Wearing Orthodontic Braces

This section explains the various stages of a normal course of orthodontic treatment.

The first consultation

During this visit the patient is examined clinically. This enables me to give advice on the treatment options, when to start the treatment, the treatment duration and the approximate charges.

If the patient decides to proceed with treatment, an appointment is made to collect records.

Records include:

Impressions to form Plaster models.

Photographs of the teeth and face.

X-rays of the teeth and jaws.

Records allow me to analyse each case accurately. They are also used to record the existing malocclusion for future reference.

Treatment Planning

At this visit I would discuss the treatment plan(s), which have been deduced from information obtained from the records.

If any factor doesn't allow treatment immediately, I review the patient periodically until it is an appropriate time to commence treatment.

Extractions and other preliminary procedures

Sometimes it is necessary to remove teeth to gain sufficient space to align the remaining teeth. All decayed teeth should be filled and the teeth sometimes need to be cleaned before orthodontic treatment is started.

Orthodontic options

Braces are the most efficient and accurate way of moving teeth. Many options are available for orthodontic treatments. Depending on the age, space requirement, treatment requirements, patient co- operation, budget and other factors, I may provide options for

Removable appliances

Fixed braces

Functional appliances

Removable Appliances

Removable appliances are orthodontic appliances which can be removed by the patient and usually contains active and passive components for orthodontic treatment. They are used to correct or intercept changes in the teeth and other skeletal structures during the growing years. They are usually made of clear plastic but I can customize them by incorporating figures, names or photographs at patients request at an extra cost.

Fixed Braces:

Braces (bands, brackets and wires) are usually made of stainless steel although clear brackets are available, usually at extra cost.

Conventional Braces:

Surgical-grade stainless steel brackets and wires made of a variety of different alloys depending on the desired type of tooth movement. Colored "o-rings" can be applied to conventional braces at each adjustment appointment to create a different look.

Ceramic Braces:

Braces that closely match tooth color-an alternative for those patients who need conventional orthodontic treatment, but wish to camouflage their braces.

Lingual Orthodontics:

Lingual braces are applied behind the teeth as compared to metal or ceramic braces which are applied to the front of your teeth. Often called “Invisible Braces”, they are the best and only non-visible form of fixed orthodontic therapy. Although lingual braces are more expensive they offer a highly cosmetic alternative to those patients who otherwise would not consider treatment.

Fitting the braces usually involves two visits. Braces remain on the teeth for the entire duration of treatment. Patients then attend approximately every 4-8 weeks for adjustments, wire changes, etc.

Rubber Bands and Headgear

During treatment, patients may need to wear such items as rubber bands and/or headgear with their braces. These items provide important extra forces for the correction of the bite.