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What happens to orthodontic treatment during confinement?

Most treatments are frozen

Due to the health alert, most orthodontic clinics are attending only emergencies due to responsibility.
Many orthodontic patients will ask themselves what happens during this time when they cannot go for check-ups, because during confinement, we can say that most treatments are frozen. 

What happens to orthodontic treatment during confinement?

Will the teeth continue to move during confinement according to the treatment planning?

This will depend very much on the condition of the treatment. During the first months of treatment, the teeth will continue to move, but if it coincides with the last phases of treatment, the movements will be slowed down and reduced.
In this sense, it is very important that if you were using the "rubber bands" you continue to wear them so that, with their use, the effectiveness of the apparatus increases.
That is to say, in a generic way, we could say that the apparatus that is being used expresses movement until it remains at 0, and there the treatment stops. In some cases, under the indication of the orthodontist, elastics are still used to maintain or continue to make a gentle controlled movement.

Does the treatment stop if we don't go to check-up due to the confinement?

In principle, if the appliances are well cared for, the prognosis does not worsen. It is true that if we stay more than 2 or 3 months without the orthodontist supervising the treatment and making the necessary adjustments, the treatment can slow down a little because the orthodontist will not be able to activate it.

Is the same thing happening with conventional braces and clear aligners?

The difference is great, because if as soon as the alarm was declared, those who are undergoing treatment with transparent aligners had the opportunity to go to their clinics to pick up the aligners of the different phases or they were sent by courier, therefore a large number of these patients have the braces for two or three months and they can change them following the indications of the orthodontist, so the treatment will continue without any problem. With fixed appliances, however, it is the orthodontist who activates them at each check-up, so the treatment can be somewhat paralyzed. However, it should be noted that the fixed appliance does not continue the progression of treatment, but maintains what has been done so far, which is very important.
In summary, this stop forced by the health alert does not mean that the patient has lost time and money in the orthodontic treatment because in the case of those with transparent aligners can continue to move forward, and in the fixed appliance does not advance, but neither does it go back (so the orthodontist will take it back at the point that left it once they can restart the reviews), at most the process will be extended a couple of months, but it has no major importance in the final outcome of treatment. Recommendations to orthodontic patients during the quarantine

Brush all appliances thoroughly (since we have more time at home it is convenient to brush for at least 3 minutes, 3 times a day in a careful way, and rinse with fluoride mouthwashes since we must prevent gum inflammation.
If the gums bleed, in principle there is no reason for concern: be more meticulous with brushing and normally in 2-3 days the bleeding will stop (but it is important not to go to such extremes)
Avoid hard, sticky or crunchy foods to avoid damaging the appliance.

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