Orthodontics: Materials and Tooth Sensitivity Issues - Dentistry

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Orthodontics and Teeth


Hello, doctor.
I have a couple of questions:
1.
What materials are braces made of? Due to certain reasons, I cannot have any metal products in my body.
Are there alternative materials available?
2.
I have a tooth near the gum line that feels painful when I touch it with my fingernail.
Is this a sign of sensitivity? How should I handle this? Only this particular tooth is affected.

Mary, 20~29 year old female. Ask Date: 2005/04/06

Dr. Wu Jinjun reply Dentistry


Hello: 1.
Conventional orthodontic appliances are mostly made of stainless steel, titanium alloys, or nickel-titanium components.
In recent years, a new type of ceramic product has emerged; you may consult your orthodontist to see if it can be used.
2.
The sensitivity may be caused by enamel wear.
If the wear is not too deep, having the dentist fill it can improve the sensitivity.
Dr.
Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/04/06

More Info


When it comes to orthodontics, the materials used for braces and other appliances are crucial for both effectiveness and patient comfort. Typically, traditional braces are made from stainless steel, which is durable and effective for tooth movement. However, there are alternatives available for patients with specific material sensitivities. For instance, ceramic braces are a popular choice for those who prefer a more aesthetic option, as they blend in with the natural color of teeth. Additionally, there are plastic or composite materials that can be used in certain cases, although they may not be as strong as metal options.
If you have a sensitivity to metal, particularly iron or nickel, it is essential to communicate this with your orthodontist. They can explore options such as titanium braces, which are hypoallergenic and do not contain nickel. Furthermore, some orthodontic appliances can be made from thermoplastic materials, which are entirely metal-free. Your orthodontist will be able to provide you with the best alternatives based on your specific needs and preferences.

Regarding your second question about tooth sensitivity, it sounds like you may be experiencing a condition known as dentin hypersensitivity. This occurs when the protective enamel on your teeth wears down, exposing the underlying dentin, which contains nerve endings. The sensitivity you feel when touching the area near the gum line could be due to several factors, including gum recession, enamel erosion, or even a cavity that is forming.

To address this sensitivity, it is advisable to consult with your dentist. They may recommend a fluoride treatment or a desensitizing toothpaste that can help strengthen the enamel and reduce sensitivity. If the sensitivity persists, further investigation may be necessary to rule out any underlying dental issues, such as decay or gum disease.
In some cases, if the sensitivity is due to gum recession, your dentist might suggest a gum graft or other periodontal treatments to restore the gum tissue and protect the tooth roots. It is crucial to address these issues promptly, as untreated sensitivity can lead to more severe dental problems over time.

In summary, when considering orthodontic treatment, it is vital to discuss any material sensitivities with your orthodontist to find suitable alternatives. For tooth sensitivity, a thorough examination by your dentist is necessary to determine the cause and appropriate treatment. Regular dental check-ups and maintaining good oral hygiene practices will also help in managing sensitivity and ensuring overall dental health.

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