Upper and lower teeth are supposed to fit neatly together. When they don’t, the smile looks crooked, there would be an increased risk of decay, trauma and gum infections causing undesirable sequelae. We at Health Precinct have taken special training and continue to learn orthodontics to correct crooked teeth.
Crooked or overlapping teeth can cause a range of problems including:
Braces are still the most popular way of correcting crooked teeth in Australia. Braces are a combination of wires and brackets that are glued to the teeth. Brackets stick to the teeth like handles and wires are tightened and loosened to move the teeth.
At Health Precinct, we offer robust metal braces for orthodontic straightening. For people that are conscious of the metal brackets, we have a less visible option of ‘Ceramic Brackets’.
Self Ligating Braces are exactly the same traditional braces, except that they do not need elastic to hold the arch wire – meaning fewer appointments and faster treatment. Self Ligating braces come as metal/ ceramic brackets and have a specialised clip in place of elastics.
LINGUAL BRACES – Invisible
Patients demands for esthetic solutions has popularized lingual braces to seek beautiful smiles without obvious appearance of metal/ ceramic braces or even aligners. Lingual brackets are glued behind the teeth and are totally invisible. Lingual braces can be used to correct most, but not all malocclusions. Dr Vik is happy to discuss Lingual Braces as an option for your orthodontic treatment.
Invisalign is the virtually invisible and hygienic alternative to braces that can help you achieve straight teeth, a proper bite and a healthy confident smile – comfortably. . Invisalign treatment works through a series of clear, comfortable and removable aligners. Each aligner is slightly different, moving your teeth gradually into the desired position. Using advanced 3D software, invisalign even allows you to see the expected results of treatment before you even start. Invisalign won’t interfere with your lifestyle – and has even been proven to be as effective as traditional braces for treating a wide variety of orthodontic issues.
The invisalign system is the nearly invisible way to straighten your teeth and improve your smile – without braces.
So if you want to show off your smile and not your braces, find out more about Invisalign – the nearly invisible way to straighten your teeth.
It is generally accepted that accurate bracket positioning is the key factor for a guaranteed good finish. Exceed-Ortho uses computers to aid in accurate bracket positioning and reduces clinical appointment time. Digital 3D scans of your teeth will be computer analysed for exact digital placement of brackets through cutting-edge technology. Exceed–Ortho also allows you to virtually see your end result with braces even before you start.
Talk to us about digital orthodontics at your dental appointment.
As a rule, excellent orthodontic results can be achieved with informed and co-operative patients. Thus, the following information is supplied to anyone considering orthodontic treatment. While recognising the benefits of a pleasing smile and healthy teeth, you should be aware of the device used, benefits, risks, limitations and inconveniences. These seldom are enough to contraindicate treatment, but should be considered in making the decision to undergo orthodontic treatment. Alternatives to orthodontic treatment vary with the individual’s specific problem, and prosthetic solutions or limited orthodontic treatment may be considerations. You are encouraged to discuss alternatives with the doctor prior to beginning treatment.
Orthodontic treatment is meant to improve your smile, facial aesthetics, function and occlusion. Orthodontic correction does improve oral hygiene habits and patients may notice improved periodontal (gum) health during/ after treatment. Orthodontic treatment is also known to reduce para-function activity such as bruxomania and night grinding.
RESULTS OF TREATMENT
Orthodontic treatment usually proceeds as planned and we intend to do everything possible to achieve the best results for every patient. However, we cannot guarantee that you will be completely satisfied with your results, nor can all complications or consequences be anticipated. The success of treatment depends on your co-operation in keeping appointments, maintaining good oral hygiene, avoiding loose or broken appliances and following instructions correctly.
LENGTH OF TREATMENT
The length of treatment depends on a number of issues, including the severity of the problem, the patient’s growth and level of patient’s cooperation. The actual treatment time is usually close to the estimated time, but treatment may be lengthened if, for example, unanticipated growth occurs, if there are habits affecting the dentofacial structures, if periodontal or other dental problems occurs, or if patient co-operation is not adequate. Therefore, changes in the original treatment plan may become necessary. If the treatment time is extended beyond original estimate, additional fees may be assessed.
RISKS AND INCONVENIENCES
1. Maintenance of the appliance is important for optimal treatment completion. Breakage of braces or failure to attend appointments regularly would unnecessarily delay treatment duration. Patient taking responsibility to make future appointments would be appreciated;
2. Dental tenderness may be experienced during the treatment, usually after activating the appliance. Tenderness might persist for a couple to four days. Anti-inflammatory medication is highly contraindicated to avoid delay in treatment duration. Slight mobility of teeth during orthodontics is temporary and acceptable;
3. Gums, cheeks and lips may be scratched or irritated;
4. Orthodontic appliance may temporarily affect speech, increase in salivation or mouth dryness.
5. Orthodontic treatment cannot move implants
6. General medical conditions and use of medications can affect orthodontic treatment. Hormonal changes of the body are also known to affect the rate of orthodontic tooth movement.
7. Existing dental restorations/ crowns may sometimes get dislodged and may require recementation or replacement.
8. Orthodontic appliances or parts thereof may be accidently swallowed or aspirated.
9. Allergy to materials may occur. This may require change in the treatment plan or discontinuation of the treatment prior to completion. Although very uncommon, medical management of dental material allergies may be necessary.
10. Occasionally, treatment objectives may have to be compromised. It may also be necessary to stop orthodontic treatment short of the desired result, after thoroughly consulting with the patient and/or parent before the treatment is discontinued.
Completed orthodontic treatment does not guarantee perfectly straight teeth for the rest of your life. Teeth move naturally with increasing age, just as hairline recedes and other body parts sag. Teeth have a tendency to relapse towards their original position following active orthodontic treatment. Retainers will be required to keep your teeth in their new positions as a result of your orthodontic treatment. You must wear your retainers as instructed or teeth may shift, in addition to other adverse effects. Regular retainer wear if often necessary for several years following orthodontic treatment. However, changes after that time can occur due to natural causes, including habits such as tongue thrusting, mouth breathing, growth and maturation that continue throughout life. Later in life, most people see their teeth shift. Minor irregularities, particularly in the lower front teeth, may have to be accepted. Some changes may require additional orthodontic treatment or, in some cases, surgery. Some situations may require non-removable retainers or other dental appliances made by your family dentist. Full co-operation in wearing retainers is necessary to reduce this tendency. When retainer use is discontinued, some relapse is possible. We recommend long term (2-3 nights a week) retention wear.
Some cases will require the removal of deciduous (baby) teeth or permanent teeth. There are additional risks associated with the removal of teeth which you should discuss with your family dentist or oral surgeon prior to procedure.
Due to the wide variation in the size and shape of teeth, missing teeth etc., achievement of an ideal result (for example, complete closure of space) may not be possible. Restorative dental treatment, such as aesthetic bonding, crowns or bridges or periodontal therapy may be indicated.
TEMPORARY ANCHORAGE DEVICES
Your treatment may include the use of temporary anchorage device(s) (i.e., metal screw or plate attached to the bone) There are specific risks associated with them.
It is possible that the screw(s) could become loose which would require its/ their removal and possibly relocation or replacement with a larger screw. The screw and related material may be accidently swallowed. If the device cannot be stabilised for an adequate length of time, an alternate treatment plan may be necessary.
It is possible that the screws could break (i.e., upon insertion or removal). If this occurs, the broken piece may be left in your mouth or may be surgically removed. This may require referral to another dental specialist.
When inserting the device(s), it is possible to damage the root of a tooth, a nerve, or to perforate the maxillary sinuse. Usually these problems are not significant, however, additional dental or medical treatment may be necessary.
Local anaesthetic may be used when these devices are inserted or removed, which also has risks. Please advise the doctor placing the device if you have had any difficulties with dental anaesthetics in the past.
If any of the complications mentioned above do occur, a referral may be necessary to your family dentist for further treatment. Fees for these services are not included in the cost for orthodontic treatment.