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BRACES FOR ADULTS
ADULT ORTHODONTICS — Its Our Speciality : It’s never too late to be your best !!

Earlier dentist were of the opinion that only young growing children and adolescent can be successfully treated orthodontically but that idea has changed thanks to the technical innovation in treatment modality and orthodontic appliances used.

You’re never too old to benefit from orthodontic treatment. Today, most of the adults opt for orthodontic treatment. Here’s why: : I. Looking good.

Orthodontic treatment can help correct crooked teeth or spaces that you’ve been self-conscious about for years. It can give you the confidence and pride that come with straight teeth and a great smile.

II. Maintaining dental health.

Leaving malaligned teeth untreated may lead to other dental problems including abnormal wearing of tooth surfaces and difficulty in chewing. Orthodontic treatment can help you keep good dental health.

III. Innovation in Orthodontic appliances (TOOTH COLOURED BRACES & WIRES)

This has made treatment more comfortable and more successful than ever for people of all ages. Less visible brackets and tooth-colored wires have caught the attention of many adults who would not otherwise seek orthodontic treatment. The recent development is lingual orthodontics or invisible orthodontics, have further motivated them. There is always a misconception regarding treatment timing, but best braces can make treatment timing from six months to two years depending upon severity of problems. Orthodontists work with other dental practitioners — general dentists, periodontists, prosthodontists, oral surgeons — to provide a comprehensive approach to your dental health.

Temporary Anchorage Devices

Temporary Anchorage Devices, or TADs, are small titanium anchors used in certain orthodontic cases to help achieve tooth movements that in some cases would be otherwise impossible, such as moving molar teeth back into the bone (intrusion). TADs are also used in addition to braces or Invisalign® and as an alternative to headgear.

How are TADs placed?

The placing of a TAD is quick, and may be over before you know it. While your doctor is placing the TAD, you may feel slight pressure; however, within a day, you will no longer be able to feel the TAD. If you do feel any discomfort from having your TADs placed, Tylenol® is recommended to help relieve your pain. If you continue to experience discomfort days after your treatment, please contact us as soon as possible. Your TAD is removed once your treatment is complete, or when it is no longer needed to help straighten your teeth. Removal of a TAD is a comfortable procedure that takes just a few minutes.

How can I keep my TAD clean?

A TAD can be cleaned the same way you clean your braces, by brushing your teeth at least three times a day. When your TAD is placed, we will also provide you with an antimicrobial mouthwash that you will need to use twice a day.

What an orthodontist can do for you?
The orthodontist can help you “SMILE WITH CONFIDENCE”

If you have questions about TADs, please contact our practice. We will be able to answer any of your questions, and provide you with detailed information about your orthodontic treatment.

You want to get the most from life, to achieve your goals & your dreams. You want to look good and feel good. Every day, your smile is there for the world to see. It’s the window between you and the world. But if you’re one of the many people who have teeth that don’t line up correctly, you may be self-conscious about your smile. On top of it malaligned teeth also can cause various dental health problems. Fortunately, many of these problems can be resolved through orthodontics. Thus your orthodontist can help you “SMILE WITH CONFIDENCE”

Smile come in many shapes and sizes. What’s yours?

A pleasing smile can be a big plus for you on the road of life. It engages others, and shares warmth. Orthodontics can help bring out the best in you. By applying the science of gently moving teeth, an orthodontist can help to eliminate gaps between your teeth, straighten crooked teeth and correct other problems that can be distracting when you’re interacting with others. The before-and-after work of an orthodontist is amazing. The orthodontist will work with your existing teeth and jaws so their natural beauty can come out.

A CHANGE FOR THE BETTER

Not only do well-aligned teeth look good, they’re good for your health, too.
Straight, well-aligned teeth are easier to clean and maintain. And, well-aligned teeth can help you avoid such problems as abnormal wear of tooth surfaces, difficulty in chewing and/or speaking, and excess stress on supporting bone and gum tissue. Your teeth will be with you all your life. Why not do your best to ensure they’re strong and healthy?

Q1: If my teeth have been crooked for years, Why do I need orthodontic treatment now?

A: There’s no time like the present, and healthy teeth can be moved at any age. Orthodontic treatment can create or restore good function, and teeth that work better usually look better, too. A healthy, beautiful smile can improve self-esteem, no matter what your age is.

Q2: Do I need to change my oral hygiene routine during orthodontic treatment?

A: Yes, keeping your teeth and braces (or other appliances) clean requires a little more effort on your part. Your orthodontist will explain how to brush and floss, how often to brush and floss, and give you any special instructions based on the kind of orthodontic treatment you are having. Be sure to follow your orthodontist’s dental hygiene prescription to get the best results possible. Check with your orthodontist about dental products and tools that might be helpful.
In general, patients with braces must be careful to avoid hard, sticky, chewy and crunchy foods. They should also avoid chewing on hard objects like pens, pencils and fingernails. And never chew ice. It’s much too hard on your teeth – even without braces.
Also be sure to see your family dentist for a professional cleaning and check-up at least every six months during your orthodontic treatment, or more often, if recommended.

Q3: I see ads for perfect teeth in only one or two visits to the dentist. How is orthodontic treatment different?

A: The ads you are seeing may be for veneers. They cover crooked teeth and mask the problem, but do not address the structure in the mouth or how the upper and lower teeth meet. Veneers are not permanent. Many require removal of significant amount of tooth enamel.
If plaque collects where the veneer and the remaining natural tooth meet, the area will be susceptible to what is known as “recurrent decay.”
Orthodontic treatment is far more than simply treating how teeth look. It’s about aligning teeth and jaws so that they meet and function effectively. When teeth and jaws are functioning well, they look good too.

Q4: What are my options if I don't want braces that show?

A: Should your case warrant it, you might want to ask your orthodontist about lingual braces, which are attached behind the teeth. Ceramic braces may be another option to lessen the visibility of braces; they blend in with the teeth for a more natural effect. Additionally, the use of a series of clear aligner trays (invisible braces) instead of traditional braces may be used to correct some problems. Talk with your orthodontist about less visible treatment options that will help you reach your treatment goals.

Q5: I am pregnant and want to begin orthodontic treatment. Is this OK?

A: Discuss this question with your GYNAECOLOGIST/physician/healthcare professional and orthodontist before you start any orthodontic treatment, as pregnancy brings in bodily changes that may affect the mouth. Soft tissues such as gums become much more susceptible to infection.

Q6: Can I play sports while wearing braces?

A: Yes, but make sure you wear a protective mouth guard. Ask your orthodontist to recommend the right kind of mouth guard while you are having orthodontic treatment. Keep your smile beautiful after treatment and wear a mouth guard at every practice and every game.

Q7: Can I play musical instruments while wearing braces?

A: With practice and a period of adjustment, braces typically do not interfere with the playing of wind or brass instruments.

Q8. What is orthodontics?

Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

Q9: Who is an orthodontist?

An orthodontist is a specialist who has completed an advanced education program following dental school to learn the special skills required to manage tooth movement and guide facial development.

Q10: What are some possible benefits of orthodontics?

• A more attractive smile
• Reduced appearance-consciousness during critical development years
• Better function of the teeth
• Possible increase in self-confidence
• Increased ability to clean the teeth
• Improved force distribution and wear patterns of the teeth
• Better long-term health of teeth and gums
• Guide permanent teeth into more favorable positions
• Reduce the risk of injury to protruded front teeth
• Aids in optimizing other dental treatment

Q11: What are some signs that shows braces may be needed?

• Upper front teeth protrude excessively over the lower teeth, or are bucked
• Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
• Upper front teeth are behind or inside the lower front teeth (underbite)
• The upper and lower front teeth do not touch when biting together (open bite)
• Crowded or overlapped teeth
• The centre of the upper and lower teeth do not line up
• Finger- or thumb-sucking habits which continue after six or seven years of age
• Difficulty in chewing
• Teeth wearing unevenly or excessively
• The lower jaw shifts to one side or the other while biting
• Spacing between the teeth

Q12: At what age should orthodontic treatment occur?

Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed down. Early treatment may mean that a patient can avoid more serious complications than if started later. The American Association of Orthodontists recommends that every child should first visit an orthodontist by the age of seven or earlier if a problem is detected by parents, the family dentist, or the child’s physician.

Q13: What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (e.g., expander or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the age of six to ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, and underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment because it involves full braces when all the permanent teeth have erupted.

Q14: Would an adult patient benefit from orthodontics?

Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Twenty to twenty-five percent of orthodontic patients today are adults.

• Q15: How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper position. The brackets that are placed on your teeth and the archwire that connects them are the main components. When the initial archwire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal position.

Q16: How long does orthodontic treatment take?

Treatment time varies on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment time on schedule.

Q17: Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the archwires you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Q18: Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouthguard when participating in any sporting activity. Mouthguards are inexpensive, comfortable, and come in a variety of colors and patterns.

Q19: Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers can be provided to prevent discomfort.

Q20: Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleanings and dental checkups.

Q21 How will be my Life with Braces ?

Now that you have your braces, how do you take care of them? It's important for you to know how to properly take care of your braces throughout your entire orthodontic treatment.

Eating with Braces

Don't worry, you'll be eating popcorn and snacking on potato chips again in no time! However, before you can start enjoying some of the treats you love, you will need to take special care to avoid any foods that could damage your new appliances.

Foods to avoid with braces:

• Chewy foods — bagels, licorice
• Crunchy foods — popcorn, chips, ice
• Sticky foods — caramel candies, chewing gum
• Hard foods — nuts, hard candies
• Foods that require biting into — corn on the cob, apples, carrots

Continue to enjoy these foods with braces:

• Dairy — soft cheese, pudding, milk-based drinks
• Breads — soft tortillas, pancakes, muffins without nuts
• Grains — pasta, soft cooked rice
• Meats/poultry — soft cooked chicken, meatballs, lunch meats
• Seafood — tuna, salmon, crab cakes
• Vegetables — mashed potatoes, steamed spinach, beans
• Fruits — applesauce, bananas, fruit juice
• Treats — ice cream without nuts, milkshakes, Jell-O, soft cake

Soreness Caused from Braces and Appliances

When you first get your braces, you may notice that your teeth and mouth feel a little tender or sore. This is perfectly normal, and we promise your mouth will not be sore forever! To relieve the pain, we recommend dissolving one teaspoon of salt in eight ounces of lukewarm water. Swish and gargle this solution in your mouth for just a couple of minutes (do not swallow the saltwater).

If the pain is more severe and does not go away after rinsing, you can also try taking a pain reliever. It is also not uncommon for your lips, cheeks, and tongue to become irritated for one to two weeks as they toughen and become use to the braces. We would be happy to give you some wax that you can put over the braces to lessen the tenderness. If you need some wax, please let us know.

Loose Teeth

If your teeth begin feeling a little loose, don't worry; this is normal! Your braces must first loosen your teeth to move them into the right position. Once your teeth have been repositioned, they will no longer be loose

Loose Wires and Bands

The wires and bands on your braces may come loose. If this happens, please contact us as soon as possible so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you.

You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.

Take Care of your Appliances

Damaged appliances can increase the length of your treatment process, so be sure to take care of all your appliances. Your teeth and jaw can only move into their correct positions if you consistently wear the rubber bands, headgear, retainer, or other appliances prescribed by your doctor.

Playing Sports with Braces

Game, Set, Match — we have great news for athletes! You can still play sports even while undergoing orthodontic treatment! If you do play sports, it's recommended that you wear a mouthguard to protect your teeth and your appliance. Let your doctor know if you need help finding the right mouthguard for the best protection.

In case of a sports emergency, be sure to immediately check your mouth and appliance for damage. If you notice any loose teeth or appliance damage, please contact our office right away. You can temporarily relieve the discomfort by applying wax or rinsing your mouth with warm saltwater.

Q22 What Emergency can Occur during my Orthodontic treatment & how to manage it ?

True orthodontic emergencies are very rare, but when they do occur we are available to to our patients. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you can identify what part is broken or out of place (See your care instructions) After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result to disruptions in your treatment plan.

• General Soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!

• Headgear

Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, the headgear may hurt less as it's worn more, so be sure you're getting in the prescribed number of hours.

• Loose Appliance
• Loose Bracket

If your appliance is poking you, place wax on the offending part of your appliance.
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

• Loose Wire

Using a tweezer, try to put your wire back into place. If doing this and using wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

• Poking Wire

Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

How do I schedule my next appointment?

Simply call our practice! Our Patient Care Specialists will be happy to help schedule your next appointment at your convenience. If you are a new patient or have been referred to our practice, please let us know and we will provide you with all of the information you need.

Adults Orthodontic

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