The first step to your new smile is a consultation with a specialist. During the appointment we will discuss in detail what are the health problems of your teeth and what are the things that concern you. What would you find an aesthetically pleasing? What is that you don't like about your smile, any functional defects causing you discomfort, and what results would you expect from the treatment. It is mandatory to bring Dental x-rays to the consultation /Orthopantomography (panoramic photo) and Teleradiography - profile/. We would need these x-rays to prepare your orthodontic analysis.
To optimal treatment results I will also need other important clinical information. We will begin with an examination of the teeth and gums, analysis of the quality of basic functions such as swallowing, speech, breathing, opening and closing the mouth. We will talk about the presence of harmful habits (finger-sucking, nail-biting, etc.) or genetic predisposition, because if we do not handle them in time, we will not achieve a stable and satisfying final result.
The following step is to make dental impression of both of your jaws. I will take a series of photographs that will allow me to analyze the proportions of the face, smile and jaw. Modern orthodontics can offer limitless opportunities for teeth correction. Usually, we are able to solve any problem, regardless of its complexity. In more complex cases, the intervention of other specialists is necessary - surgeon, periodontist, prosthetist, aesthetic dentist.
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I collect all the information obtained from the impressions taken, X-rays, photographs and consultations with other specialists (if necessary) to create a personal treatment plan. As this process is quite laborious and it can take several hours, primarily I prefer to work in a relaxed home environment.
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After the accurate diagnosis of your condition has been determined we need to discuss the next steps of your treatment. It's time to talk about the advantages and disadvantages of all dental appliances, suitable for the specific case, and finally decide together which approach we will choose to "fix" your smile.
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Placement of orthodontic appliances is usually painless and takes about 1 hour. As with anything new, it will take some time to adjust. Within 1-2 weeks you are expected to get used to the appliance. The adaptation period is different for everyone, but very soon after insertion you will simultaneously stop feeling that there is something "strange" in your mouth.
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Correction of the position of the teeth is a long process, you need to prepare yourself with patience from the very beginning. The length of the orthodontic treatment will depend on how complicated the problem is, the individual characteristics and age of the patient, the type of the selected appliance, but it's usually between 1 and 3 years. During this period, we will meet every 3 to 8 weeks to sequentially activate different elements of the orthodontic appliances. Each visit can last between 15 and 30 minutes and rarely can take up to 60 minutes.
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Removing braces and other types of orthodontic appliances is a bit unpleasant and sometimes painful. The discomfort you may experience is due to the increased sensitivity of the teeth caused by their displacement during the treatment. The removal of your braces is done with a special tool that squeeze them and breaks the glue holding them in place and separates the bond.
Many patients are anxious about teeth enamel damage while having braces. My answer to those patients is, ‘No; braces won’t damage your teeth enamel. Teeth enamel loss can occur after two irresponsible actions done by:
- the patient – poor oral hygiene during the treatment period, which leads to the appearance of white demineralization spots around the braces;
- the orthodontist – vigorously removal of the adhesive residues on the tooth.
To avoid damaging the enamel, I use special non-cutting instrument that do not harm it in any way.
It is very important for the patient to understand that the treatment does not end with the removal of the orthodontic appliance. As a result of natural growth and aging processes, the jaw and position of the teeth change over time. Teeth are not adhered to the bone around them, but rather are attached by very fine ligaments (fibres) to the walls of their sockets. When teeth are changing location around their roots, dynamic processes of fusion, bone building and rearrangement of these fibres take place. Nevertheless, the active phase of treatment is over, the new position of the teeth is still not steady and they will try to return to their previous position. Therefore, the use of retainers that support the new alignment is mandatory, and they are usually worn for a long period of time.
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