Dentist Ilija Karamanov: Hereditary factor is the most common cause of tooth congestion

Photo: Unsplash / Private archive

The ratio of the teeth in a jaw to the size of the jawbone itself can determine the arrangement of the teeth. If this ratio is proportional, the placement of the teeth is usually correct.

If we have a disorder, there is looseness of the teeth (the teeth are properly arranged, but there are spaces between them), or a compaction called "teskoba". Teething most often occurs due to a disproportion of the size of the teeth, when we have large teeth, and the size of the jaw bone, ie we have a small jaw bone. Tescoba also occurs in combinations of normal-sized teeth with a small jawbone, and large teeth with a normally developed jawbone. In rare cases, discomfort also occurs when there are too many teeth.

Teskoba is followed by a series of problems. Apart from the aesthetic defect, which is visible and is manifested by the overlapping of the front teeth, their rotation and curvature, the dead spaces that occupy the compactly placed teeth are an ideal place for retinal, ie collection of soft deposits and food debris. The areas themselves are very difficult to clean and require great care and daily and regular use of dental floss. Due to the lack of ideal hygiene, caries occurs in those places and the appearance of tartar and more strongly manifested gingivitis is almost regular. The appearance of bad breath also follows the discomfort.

The reasons for the occurrence of compactness of the teeth, we usually look for in the hereditary factor. One of the conditions (tooth size or jaw bone size) is inherited from one parent and the other condition from the other parent. Tesca can be diagnosed even in deciduous dentition, when only deciduous teeth are present, but not necessarily, but it is certainly observed with the appearance of the first permanent teeth. After the examination and appropriate orthodontic analysis, the treatment of the discomfort begins, which begins with the development of a mobile orthodontic appliance, which, above all, aims to expand the jaw bone. This is the main precondition for making a place for teeth alignment. The therapy can be completed only with a mobile device, but most often, in severe discomfort, the treatment continues with the placement of a fixed orthodontic device. So far, in cases that have not been previously treated with a mobile device, very often as part of the therapy is the extraction of certain teeth. When treated with the DAMON system, it is now possible to place it properly through even with severe discomfort, without the need for tooth extraction. The results with this system are excellent and show stability even after the end of the therapy.

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