The full spectrum of modern Orthodontic treatment options is available to my patients. After a thorough clinical and radiographical diagnosis, the most suitable orthodontic treatment appliance is selected together to provide the best treatment outcome.
Removable braces are mostly used for early orthodontic treatment in children, where the correction of the malocclusion cannot wait until the establishment of the adult dentition. Removable braces allow simple tooth movements and are often used to correct crossbites, reduce a large discrepancy between upper and lower front teeth or to facilitate the successful eruption of adult teeth.
Fixed braces are mostly used where complex three-dimensional tooth movements are required. Brackets are bonded to the teeth and due to the interaction of carefully selected wires that fit in the bracket slots, the teeth are moved to the desired position. These brackets can be made out of metal or ceramic, with ceramic providing better aesthetics during treatment.
Children and adolescents up to the age of 18 years are eligible for the so-called “Free Brace” if their malocclusion fulfills certain predefined conditions. A specially developed Index called the Index of Treatment Need (IOTN) is used by an orthodontist to grade the severity of the malocclusion. Whether or not your child is eligible for a “Free Brace” can already be determined at the first visit.
It is also possible to bond the brackets to the inside of the teeth so that the appliance is virtually invisible. I use an individualised lingual appliance that has an extremely flat and tongue friendly design and ensures optimal patient comfort during treatment.
Aligners are transparent removable orthodontic appliances that are custom made to move teeth using the latest computer-assisted technology. A three dimensional scan is taken of the teeth and a series of aligners is made according to a prescribed treatment plan. I also offer my patients the possibilty of viewing a three dimensional treatment simulation, which shows how the teeth will move step by step during treatment until the desired outcome is reached.
Retainers are used after the active phase of orthodontic treatment has been completed and are necessary to maintain the corrected position of the teeth. Relapse can occur as a result of the periodontal fibres around the teeth which tend to pull the teeth back towards their pretreatment positions. Retainers also counteract the effects of further growth and soft tissue changes due to ageing, and are a vital part of orthodontic treatment. They can be removable or fixed to the teeth, the choice of which depends on each individual treatment plan. The need for retainers is always discussed with my patients before the start of orthodontic treatment, because straight teeth are a lifetime committment.
Correcting a dental malocclusion is in principle possible at any age.
Patients are welcome to see me at any time should they have a question about their own or their child’s general alignment of teeth or the quality of the bite.
As not all problems are immediately recognisable by lay-persons, a consultation with an Orthodontist is advised as follows:
First examination: between 7 and 9 years (in the early mixed dentition)
Second examination: between 11 and 12 years (in the late mixed dentition)
In this way developing problems are identified and treated earlier, increasing the chances of avoiding or minimising the need for future treatment.
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