Malocclusion Treatment in Mumbai

Our Approach To Orthodontic Treatment

Diagnose the bite. Align the teeth. Stabilise the result.

Orthodontic treatment is one of the few areas of dentistry where the timing of intervention profoundly affects what is achievable. In growing children, the jaw is still malleable - subtle guidance can redirect growth, expand constricted arches, and correct skeletal discrepancies while the bones are still developing. In adults, the same skeletal problems that could have been modified with early orthopaedic appliances may require surgical correction to address properly. This is why early assessment matters - not necessarily early treatment, but early assessment by an experienced orthodontist specialist.

At Shree Hospitals, our approach to teeth alignment and bite correction care begins with understanding not just where the teeth are, but why they are where they are - addressing underlying skeletal patterns, space deficiencies, and functional habits alongside the visible tooth positions.

1. Comprehensive Orthodontic Diagnosis

• Full clinical examination including facial profile assessment, smile analysis, and detailed bite evaluation
• Orthodontic dental study models or digital scans - capturing precise three-dimensional tooth positions and bite relationship
• Dental panoramic X-ray and lateral cephalometric radiograph - the essential orthodontic planning radiographs assessing root positions, bone levels, and skeletal jaw relationship
• CBCT imaging for complex cases requiring three-dimensional skeletal assessment, airway evaluation, or impacted tooth localisation
• Growth assessment in children and adolescents - determining the optimal timing for treatment
• Space analysis - measuring available arch space versus tooth size to determine whether extractions are required as part of treatment planning

2. Growth Modification - Intercepting Problems Early
    
   For children with developing malocclusions, early intervention modifies growth favourably:

• Removable functional appliances - myofunctional appliances redirecting jaw growth in Class II (overbite) and Class III (underbite) developing malocclusions
• Rapid Maxillary Expansion (RME) - widening the upper jaw in children with a crossbite or constricted arch before the midpalatal suture fuses
• Space maintainers - preventing teeth from drifting into spaces created by premature baby tooth loss
• Habit-breaking appliances for thumb-sucking or tongue-thrust habits affecting developing dental arches

3. Fixed Braces - Comprehensive Tooth Alignment
    
   The foundation of orthodontic treatment for most adolescents and adults:

• Metal braces - robust, efficient, and cost-effective, particularly for complex crowded teeth correction and multi-tooth movement cases
• Ceramic (tooth-coloured) braces - providing the precision of fixed appliances with greater aesthetic discretion
• Self-ligating bracket systems - reducing friction during tooth movement and potentially shortening treatment duration
• Lingual braces - placed on the inner surface of the teeth, completely invisible from the outside
• Controlled, precisely planned tooth movements addressing underbite, overbite, crossbite treatment through systematic bracket positioning and wire progression

4. Clear Aligner Therapy
    
   Braces and clear aligner orthodontic treatment in Mumbai - a genuinely compelling alternative for appropriate cases:

• Series of custom-fabricated clear removable aligners progressively moving teeth toward their planned positions
• Removable for eating, drinking, and oral hygiene - a significant practical advantage over fixed appliances
• Nearly invisible during wear - a major aesthetic benefit for adult patients in professional or social environments
• Treatment duration comparable to fixed braces for mild to moderate cases
• Refinement aligners addressing any residual tooth positions after the initial aligner series

5. Orthognathic (Jaw) Surgery
    
   For severe skeletal discrepancies in non-growing adults:

• Surgical repositioning of the upper jaw (Le Fort I osteotomy), lower jaw (bilateral sagittal split osteotomy), or both - correcting major underbite, overbite, crossbite treatment that orthodontics alone cannot address
• Pre-surgical orthodontic phase - aligning the teeth within each jaw before surgery
• Post-surgical orthodontic phase - fine-tuning the bite after the jaws have been repositioned
• Coordinated care between our orthodontist and maxillofacial surgical team

6. Retention - Protecting the Result
    
   Every orthodontic result must be maintained or it will relapse:

• Fixed lingual retainers - thin wires bonded to the inner surfaces of the front teeth, providing passive permanent retention
• Removable Hawley or clear vacuum-formed retainers - worn nightly for a minimum of two years post-treatment
• Patient education on why retention is as important as the active treatment phase
• Recall visits confirming retainer integrity and tooth position stability