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When should we visit the orthodontist?

We should visit the orthodontist when we notice:

Children:

  • Protrusion or retraction of a chin

  • Facial asymmetry

  • Improper teeth alignment

  • Crowding or spacing

  • Early loss of primary teeth

  • Bad oral habits (thumb or pacifier sucking, nail biting, biting different items such as pencils or pens)

Adults:

  • Crowding

  • Persistent malocclusion

  • Bruxism

  • Exposure of the neck of a tooth

  • Cosmetically challenged teeth – rotated teeth, uneven teeth or spacing

  • Insufficient freeway space to replace a single missing tooth

Orthodontic - benefits

  • Keeping the teeth, temporomandibular joint and paradontium healthy

  • Correction of several speech disorders

  • Beautiful smile

  • Easier tooth brushing and flossing slowing down tartar build-up

  • Preventing irregular wear on the teeth (bruxism)

  • Slowing down of the facial aging process

  • Wellbeing enhancement – we smile more frequently and from ear to ear

Orthodontic First-Aid – brace problems

  1. Abrasions One should identify the appliance causing abrasions and cover it with special wax the Patient gets from the orthodontist after fixing braces. Oral mucous membrane should be treated with a medicine helping in the healing process e.g. Solcoseryl or Sachol.

  2. Pain It can appear after fixing braces or after check up appointments when the wire was replaced. During this time the Patient can feel pain, puling or stretching which last for 1 – 5 days. A painkiller can be taken during this period e.g. Paracetamol or Ibuprofen.

  3. Bracket debonding Sometimes one of brackets of fixed appliance may debond. This happens as a result of biting hard or thick or sticky foods or after trauma. If the bracket is firmly fixed to the archwire it can be left until the next appointment, but if it moves or irritates the mucous membrane the ligature should be removed and the bracket undone. The orthodontist should be informed about this before the next appointment.

  4. Lost ligature One should contact the clinic (specialist orthodontist). Most often it is possible to wait till the next visit, but sometimes an extra appointment is necessary..

  5. Protruding buccal arch As a result of teeth movement, the ends of arch may start to protrude from arch wires irritating mucosa of, for example, cheeks. Then you need to call us and arrange an earlier visit. 6. Moving teeth During orthodontic treatment the teeth start to move gently, which is natural. The teeth must be slightly moving in order to move to the desired position. After the treatment the movability will stop.

  6. Coming off or damage of the permanent retainer
    Then it is necessary to get in touch with our Clinic on the same day and repair the damaged part of the retainer. To the time it the permanent retainer is glued we should use removable retainer.

Chosen Orthodontics (children, adolescents and adult malocclusion) provided by our Clinic:

  • Removable braces

  • Metal permanent braces

  • Monocrystalline sapphire permanent braces

  • Aesthetic permanent braces

Orthodontics is a branch of dentistry, which focuses on treatment of irregularities in the arrangement of the teeth and malocclusion.

Primarily you can benefit from the efficient therapy given by our specialist orthodontist at:

  • Diction improvement

  • Improving your teeth to make them healthy and perfect

  • Reducing the risk of tooth decay

  • Slowing down face ageing process

  • Reducing the vulnerability to building up tartar

  • Chewing quality improvement and, consequently, digestion improvement

  • Easing repetitive headaches caused by the temporomandibular joint disorder

  • Bright, broad smile and more youthful and pleasing facial contours

In our dental surgeries we exert positive effects of treatment having gained experience working both in Poland and abroad, using state-of-the-art and safe treatment methods and technological solutions.

From wide range of fixed and removable appliances we select these which meet your needs most and provide achieving effects according to the treatment plan.

What does orthodontic treatment involve? – here are the stages:

Stage One – Orthodontic Consultation/strong>

Before preparing individual treatment plan it is necessary to interview the Patient with a great deal of accuracy. Thanks to the information collected during the interview and examining the occlusion and chewing muscles activity the specialist orthodontists learns about Patient's problem and expectations.

Stage Two – Diagnosis

The next step is making impressions for plaster models of the teeth, and taking special X-ray photographs – cephalometric and pantomographic in order to prepare full occlusal analysis. Thanks to the data collected it is possible to diagnose all malocclusions and choosing treatment method to establish normal occlusion having considered Patient's expectations first.

Once the patient accepts the treatment plan we can begin specialist orthodontic treatment.

Stage Three – Specialist Orthodontic Treatment

Depending on the therapy planned, at this stage the Patients receive fixed or removable appliances. As it is extremely important to fix the appliance on clean and healthy teeth before implementation of the treatment the patient must have his teeth treated of caries, plaque and tartar removed and gums free of inflammation symptoms.

At our clinic we try to make the Patient aware of his role in keeping oral hygiene at the highest possible level. Therefore the attending orthodontist and dental hygienist will give the Patient oral hygiene instructions using models and necessary equipment as well as offer dietary recommendations.

The duration of the treatment is between 16 and 36 months for fixed appliance and up to several months for removable appliances.

Stage Four – Follow up appointments

It is very important for the Patient to appoint follow up visits, when we monitor the treatment process and activate the appliance. The follow up visits should be appointed every 2 – 4 months during therapy with fixed appliance and every 4 – 5 weeks during therapy with removable appliance.

Follow up appointments are pain free and last between 15 and 45 minutes.

During the visit depending on the chosen method of treatment the specialist orthodontist applies techniques boosting efficiency and fastening orthodontic treatment process.

Stage Five – Retention phase

The last but the most important part of active orthodontic treatment is retention phase, which is stabilisation phase preventing relapse.

During the last visit the appliance is taken off and the teeth are cleaned and polished in order to get rid of the remains of orthodontic adhesive.

Then we provide the Patient with two retainers: fixed – a metal wire bonded to the teeth and removable – a thin sheet of vacuum formed polypropylene (transparent shell) in order to maintain the corrections obtained during the treatment.

At this stage the follow up visits are appointed every 6 months.

Using the retainers systematically and following recommendations of attending orthodontist will let the patient enjoy for many years beautiful, regular teeth without the risk of relapse.

Types of orthodontic appliances used at Rewadent Aesthetic Dental Centre:

Removable appliances

They are inserted and taken out from the mouth by the Patient. .

Depending on the diagnosed malocclusion different types of removable appliances are used.

What elements is this type of appliance made of?

  • Acrylic plate in a colour chosen by the Patient

  • Retention wires (depending on the type)

  • Active elements e.g. screws and springs

The best time for malocclusion treatment is physical growth period of children and adolescents. The effectiveness and duration of the treatment depends on the type of the defect, the Patient's age and the cooperation with the orthodontist. In order to expect optimum treatment outcome the child must follow instructions of use of removable appliances – on how to use it and how long for. It has generally been our experience that this is the most difficult part. Thus the crucial role of parents or guardians, whose involvement and positive attitude can help the attending orthodontist to achieve ultimate outcome of the treatment.

Fixed appliances

Fixed appliances consist of brackets and bands which are permanently glued with special bonds to the permanent teeth surfaces. These elements – hooks fix the archwires which apply forces to the teeth. Thanks to applying force throughout all the treatment period they enable to reach the planned therapy outcome. Fixed appliances treatment can be used by patients of all ages.

Taking into account medical and aesthetic needs of our Patients we offer different types of orthodontic brackets.

  • Metalow – precise, creating possibility of changing image by using colourful ligatures (elastic bands) that are used to affix the archwire and using extremely small brackets. Considering the economic dimension they are the cheapest of all bracket types. They are also distinctive in their mechanical resistance and durability.

  • Aesthetic – ceramic (tooth-coloured) or pure monocrystalline sapphire (the only totally transparent). As their name implies they stand out from a purely aesthetic point of view, they blend in with teeth but because of the materials used they are less durable.

  • Self-Ligating Braces – one of the most state-of-the-art orthodontic technologies. An advantage of this solution is significant shortening of both appointment time and duration of the treatment. Unique bracket construction provides minimising soreness and helps to maintain oral hygiene. Self-ligating braces are also available in metal and aesthetic versions.

  • Microimplant orthodontic technology opens up totally new opportunities in 21st century orthodontics. Orthodontic microimplants are tiny orthodontic screws that are imbedded into the jaw bone similarly to conventional implants. Microimplant systems are used to react to forces applied by the orthodontist to move the teeth..

Advantages of Microimplant procedure

The procedure of implantation of the screws is performed under local anaesthesia so it is painless. Moreover, microimplants are not visible to other people. Applying of this solution significantly shortens duration of the treatment, means shorter period of wearing full braces and enables making minor corrections without using permanent appliance. Another important factor is orthodontic prevention which results in less frequent occurrence of malocclusion.

What should one know about orthodontic prevention?

Orthodontic prevention consists in considering in children's upbringing factors influencing positively and negatively development and growth of teeth and jaws and elimination of harmful factors. .

Factors determining improper tooth alignment from the earliest stages of development are:

  • Using wrong dummies (pacifiers)

  • Mouth breathing

  • Sucking thumb or lip

  • Early loss of primary teeth due to injury and, first and foremost, tooth decay. Premature loss of primary teeth before exfoliation leads to jaw growth inhibition and abnormal permanent tooth alignment caused by crowding.

Prevention of malocclusion should be priority from the infancy. Attention should be given to:

  • Way and duration of feeding the baby (bottle-feeding and breastfeeding)

  • Using proper pacifiers

  • Early introduction of spoon-feeding

  • Developing habits of chewing and biting solid food

Due to importance of caries leading to malocclusion it is especially important to take care of primary teeth from eruption stage up until exfoliation. Informing parents about providing proper oral care early in a child’s life has a major role to play.

It is extremely important, but requiring from parents a great deal of patience, to prevent bad habits and wean the children off thumb and lip sucking, biting pencils, pens and other items. Another important issue to discuss is the necessity of seeking an orthodontic treatment early.

Why is it so important?

Just because, Dear Parents, malocclusion shall not withdraw by itself. Just the opposite – when the child grows malocclusions develop. Furthermore, crooked teeth may affect self-esteem and self-confidence of children. It is more difficult to brush and floss them which increases the risk of caries and gum disease and malocclusion may result in speech impediments.

Orthodontic treatment of children requires less time than treatment of adults and, when started early enough, in many cases it lets us avoid removing teeth for orthodontic reasons or occlusal complications.

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