Orthodontics in Colombia

Currently, the three most widely used systems are conventional metal orthodontics, aesthetic orthodontics (ceramic or sapphire), and invisible orthodontics using aligners. Metal is the traditional system, highly efficient and resistant, ideal for all types of malocclusions. For its part, aesthetic orthodontics uses materials that blend with the tooth color, offering a discreet option for those who care about their image during the process.

The third type, invisible orthodontics, consists of a series of clear, removable trays that move the teeth gradually without the need for wires. This option is preferred by adults due to its comfort, as it allows them to be removed for eating and facilitates complete oral hygiene. At Odontomurillo, we evaluate your specific case to recommend which of these three systems best adapts to your aesthetic goals, budget, and clinical complexity.

The average duration of an orthodontic treatment usually ranges between 18 and 24 months, although this time depends on the complexity of each case. Simple aesthetic alignment cases can be resolved in just a year, while severe bite or crowding problems require more time to move the roots safely. The patient’s consistency with their monthly adjustment appointments is the determining factor in meeting the planned deadlines.

It is fundamental to understand that each smile has its own biological pace for moving teeth through the bone without causing damage. Forcing movement faster than it should be can compromise the long-term stability of the teeth. In our clinic, we trace a clear roadmap from the beginning so that you know what to expect at each stage and we achieve optimal results in the shortest time possible, always guaranteeing the health of your roots.

Although there is no fixed age, it is recommended to have the first orthodontic check-up around 6 or 7 years old, when the permanent teeth begin to erupt. At this age, we usually apply “interceptive orthodontics,” which takes advantage of bone growth to correct space problems or narrow palates. The use of fixed braces generally begins between ages 11 and 13, once most baby teeth have been replaced.

Treating a young patient allows for guiding facial development and avoiding complex surgeries or extractions in adulthood. Nonetheless, it is never too late to improve your smile, as teeth can be moved successfully in both adolescents and older adults. The main requirement, regardless of age, is to have healthy gums and a stable bone structure that can support the tooth movement planned by the specialist.

Yes, it is totally possible to perform orthodontic treatment on teeth that have received a root canal (endodontic treatment). A tooth with a root canal moves in the same way as a vital one, as long as the infection has been completely eliminated and the surrounding bone is healthy. At Odontomurillo, we take prior X-rays to confirm that the root canal is in perfect condition before applying forces with the braces.

It is important to mention that root-canaled teeth tend to be a little more fragile, so the orthodontist will apply controlled and careful forces on those pieces. In some cases, if the tooth has a crown or cap, special adhesives are used to ensure that the bracket remains firm throughout the process. Having a root canal is not an impediment, but a factor that simply requires more detailed and personalized professional planning.

If we detect a cavity during treatment, we must treat it immediately to prevent it from progressing and compromising the tooth structure or the nerve. On occasion, it is necessary to temporarily remove the wire or the bracket from that specific piece so that the dentist can perform the composite resin filling comfortably. Once the tooth is healthy and sealed, we place the appliance back on to continue with the orthodontic movement without major delays.

The presence of braces facilitates plaque accumulation, so cavities are a real risk if daily cleaning is not taken to the extreme. To prevent this, we recommend using interproximal brushes and fluoride rinses that protect the enamel around the appliances. If you maintain your preventive check-ups at Odontomurillo, we will detect any initial signs of demineralization before it becomes a deep cavity that requires more complex treatment.

Effectiveness does not depend on the appliance itself, but on the precise diagnosis and planning of the orthodontist, although metal braces remain the “gold standard” for complex cases. This is because they allow absolute control over the movement of the root and the crown in all directions. However, for most patients, invisible aligners or sapphire braces offer identical results with a much superior aesthetic appearance.

The most effective system will be the one that best aligns with your lifestyle and your commitment to the treatment. For example, if you are a disciplined person, invisible aligners will be highly effective and comfortable; if you prefer not to worry about removing appliances, fixed braces will be your best option. At your evaluation appointment, we will analyze your panoramic X-ray and your expectations to choose together the tool that will transform your smile in the fastest and safest way.