orthodontics 3/18/2019 – gtg

Orthodontics FAQS
What is orthodontics?
Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

What is an orthodontist?
An orthodontist is a specialist who has completed an advanced education program following dental school to learn the special skills required to manage tooth movement and guide facial development.

What are some possible benefits of orthodontics?
• A more attractive smile
• Reduced appearance-consciousness during critical development years
• Better function of the teeth
• Possible increase in self-confidence
• Increased ability to clean the teeth
• Improved force distribution and wear patterns of the teeth
• Better long term health of teeth and gums
• Guide permanent teeth into more favorable positions
• Reduce the risk of injury to protruded front teeth
• Aids in optimizing other dental treatment

What are some signs that braces may be needed?
• Upper front teeth protrude excessively over the lower teeth, or are bucked
• Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
• Upper front teeth are behind or inside the lower front teeth (underbite)
• The upper and lower front teeth do not touch when biting together (open bite)
• Crowded or overlapped teeth
• The center of the upper and lower teeth do not line up
• Finger or thumb sucking habits which continue after six or seven years old
• Difficulty chewing
• Teeth wearing unevenly or excessively
• The lower jaw shifts to one side or the other when biting together
• Spaces between the teeth

At what age should orthodontic treatment occur?
Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age 7 or earlier if a problem is detected by parents, the family dentist, or the child’s physician.

What is Phase I and Phase II treatment?
Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of cross bites, overbites, and underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?
Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Twenty to twenty five percent of orthodontic patients today are adults.

How does orthodontic treatment work?
Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?
Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment time on schedule.

Do braces hurt?
The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?
No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?
No. However, there may be an initial period of adjustment. In addition, brace covers can be provided to prevent discomfort.

Should I see my general dentist while I have braces?
Yes, you should continue to see your general dentist every six months for cleanings and dental checkups.

Your First Visit
Your initial visit to our office is very important to us. It gives us the opportunity to get to know each other and determine what you hope to accomplish with your smile. During this visit, the doctor will answer questions that you may have such as the type of treatment needed, when it should start, and the estimated treatment time. If treatment is needed, you will be able to discuss fees and payment options before treatment begins.

We offer the following financial options for your convenience:
• Interest free monthly payments
• Discount for paying in full
• Family discounts
• Most major credit cards accepted
• Insurance billing
We are also happy to work with Cafeteria accounts and Flex and HSA accounts.

If you are excited to get your treatment started, diagnostic records can be taken at the conclusion of this appointment so you can begin your treatment as soon as possible.

Call to schedule your complimentary exam today.

Regular Appointments
The appointment when you get your appliances (braces, expanders, etc.) usually takes from one to one and a half hours. You’ll then see us at regular intervals 4 to 8 weeks apart for an adjustment, which takes 20 to 40 minutes.  We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance.

Insurance
If you have insurance, we will help you to determine the coverage you have available. We ask that you assign your insurance benefit to us. The balance will be arranged for you to pay (see above). Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Appointments
Regular Appointments
In order to properly place brackets and fit bands, the first few appointments will be frequent, requiring your patience and flexibility. After the appliances are placed, adjustment appointments will then occur approximately every six weeks and for shorter time intervals, approximately 20-40 minutes.

Cooperation is requested in making and keeping all appointments. As most of our patients are school age, we will make every effort to give each patient their share of after-school appointments; however, please be aware that many appointments, especially those of longer duration, will be during school hours. We are happy to provide a school excuse, if needed.

It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance. If an appointment must be broken, please notify us immediately so another appointment can be reserved. Whenever possible, advance notice of 24 hours is appreciated if an appointment must be changed.

Other Dental Treatment and Records
Extractions (if necessary), x-rays, and the restoration of decayed teeth will usually be done before orthodontic treatment is started. After treatment, a complete set of orthodontic records will be taken. It is recommended that a dental checkup be scheduled with your dentist shortly after braces are removed.

Braces Care
Oral Hygiene
Orthodontic bands and wires are food-catchers. It is therefore important that the teeth be carefully brushed after each meal and snack. After brushing, the appliances should be checked to see if they appear clean and shiny with no food particles or plaque. Failure to keep the mouth clean increases the likelihood of dental decay and etching of the enamel around the edges of the brackets and bands. Patients who keep their teeth clean and use fluoride gels usually have a minimum of decay, if any.

Regular Dental Check-ups
It is recommended that regular 6-month dental check-ups and cleanings be continued by your dentist during treatment.

Foods
Foods which are hard or chewy should be avoided during orthodontic treatment in order to prevent appliance breakages. Appliance breakages will complicate and thus prolong treatment.

Loose or Broken Appliances
Any breakage of the appliances (loose bands or brackets, broken wires, etc.) should be reported immediately to the office and an appointment made to repair the appliance. Do not wait until your next scheduled adjustment, as there is insufficient time during this appointment to repair appliances and make an adjustment. If a repair must be made during an adjustment appointment, you may be rescheduled at a later date in order to make an adjustment. If breakages become excessive, there may be an additional charge made for repairs.

Ceramic Brackets
Although ceramic brackets have several advantages, they also require special attention and care. In order to maintain their aesthetic appearance, these brackets must be kept clean. Any foods which have a tendency to stain (such as mustard, tea, and coffee) will turn the clear elastics around the brackets yellow over several weeks and therefore should be avoided, if possible. Ceramic brackets are more brittle than those made of metal and thus require special attention to the types of foods eaten in order to avoid breakage. Finally, ceramic brackets are much harder than the enamel on teeth. For this reason, it is important that the patient contact the doctor’s office immediately if he or she is biting on a bracket any time during treatment, as this may cause significant wear on the patient’s teeth

Ortho Dictionary
Parts of Braces
Appliance
Anything your orthodontist attaches to your teeth which moves your teeth or changes the shape of your jaw.

Arch wire
The metal wire that acts as a track to guide your teeth along as they move. It is changed periodically throughout treatment as your teeth move to their new positions.

Band
A metal ring that is cemented to your tooth, going completely around it. Bands provide a way to attach brackets to your teeth.

Bond
The seal created by orthodontic cement that holds your appliances in place.

Bracket
A metal or ceramic part cemented (“bonded”) to your tooth that holds your arch wire in place.

Coil Spring
A spring that fits between your brackets and over your arch wire to open space between your teeth.

Elastic (Rubber Band)
A small rubber band that is hooked between different points on your appliance to provide pressure to move your teeth to their new position.

Elastic Tie
The tiny rubber band that fits around your bracket to hold the arch wire in place. They come in a variety of colors.

Headgear
Headgear uses an external wire apparatus known as a facebow to gently guide the growth of your face and jaw by moving your teeth into proper position. The force is applied to the facebow by a spring-loaded neck strap or head strap. The straps have a safety release that disconnects if the facebow is pulled or snagged.

Headgear Tube
A round, hollow attachment on your back bands. The inner bow of your headgear fits into it.

Hook
A welded or removable arm to which elastics are attached.

Ligature
A thin wire that holds your arch wire into your bracket.

Lip Bumper
A lip bumper is an arch wire attached to a molded piece of plastic. The lip bumper holds back the molars on your lower jaw to provide more space for your other teeth.

Mouthguard
A device that protects your mouth from injury when you participate in sports or rigorous activities.

Palatal Expander
A device that makes your upper jaw wider.

Retainer
An appliance that is worn after your braces are removed, the retainer attaches to your upper and/or lower teeth to hold them in place. Some retainers are removable, while others are bonded to the tongue-side of several teeth.

Separator or Spacer
A small rubber ring that creates space between your teeth before the bands are attached.

Tie Wire
A fine wire that is twisted around your bracket to hold the arch wire in place.

Wax
Wax is used to stop your braces from irritating your lips.

Orthodontic Procedures
Banding
The process of fitting and cementing orthodontic bands to your teeth.

Bonding
The process of attaching brackets to your teeth using special orthodontic cement.

Cephalometic X-ray
An x-ray of your head which shows the relative positions and growth of the face, jaws, and teeth.

Consultation
A meeting with your orthodontist to discuss a treatment plan.

Debanding
The process of removing cemented orthodontic bands from your teeth.

Debonding
The process of removing cemented orthodontic brackets from your teeth.

Impressions
The process of making a model of your teeth by biting into a soft material that hardens into a mold of your teeth. Your orthodontist will use these impressions to prepare your treatment plan.

Invisalign
An alternative to traditional braces, Invisalign straightens your teeth with a series of clear custom-molded aligners. Invisalign can correct some, but not all, orthodontic problems.

Ligation
The process of attaching an arch wire to the brackets on your teeth.

Panoramic X-ray
An x-ray that rotates around your head to take pictures of your teeth, jaw, and other facial areas.

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“A beautiful smile radiates confidence”

– About Lingual Orthodontics

With lingual orthodontics your teeth can straighten with non-visible braces- placed behind the teeth – and are 100% customized for each patient. Lingual braces are an ideal option for people who want the benefits of orthodontic work without significantly changing their appearance.

“BRACKET BONDING ”
In order to achieve a perfect alignment of the teeth, the brackets have to be positioned at the same distance from the edge of each tooth, and the bracket slot has to be oriented according to the long axis of the tooth.

This very accurate positioning cannot be achieved directly because visibility and access are difficult on the lingual surfaces of teeth. The brackets are first positioned in the laboratory on plaster models, and then transferred into the mouth by means of an elastomeric splint.

The so called « indirect » bonding technique allows the bonding of all the brackets in your mouth in a few minutes.

“THE ADAPTATION PERIOD ”
The brackets that have been newly placed in the mouth require an adaptation period of about 20 days.

During this stage, the patient will experience:

Irritation of the tongue, the tip of which unconsciously comes to rub against the brackets during the first day of treatment.
Chewing difficulties when chewing hard food (only if the upper arch has braces), thus fish and vegetables are recommended at the beginning of treatment.
Mild speech disorders: the brackets on the upper arch disturb the tongue rests on the teeth. « S »sounds and whistling consonants can whistle more than usual during the first hours or even the first days of treatment.
However, this will never be so pronounced that people can no longer understand you.
You might be more or less affected by this adaptation period, depending on your own sensitivity and on your motivation.

The different protection materials we provide and our availability to help you will minimize the discomfort during this period.

” THE MONTHLY APPOINTMENTS ”
Their length varies depending on the difficulty of the orthodontic problem to solve, on the treatment stage you are in, and also depending on whether the appliance is in good shape or not. Generally, appointments are given for 15 to 60 minutes.

“TREATMENT TIME ”
For your personal problem, a personalized treatment plan is needed. In addition to braces, teeth extractions may be necessary for your treatment, either in order to create space for crowded zones, or to allow for retraction of flared teeth.

Sometimes, stripping of the teeth in order to decrease their width can be used rather than extractions, and rubber bands sometimes need to be worn during treatment between the upper and the lower jaw.

The average treatment time is approximately 26 months

“STABILITY ”
Teeth are placed in a “corridor” between the tongue, the cheeks, and the lips, which have a permanent influence on the tooth position.

Teeth are “set” in the bone which can develop and thus modify the way it holds them.

No orthodontist can guarantee the stability of orthodontic treatment without a retainer.

We want the beauty of your smile to stay with you permanently and to this end, we bond very thin metal wires on the invisible side of your front teeth, immediately after removing the braces. These retention wires are almost unnoticeable, and you will soon forget about them

Changing the smile you have now into the smile you desire. Orthodontics is for all ages it is never too late to look and feel at your best. Conditions like crooked teeth, teeth protruding, underbite and spacing between teeth can be corrected.

Most adult seek orthodontic treatment for cosmetic reasons while many others seek treatment for bite problems, problem with oral hygiene or jaw disfunction.

Since teeth continue to move throughout your life, braces are often needed into adulthood. Lingual braces offer adults an excellent option to improve their smile less noticeably

The application of lingual braces employs a very sophisticated computerized technique and consequently requires the skill of highly trained professionals. Our dentists and staff regularly attend Lingual Orthodontic Association training sessions across the world to stay on top of the latest techniques.

A smile can say a million words and it speaks its own language.

Whatever your reasons we will concentrate on straightening your teeth and achieve harmony of your teeth, jaw, face.

Increase your self esteem with and an attractive smile.

The invisible solution – why wear traditional braces when you can get the same results.

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