My teeth are crowded, so how do you make space in my mouth for my teeth?
Space will be made via enamel reproximation (minor tooth reduction). This allows limited tooth movement in the area of the crowding. On rare occasions, sensitivity is possible from this but it is transient. Alternative options to enamel reproximation for making space include tooth extraction, which we only perform in extreme cases of crowding, and expanding the dental arch, which is proven to be unstable in adult patients. Upper and lower dental midlines will not be made to coincide for most cases as midline changes often require years of treatment. Misshaped and abnormally long teeth will be reshaped as part of treatment. On occasion, bonding may be needed to provide an even appearance of the edges of front teeth whether because of stubborn tooth movement or misshaped teeth.
Charges for bonding are included within the charges outlined, along with both upper and lower tooth whitening and the 1st set of removable retainers and fixed bonded retainers.
I’ve heard wearing a brace is painful….is this true?
After the braces are put on the teeth may be sore, usually for 2-4 weeks. Paracetamol may be taken to relieve this. If the soreness prevents you from eating even soft food, please phone for an appointment so any necessary adjustments may be made. If the inside of the lips are sore, the wax that is provided can be used as a cushion over the braces until the lips become accustomed. Taking pain medication prior to your adjustment appointments can help minimise discomfort.
Looking after your Six Month Smile Braces:
You will need to brush your teeth, gums, braces and wires thoroughly after each meal and before going to bed. Poor oral hygiene can result in puffy, bleeding gums and permanent white spots on teeth. Swollen, bleeding gums will delay your treatment. An interproximal brush is the best way to clean around your braces and can be purchased in any supermarket/pharmacy. Use this brush between your teeth under the wire and at the gum line. We do reserve the right to suspend or delay treatment if your oral hygiene is poor. Keep your teeth and braces clean!
DO NOT eat hard food such as popcorn, ice, toffees or hard sweets. These foods can break the brackets. Cut up foods such as meats, apples, carrots etc. before eating them. If abuse is noted on multiple treatment visits, a fee may be applied.
So I’ve had the treatment and I’m delighted with my teeth. How can I prevent them moving back?
Teeth have a tendency to rebound to their original positions after orthodontic treatment. Very severe problems have a higher tendency to relapse, and the most common type of relapse occurs with twisted teeth. Retainers are included in treatment, and will be placed immediately to minimise relapse. The two types of retainers provided:
Fixed Bonded Retainer. In effect a wire that is bonded to the back surfaces of the teeth that have been aligned. These are invisible to anyone looking at you, and unobtrusive for day to day living.
Removable Clear Retainer. These retainers are very thin clear plastic ‘gum shields’ that are made of a relatively stiff plastic so whilst worn; they ensure the teeth are kept in the desired position. They are removed for eating and cleaning, and when in place, are invisible at a social distance.
Full cooperation in wearing these appliances (full time for 6 months, at night for 6 months, and every other night indefinitely) is essential. There is a fee to replace lost retainers.
You should have at least one professional hygiene appointment during your treatment. If you have an appointment scheduled, keep it! This is not required but highly encouraged as with the additional coverage of your teeth with the brace, staining from tea, coffee, red wine etc will build up more readily alongside plaque and tartar.
Keeping your appointments:
Please keep your adjustment appointments! Missed appointments can result in delayed completion. Please notify us at least 48 hours in advance should you need to reschedule since another patient may need this time slot. There can be a fee appointed for all broken appointments or short notice cancels. There are some visits that are required after your braces are off (retainer checks etc.). These visits are very important. Relapse, bite settling, and retainer or splint adjustments (or breakage) are just some of the items we wish to monitor at this stage.