Orthodontic Treatment

With the latest cutting-edge Orthodontic technology today; young patients, teenagers, as well as adults can feel good about how they look with braces.Everyone has a slightly different bite, so treatment techniques vary. Braces are the most common approach. They help to move the teeth slowly by applying precise amounts of light pressure over a long period of time.

Most orthodontic treatments occur in two phases:

  • The active phase — Braces or other appliances are used to move the teeth into proper alignment and correct the bite.
  • The retention phase — A retainer is used to hold the teeth in their new positions for the long term.

In addition to braces‚ orthodontists sometimes use special appliances (called functional appliances) to direct the growth of the jaw in young children. These appliances are rarely used in adults. That’s because they are not effective after growth is complete.

Dental Braces have three parts: brackets‚ band and arch wire. Brackets are attached to each tooth with a band and arch wire runs from one bracket to the next. Exertion of gentle force over a period of time straightens the teeth which have grown out or growing awkwardly.

Wide variety of dental braces is there depending on aesthetics‚ materials as well as cost.There are many different types of braces‚ ranging from the traditional metal braces that most of us are familiar with‚ to almost invisible clear braces. Let´s take a look at some of the more common braces in use today.

Metal braces

Metal braces are made from high-grade stainless steel and are the most common type of braces in use. They use elastic ties to hold the wire into the bracket. The elastic ties are available in grey or a range of popular colours.

Self-ligating braces

Self-ligation is an innovative new technology that can reduce the time you need to wear braces. It uses a high-tech wire system that is more comfortable than traditional braces and usually requires fewer adjustments‚ so you won´t need to visit us as often during treatment.

Clear braces

Clear braces are an option for adult treatment‚ as the brackets are made from clear material. They‘re so subtle that your friends may not even notice you‘re undergoing treatment.

Invisible braces

Invisalign uses clear removable tooth-aligners that gradually move your teeth without braces.

Lingual Braces

Lingual braces are braces bonded to the back of the teeth making them invisible to other people. In lingual braces the brackets are cemented onto the backside of the teeth making them invisible while in standard braces the brackets are cemented onto the front side of the teeth. Hence‚ lingual braces are a cosmetic alternative to those who do not wish the braces to be visible.

Gold/Colored braces

For those that actually want to be noticed‚ braces now come in a variety of fun options such as Gold Braces if you want to make a style statement; or with accessories in every imaginable color‚ to suit your mood.

Removable Apliances

Removable appliances are plastic plates that can be used to correct tooth position. They are not suitable for everyone and‚ in most cases are used for the correction of simple problems.

 

How long do braces take ?

Every person who has ever had their smile enhanced at Aesthetic multispecialty clinic has asked the same question. How long does it take? Obviously every treatment is different‚ but on average you would expect to wear braces from 12 to 24 months. After the braces have been removed we recommend wearing retainer plates.

The only way to get an accurate answer to the question is to discuss it with an orthodontist. Why not book a free consultation and we´ll advise you.

But wait, there's more

You could be here for hours reading about different types of orthodontic appliances. Many treatments are quite complex and are better explained in person. Rather than going into too much detail here, we recommend you arrange a consultation. Over a coffee we´ll take the time to explain everything you need to know about orthodontics.



CARE WITH BRACES

Flossing and Brushing tips with braces

To floss your teeth if you have braces‚ feed the short end of the floss through the space between the main arch wire and the upper portion of the tooth closest to the gum. Use a gentle sawing motion to work the floss on each side of the two teeth the floss is between. Be careful not to pull with too much force around the arch wire. Begin brushing your teeth by using a regular soft toothbrush. Brush down from the top and then up from the bottom on each tooth with braces. Next, brush your teeth with a "Christmas tree" brush. This brush is specially designed for cleaning between two braces. Insert the brush down from the top and then up from the bottom between two braces. Use several strokes in each direction before moving on to the next space between two braces. Repeat the procedure until all teeth have been cleaned.

Foods to avoid while wearing braces

While wearing braces‚ most of the foods you like can still be eaten if you cut them into small pieces that can be easily chewed. There are certain foods‚ however‚ that can break or loosen your braces and should be avoided, such as:

  1. Hard or tough-to-bite foods, such as apples, peas & guava.
  2. Chewy foods, such as toffy or caramels & sticky chocolates.
  3. Corn on the cob.
  4. Hard pretzels, popcorn, nuts, and carrots.

In addition to foods‚ do not chew ice or bubble gum.

Caring for Retainers

Every time you brush your teeth‚ brush your retainer as well. Once a day or at least once a week‚ disinfect your retainer by soaking it in a denture cleanser. Add the cleanser to a cup full of warm - but never hot - water. Thoroughly rinse the retainer with plain water before placing it back in your mouth.

How do braces work ?

Braces apply constant pressure to teeth over a period of time. This pressure slowly moves the teeth. As pressure is applied and the teeth move, the bony socket of each tooth is able to adapt to its new position. The bony socket is the area where each tooth attaches to the jaw bone.

What are the names of the parts of braces and what do they do ?

  • Brackets are the small squares that are bonded directly to each tooth. The brackets are held in place by a special dental bonding agent (a´glue‘) or are attached to orthodontic bands. Brackets act like handles. They hold the arch wires that move the teeth.
  • Orthodontic bands are stainless steel, clear or tooth-colored materials that are cemented to teeth with either dental bonding agents or cement. They wrap around each tooth to provide an anchor for the brackets. Some people need only brackets and no bands.
  • Arch wires attach to the brackets and act as tracks to guide the movement of the teeth. Arch wires can be clear, metal or tooth-colored.
  • A buccal tube is a small metal part that is welded to a molar. The part has slots that keep the arch wires and other parts used to straighten teeth in place. Instead of welding the buccal tube to molar, mini-implants can also be used as anchors.
  • Ligatures are tiny rubber bands that hold the arch wires to the brackets.
  • Springs may be placed on the arch wires between brackets to push‚ pull‚ open or close the spaces between teeth.
  • Elastics or rubber bands attach to hooks on brackets and are worn between the upper and lower teeth in various ways. They apply pressure to move the upper teeth against the lower teeth to achieve a perfect fit of individual teeth.

How long will I have to wear braces ?

The length of time varies from person to person. It depends on the severity of the problem; the amount of room available in the mouth; the distance the teeth must be moved; the health of the teeth, gums, and supporting bone; and how closely instruction are followed. On average, however, once the braces are put on, they usually remain in place for 1 to 3 years.

How often will i need to see the orthodontist treatment ?

Typically you will be seen every month or so. At these appointments, your orthodontist checks on the amount of pressure the braces are putting on your teeth. To create more tension and pressure on your teeth, your orthodontist will make adjustments in the wires, springs, or rubber bands of the braces. In some cases, braces alone aren´t enough to straighten the teeth or shift the jaw. In these situations‚ an external appliance‚ such as a headgear‚ may need to be worn at home in the evening or through the night. In some cases‚ orthognathic surgery (jaw surgery) might be needed.

Will braces cause pain ?

Some of the adjustments to your braces may make your mouth feel sore or uncomfortable. When needed, over-the-counter pain relievers like ibuprofen‚ Combiflam‚ Paracetamol‚ Ketarol can help relieve the pain. If you always experience a lot of pain after your braces are adjusted‚ talk to your orthodontist. He or she may be able to use a different approach to make the adjustments.

Does the age at which I get braces affect the success of treatment ?

The mechanics used to move teeth is the same at any age. This means that orthodontic treatments are an option for both children and adults who wish to improve their appearance and bite. However, certain corrections in adults may require more than braces alone and the treatments may take longer because adult bones are no longer growing.

Can I continue to play sports while wearing braces ?

You can continue to participate in any sport you choose. When playing sports where there is a possibility of getting hit in the mouth, a specially designed mouth guard will need to be worn. The mouth guard, made of durable plastic, is designed to fit comfortably over your braces and will protect the soft tissues inside your mouth.

What care can I expect after braces come off ?

After your braces are taken off, your teeth will be thoroughly cleaned. Your orthodontist may want to take another set of X-rays and bite impressions to see how well the braces straightened your teeth and to check for wisdom teeth. If wisdom teeth are beginning to come in after your braces have been removed, your orthodontist may recommend that the wisdom teeth be pulled. Removing wisdom teeth prevents your newly straightened teeth from shifting position in your mouth.

Retainer

Your orthodontist will also fit you with a retainer. A retainer is a custom-made, removable appliance that helps keep teeth in their new position after braces have been removed. Retainers can also be used to treat minor orthodontic problems. The use of a retainer is a very important part of post-braces care. Retainers are typically made of rubber or clear plastic and metal wires and cover the outside surface of the teeth. They need to be worn all the time for the first 6 months and then usually only during sleep. The time frame for wearing a retainer will vary from patient to patient. The reason why a retainer is needed is that even though braces may have successfully straightened your teeth, they are not completely settled in their new position until the bones‚ gums‚ and muscles adapt to the change. Also‚ after long periods of time, teeth tend to shift.