Orthodontics

Orthodontics (Braces)

Orthodontics is when the teeth are straightened or moved in order to achieve a more ideal relationship with each other. Generally, people get braces to improve the look of their teeth and smile. However, there can be many other benefits to straight teeth.

What are the benefits of correcting my teeth?

It all depends on how your teeth are to start with. We may also need to address some underlying issues like muscle or breathing issues to treat the cause of your crooked teeth.

  • Teeth are designed to guide the jaw when you are chewing and talking. When you have an incorrect bite such as cross bite, you don’t have the proper guidance. This can put a lot of pressure on your jaw joint and lead to bigger problems in the long term.
  • The front teeth also support the lips. This creates some of your facial profile. Getting your teeth in the right place can help to give some of your facial muscles the correct support.
  • If you are still growing, we may look at myofunctional training (hyperlink) to get the muscles in the right position and help guide your growth. This improves facial profile as well function.
  • If there is a lot of crowding it can mean that it is difficult for the toothbrush to clean around those teeth, and thus it may result in dental caries or gum recession. When teeth are very crooked sometimes teeth are pushed out of the jaw bone, this will result in bone and gum receding around the teeth, and possibly loss of those teeth.

What are my options?

Treatment can involve just braces or just an appliance, or it can involve both.

Conventional braces:

Traditional braces are where brackets are glued to the teeth and a wire is used to control teeth movement.

Within this you have more options:

- Full upper and lower braces: gives you the best result as we get the top and bottom relationship right

- Just upper braces: designed just to straighten the top teeth without changing the bottom teeth

- Sectional braces: just straighten the upper front teeth when they are only slightly crooked. This doesn’t change the bottom teeth or the back teeth. It is generally faster and cheaper, and good if you are about to get some work done on the front teeth and you want to get them a bit straighter first. However, you must accept that it is a compromise.

  • Invisalign or Clear Braces:
  • You wear hard, clear shells over the teeth to gently push the teeth into the right place
  • Upper expander: generally used when the jaws are still growing, it is an appliance that develops the upper jaw to make it wider. It is designed to improve the jaw bone.
  • Removable appliances: lots of different designs. The most common design is an upper plate with springs and wires to push on the teeth
  • Myofunctional appliances: designed to train the muscles around your jaws.

Note: these are generally used in conjuction with eachtother.

What happens before, during and after treatment?

1. Before beginning the treatment, a thorough assessment must be made of your teeth, jaws, jaw joint, muscles and facial profile. So, we will need to take a complete set of photos, impressions (moulds) and the appropriate x-rays. We put all of this information together and make up a treatment plan.

2. We will then discuss all the options with you so that we give you the best treatment that matches what you want to achieve.

3. Getting the braces on: Several appointments may be necessary to fit all the braces and/or appliances to your teeth. You may find that for the first couple of days your teeth may feel tender to bite and your jaw aches; this is because of the pressure of the braces, you may need to take some pain medication. You may find that your braces may also rub against the inside of your lips or cheeks. If this is the case, use the wax which your dentist will have supplied.

4. We then like to see you every six to eight weeks to track progress and make adjustments to stay on course. This may involve having the bands and wires changed, tightened or indeed elastics added. If you have had your brace tightened, you may fell a little discomfort later in the day which is a normal.


How long does the treatment take?

It usually takes between 18-24 months but will vary according to how complex the case is. We will provide you with a time frame at the beginning of the treatment; however breakages of any part of the braces will add time to the treatment.

Looking after your Braces

You will be able to eat most of the foods you were eating before, but more care will need to be taken not to damage your braces. There are some foods that have to be cut out of your diet whilst you are wearing the appliance.

Toffees.

Chewy sweets, like Mars bars or starburst for example.
Hard foods, like crusty bread and apples.
It is very important that your oral hygiene is excellent as cleaning your teeth is much more difficult with a brace in place. Brushing your teeth after every snack and meal throughout the day will reduce the risk of decay and gum disease. In addition, take longer brushing your teeth in the morning and at night. Ask your dentist which is the best type of tooth brush for cleaning braces. If you do not look after your teeth during your treatment they can become permanently stained.

After your treatment is complete

Your braces will be removed and your teeth cleaned and polished to remove any remaining cement. Your treatment is not over as the teeth need to be held in position while the surrounding gum and bone settles. This period is called retention and the appliance that holds the teeth are called retainers, which are either fixed or removable. Depending on the type of retainers, Impressions may to be taken in order for the retainers to be made at the dental laboratory. You will then return a week later to collect your retainers. Retainers are for life. You must wear them as long as you want your teeth to be straight.