Orthodontics

Expert Solutions for a Healthy and Aesthetic Smile

Orthodontics is not only about straightening teeth; it also aims to balance the jaw structure, improve function, and achieve an aesthetic smile. In our clinic, orthodontic treatment options are offered for all age groups, from children to adults. The recommended age for the first orthodontic examination is 7. Do not forget to have your child examined by an orthodontist when they reach the age of 7.

What is Orthodontics?

Orthodontics is a branch of dentistry that ensures the ideal positioning of teeth and jaw structure, aiming for both aesthetic and functional improvement. Crowded teeth, gaps between teeth, or jaw discrepancies can affect not only appearance but also chewing, speech, and oral health.

Thanks to orthodontic treatments, teeth are brought into their correct positions, resulting in a healthier and more aesthetic smile.

Who is Orthodontic Treatment Suitable For?

Orthodontic treatment is not only for children. Today, there are suitable treatment options for individuals of all ages.

Orthodontic treatment is recommended in the following situations:
• Crowding of teeth
• Gaps between teeth
• Upper and lower jaw discrepancies
• Open bite or deep bite problems
• Impacted or improperly positioned teeth
• Aesthetic concerns

Treatments started at an early age can yield faster results; however, highly successful outcomes are also achieved in adult patients.

How is Braces Treatment Performed?

The orthodontic treatment process is planned individually. During the initial examination, the patient’s oral structure is evaluated in detail, and necessary X-rays and measurements are taken.

The treatment process generally consists of the following stages:

1. Detailed examination and analysis
2. Creation of the treatment plan
3. Application of brackets or clear aligners
4. Regular check-ups and adjustments
5. Retention phase

The treatment duration can vary between 6 months and 24 months on average. This period depends on the severity of the problem and the patient’s compliance with treatment.

Orthodontic Treatment Methods

We Determine the Most Suitable Treatment Option Together

Orthodontic treatment is specifically planned according to each patient’s dental structure, age, and expectations. Thanks to advancing technology, various alternatives are offered in terms of both aesthetics and comfort. The orthodontic treatment methods applied in our clinic aim to achieve the best functional and aesthetic results.

Metal Brackets

Braces treatment is one of the most commonly used and most effective methods in orthodontics. Brackets are placed on the teeth, and controlled force is applied through wires to move the teeth into their ideal positions.

Advantages:
• Can be applied in all cases (mild to advanced)
• Provides full control over tooth movement
• Offers long-term, permanent, and reliable results

Who is it suitable for?
It is the most preferred method for crowding, bite disorders, and complex orthodontic problems.

Aesthetic (Ceramic) Brackets

This system is developed as an alternative to metal brackets and uses tooth-colored or transparent materials.

Advantages:
• Less noticeable, provides an aesthetic appearance
• Especially preferred by adult patients
• Offers effectiveness close to metal braces

It is an ideal option for patients who care about their appearance in daily social life.

Lingual Orthodontics (Inner Braces)

In this method, brackets are placed on the inner (tongue-side) surfaces of the teeth. They are completely invisible from the outside.

Advantages:
• Completely hidden treatment option
• Ideal for patients with aesthetic concerns
• Does not affect professional life

However, it may not be suitable for every patient and requires special planning.

Clear Aligner Treatment

Clear aligner treatment is one of the most preferred methods in orthodontics in recent years. Custom-made aligners gradually move the teeth.

Advantages:
• Removable
• Provides convenience while eating and brushing
• Nearly invisible
• Offers a more comfortable treatment process

Who is it suitable for?
It is highly effective for mild and moderate crowding. In suitable cases, it can be an alternative to braces.

Functional and Orthopedic Appliances

These appliances, especially used in children during growth and development, aim to guide jaw development.

Advantages:
• Can intervene in jaw development
• Can prevent larger problems in the future
• May reduce the need for surgery

These treatments are generally more successful when started at an early age.

Fixed and Removable Appliances

Auxiliary appliances used in orthodontic treatment are planned to increase treatment effectiveness.

• Fixed appliances: Bonded to the teeth, cannot be removed by the patient
  • Removable appliances: Can be inserted and removed by the patient

These appliances can be used to support tooth movement, provide expansion, or for retention purposes.

Personalized Treatment Planning

Every orthodontic treatment is different. The same problem can be treated with different methods in different patients.

In our clinic:
• Digital analyses are performed
• Facial aesthetics are evaluated
• Jaw relationships are examined in detail
• Patient expectations are taken into account

In this way, the most appropriate treatment method is determined both aesthetically and functionally.

Clear Aligners or Braces?

Which treatment is suitable depends on the patient’s dental structure.

• Clear aligners are highly effective in mild and moderate crowding
  • Conventional braces may be preferred in more complex cases
  • Aesthetic options stand out for patients with high aesthetic expectations

The most accurate decision is made after a detailed examination.

How Long Does Orthodontic Treatment Take?

Although the duration varies from person to person, on average:
• Mild cases: 6–12 months
• Moderate cases: 12–18 months
• Advanced cases: 18–24 months

Regular check-ups and patient compliance directly affect the treatment duration.

What Should Be Considered During Orthodontic Treatment?

Oral hygiene is very important during the treatment process. In addition, certain habits should be considered:

• Hard and sticky foods should be avoided
  • Teeth should be brushed regularly and properly
  • Follow-up appointments should not be missed
  • Appliances or aligners should be used as instructed

Following these rules affects both the duration and success of the treatment.

After Orthodontic Treatment (Retention Phase)

After treatment is completed, retention treatment is applied for at least 1 year to prevent the teeth from returning to their original position. In our clinic, we place fixed retainers on the back surfaces of the front teeth in both the upper and lower jaws, and additionally provide removable night retainers.

This stage is at least as important as the active treatment phase for ensuring long-lasting results.

Orthodontics: A Combination of Aesthetics and Health

Orthodontic treatment is not only performed to achieve straighter teeth but also to maintain long-term oral health.

Properly aligned teeth:
• Are easier to clean
• Reduce gum diseases
• Improve chewing function
• Provide a more aesthetic smile

Frequently Asked Questions

Is wearing braces painful?
Mild sensitivity may occur in the first days, but this subsides shortly.

Is orthodontic treatment possible for adults?
Yes, today there are many aesthetic and comfortable options for adult patients.

Are clear aligners really effective?
They provide very successful results in suitable cases.

 

2) Orthodontics for Adults

A Healthy and Aesthetic Smile at Any Age is Possible

The belief that orthodontic treatment can only be performed during childhood is no longer valid. Today, thanks to advancing technology and aesthetic treatment options, successful and comfortable orthodontic treatments can also be applied to adult patients.

Crowding of teeth, bite problems, or aesthetic concerns can be corrected with orthodontic treatment regardless of age.

Why is Orthodontic Treatment Performed in Adults?

Adult patients generally seek orthodontic treatment for the following reasons:
• Correction of crowded teeth
• Achieving a more aesthetic smile
• Closing gaps between teeth
• Eliminating chewing and bite problems
• Maintaining gum health
• Preparation before prosthetic, implant, or aesthetic dental treatments

Properly aligned teeth provide great advantages both aesthetically and for long-term oral health.

How is Orthodontic Treatment Different in Adults?

Treatment planning in adults differs from children in some aspects:
• Bone development is complete; therefore, growth guidance cannot be performed
• Gum and bone health must be evaluated in detail
• Existing fillings, crowns, or implants may affect the treatment plan
• More aesthetic and invisible treatment options are prioritized

For this reason, treatment is planned entirely individually and often requires a multidisciplinary approach.

Orthodontic Treatment Options for Adults

Clear Aligner Treatment (Invisalign)

It is one of the most preferred methods among adult patients.

• Nearly invisible
  • Removable
  • Does not affect daily life
  • Offers a more comfortable process

It is especially ideal for patients who have aesthetic concerns in their social and professional lives.

Aesthetic (Clear) Braces

Made of tooth-colored or transparent materials.

• Less noticeable
  • Effectiveness is close to conventional braces
  • Can be preferred in moderate and advanced cases

Lingual Orthodontics (Invisible Braces)

A system where brackets are placed on the inner surfaces of the teeth.

• Completely invisible from the outside
  • Suitable for patients with high aesthetic expectations
  • Requires personalized planning

Figure 1 Lingual braces

Combined Treatments

In some adult patients, orthodontic treatment alone may not be sufficient.

In such cases, planning may be done together with:
• Implant treatment
• Aesthetic dentistry applications
• Periodontal (gum) treatments
• Orthognathic surgery

How Long Does Treatment Take in Adults?

Treatment duration varies depending on the severity of the problem and the chosen method:

• Mild cases: 6–12 months
  • Moderate cases: 12–18 months
  • Advanced cases: 18–24 months

Regular check-ups and patient compliance directly affect the treatment duration.

Is Orthodontic Treatment Difficult in Adults?

With proper planning, orthodontic treatment in adults is a very comfortable process.

Mild pressure or sensitivity may be felt in the first days, but this is temporary. Thanks to modern techniques, the treatment process is much more comfortable compared to the past.

Does Orthodontics Damage Teeth in Adults?

Orthodontic treatment applied correctly does not damage teeth. On the contrary:

• It allows teeth to be cleaned more easily
  • Reduces gum diseases
  • Lowers the risk of wear and trauma

However, it is very important to maintain good oral hygiene during the treatment process.

Orthodontics in Adults: A Combination of Aesthetics and Health

Orthodontic treatment not only provides an aesthetic smile but also protects oral health in the long term.

Properly aligned teeth:
• Are easier to clean
• Provide healthier gums
• Create a more balanced bite
• Positively affect facial aesthetics

Are You Too Late for Orthodontic Treatment?

There is no age limit for orthodontic treatment. Any individual with healthy teeth and bone structure can receive orthodontic treatment with proper planning.

If you are not satisfied with your smile, you can learn the most suitable treatment options with an orthodontic examination.

3) Orthodontics in Children

Healthy Development with Early Intervention

Orthodontic treatment in children is applied to ensure healthy development of the teeth and jaw structure. Thanks to early orthodontic evaluations, it is possible to prevent more serious problems that may occur in the future.

The first orthodontic examination is generally recommended around the age of 7. At this stage, both primary and permanent teeth are present in the mouth, and jaw development is actively ongoing.

The aim of orthodontic treatment in children is not only to straighten the teeth, but also to:
• Guide jaw development correctly
• Prevent lack of space
• Correct bite problems at an early stage
• Reduce the need for surgery in the future

Why is Orthodontic Treatment Important in Children?

With early orthodontic intervention:
• Treatment can be completed in a shorter time
• Solutions can be achieved with simpler methods
• The need for tooth extraction can be reduced
• Aesthetic and function are improved together

When Should Parents Pay Attention?

If you notice the following conditions, an orthodontic examination is recommended:
• Crowded teeth
• Lower teeth positioned in front of upper teeth
• Mouth breathing
• Thumb sucking habit
• Early or late tooth loss

Conclusion: Early Diagnosis, Easier Treatment

Orthodontic treatment in children is much more effective and comfortable when started at the right time. With early diagnosis, healthy development can be achieved both aesthetically and functionally.

a) Braces Treatment (Bracket Treatment)

Braces treatment in children can be applied from the period when permanent teeth begin to erupt. With brackets and wires placed on the teeth, the teeth are gradually moved into their ideal positions.

When is it applied?
It is generally preferred after the age of 10–12, once most of the permanent teeth have erupted.

Advantages:
• Ensures proper alignment of teeth
• Effectively corrects crowding
• Eliminates bite problems
• Provides long-term permanent results

Important note for children:
Thanks to colored elastic options, the treatment can be made more fun for children.

b) Clear Aligner Treatment (Invisalign)

Clear aligner treatment is a modern orthodontic method that can also be applied to children and adolescent patients. Systems such as Invisalign First and Invisalign Teen are specifically developed for the growth period.

How does it work?
Custom-made clear aligners gradually move the teeth.

Advantages:
• Nearly invisible
• Removable
• Can be removed while eating
• Provides ease of brushing
• Offers a more comfortable treatment process

Who is it suitable for?
• Mild to moderate crowding
• Children who can comply with regular usage

Important:
Success depends on regular use of the aligners (average 20–22 hours per day).

c) Functional Treatment

An Orthodontic Approach that Guides Jaw Development

Functional treatments are applied especially in children during the growth and development period to guide the jaw structure. These treatments affect the jaw bones rather than the teeth.

In which cases is it applied?
• Retruded lower jaw
• Protruded lower jaw
• Jaw imbalances
• Facial profile disorders

How does it work?
With special appliances placed in the mouth, jaw development is directed in the correct way.

Advantages:
• Utilizes natural growth potential
• Solves skeletal problems at an early stage
• May reduce the need for orthognathic surgery in the future
• Provides a more balanced facial profile

When is it applied?
Generally between the ages of 8–12, when growth is active.

d) Facemask (Reverse Pull Headgear)

Early Intervention in Upper Jaw Deficiency

Facemask treatment is an orthopedic treatment method applied in cases where the upper jaw is behind and the lower jaw appears forward.

This condition generally manifests as:
• Forward position of the lower jaw (Class III malocclusion)
• Insufficient development of the upper jaw
• Anterior crossbite

At What Age Should Facemask Treatment Be Performed?

The ideal age for facemask treatment is between 7–10 years.

During this period:
• Upper jaw bones are still developing
• Bone structure can be guided
• Treatment can be completed without the need for surgery

In delayed cases, the same problem may often need to be solved with orthognathic surgery.

How is Facemask Treatment Applied?

The treatment is generally planned in two stages:

1. Upper Jaw Expansion (If Necessary)
   If the upper jaw is narrow, it is expanded first. This stage increases the success of the treatment.
2. Facemask Use
   The facemask is connected to intraoral appliances with elastics and applies forward force to the upper jaw.

• Average daily use: 12–16 hours
  • Usually used at night and at home
  • Treatment duration: approximately 6–12 months

Advantages of Facemask Treatment

• Supports forward development of the upper jaw
  • Provides harmony with the lower jaw
  • Balances the facial profile
  • Significantly reduces the need for surgery in the future

Very successful results are achieved when applied at an early stage.

Things to Consider During Treatment

• The appliance must be used regularly
  • Elastics should be worn as recommended by the doctor
  • Check-ups should not be missed
  • Oral hygiene should be maintained

The success of the treatment largely depends on patient compliance.

Is Facemask Treatment Possible in Adults?

After growth and development are completed, facemask treatment alone is not sufficient. In this case:
• MARPE
• Orthodontic treatment
• Orthognathic surgery

may be required in combination.

When Should You Consult an Orthodontist?

If you notice the following conditions, early evaluation is important:
• Lower teeth positioned in front of upper teeth
• Difficulty in chewing
• Mouth breathing
• Imbalance in facial profile

With early examination, the treatment process becomes much easier and more effective.

 

4) Maxillary Expansion

Modern Approaches to Narrow Upper Jaw Problems

A narrow upper jaw can cause crowding, crossbite, and breathing problems. In such cases, expansion treatments are applied to increase the width of the jaw, improving both function and aesthetics.

Conventional Maxillary Expansion (RME)

This method is especially applied in children during the growth and development period, where the upper jaw is expanded with the help of an appliance.

• Does not require surgery
  • Highly effective at an early age
  • Creates sufficient space for the teeth

MARPE (Mini Screw-Assisted Maxillary Expansion)

In adult patients, conventional expansion may not be sufficient. In such cases, the MARPE method is preferred.

• Bone support is obtained with mini screws (micro-implants)
  • Can be applied as an alternative to surgery
  • Provides successful results in adult patients
  • Achieves more controlled and skeletal expansion

It is an important option especially for patients who do not want surgery.

Figure 2 MARPE Appliance

SARME (Surgically Assisted Maxillary Expansion)

In advanced age and in cases where the bone structure is fully matured, surgical support may be required for expansion.

• Orthodontics and surgery are planned together
  • The upper jaw is expanded skeletally
  • Preferred in more advanced cases

This method is one of the most effective solutions in cases of severe constriction.

5) Orthognathic Surgery (Jaw Surgery)

A Permanent and Effective Solution for Skeletal Jaw Problems

Orthognathic surgery is a surgical treatment method applied to correct skeletal discrepancies between the upper and lower jaws. It ensures that not only the teeth but also the jaw bones are positioned ideally.

In advanced jaw problems that cannot be corrected with orthodontic treatment alone, orthodontics and surgery are planned together to achieve successful results both aesthetically and functionally.

In Which Cases is Orthognathic Surgery Required?

Orthognathic surgery is generally preferred in the following cases:

• Excessively protruded lower jaw (prognathism)
  • Retruded upper jaw (maxillary retrognathia)
  • Open bite (front teeth do not meet)
  • Deep bite (excessive overlap of lower teeth)
  • Facial asymmetry
  • Chewing and speech problems
  • Jaw problems related to sleep apnea

In such cases, correcting only the teeth is not sufficient; the jaw position must also be corrected.

How is Orthognathic Surgery Planned?

Orthognathic surgery requires a detailed planning process and is generally a multidisciplinary treatment carried out by an orthodontist and a maxillofacial surgeon together.

The treatment process proceeds as follows:

1. Detailed orthodontic analysis and digital planning
2. Pre-surgical orthodontic treatment (alignment of teeth)
3. Surgical operation (correction of jaw position)
4. Post-surgical orthodontic treatment (finalization of the bite)

With this planning, both function and aesthetics are optimized at the highest level.

What is the Surgical Process Like?

• The procedure is performed under general anesthesia
  • It is usually done intraorally, so no external scars are visible
  • The jaw bones are repositioned and fixed in the correct position
  • Hospital stay is generally 1–2 days

When planned by an experienced team, the operation is performed safely and in a controlled manner.

Recovery Process

Although it varies from patient to patient, generally:

• Swelling and mild pain may occur in the first days
  • Return to daily life begins within 1–2 weeks
  • Full recovery may take several months
  • The process is completed with orthodontic treatment

Following the doctor’s recommendations accelerates the healing process.

Advantages of Orthognathic Surgery

• Provides significant improvement in facial aesthetics
  • Corrects chewing and speech functions
  • Reduces the load on the jaw joint
  • May improve breathing problems
  • Offers long-term and permanent results

Aesthetic Changes with Orthognathic Surgery

This treatment creates important changes not only in terms of health but also in facial aesthetics:

• The profile becomes balanced
  • The jawline becomes more defined
  • Smile aesthetics improve
  • Facial symmetry increases

For this reason, orthognathic surgery is considered both a functional and aesthetic treatment.

Who is Orthognathic Surgery Suitable For?

• Individuals who have completed growth and development
  • Patients with skeletal jaw problems
  • Cases that cannot be corrected with orthodontic treatment alone

It is generally applied after the age of 18.

Frequently Asked Questions

Is orthognathic surgery a difficult operation?
When planned by a specialist team, it is a safe procedure. With modern techniques, the success rate is quite high.

Will there be scars after the surgery?
Since the procedure is performed intraorally, no visible scars occur externally.

Is orthodontic treatment necessary?
Yes. Orthodontic treatment before and after surgery is an integral part of the process.

For a More Balanced Face and a Healthy Bite

Orthognathic surgery is one of the most effective solutions for advanced jaw problems. With a detailed orthodontic evaluation, the most suitable treatment plan is determined for you.