reviewed by Cynthia Dennison Haines, MD
Cheers, frizzy2008.
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