The name orthodontic comes from 2 Greek words orthos- straight and odous- tooth. Modern orthodontic surgery not only deals with teeth straightening but also with: examination of child chew apparatus in the growth and development phase, morphological and dynamical prevention of chew apparatus dysfunction, children and adults chew apparatus dysfunctions treatment.

What is orthodontic treatment?

Orthodontic treatment deals with correct teeth positioning in the arc and with achieving the right contact between the superior and inferior teeth. In recent years orthodontic surgery evolved very rapidly and now it can treat more complicated cases.


Orthodontic treatment and patient's age:


There is no certain age group in which the treatment can be performed. Commonly paediatrician does the dentition assessment when a child is 2 years old and has total milk dentition. An Orthodontist typically sees a patient when he is 8-12 years old. Modern techniques enable to successfully treat adults as well. Elderly patients also may become an orthodontist patient as sometimes its necessary to improve the occlusion before using prosthetic treatment. The first Orthodontic visit should be at the age 6-7. The doctor assess if the small patient teeth develops correctly, if there are any occlusion dysfunctions or their possibility in the future. Nowadays is very unlikely to begin treatment is such early age, but it's very important to control the occlusion, and the eventual prevention of any dysfunctions. If there aren't any dysfunctions it's a good idea to come with a child when he has complete secondary teeth - that is approximately in the age 11-13. This is the perfect time to begin the treatment as during this time most of the imperfections correct rapidly and permanently.

Nowadays we use 2 types of apparatus: movable and fixed.

The treatment of the fixed devices consists of: gluing special attachments onto the teeth onto which active arcs are put. They are used to correct the teeth position. Contrary to common saying they can be used nearly at all age. Special kinds of devices are put on milk, mixed and permanent dentition; nowadays adults are treated more often because of their dental imperfections. It's not rare that the correct prosthetic filling follows an earlier orthodontic correction. The orthodontic treatment is also necessary during the treatment of the chronic paradental inflammations (so-called paradentitis).


Orthodontic myths:

There are many myths concerning the use of fixed devices in the orthodontic therapy. Firstly there is the worry about decay. In reality we encounter decay far less common in patients using fix apparatus than in normal patients. It has to be connected with the fact that the patients come to a check-up once a month and are under constant supervision of the Orthodontist; moreover the fix devices require absolute hygiene of oral cavity. Often patients get all the knowledge about the right brushing techniques only after listening to the advices during our consultations.
Secondly there is a worry about the enamel damage during the apparatus fixation and removal. It's not a problem. The locks are glued to the tooth surface with a special glue. The usage of this glue doesn't require damaging the enamel and after the device removal the teeth are cleaned and polished in such a way that there is not even a single visible sign after it.

The treatment can be performed only in children and teenagers in the so-called development age.
It's not true. Surely we prefer younger patients as their age gives the advantage of more possibilities, the treatment is more complete and often shorter, but it's not the deciding factor. Most of the positioning deficits of the teeth can be corrected in any age. More problematic are serious occlusion deficiencies but even here we can often offer some kind of a solution. More often elderly people are becoming our patients as to prepare for the prosthesis therapy or having the periodontal problems.

The usage of the fixed devices requires teeth extraction. Nothing more absurd. The indications for the extraction are the same as for the movable devices but the opportunities to close the gaps and the right teeth position are greater. Older methods gave more indications for the teeth removal but modern orthodontics enables to treat most of the cases without teeth removal. In the recent years many modern techniques have become available enabling e.g. furthering (moving posterior) the teeth, which mostly prevents extraction.

When should I consult the Orthodontist for the first time?

The first consultation should take place in the age 6-7 when the first secondary teeth come. Some of the occlusion imperfections can be corrected most easily and rapidly at this age. Most children requiring treatment are put on an observation and the treatment itself is done later (e.g. when all the secondary teeth are present). The right time for the beginning of the treatment is decided together by the patient (or patient's parents) and the doctor.

Is there an age limit for wearing the orthodontic device?

It's never too late. It's just that when the patient is older the treatment may take longer, as the teeth travel slower in the jaw.

How long does the treatment last?

The average period takes 1.5-2 years and it depends on the bite deformality, age and the patient cooperation with all the requirements during treatment and also with the physiological properties of the jaw bones.

Is the treatment of an adult more difficult or easier?

The answer is -easier and more difficult. Easier because an adult mostly cooperate with the doctor which can shorten the treatment. More difficult as the bones are less 'elastic' and the teeth move less rapidly.

What can You do to make the device least visible?

Ideal solution is the usage of ceramic locks most often chosen by adults

Does the device fixation is painful?

The fixation itself is painless. But for the first few days some teeth can be sensitive to the bite or pressing. This phenomenon passes after 7-14 days and it can be countered by the typical anti-inflammatory drugs e.g. paracetamol, ibuprofen.

Does the fixed devices inhibit speech?

No, only those devices that reside on the inside teeth surface or on the palatine can inhibit speech.

Does the permanent device damages enamel?

No.

I have curve teeth only in the superior part of a jaw - must I use both apparatus?

Mostly yes and it's because of 2 reasons. Firstly during the treatment we use so-called interaxillary tracks (that is rubber going from the superior to the inferior teeth) that are necessary for the correct treatment. If there is only one device present the tracks cannot be used. Secondly during the treatment the upper and lower teeth are being positioned - if You cannot manoeuvre the position of both the upper and lower teeth than making the ideal occlusion at the end is impossible.

Are there any oral cavity diseases when the orthodontic treatment is contraindicated?

A disease that can make the treatment more difficult (or make it impossible) is paradontosis. Each case should be treated individually as in some particular cases an orthodontic device is almost necessary during the treatment of paradentitis.
 

Complex treatment combined with staying in Three City: offer is aimed to foreign patients.

The main objective of the offer is :

Because of the intense interest shown by patients coming from abroad to our Clinic offerings we have develop a treatment program that gives You following advantages.
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