FAQ
Can I see how my teeth will be straight before I start my treatment?
With modern developments, there are tools that show you what your smile might look like at the end of treatment. This is a simulation tool, which does not correspond 100% to the realistic result, which depends on many factors. You can find such a tool here:
Can I do orthodontics regardless of age?
Of course! Orthodontics is based on the process of absorbing and creating bone around removable teeth - this process remains active throughout life. Some serious health problems may be a contraindication, the orthodontist will guide you properly after taking a detailed history.
When is the first check-up in children?
It’s good that the orthodontist examines a child at around 7 years old. Usually no intervention is needed then, except in cases of skeletal and / or functional dysfunctions that may cause more serious problems in the future (eg posterior maxillary position, cruciate ligament displacement with mandibular displacement at closure). The orthodontist then pulls out one individualized recall schedule , to make sure that the child gets the best (and shortest) treatment possible, which can be done if treated at the right time. Keep in mind that the same problem can have different impact and needs different timing and treatment on different people, so an individual check up schedule is the easiest way to avoid long-and costy- treatment in the future.
Are there any signs us parents must keep an eye out for?
Many parents ask us what they should take care of their child and when they should contact us. With the widespread use of mobile devices (the well-known "toothpick") in primary school children, it is reasonable for the parent to wonder if they should also put a mechanism in the child. And yet, there are few and specific cases that are really needed and that this will really offer something essential to the oral health and quality of life of the child! These are brief:
- There are some features that should “ring a bell”, such as - dummy or finger sucking after the age of 4,
- - decay and early loss of primary (baby) teeth
- - mouth breathing (adenoids, snoring, “tired face”, allergic reactions and asthma are some indicators)
- - open mouth in resting position (either because the front teeth are sticking out or because the muscle tone is weak).
- - Prominent teeth or pain in the palate (gum) while biting.
- - The child complains about pain behind the upper front teeth.
What should I be aware of when I have braces?
Oral hygiene is a cornerstone of a proper treatment. The orthodontist shows you exactly how to clean your teeth and braces by giving help when needed and recommends a visit and cleaning to your dentist every few months depending on the occasion.
Care must also be taken with the food so that the braces or wires do not break, as this causes the teeth to return to their original positions and the treatment time is extended. Cola-type soft drinks should also be avoided, as well as the consumption of snacks and sweets between meals, as the mechanisms make it difficult to clean teeth and intensify the retention of dental plaque (germs and food debris). Detailed instructions are given to you orally and in writing when the mechanisms are installed.
Scheduled appointments must be kept. Orthodontic treatment proceeds according to plan with pre-arranged appointments every 4-6 weeks usually. The frequency of appointments depends on the type of mechanisms used, as well as the stage of treatment. When appointments are not kept, time is automatically lost in the smooth course of treatment and this can have consequences both in the total time it will take and in the quality of the result.
Many times they need "tires", disposable tires that must be worn either 24 hours / day, or only at night. These are necessary in order to achieve the goals of the treatment, so that it can be completed on time.
Does orthodontics hurt?
The most common question is of course whether orthodontic treatment hurts. The placement of the mechanisms is completely painless. After a few hours, a mild initial discomfort begins in the moving teeth, which gradually becomes more intense over the next 2 days. It is usually a pain when chewing (ie when the teeth are pressed together) or automatically as a feeling of "tight pull". Mild analgesics (paracetamol) help in the first days, as well as the consumption of soft foods in small bites.
-> TIP! The first wires placed in the braces are usually super-elastic heat-activated, so they are active at mouth temperature. This means that the cold water slightly relieves the pressure exerted.
MRI and braces. Should they be removed?
In our office we use brackets that can safely remain in the mouth during an MRI scan. Their certificates are given to the radiologist if necessary. The same applies to the retaining wires that are inserted after the end of the active treatment. Depending on the area of the body that needs to be examined, the orthodontist in collaboration with the treating physician and radiologist decide on a case-by-case basis. You should always inform your orthodontist about a scheduled MRI scan.
Are there alternatives if I am allergic to some materials?
Although allergies to orthodontics are rare, there are alternatives. Titanium hooks and nickel-free wires are occasionally used, as are ceramic materials and transparent films. Also, gloves without powder and latex are used to avoid sensitization to these materials. Your orthodontist should be aware of any hypersensitivity you may have (eg a skin reaction to gold-plated jewelry may indicate some nickel sensitivity), at whatever stage of treatment you are at.
Can I have braces if I’m pregnant?
Some women experience hyperplasia (swelling) of the gums during pregnancy. This is due to hormonal changes and plaque retention (ineffective brushing). Fixed orthodontic appliances make oral hygiene difficult, so extra care is needed to keep teeth and gums healthy. Pregnancy is not a contraindication to orthodontic treatment, but each case must be studied separately to decide on the most complete personalized treatment plan.
Is it always necessary to have retention?
Restraint is an integral part of orthodontic treatment. The mouth is a part of the body that is constantly changing based on the balance of forces exerted. The duration of this phase of treatment depends on many factors, such as the initial condition and the treatment plan. It usually involves a fixed wire on the back of the front teeth and a transparent splint used in sleep. The personalized suitable mechanism may differ both in form and in the time it must remain in the mouth.
What is included in the cost of treatment?
The cost includes the recording and diagnosis of problems (first two appointments), the mechanisms and visits during active treatment (as the case may be, usually every 4-6 weeks), exceptionally, the mechanisms for maintaining the result that are placed after the end of active treatment and monitoring them after placement. The repayment is decided during the presentation of the treatment plan and it is possible to create interest-free installments, with a personalized plan for you that will suit your needs.
Braces Comparison Chart
Metal fixed braces | Ceramic fixed braces | Clear aligners (Invisalign) | Lingual Braces (Incognito) | |
---|---|---|---|---|
Appearance | Obvious | Discreet | Virtually invisible | Virtually invisible |
Effectiveness | Fixed braces can straighten teeth from any position | Fixed braces can straighten teeth from any position. In some cases they are combined with one of the other techniques | Transparent splints are not suitable for everyone. The orthodontist evaluates on a case by case basis if any auxiliary supports are needed to complete the treatment. | Fixed braces can straighten teeth from any position |
Diet | Very hard or sticky food should be avoided | Very hard or sticky food should be avoided. Also coffee, wine and curry can stain the clear elastics, so you should rinse your mouth regularly to avoid that | Aligners are removable and are taken out to eat, so diet is unaffected. However, they should not be removed many times per day | Very hard or sticky food should be avoided |
Tooth brushing | Extra time and care are needed, as well as special brushes | Extra time and care are needed, as well as special brushes | Aligners are removed for brushing, so you can brush and floss as normal | Extra time and care are needed, as well as special brushes |
Speech | Metal braces have very little impact on your speech. You might notice a small difference during the first couple of days while you're getting used to them | Ceramic braces have very little impact on your speech. You might notice a small difference in the beginning until you're used to them | Aligners have very little affect on your speech as they are moulded to fit perfectly on your teeth only. However, a small lisping can be expected during the first few days until you get used to them | Speech can be affected for the first 1-2 weeks until your tongue gets used to the braces on the inner surface of your teeth |
Comfort | Metal brackets and wires, even though they are as thin as possible, can cause ulcers and irritations on the inside if your cheeks during the first weeks of treatment | Ceramic brackets are slightly bulkier than metal brackets, so they could cause small irritations on the inside of your lips during the first few weeks | The aligners are smooth and closely fitted to your teeth so they don't cause any irritation on the inside of your mouth | Tongue irritation can be expected for the first few weeks because the brackets are placed on the lingual surface of the teeth |