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Orthodontics – تقويم الاسنان

تقويم السنان اذا اردت ان تعرف معلومات عن تقويم الاسنان و سعر تقويم الاسنان فى مصر و معنى تقويم الاسنان بالانجليزي برجاء قم بمتابعة المقالة و اذا اعجبك المحتوى فضلا قم بالاشتراك

ما هو تقويم الاسنان و تقويم الاسنان

بالانجليزى

تقويم الاسنان هو علاج تجميلى للاسنان الغرض منة تعديل وضع الاسنان داخل الفك و تعديل علاقة الفكين معا. اول من قام باكتشاف علاج تقويم orthodontics الاسنان هم قدماء المصريين. و يسمى تقويم الاسنان بالانجليزي
ortho=مستقيم
dontics=اسنان
وهذا ما تعنية تقويم الاسنان بالانجليزي
و فى ما يلى معلومات هامة عن العلاج تشمل سعر تقويم الاسنان فى مصر

دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر مع حالة — دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر مع مريض تقويم السنان

ما هى مشاكل الاسنان التى يعالجها تقويم الاسنان

يعالج تقويم الاسنان مشاكل الاسنان التالية:

حالة لطفلة قبيل تركيب تقويم الاسنان تشكو من عدم استقامة الاسنان و دخول الانياب - دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر — حالة لطفلة قبيل تركيب تقويم الاسنان تشكو من عدم استقامة الاسنان و دخول الانياب – دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر

العضة العميقة
العضة المعكوسة
العضة المفتوحة
عدم تطابق الاسنان
فراغات الاسنان
الانياب
الاضراس المدفونة داخل الفك
الاسنان اللبنية
اضطرابات نمو الفكين لدى الاطفال
تزاحم الاسنان
التفاف الاسنان
ميل الاسنان
ضيق الفك
بروز الاسنان

هل تقويم الاسنان لة عمر معين

لا يوجد عمر معين للحصول على العلاج و لكن توجد متطلبات لتقويم السنان.

لماذا خلع الاسنان مع علاج التقويم

فى العديد من حالات التقويم تكون مشكلة تزاحم الاسنان عدم وجود مكان كافى لصف السنان عبر علاج تقويم السنان بدون خلع و هذا يستدعى خلع الاسنان مع تقويم الاسنان للحصول على مساحة كافية لرص و صف و تحريك الاسنان

هل يمكن تقويم السنان بدون خلع الاسنان

يمكن تحريك الاسنان بدون خلع عندما يكون تزاحمهم قليلا (مثال: سنة واحدة فى غير مكانها) او عند توسيع الفك لدى الاطفال فى حالات ضيق الفك على استيعاب كامل عدد الاسنان. قد يلجا الطبيب الى الخلع عندما يوجد سن مدفون مثل الانياب و هو شائع لدى الاطفال و كبار السن، او عند الرغبة فى تقليل بروز الفكين عن طريق العلاج التمويهى. ايضا قد يلجا الطبيب الى الخلع فى حالات البروز للفكين

طريقة عمل تقويم الاسنان

تختلف طريقة عمل التقويم على حسب نوع العلاج، الاجهزة و الخامات المستخدمة و ايضا الشكوى الاساسية للمريض. و لكن بصفة عامة يتم وضع جهاز على الاسنان لتحريكها الى الوضع المثالى مع مراعاة تطابق الفكين عند انتهاء العلاج و هذا لضمان اقصى ثبوت لنتيجة العلاج فيما بعد العلاج فى الفترة التى تسمى فترة التثبيت.

سعر تقويم الاسنان فى مصر

يصل متوسط اسعار تقويم الاسنان فى مصر ٢٠٢٣ ما بين ٣٠٠٠ إلى ٥٠٠٠ دولار أمريكي ( ١٢٠٠٠٠ إلى ٢٠٠٠٠٠ جنيه تقريبا ) طبقا لانواع التقويم المستخدم و صعوبة علاج الحالة و فترة العلاج و ايضا طبقا لخبرة و سمعة الطبيب و ايضا تختلف اسعار تقويم الاسنان فى مصر ما اذا كان الطبيب يحمل درجة علمية فى التخصص. تحدد اسعار تقويم الاسنان فى مصر ايضا وفقا لسعر العملة و الخامات و خصوصا سعر الدولار. فمن المعادن المستخدمة لتحديد اسعار تقويم الاسنان فى مصر معدن النيكل لوجود جزء منة فى مكونات الخامات.

ما هى انواع تقويم الاسنان

يوجد انواع مختلفة من اجهزة تقويم الاسنان و بالاخص اجهزة تعديل الفك وفقا لاحتياج المريض و العلاج المطلوب. و فى العموم تندرج انواع تقويم الاسنان الى نوعين رئيسيين و هى الثابت و المتحرك. وقد يتطلب الامر وجود النوعين معا (التقويم الثابت و التقويم المتحرك) فى بعض الحالات تباعا لشكوى المريض الاساسية للاسنان و التى يقوم بعلاجها طبيب تقويم الاسنان. فى حالة اجهزة التقويم الثابت فيوجد منها التقويم المعدن و التقويم السيراميك، اما بالنسبة لاجهزة التقويم المتحرك فيوجد منها الانفزالاين (Invisalign) و الهولي (Hawley) وموسعات الفك بانواعها (Expanders) بما فيها مقدمات العضة (Bite Jumpers) والتى تقويم بتعديل الفك الكامل وفق درجة نمو الحالات و ايضا تحدد صلاحية الانواع وفقا للعلاج المطلوب وفقا لحركة الاسنان المطلوبة.

مم يتكون جهاز تقويم الاسنان

يتكون جهاز التقويم من اربعة مكونات اساسية:
١- اللجام
٢- الملحقات
٣- الشدادات
٤- الراسيات

اللجام هو العنصر الاساسى الذى يقوم بتحريك الاسنان للوضع المثالى و قد يكون فى صورة اسلاك التقويم او قناع الوجة او خوذة الراس، اما .الملحقات ففى الغالب تكون ملصقة على الاسنان بغراء مخصوص لايصال الاسنان باللجام
الشدادات و هى تكون عادة فى صورة مطاطات ملونة او شفافة تقويم بربط اللجام الى الملحقات و تقوم الراسيات بدور حجر الزاوية للتحكم فى حركة الاسنان اثناء علاج الاسنان

لجام مطلى غير مرئى للملحقات (الاقواس) السيراميك - دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر — لجام مطلى غير مرئى للملحقات (الاقواس) السيراميك – دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر

ملحقات (اقواس) تقويم الاسنان السيراميك لكامل الاسنان - دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر — ملحقات (اقواس) تقويم الاسنان السيراميك لكامل الاسنان – دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر

تقويم الاسنان المعدنى - الملحقات (الاقواس) و اللجام و الشدادات (الالوان) و الراسيات على الاضراس الخلفية - تركيب كامل - دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر — تقويم الاسنان المعدنى – الملحقات (الاقواس) و اللجام و الشدادات (الالوان) و الراسيات على الاضراس الخلفية – تركيب كامل – دكتور عادل زخارى افضل دكتور تقويم اسنان فى مصر

ما هى متطلبات تقويم الاسنان

بصفة عامة متطلبات القيام بعلاج التقويم و هى ضرورية لتفادى اضرار تقويم الاسنان و ايضا للقيام بعلاج تقويم الاسنان بافضل نتيجة و منها:
* نظافة الاسنان
* خلو الاسنان من التسوس
* خلو الاسنان من التكلسات و التراكمات الجيرية
* خلو الاسنان من امراض اللثة
* خلو الاسنان من اوجاع العصب

ما هى اضرار تقويم الاسنان

ان اضرار علاج تقويم الاسنان التى تكون لها ابعاد سلبية على صحة الاسنان و بعضها يتم علاجة بشكل او باخر، اما البعض الاخر منها فيكون ضرر دائم غير قابل للاصلاح، و قد يحتاج عدة علاجات اخرى لاصلاحة. ان حركة الاسنان بصفة دورية و سريعة من اكثر الاضرار الناتجة عن علاج تقويم الاسنان و قد ينتج عنها تاكل فى جذور الاسنان بصورة شديدة قد لا يمكن العلاج منها ولكن على الامد البعيد يتم معالجتها ببطئ اثناء مرحلة التثبيت التى تتبع مرحلة علاج تقويم الاسنان. قد يحدث ايضا حدوث تسوسات مكان ملحقات الجهاز و هو ناتج فى اغلب الوقت عن عدم تنظيف الاسنان بصورة دورية من قبل المريض اثناء علاج تقويم الاسنان، الامر الذى ينتج عنة الحاجة لاستخدام عدسات الاسنان لاخفاء التسوسات الناتجة.
بالاخص، ان اكثر اضرار تقويم الاسنان تكون ناتجة عن التراخى عن العناية بالاسنان و تجهيز الحالة لاستقبال تقويم الاسنان.

اما عن اكثر الاضرار لعلاج تقويم الاسنان فهى فقدان الاسنان نتيجة لخلع الاسنان، الامر الذى يؤدى ايضا لاطالة فترة العلاج.

طرق العناية بتقويم السنان

تختلف طرق العناية بتقويم الاسنان تباعا الى الاجهزة المستخدمة و خطة العلاج و لكن جميعها تشترك فى الحاجة لابقاء سطح السن نظيفا و تباعا نظافة الاسنان و الفم و العناية بة من قبل المريض، الامر الذى يؤدى الى تقليل اضرار علاج تقويم الاسنان. ان ابسط طرق العناية بالاسنان تكون باتباع تعليمات الطبيب و ارشادات النظافة و التى يقرها الطبيب للمريض قبل البدء فى العلاج .
بصفة عامة ان تنظيف الاسنان بعد الوجبات باستخدام الفرشاة الخاصة بتقويم السنان و استخدام مضمضة تباعا يفيد فى تلافى الاضرار بشكل كبير.

ما هى مدة علاج تقويم الاسنان

ان مدة علاج تقويم الاسنان تختلف تباعا لكل حالة على حدة و لكن بصفة عامة كل ما كانت مشاكل العلاج سهلة كل ما كانت فترة العلاج اقصر و مدة العلاج اقصر مع مراعاة عدم الحاجة للخلع. فان اغلب الحالات البسيطة تتراوح ما بين شهرين الى ستة اشهر و قد تصل الى سنة. اما الحالات المعقدة او الصعبة لعلاج تقويم الاسنان فقد تتجاوز العام و النصف عام او العامين. الجدير بالذكر ان مدة العلاج ايضا تختلف من حالة لحالة وفقا لخطة العلاج التى يقررها الطبيب فى الاستشارة.

من هو افضل طبيب تقويم اسنان فى مصر

دكتور عاطف زخارى - اخصائى تقويم الاسنان - جامعة نيو يورك - ١٩٨٥ — دكتور عاطف زخارى – اخصائى تقويم الاسنان – جامعة نيو يورك – ١٩٨٥

دكتور عادل زخارى - افضل دكتور تقويم اسنان فى مصر — دكتور عادل زخارى – افضل دكتور تقويم اسنان فى مصر

ان دكتور عادل زخارى هو افضل طبيب تقويم اسنان فى مصر لانة حاصل على ماجستير فى تخصص تقويم الاسنان من جامعة داندى باسكتلندا، من اعرق الجامعات و اقدمها فى المملكة المتحدة، بالاضافة لخبرتة التى ورثها عن الدكتور عاطف زخارى، اخصائى تقويم الاسنان المعروف عالميا و الحاصل على شهادة التخصص فى تقويم الاسنان من جامعة نيو يورك بامريكا.

ايضا دكتور عادل زخارى لدية خبرة علاجية فى مجال تقويم الاسنان للاطفال داخل و خارج مصر مشهود لها من العديد من المرضى و ايضا لان دكتور عادل زخارى من اشهر اطباء تقويم الاسنان فى مصر من حيث رضاء العملاء و من حيث جودة العلاج لانة من الباحثين فى مجال جودة علاج تقويم الاسنان و لة العديد من الرسائل العلمية فى مجال تقويم الاسنان بصفة خاصة و لانة عضو شرفى للمنظمة الدولية لابحاث طب الاسنان، بالاضافة الى حصولة على ترخيص هيئة التخصصات السعودية بدرجة نائب فى مجال تقويم الاسنان.

ان دكتور عادل زخارى هو من خريجى جامعة عين شمس المعروفة عالميا و هى افضل جامعة فى جمهورية مصر العربية و المشهود لها بجودة الخريجين عمليا.

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تقويم الأسنان على مرحلتين

تقويم الاسنان على مرحلتين من دكتور عادل زخارى افضل دكتور اسنان و افضل عيادة تقويم اسنان فى مصر

تقويم الأسنان على مرحلتين هو في الأساس ، نوع من علاج تقويم الأسنان الذي يتضمن تعديل الفكين لأن المشكلة كما تحددها استشارة تقويم الأسنان تكون بشكل كبير في الفكين وليس في الأسنان.

تقويم المرحلتين لطفلة ترتدى جهاز تعديل الفكين — تقويم الاسنان على مرحلتين: تعديل الفك السفلى لطفلة

لماذا تقويم الاسنان على مرحلتين (تعديل الفكين؟

في كثير من الأحيان ، تكون مشاكل التسنين وبعد ذلك في مظهر الوجه مظاهر لمشاكل الفك ، حيث قد يكون أحد الفكين بعيدًا جدًا للأمام ، وقد يكون الفك الآخر متخلفًا جدًا أو كلاهما. قد يكون أخصائي تقويم الأسنان قد اكتشف مشكلة في موضع الفكين أو حجمهما أو شكلهما أثناء الاستشارة ، الأمر الذي قد يتطلب مزيدًا من العمل قبل التمكن من تحريك الأسنان.

ما هي المشاكل التي قد تكون في الفكين التي تتطلب تعديلها؟

يمكن أن يكون الفكين إما صغيرًا في الحجم ، أو منحسرًا ، أو متقدمًا ، أو كبيرًا جدًا بحيث لا يتمكن الفك الآخر من إحداث إغلاق صحيح ، وبالتالي جعل الأسنان تمامًا في الوضع المحدد ، والطبيعي ، والفسيولوجي (نعم ، له علاقة كبيرة برفاهية الأسنان !) وضع.

يعاني بعض الفكين من مشكلة واحدة فقط من المشاكل المذكورة أعلاه ، في حين أن الفكين الآخرين قد يكون لديهم مشاكل مشتركة. غالبًا ما يكون الأخير في معظم الحالات.

ما هو نوع المريض المؤهل لهذا النوع من العلاج؟

غالبًا ما يكون العلاج على مرحلتين مناسبًا للأطفال الذين تتراوح أعمارهم بين 8 و 12 عامًا. نظرًا لأن الأطفال لا يزالون ينمون في هذا العمر ، فإن طفرة النمو لديهم في ذروتها ، وتعتمد نتيجة العلاج إلى حد كبير على وجود النمو. يجب استشارة طبيب أسنانك عند الرغبة في التدخل في تلك الفئة العمرية.

لماذا يسمى العلاج على مرحلتين؟

يتكون العلاج من مرحلتين ، الأولى هي مرحلة تعديل الفك وتوحيد التغييرات التي تطرأ على الفكين ، والثانية هي اتباع نظام غذائي منتظم من تقويم الأسنان الثابت (أو تقويم الأسنان القابل للإزالة) الذي يهتم بضبط الأسنان بشكل جيد مع بعضها البعض ، بعد أصبح فكي كل منهما الآن أكثر إلى الوضع المثالي ، خلال المرحلة المبكرة.

هل يختلف وضع تقويم الأسنان في وقت لاحق في مرحلة البلوغ؟

نعم! في بعض الأحيان ، يمكن أن تكون مشاكل الفك شديدة لدرجة أن الجراحة هي الطريقة الوحيدة لمعالجة مشاكل الفك ، خاصةً مع الفكين غير الطبيعي أو مشاكل الفكين. على سبيل المثال ، الفك السفلي المنحسر الذي يتطلب عملية جراحية لوضعه في الموضع الصحيح. من الواضح أن فائدة العلاج على مرحلتين هي تقليل الحاجة إلى الخضوع لعملية جراحية ، من خلال محاولة توجيه نمو الفكين.

إذا أعجبك هذا المقال ، فيرجى التفكير في الاشتراك في النشرة الإخبارية لدينا لتلقي المحتوى الخاص بنا فور نشره.

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open bite, or is it underbite? Teeth that overlap, or don’t. How to tell?

If you have teeth that don’t meet each other at the front, and you wonder what you should call it properly to your dentist, this is for you. To say you have an underbite, or open bite, is like apples and oranges. Read some more!

open bite before treatment dr adel zakhary — an open bite case before treatment ar Dr Adel Zakhary

The normal relationship

Normally, teeth are designed to meet each other as previously described. This relationship is what is known as a positive overlap of teeth, and dentists know it by its stage name – overbite. Its when the tip of the bottom front tooth strikes the back of the upper front tooth. Under this configuration, the teeth are said to be in contact and further, are able to incise (hence the technical name of the respective tooth – incisor) or bite food off.

What is Underbite?

It is when teeth are not touching each other but look like they do when viewed strictly from the front. Some literature described it as bulldog appearance, but we do not consider the literature exact, as the appearance is more involved with both the overlap in the two planes, the vertical and horizontal planes.

open bite, on the other hand..

Is when teeth do not touch OR overlap each other. There is a distinct gap between the teeth, especially in closing on the back teeth. This is easily discernible from the front teeth, then turning the head to the side, to find a perfect, dark zig-zag between the back teeth top and bottom, while the front ones do not touch in any way. There is a visible gap.

Is it an overlap, or do they touch?

Sometimes, teeth can struggle to reach their proper position and touch each other, for example, when a physical obstruction prevents them from doing so, or if adenoids or other systemic diseases exist. When this occurs, we ask our patients to report if the teeth could in fact touch each other on closing on the back teeth. With the significance being that if there is touching of teeth, then seldom this requires tooth movement with braces or orthodontics. Sometimes, it may be hard to tell, especially when the patient has a bone problem in such a way, that teeth front to back can not touch each other under the patient’s own effort.

underbite case before treatment dr adel zakhary — underbite case before treatment at Dr. Adel Zakhary

How can open bite or underbite be treated?

When you visit our clinic for the first time, we take your impression and make a 3D model. This is then inserted to the computer and is analyzed to reveal which teeth can touch (from the dent marks on their surface), and which do not. We also connect this with your photographs and overlay your face above the teeth, while also using taken X-rays, to connect all three together and establish your profile. Once that is done, you get to see how will the treatment proceed, what type of brace are we going to use, the teeth to be taken out (if any), and finally, the desired final outcome. As a general rule with bites, and because dentists usually elect to remove teeth, orthodontists perform what is known as a wax-up. It is essentially your corrected case with a full complement of teeth (without taking teeth out). Through a series of calculations, angular measurements, and extrapolations of tooth movements, we can then determine if teeth are to be removed for closing the bite. Please be aware that not only is it one of the most difficult conditions to treat, but also open bite or underbite problems have a high tendency to relapse following retainer removal, and therefore requires the fixed wire retainer.

What to do if you can’t tell if its open bite or underbite

If you can’t tell if the teeth are touching or not, you can have yourself checked at our clinics.

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Tooth fractures

Broken front tooth dr adel zakhary before restoring — Broken front tooth before restoring it at Dr Adel Zakhary

If your child fell on their face, you had an accident and your teeth became wobbly, this article is for you.

What are tooth fractures?

Dental fractures occur when a foreign body collides with the mouth and teeth, for example when falling on the face, whether in children or the elderly, or in car accidents or quarrels, and it may result in a fracture in one or several teeth at once and also may result in tooth bleeding if it involves the root canal of the teeth involved.

What are the risks of having a fractured tooth?

Broken teeth may result in pain in the area of the tooth that does not subside with painkillers, and it may lead to bleeding of the gums with the teeth if the fracture reaches deep into the jaw and to the bone, and it may also result in the death of dental nerves and the occurrence of ulcers in the lips and cheeks if the fractured tooth is sharp, but if the fracture is smooth, the fracture may reach the tooth nerve, and upon the death of the nerve, there may be the formation of dental abscess, bone problems, and excessive movement of the damaged teeth, with loss of bone support to said teeth, which subsequently leads to the need for tooth removal or surgical fixation.

What are the types of tooth fractures?

Fractures are classified in a number of ways, including:

Deep fractures or superficial fractures
Acute fractures or smooth fractures
Stratified fractures
Fractures with or without nerve death
Fractures of the tooth only or the tooth with the bone
Fractures with immobility in the broken tooth or without tooth immobility (tooth removal fractures)
Level fractures of the crown only or the crown with roots

The classification of fractures may differ according to the doctor, locale, or the system adopted to classify them in the country, but most of the classifications are based on the fourth classification, which is with or without the death of the dental nerve.

Broken tooth after restoration using tooth colored filling at dr adel zakhary — Broken tooth after restoration with tooth colored filling at Dr Adel Zakhary

How are broken teeth treated?

In Dr. Adel Zakhary’s clinic, a treatment plan is developed in consultation with the patient. Treatments for dental fractures vary according to the classification and degree of the fracture. Sometimes it is required to put a deep nerve filling if the fracture reaches the tooth nerve and passes all layers of protection. But if the fracture is minor, it is usually possible to restore without the need for filling if it is in the enamel layer. If it reaches the dentine layer, it may require filling the tooth with a filling that has the color of the tooth. And if the tooth is not healed within several days, then it becomes possible to perform a root canal removal and rebuilding the tooth as it is in cases of deep fracture or fracture that reaches the bone, and this requires surgical operation to stabilize the tooth, and usually this could be coupled with a diet of braces treatment to reform the lost bone.

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Middle-aged dental problem solving

Middle-aged dental patient with severe teeth loss - dr adel zakhary

If you are between 40-60 years old, have some broken teeth, have some that are missing or lost due to time, this piece will give you insights on how we decide what to do in your case.

Middle-aged dental patient showing complete loss of teeth - dr adel zakhary

Broken teeth only?

People usually become busy with life and its toll, and with getting married and having kids. I remember once, as a 16 years old, I witnessed my dad breaking one of his teeth trying to pry open a knot on a plastic bag with his teeth. Its a fact of life that at some point, your teeth shall give in. Like most organs do, and people turn older, and become less active, so does the body and the teeth are no exception. Thus the majority of cases that do show up, tend to have any of these problems.

To save, or not to save?

During dental examination, middle-aged dental patients because lets face it, often more than not, patients want the quick way out. Most ladies and gentlemen we see at our clinic come with a myriad of problems ranging from gums that are receded, bad breath, broken teeth, minor alignment issues, reaching record highs of having one tooth inside that they just want it pulled out to have a pair of dentures made.

The dilemma in chosing the correct treatment lies in two things:

Is the tooth restorable?
Is the teeth good enough in quality for subsequent prosthetics?

And that is just to name two of the decision making questions we have to answer and involve our patient in.

Middle-aged dental patient with minor tooth loss - dr adel zakhary

The knowledge?

Often times when we get cases like these, we like to gently get the feel for their knowledge. Surprisingly, more often than not, these guys and girls in bad shaped teeth surprise us with profound knowledge of the issues they have. Being in the loop with your doctor is the best strategy to stay healthy with teeth and avoid the need for fastidious and costly types of treatment.

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Dental consultation

Dr Adel Zakhary dental examination — Walking in, the crooked tooth is immediately noted. Flips on the notepad and clicks the pen. Spot the not!

What do we do when checking your teeth?

If you ever wondered what do dentists look for in your teeth when you show them your mouth and open up, this article is for you.

Hygiene of your mouth

Presence of caries

Position of caries

Depth of caries

Extent of caries

Involvement of root canals with caries or not

Alignment of teeth

And that is just to name a few. In fact, the comprehensive list goes way beyond these perplexing parameters, and by force of habit, all those items are simultaneously checked to every tooth, as soon as you walk in for the first time. For example, did you know that with each patient, we like to know if they have underlying systemic conditions, for example there could be allergies to Latex from gloves or Nickel in the metal braces. I personally had the unfortunate experience of getting rashes and puffy eyes by Latex sensitivity back while I was still in college, before even going into dental school.

dental consultation online dr adel zakhary — A discolored tooth doesn’t mean the root canal work is bad. The listen and feel.

What happened to the adage of “Look, Listen, and Feel”?

In the days leading to our graduation, one of our doctor teachers told us that we shouldn’t run a list. We should look, listen and feel our patients. When we look at teeth, we also have to listen not only to our patient concern but to the tooth. Furthermore, we have to feel the tooth. If we listen to the tooth, it may sound dull on tapping, or it may sound like the neighboring teeth. The significance of which can be interpreted by the lack of bone or the abundance of bone around said tooth, denoting a periodontal problem in the former case. The feel part is when we grip the tooth, does it move as easily or does it stay firm? If its the former case, now we must listen to our patients saying that they might have a Type I Diabetes Mellitus, or that they dont brush as often as they want to. The picture becomes clearer with these investigations.

Nowadays, there is less emphasis on the listen and feel, and more emphasis on x-rays, and the looks of teeth. How can one omit that half the tooth can not be seen? And more, how can one overlook, that the tooth is not only their resposible domain, but also its neighboring structures, which includes bones and soft tissues, like the tongue, the cheeks, the lips, the nose, essentially, the face.

Therefore, one must always know that not all dental consultations involve taking photos and xrays to the mouth, but also, emergency dictates a physical examination to ensure the root cause of any problem is tackled.

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Fangs

Ever wondered when you were a child how your teeth all of a sudden split at the front? How about teeth that you suddenly grow high up near your eyes? And why specifically do these teeth matter? What makes them behave that way? If you want to know how can braces solve that problem in children and young teens, read some more.

Canines

The Canines, also named “Fangs“,”Eye teeth“, or just Canines (not that beautiful pet of yours), are the teeth that look like daggers at the front of your mouth. They are the teeth that begin to erupt around the age of nine years, sometimes a little earlier, sometimes a little later. They form what we call the corner of the smile, and rightly so, because they occupy the middle, transitional position between the cutters (your front teeth), and the chewers (the back teeth). They are pivotal to getting your smile arc, your facial bones supported, and thus, your age looks. Canines normally erupt, gliding on roots of the neighboring teeth.

The Gaps

Normally, your teeth erupt to become close together, so there shouldn’t be any gaps between your teeth. If there are gaps, you know what happens with food – it gets lodged in these gaps. Bad for your teeth. So when the canines start to erupt, the teeth start to fan apart, almost creating big spaces between them. That is because the canines are trying to get into their normal positions, because they are considerably bigger than the front teeth (they do have also the longest of roots in your teeth). So when they glide, they push on the aforementioned teeth roots, in a side direction, thus creating the “ugly duckling” appearance most children get harassed about. Sometimes, the spaces to accomodate these daggers are so small, that they get stuck where they originated (near the eyes, hence the term “eye teeth”). They may even not get a chance to erupt and appear if they are sufficiently big, or if the jaw is deficiently small to accomodate. We call this an “impacted” canine

The Solution

The parents are advised to conduct a checkup for their children when their children pass the eight years old mark, so we can check and monitor the presence, the position, and the possibility of eruption of canines. What we do at this critical time, saves the child from undergoing a terrifying experience at school from their peers. X-rays are taken to check the canines, and if needed, a brace is put in place to start correcting the teeth, and make space for the canines to erupt. However, if the canines are not to be seen, usually they are exposed and pulled by braces to their correct position, while starting buried.

The Rub

As a parent, its advised to visit your dentist and have them check on the teeth count and specially the canines. Often times, the surgery required to expose the teeth can be mitigated by having an early look at the teeth with an X-ray. In their right, the canines roots being the longest, cause them to usually be the teeth stuck at the late childhood.
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Things to know when putting on braces

If you are giving thoughts to braces and are on the fence, here are a few things from your orthodontist (who happens to be fathered by an orthodontist as well, yep that is two generations of braces doctors talking, listen up!).

I had my braces back in 2000. My dad did a full course of treatment on me. Some of the things I wanted answered were questions in my mind. As an early teenager, you are just baffled by the fact that these things even exist, and, being of that age group, you know, with all the peer pressure, seeing your friends having these metal things in their mouths, you take the plunge and get your first brace. I’ve compiled a list of the most common questions I could think of, and even was asked as an orthodontist. If you have braces, these are for you:

What is it

Braces are small attachments that are attached to your teeth with special purpose glue, and are connected together with a wire.

What it does

Obviously, move teeth, so that you can look better and even smile better. Myriad of benefits to wearing your braces. You might want to check our DSB below to find out what can braces solve.

Digital Services Brochure – Dr Adel Zakhary.pdf Download

How long does it take to put on?

Putting on the braces can take anywhere between 15 minutes to 45 minutes, depending on how good the dentist is, and how difficult the case might be. Sometimes, we tend to want to make additional steps in the installation, for example, if our patient is producing too much saliva, or if they have difficulty breathing.

Does it require an injection?

No, No, NO! No injection whatsoever! Normally we use injectors for numbing teeth if we are doing fillings, or root canal treatments. But braces, never!

What is that blue gel on my teeth, and why does it taste bad?

Its what we use to prepare the tooth to receive the glue used to attach the braces on. The stuff is mostly acidic, so that also explains why you should NOT swallow it, and why it tastes bad. The dentist will rinse alot after this one, in order to make sure it doesnt stay inside your mouth. You might also want to rinse repeatedly after it.

Ok I feel a little bit of pain, what is going on?

Well pain is your body telling you that “I can detect the teeth moving”. It is normal in the first day or even few days later following braces installation. It is also because teeth are normally without pain. So pain is a very good sign that your teeth are in face moving. Congratulations!

Can the pain go away with braces?

As your teeth start to take shape and align, they start to feel less pressure, since they are closer to the corrected position. And you already know what pressure feels like. So the pain also reduces. However, you could be prescribed painkillers for a few days following the installation. It is important to check with your doctor and tell them if the pain can be bearable, or if it lingers alot to cause a disturbance in your lifestyle.something is grasping my lip when I talk, what to do?

Something is grasping my lip or poking my cheek. What to do?

It could be the wire sticking out back. If its the lip, you can use the wax provided to cover the rough edges of the braces. The wire itself can be tucked away if you are away. If you can arrange an appointment with your dentist, that would be all the better.

What are those colors on the braces?

Those colors are what probably caused you to put them on, right? Well you are in luck. The color is basically rubber ties that activate your braces. Every visit to your orthodontist, you will get that color changed, or replaced (as you wish).

I ate Snickers and my braces broke, what can I do? is there something I shouldn’t eat with braces?

Normally, you would schedule an appointment if the braces are broken. Sometimes, the broken braces can leave a tiny bit of the wire poking at the back, and to that you can either cut the wire if you can’t visit your doctor, or place a ball of wax at the end.

Some foods, like hard and sticky foods (and Snickers are no exception!) should not be eaten with braces. However, its just that one time, right?

How often should I clean my teeth with braces?

Normally, following every meal, and we explained why that is very important.

How do I clean my braces?

Normally, you would use the regular toothbrush with soft bristles to clean your teeth parts not having braces, like the back, sides, and top. Gummy areas and areas of braces are a little more challenging, and require that special brush to reach in and clean thoroughly. Sometimes, it helps if you have a Waterpik, or a Jet brush. The point is, make it a habit to not leave food over your braces, especially in Covid-19. For the invisible aligner types of braces (Invisalign), regular brushing and flossing will do the trick. You might as well be prescribed a mouthwash with your choice of alcohol content (not for consumption!).

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Why is it important to get your teeth cleaned with braces?

Braces.. the food magnet.

That pretty much sums up the article. Just kidding! Actually, its a little more complicated than that, but we will see to it that you grasp why the practice of regular brushing needs to be enforced, why cleaning is important with braces, and why not cleaning your teeth can hurt your cosmetics on the long run. Like any rough object, it catches stuff.

metal orthodontic bracket dr adel zakhary dental

Because braces are rice grain sized, its very difficult to clean them. A brace is composed of brackets that are attached to the teeth (or glued on, if you will), and wires that connects these brackets in unison. When the bracket is attached to the tooth, the back of the bracket has these sharp objects called (hooks), and wings. It is probably what grazed your lips, or hurt your cheeks if you never had braces on before. Now when you think about that rice-grain sized object, think about how easy is it for food to get stuck to it.

Ceramic bracket dr adel zakhary dental side view

The rough edges collect the food over time, and the food starts to build up over the bracket, and when it runs out of places to build up, it starts to collect at the tooth-bracket interface, and then when that is occupied, it then starts to collect over the tooth itself. Imagine the size of the object required to clean that very small, fraction of a millimeter gap between the tooth and the bracket. That “pocket”, where food collects.
Food over time on the tooth surface causes a myriad of problems. From tooth decay to staining and calculus. However, when food is combined with a trapping roughness on the tooth surface, it causes the appearance of what we call WSL – White Spot Lesion. That is, tooth decay, so bad, that it caused the tooth surface to turn white!

ajodo wsl white spot lesion armstrong 2010

That causes the tooth to look bad after the braces are removed. So now you are left to contend with white spots that form circles on top of your teeth. And that is just the tip of the iceberg! In the next article, we shall take a look at what happens in the back, where these rings are fixed. If you like our content, consider subscribing to receive it as it is publishes!

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What happens on the first day of braces?

Ever wondered what people feel when they receive their first brace? We have a few replies from our first cases, some of which are funny, others are just to feel for. Lets dive in!

I feel I got stung.

My corners hurt so bad.

Just a little headache

A little funny I guess. Hurts me a little when smiling.

My lips are getting caught in something

I keep rubbing my tongue over my teeth, but can’t feel them

My cheeks hurt

I cant eat

That is just a few of the feedback we often get with our patients getting their braces. So what exactly causes all these reactions? Well, braces are designed to move teeth. So teeth that are anchored to the bone need some force to start moving. Like moving a little chess piece takes some of your strength (albeit not that much!)

When teeth start movement, the nerves underneath the teeth encased also with the blood vessels supplying the teeth are compressed. If you sit on your arm for a while, sometimes you can move after and get a tingling sensation. Neither painful nor joyful. You just cant know to laugh or cry. That is because the nerve endings in your arm have had something choking them- you. When you rest on your arm, this causes the nerves to become choked because normally you would be moving your arms, interacting with objects and such.

Same thing happens with teeth. When a tooth is subjected to the pulling (or pushing) force of the brace, the nerves get compressed, and that translates to pain mostly. That pain is cyclic in nature. It starts off usually in the first night or second day from installing the braces. And because humans are not all alike, therefore, the ability to withstand the pain generated is dependent on you also. Our general rule is, when you get a headache, take a pill, and its working. It, being the braces, actually starting to work and form pressure on teeth, like its designed to.

With a new object in your mouth, you start to also lick around your teeth more often, sometimes, you can feel a bit of a lump where the teeth where. That is because the braces have added to the size of your teeth. Can you imagine having a grain of rice on top of your teeth? The same. Most people can cope with braces as a strange object, usually taking a few days to get to their presence. Very few people cant cope with braces and sometimes, have to come over and get them undone, seeking other types.

A few reads ago, we pointed that braces could look weird and have things sticking out of them. These also could get in the way of your smile, or your tongue, lips, cheeks, or all of the above. Usually the orthodontist will give a proper size for your teeth and match it with a proper sized brace, so it wont feel bigger or strange. As well as getting tangled, having strange things, and some pain, you could also sometimes develop red spots. These could be from Nickel sensitivity, as braces have a percentage of Nickel in their composition. Around 17% of women and 3% of men suffer from allergies related to metals.

Usually your doctor would perform an AT – Antigen Test, a test where sensitivity to Nickel and other metals is determined to prevent this from happening. If it does, its mostly by chance! Fret not, for there are other alternatives to metal braces. There are plastic aligners, ceramic, and even plastic braces to help with these sensitivities.

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Who are we? A brief overview about Dr. Adel Zakhary. Mission Statement from our CEO.

We are a team of family dentists operating in our own practice, started by our father, Dr. Atef Zakhary who is a NYU graduate in orthodontics specialty. We have a combined knowledge and expertise from both American and British orthodontic education, as well as recognized degrees from local universities of Egypt. We are dedicated to elevate the standards of dental care in Egypt and not just stick braces on. With a combined knowledge that spans well over 40 years and cumulative ever since the time of our great Grandfather, Dr. Zakhary Morkous from Athens, Greece, who was the King Farouk chief dental therapist back in 1912, it is no wonder the flame kept going all these years, with passion kindled to the field of dentistry.

We admire to be held accountable and stake our reputation to always achieve the best compromise our patient desires. We also have excellent niche of clients dating back as far as 1985. We are located in a very active and busy area of Cairo, Heliopolis. We cater our area of Heliopolis and the surrounding areas as well, and believe competition to be the best motive to improve services and dentistry in particular.

Its our intent to keep good standards in the field and actively compete in quality dental work. We also believe that a customer is always right and have the capacity to correct any mistakes if any and be professional as possibly can. We also believe that a well motivated patient and a satisfied customer brings in more customers and thus we strive to please our people.