EAST GRINSTEAD SURGERY
As with anything that is new and unfamiliar, many questions always arise. The following are the most common. If you do not find an answer to your question be sure to ask the dentist. The more you understand about the treatment, the better it will progress.
Orthodontic treatment is a way of straightening or moving teeth, to improve the appearance of the teeth and how they work. It can also help to look after them long term health of the teeth, gums and jaw joints, by spreading the biting pressure on all the teeth.
Many people have crowded or crooked teeth. Orthodontic treatment will straighten the teeth or move them into a better position. This cannot only improve their appearance but also the way that the teeth bite together, while also making them easier to clean.
In some patients the upper front teeth can stick out and look unsightly. These prominent teeth are more likely to be damaged but orthodontic treatment can move them back into line. In others the way that the upper and lower jaws meet can cause teeth to look unsightly and lead to an incorrect bite. Orthodontic treatment may correct both.
When teeth do not meet correctly, this can put strain on the muscles of the jaw and joint problems and in some cases headaches. Orthodontic treatment can help you bite more evenly to reduce the strain.
No one knows the exact cause of every orthodontic problem. Some causes are very evident, such as thumb sucking. Most are much more complex. However, the old cliché that the patient inherited dad’s teeth and mother’s jaw is simply not correct.
Orthodontic treatment is generally best carried out in children, but adults can have orthodontic treatment – and more and more are doing so. Age is less important than having the proper number of teeth. In children it may be necessary to wait for enough teeth to come through before starting treatment.
Any dentist may carry out orthodontic treatment. Or the dentist may send the patient to a specialist who has extra qualifications. The specialist may be in a practice or in a hospital department, and is called an orthodontist.
The first thing that you need to do is to go along to your own dentist and get his or her advice. Your dentist will know whether you need treatment and can begin to plan the next stage to proceed.
The most important thing is to have a full examination. This will usually involve looking at the teeth, taking x-rays and making plaster models of your teeth.
Your dentist or orthodontist will them discuss what treatment is possible. Once you want to go ahead, the treatment can begin as soon as you have enough permanent teeth.
You may not have enough room for all of your permanent teeth so it may be necessary to create space by using Orthopeadic- orthodontic treatment to create space. We do not believe in removing teeth to create more room, but in some severe cases it is necessary.
Orthodontic treatment can be done by many sorts of appliances, which most people know as braces.
The length of treatment depends on how severe the problem is and may take anything from a few months to two and a half years. Most people can be treated within two years.
Orthodontic appliances usually need adjusting every 4-8 weeks. Your orthodontist will tell you how often your appliance will need adjusting.
All appliances may feel strange to begin with and can cause discomfort if the problem doesn’t go away the orthodontist may be able to carry out adjustments to help. Teeth are usually uncomfortable immediately after adjustment but this will eventually settle.
Success depends on partnership between the skills of the orthodontist and the enthusiasm and help of the patient (and in some cases parents.) It is important to attend regularly and carry out any instructions given by the orthodontist.
The success of the treatment also depends on the commitment of the patient. For children’s orthodontics it is very important that the child is as keen as the parent.
Even after retention, it is normal for minor tooth movements to happen throughout life, so no permanent guarantee can be given. However it is unusual for teeth to alter enough to need further treatment.
Once your case has been assessed and your treatment options explained to you, you will be able to decide which appliances would be both suitable for your needs and which would work for you. Once the orthodontic system has been chosen the orthodontist will give you a detailed treatment plan with a breakdown of cost for your treatment as each patient’s orthodontic case is priced differently depending on the appliances that need to be used.
Simple treatment may be carried out with a removable appliance ( a plate that can be taken out to be cleaned) It has delicate wires and springs attached, which move teeth using gentle pressure.
It is sometimes possible to change the way that jaws grow, using orthodontic appliances. These functional appliances use the power of your jaw muscles and can help with certain types of problem.
Often teeth need to be guided more accurately than they can be using a removable plate, so fixed appliances are used. These have brackets and bands temporarily stuck to the teeth. A flexible wire joins all of the brackets and allows the teeth to be moved. It is not possible for the patient to take the appliance out, so it is called a fixed appliance.
Fixed braces are not always made of metal. Plastic and ceramic can be used, especially for adults. You cannot generally get these braces on the NHS but they are offered as a private treatment option.
They are tough clear plastic aligners (moulds) that are used to straighten teeth. Several sets of specifically moulded, slightly different aligners are made for each patient. Each set is worn for two weeks before being replaced with the next one. They are made of clear plastic, so they are invisible. This means that no one can see that you are straightening your teeth.
The aligners should be worn for around 22 to 23 hours a day for the best results. They can be easily removed for eating and drinking, brushing and flossing. You need to have all of your adult teeth before you can have this treatment.
As well as an appliance it is sometimes necessary to wear headgear. You usually only need to wear the head gear in the evening or at night, if you do not wear it in the way that you have been told, your front teeth will stick out at the end of the treatment.
It may be necessary to attach delicate elastic bands to a fixed brace to help move the teeth. Your orthodontist or dentist will let you know if you need elastics.
When the treatment is finished the teeth need to be held in position for a time. This period is called retention, and the appliances that hold the teeth in place are called retainers.
The retainers hold newly straightened teeth in position while surrounding gum and bone settles. The retainers can be removable or fixed depending on the original problem.
Your teeth can be damaged if they are not properly looked after during the treatment. Appliances themselves will not damage, but poor cleaning and too sugary drinks and snacks can cause permanent damage. Brackets wires and braces can trap food and cause permanent damage. Brackets, wires and braces trap food and cause more plaque than usual to build up. So the teeth and appliance need to be cleaned very thoroughly.
It is very important to continue having your teeth checked by your dentist which having orthodontic treatment. You also need to take extra care of your teeth and mouth.
Clean your teeth carefully every day, including in between your teeth, where you can. Appliances are delicate and you need to make sure that you clean them carefully so that they do not break. Your dentist or hygienist will be able to show you the special techniques to use depending on the appliance that you are wearing.
Cut down on how often you have sugary foods and drinks. Avoid snacking on foods containing high levels of sugar. Sticky hard foods must be avoided as they can damage the delicate orthodontic appliances.
Brush your teeth twice a day with fluoride toothpaste and if necessary use a mouthwash. Your dentist or hygienist may recommend a fluoride toothpaste or application for you to use. Look at products carrying the British Dental Health Foundations accreditation logo. This shows that the product has been checked and approved by a panel of experts and does what it says on the packet.
The teeth do not change in size once they are formed. In a normal relationship the face and jaws grow fast enough to accommodate the erupting permanent teeth. It is when this balance becomes disrupted that orthodontic problems start to occur.
Yes. However, this is not a common occurrence. Incidentally, the teeth can also be too small for the patients face and jaw.
Not necessarily. If the patient’s problem is growth related then it is certainly wise to begin therapy early. The majority of problems fall into this category. However, if the problem is simply, “crooked teeth”, the dentist may advise you to delay treatment until all of the permanent teeth have developed.
Not usually. Sometimes all of the permanent teeth will correctly align themselves following orthopaedic therapy. However, everyone should be prepared to complete the second phase of treatment that is orthodontic therapy using fixed braces.
Notify your dentist immediately.
Only for a short period of time. The speech pattern will quickly adapt to the appliance when it is worn full time.
Only when eating and brushing. There are certain exceptions such as singing in a choir. These should be discussed with the dentist. There are also certain malocclusions where it is best to wear the appliance while eating as this speeds up the treatment.