The orthodontic treatment in our clinic in being supported by the 3Shape scanner, the Trios 3D Orthodontics program and a 3D Printer which guarantees the precision of the treatment and saves a lot of time!
The name “orthodontics” comes from Greek: orthos – straight and odous – tooth. Modern orthodontics is not only about straightening the teeth but it is also involved in prevention and the correction of occlusion and maxillofacial defects. The orthodontic treatment affects the well-being, illness risk reduction and daily hygiene facilitation. The choice of orthodontic braces is a very individual matter that depends on the patient’s decision and needs.
What is the orthodontic treatment about?
The orthodontic treatment consists of early, simple methods involving exercise done by the patient – myotherapy and orthodontic braces. The typical orthodontic treatment stages are:
- I stage – the very first visit is a orthodontic consultation where the orthodontist examines the patient’s case, needs and expectations. The procedure involves the examination of teeth, occlusion and gums, face symmetry, temporomandibular joints, breathing, swallowing and speaking actions. The doctor will also make an intraoral and extraoral examination, also a print for dentition cast models will be taken, as well as a picture and an X-ray image. Basing on the collected information and dentition cast models, the orthodontist will propose a treatment schedule.
- II stage – during the second visit the patient will be informed about the treatment schedule and duration. The patient also may choose the braces type. With the agreement being signed, the treatment begins.
- III stage – bonding the orthodontic braces with special glue. The procedure is completely painless, although it is time-consuming therefore it requires the patient’s patience. It needs to be done extremely precisely in order to make the braces function in a proper fashion.
- IV stage – control visits – the orthodontist adjusts the braces, which is necessary to avoid an extending treatment time (and to make it the most effective). The new dentition configuration examination allows to make sure if it doesn’t collide with the musculo-articular system. Visit negligence may cause the discontinuation of the treatment.
- V stage – getting the braces off. It’s done mechanically, by peeling off the locks, tubes or rings and it takes a few minutes to accomplish (or even less). The glue residue is being washed off the teeth afterwards.
- VI stage – retention treatment – maintaining the results. The retention brace is a small wire permanently bonded to the tongue side of the teeth and a moveable acrylic plate bonded to the jaw arch. It must be worn day and night at first, the wearing time will shorten later. The control visits will take place less frequently – the first one after three months, another – every six months.
The orthodontic treatment affects not only the teeth, temporomandibular joints and periodontal health, but also the well-being (oral cavity comfort), speech impediment bridging, an aesthetic smile and even fashion.
What are orthodontic braces?
The orthodontic treatment is based on wearing special braces by the patient. Braces restore the proper jaw position, cure occlusion defects and place teeth in their right position in the tooth arches. There are several types of braces – overlays and locks bonded to the teeth. The variety of braces allows to make the best individual choice for every patient.
Orthodontic braces types:
Classic metal braces
Classic metal braces – the most commonly used permanent braces. Metal locks are being glued to the teeth (traditional or “mini” ones – for patients with small teeth). After that the special wire is being bonded to the locks with ligatures (gums). The wire will force the teeth to move.
Classic cosmetic braces
Classic cosmetic braces – made for those patients who want to make braces less visible. There are few types of those braces: ceramic, ceramic-composite and porcelain (these are milky-white) and sapphire / crystal (these are more transparent). Additionally, the colour of the locks is adjustable – it may match the teeth colour, however those are bigger than the original ones and wearing them requires a special “white diet” (avoiding staining foods and drinks).
Self-ligating DAMON braces
Self-ligating DAMON braces – the modern Damon system is a combination of locks, cheek tubes and light-forcing arches that make the treatment more effective. The treatment procedure is minimally invasive, the control visits are less frequent, the low friction and low application of force make the treatment nearly painless. It also fosters better hygiene. The Damon system works very well with difficult dental crowding cases.
INCOGNITO lingual braces
INCOGNITO lingual braces – the lingual braces are the effect of work on the most invisible braces. The locks are attached to the tongue side of the teeth which makes them invisible. The treatment time is shorter than usual – this type of braces concentrates it’s force on the tooth’s resistance centre, therefore it’s more efficient but also weaker, which makes the teeth movement almost painless. There are no side effects of Incognito braces and it’s suitable for everyone – adults, teenagers and children. We recommend this type of braces to children especially because it eliminates the risk of teeth surface damage. The locks are individually designed for every patient. The Incognito braces are a great way of correcting occlusion defects. Flat locks made of iridium and gold alloy provide the maximum comfort of wearing.
Clear Aligner overlays – special, transparent tracks, not to be used permanently. It’s a good alternative for patients who don’t want the permanent braces. Braces can be taken out whenever the patient wants to, although the recommended wearing time is at least 20 hours per day. The overlays are nearly invisible and comfortable, from time to time they must be replaced with new ones (the frequency of replacement will be determined by the orthodontist). The last step of the procedure is retention treatment – maintaining the results, which can take from 6 months up to 3 years. In some cases the retention braces are being attached permanently by applying a metal wire to the tongue side of the teeth.
Removable braces for children – an acrylic plate with metal buckles that hold the braces on the teeth. The required wearing time is a few hours per day and night. It is commonly used for smaller children in order to prevent the occlusion defects. There are no strict age limits for this type of braces and the decision of starting and finishing the treatment is being made by the orthodontist.
Patient’s age and the orthodontic treatment.
Many patients ask this question – when should I visit the orthodontist with my child? Can I, as an adult, correct my occlusion? Are there any age limits for the orthodontic treatment?
There are no strict age limits for the orthodontic treatment. The best age to start the procedure though is during the so called grow spurt: when girls are about 10-11 and boys 11-12 years old. During that time the bones rebuild much faster and jaws grow intensely, which results with a shorter treatment time (comparing to adults). Modern orthodontics though also allows to proceed on adults using the wide range of permanent braces.
When should I visit the orthodontist?
There are few signs (concerning children and adults) that should be consulted with the orthodontist. Naturally, not every one of them determines the necessity of the orthodontic treatment, but the final decision should be made by the specialist.
Symptoms in children:
- Asymmetrical face shape – backward or forward chin
- Lack of tooth buds
- Premature milk teeth loss
- Bad habits: picking fingernails, pens, pencils, thumb or dummy sucking
- Mouth breathing
- Incorrect speech
- Tongue dysfunction
- Permanently open mouth
- Incorrect teeth setting: crowding, teeth gaps
- Impacted teeth
Symptoms in adults:
- Asymmetric smile
- Dental crowding, teeth gaps, turned teeth
- Incorrect jaw size
- Missing teeth
- Grinding of teeth
- Dental erosion
- Excessive plaque
- Incorrect jaw position
- Forward teeth
- Occlusion defects: crossbite, overshot, undershot etc.
- Impacted teeth
The necessity of conservative treatment for orthodontic patients:
Every patient deciding for the orthodontic treatment has to make sure that every carious lesion is healed. It’s very important because the orthodontic braces cause some difficulties in hygiene which may result with caries development.
Cosmetic treatments necessary before the braces application:
Before the orthodontic braces application, every patient should, accordingly to doctor’s indications, go through a fundamental oral cavity sanitation process as well as through teeth cosmetic procedures afterwards.
Oral cavity sanitation:
Oral cavity sanitation – all the procedures resulting with plaque, residue and tartar removal, such as: scaling (tartar removal), sanding and polishing.
- Scaling – tartar removal with the use of ultrasounds
- Sanding – residue and contamination removal with the use of special sand and water under pressure
- Polishing – the last step of the sanitation procedure, polishing the teeth with the use of a special paste and brush.
After the orthodontic treatment a few aesthetic procedures may be carried out:
- Teeth whitening – whitening of the natural teeth colour with professional chemicals (the procedure may be conducted at home or in the dental office).
- Teeth shape correction – after the orthodontic treatment, there is the possibility of unsatisfactory tooth arch shape correction by application of veneers: composite, porcelain ones or crown.
- Gums shape correction (gingivoplasty) – the correction of the shape of the gums placed over the clinical tooth crown to make it shorter or longer. It allows the restoration of the natural, aesthetic gums shape. The procedure is being performed under local anaesthesia with the use of laser or scalpel.
Hygiene while wearing the orthodontic braces
It is very important to maintain the proper oral hygiene during the orthodontic treatment considering the difficult access to the teeth caused by elements of the braces. Every orthodontist will point out how to proceed with hygiene actions and braces’ cleaning using an interdental toothbrush, special dental floss, irrigator or antibacterial mouth rinse. This is the mandatory equipment for every orthodontic patient in order to maintain a high hygiene level and avoid gums inflammation or carious lesions.