Treatments
available
Every orthodontic patient requires an individual assessment appointment
after which treatment options will be discussed and explained by the orthodontist.
In order to decide what treatment is required for you, your orthodontist
will need to carry out an initial full assessment of your teeth which is
likely to include x-rays, impressions (moulds of the teeth) and photographs.
A tailor made treatment plan is then agreed with you and the next steps
can then be taken towards creating your new smile . Treatment can take more
than two years so it is important you are happy from the outset with what
is recommended. Fixed braces are almost always needed and will require adjustment
appointments every 4-8 weeks and patient co-operation is one of the most
important factors contributing to successful treatment. Throughout treatment
you should continue to see your own dentist for 6 monthly checkups.
Those braces which are used most often are:
A fixed brace
–this is the most common type of brace today, often
known as "train tracks". Brackets are glued onto the teeth and
linked by wires. Small elastic hoops are often used to hold the wire in
position and come in many colours. The wires exert gentle pressure to move
the teeth into a new position. Fitting of these braces is not painful but
the teeth may be tender for a few days after. The brackets can be fabricated
from different materials –metal such as 3M Victory ™ brackets pictured left (standard on NHS treatment) or can
be less visible aesthetic tooth coloured brackets pictured right (only available with private
treatment).
A removable brace
– this is sometimes used for correcting a simple
problem, such as moving a single tooth or expanding the dental arch but
is commonly used in combination with fixed braces. It has a plastic baseplate
with wires and springs attached. Removable braces need to be worn all the
time except for cleaning or sport.
Functional braces
– these are used to harness the growth of the jaws
and reduce the prominence of protruding teeth. There are several designs
all of which fit on to both the upper and lower teeth and hold the lower
jaw forward. They are mostly removable but should be worn as near to full-time
as possible.
Invisible removable aligner braces
-these type of braces can sometimes be
offered by orthodontists to certain patients who have a mild/moderate degree
of dental crowding. They work by wearing a series of custom made removable
aligners (like fine clear plastic gum shield’s) over your teeth. Each
aligner is worn all the time and changed every 2 weeks so that over a period
of time the teeth gradually straighten. They are only available on a private
basis.
Retainers
– at the end of treatment, all patients should wear retainers
to hold their teeth in the new position. These can be removable or fixed
and are an important part of treatment. The longer the retainers are worn
the straighter the teeth will remain.
Further Patient information leaflets
- these can be provided by your chosen
orthodontist.