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In recent years, orthodontics has found a special place in dentistry as one of the most fundamental and effective methods of correcting tooth and jaw abnormalities. Success in orthodontic treatment not only helps to beautify the smile and increase the self-confidence of the patient, but also has a very important effect on the overall health of the mouth and even digestion. Nevertheless, cases such as orthodontic treatment failure cause many patients and even specialist doctors to worry. Therefore, knowing the causes of orthodontic failure and knowing the methods of preventing orthodontic failure is a key step in ensuring the final success of each orthodontic treatment period. In this direction, choosing a specialized center such as Dr. Foroghi's orthodontic clinic also plays a key and undeniable role. Success in orthodontic treatment is not only about straightening and straightening teeth. A successful orthodontic treatment should maintain the optimal function of the jaw and teeth system for many years and prevent the return of previous disorders. Therefore, proper and continuous care, compliance with oral hygiene, following the doctor's orders and giving importance to the use of orthodontic retainer in the post-treatment period are all considered as key factors to prevent orthodontic failure. Experience has shown that people who do not follow these principles correctly are more prone to orthodontic treatment failure than others. Common causes of orthodontic treatment failure ### 1- Lack of attention to oral and dental hygiene During orthodontic treatment, orthodontic tools such as brackets, wires and braces are placed in the patient's mouth. These devices can cause food to get stuck, increase the formation of plaque and increase the risk of caries and gum inflammation. Oral hygiene is the most important factor in preventing the failure of orthodontic treatment. Not brushing carefully, neglecting dental floss and not paying attention to the use of mouthwashes quickly endangers oral health and paves the way for treatment failure. **Solutions:** - Correctly teaching brushing around orthodontic brackets and wires - Regular use of dental floss and mouthwash suitable for orthodontics - Visiting the dentist periodically to examine the oral health condition and receive specific recommendations related to orthodontic treatment ### 2 - Irregular or wrong use of orthodontic retainer The period after active orthodontic treatment is by no means the end of the road. Newly moved teeth need an orthodontic retainer to stabilize them in their new place. If the patient does not comply with the regular use of the orthodontic retainer, the teeth will gradually return to their original state; Therefore, correct and continuous use of orthodontic retainer plays a decisive role in preventing orthodontic failure. Reasons for treatment failure: - Early removal of orthodontic retainer by the patient himself - Not replacing a damaged or broken retainer - Lack of sufficient knowledge of the patient about the vital importance of retainer after orthodontics **Prevention solutions:** - Clear information by doctors about the necessity of regular and correct use of orthodontic retainer - Continuous examinations and checking the condition of the retainer in follow-up meetings - Teaching how to keep the holder clean and how to replace or repair it in case of damage ### 3- Ignoring regular visits and stopping treatment early In some cases, patients leave their orthodontic treatment incomplete due to various reasons such as relocation, financial problems, or boredom, or they do not take periodic control visits to the clinic seriously. Unfortunately, this factor is one of the most common causes of orthodontic failure, especially among teenagers. **Suggested solutions:** - Strict recommendation of doctors to regularly attend control and follow-up sessions - SMS and call reminders to ensure the continuation of the treatment process and necessary care - Providing financial and psychological counseling to remove obstacles to orthodontic treatment ### 4 - Choosing the wrong method of orthodontic treatment One of the causes of orthodontic failure is the lack of diagnosis and personalized treatment plan. Each person has a unique jaw and tooth structure. Misdiagnosis or choosing the wrong type of orthodontics, whether fixed or removable treatment, can make the entire process ineffective. **Prevention:** - Initial comprehensive evaluation with specialized imaging (cephalometric, panoramic, CBCT) - Taking advantage of the orthodontist's experience and expertise for a treatment plan tailored to each patient's condition - Exclusive consultation about the advantages and disadvantages of different orthodontic methods ### 5- Existence of simultaneous diseases and background problems Cases such as severe gum diseases, untreated caries, impacted teeth or even systemic disorders sometimes cause serious problems in the success of orthodontic treatment. **Solutions:** - Accurate evaluation of the oral health condition before starting the treatment - Completing the courses of gum treatment and treatment of impacted teeth before starting orthodontics Behavioral and nutritional problems Continuous use of sticky or hard foods during the treatment period can lead to the damage of orthodontic tools, pulling out of brackets and ultimately failure of orthodontic treatment. **Nutritional and educational solutions:** - Providing special nutritional training for orthodontic patients in the clinic - List prohibited foods and suitable substitutes - Increasing parental supervision regarding the nutrition of children and adolescents undergoing orthodontic treatment The importance of the role of Dr. Foroghi's orthodontic clinic in the success of the treatment Using the latest digital equipment and experienced staff, Dr. Foroughi's orthodontic clinic develops a specific treatment plan for each orthodontic patient. This clinic offers step-by-step training on the principles of oral hygiene, the correct use of orthodontic retainers and the importance of periodic follow-ups with the highest international standards. Our goal at Dr. Foroghi's orthodontic clinic is to prevent any failure of orthodontic treatment and ensure maximum patient satisfaction. Final summary Successful orthodontic treatment is the result of conscious interaction between the patient and the doctor, careful attention to the orthodontic specialist's instructions, complete oral hygiene and regular use of orthodontic retainer. Knowing the most common causes of orthodontic failure and following scientific and expert recommendations will be the main key to prevent orthodontic treatment failure. Do not take any part of post-treatment care lightly and always stay in touch with the clinic's specialized team to ensure continued oral health and smile beauty.

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Ways of communication

Dr. Saeed Foroughi

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