Do you have a question? Call us or write: +48 22 660 38 00 recepcja@odent.pl

Orthodontics

Our Centre provides orthodontic treatment to children, teenagers and adults. We offer fixed and removable appliances. See our specialists for an orthodontic consultation.

aparat ortodontyczny gumki

Orthodontics is our field of expertise. We specialise in prevention and treatment of malocclusion as well as in therapy of difficult orthognathic defects and clefts. Our Centre provides therapy to all patients – children, teenagers and adults.

 

If you find your teeth to be misaligned, overlapping, excessively advanced or retruded, you have a problem with flossing as your teeth are too crowded, you find it difficult to pronounce some sounds, you or your child lisp, make an appointment for an orthodontic consultation.

 

During the first appointment, the doctor will:
  • take an impression of your teeth to make orthognathic casts,
  • take X-rays: cephalometric and panoramic images,
  • take digital intraoral and extraoral photographs.

 

Orthodontic therapy

Based on the casts and images, the doctor will prepare the plan of the orthodontic treatment and propose an appliance best-suited to your occlusal defect. Fitting of an orthodontic appliance is a painless procedure. For 2 or 3 days after placement, you may feel discomfort and slight pain caused by the pull on the teeth – this is completely natural. A therapy with a fixed appliance usually takes about 2 years, yet its precise duration depends on the type and severity of defect. Throughout the orthodontic treatment, you should pay check-up visits every 4 to 6 weeks. Once the fixed appliance has been removed, the doctor will provide you with a retention appliance in order to sustain the effects of the completed orthodontic treatment.

A fixed orthodontic appliance is composed of four elements:

Orthodontic brackets
are metal, porcelain or crystal elements bonded to the teeth, holding in place an active archwire which applies force to the teeth.

Orthodontic bands

are cemented on molars in order to hold the orthodontic archwire or extraoral headgear (if needed).

dev_ortodoncja_zamki_3

Orthodontic archwire

 can be made of nickel and titanium, steel, molybdenum. There are also white-coating versions, providing an excellent aesthetic effect with porcelain or sapphire brackets.

dev_ortodoncja_zamki_4

Orthodontic ligatures

 the so-called elastic rubber bands, are put on brackets. They come in a variety of fashionable colours. Sometimes metal ligatures are used.

Stages of the orthodontic treatment:

 

  • Orthodontic consultation is provided: review of the patient’s medical history, dental check-up, examination of the occlusion (if there is any tooth decay, the patient will be referred to a dentist to cure the decay before the orthodontic therapy commences).
  • X-ray images are taken (panoramic and cephalometric radiographs, in some cases a CT scan as well).
  • Teeth impression is taken in order to produce plaster casts and digital 3D casts.
  • Intraoral (teeth) and extraoral (face, facial profile) photos are taken before the therapy.
  • The doctor presents the treatment plan and estimates its approximate duration (1.5-2 years).
  • The therapy starts – the orthodontic appliance is fitted.
  • In the case of a fixed appliance, a follow-up visit should be made every 4-6 weeks: replacement of the archwire (metal, white) every 2-3 months.
  • The appliance is removed and retention treatment starts (the time of the retention treatment depends on the type of malocclusion).

Orthodontic treatment may involve the use of various fixed appliances, e.g.:

Fixed appliances with
crystal brackets

Brackets are made of transparent crystal and hold a white archwire, which, together with transparent ligatures (bands) make the appliance almost invisible.

Fixed appliances with
porcelain brackets

Brackets are made of milk-coloured porcelain. We also offer a white archwire and transparent ligatures (bands) to make the appliance as invisible as possible.

Fixed appliances with
metal brackets

Brackets and archwire are made of metal and ligatures (bands) are available in multiple colours.

Fixed appliances for
allergic patients

To persons allergic to metals, i.e. nickel, lead etc., we offer fixed appliances made of titanium.

Maintenance of fixed orthodontic appliances:

 

Recommendations after placement of the appliance

  • Toothache may occur during 2 to 4 days after placement of the fixed appliance, especially when biting. Therefore, it is recommended to eat mainly liquid foodstuffs as well as to take generally accessible painkillers, e.g. Panadol, Ibuprom.
  • The buccal mucosa and lips will be exposed to injuries (abrasion and slight cuts) during the first days until you get used to the presence of the fixed appliance in your oral cavity. The inconvenience may be alleviated by applying prophy toothpaste or orthodontic wax onto the irritated spots.

 

Cleaning the teeth
Maintaining proper oral hygiene when wearing a fixed appliance may be difficult and time-consuming at the beginning. A fixed appliance installed in your mouth may intensify formation of dental plaque and calculus build-ups as the very structure of the appliance makes it difficult to properly brush the teeth. Therefore, at first, it requires more time and effort to thoroughly clean all the dental surfaces and elements of the appliance.

  • After fitting of the orthodontic appliance, it is recommended to brush the teeth three or four times a day, after every meal, as well as to rinse your mouth after all snacks.
  • It is also advisable to have your teeth professionally cleaned by means of the ultrasound and sand-blasting, as well as to avail of the fluoride treatment in a specialist orthodontic surgery.

 

You may also use special accessories to clean places with difficult access: 

2015-10-26

  • orthodontic toothbrush with a groove in the middle, specially designed to clean the entire surface of a tooth and external part of a bracket,
  • electric toothbrush with a special tip to clean teeth to which a fixed appliance has been bonded,
  • toothpaste with an increased fluoride content,
  • spiral and interdental brushes (single-tuft) of various sizes,
  • superfloss with a threader, which allows you to put the stiffened end through the interdental space over the archwire,
  • mouthwash with an antibacterial effect,
  • dental water jet to remove plaque from interdental spaces.

Persons wearing a fixed appliance should remember to clean their teeth and the appliance several times a day (especially after eating). They should avoid eating sweet and sticky food which may damage the appliance and increase the risk of dental caries. If you wear a fixed appliance, you should get a handy cleaning kit (dental brush, spiral brush and tooth paste) to clean your teeth and appliance after every meal, wherever you are, at school or at work.

Do you have a question? Ask specialists!

Contact

Dietary guidelines

While wearing a fixed appliance it is not recommended to eat sticky foodstuffs, especially sweets, e.g. fudge. You should also reduce the amount of hard foodstuffs which may damage the appliance by, among others, removing a band.

Chewing gum is also inadvisable.

Dislodged bracket

If a bracket or a band has been dislodged, loose elements will not fall out from your mouth as they have been fitted to the archwire with special ligatures. However, they may move and shift slightly, which will cause discomfort. In such a case, see your orthodontist without delay.

Sport

An orthodontic appliance may be dangerous when doing some of the sports, such as riding on a mountain bike, skateboarding, or practising various types of martial arts. It is recommended to use protective splints.

 

 

Benefits of the orthodontic therapy:

 

 

  • The aesthetics of the smile is enhanced thanks to straight and beautiful teeth.
  • The facial features are improved.
  • Speech disorders are corrected.
  • Reduced crowding and correct alignment of the teeth makes the patient is less susceptible to periodontal diseases and dental caries.
  • The dental arch is expanded and provides better support for soft tissues, which slows down the formation of wrinkles and makes the nasolabial folds shallower.
  • The teeth are straightened, excessive tooth wear is eliminated and the chewing function improves.
  • The therapy allows to achieve the correct occlusion and eliminate disorders in functioning of the temporomandibular joints.
  • In the case of seniors, orthodontic therapy combined with the implant and prosthetic treatment provides the effect of healthy and well-maintained teeth and ensures a younger look.

FAQs:

1. How long do I have to wear an orthodontic appliance?
The duration of the therapy depends on the severity of the defect, but it usually takes from 1.5 to 2 years.
2. Do I have to take extra care of my teeth while wearing an orthodontic appliance?
Yes. You should brush them thoroughly and use floss to clean interdental spaces. Producers offer numerous items dedicated for patients with orthodontic appliances, i.e. toothpaste with increased fluoride content, dental floss, orthodontic toothbrushes with special shape and single-tuft brushes.
3. Does an orthodontic appliance increase the risk of dental caries?
Unfortunately, yes, it does. Hence a thorough cleaning of the teeth after every meal is so essential – during an orthodontic therapy, a dental cleaning kit is indispensable in daily oral hygiene. Food residues, if left on the elements of the appliance, stimulate the development of plaque on dental surfaces.
4. I’ve heard that a patient feels toothache after fitting of an appliance, the gums and cheeks inside are injured, is it true?
Pain sensation depends on the pain threshold of every patient. Some patients feel pain for a few days and have to take painkillers, others do not feel anything. Every patient is different, but if pain occurs, it usually passes after a few days. The same applies to cheeks and lips inside your mouth – they need time to get used to the orthodontic appliance. During the first appointment, we provide our patients with orthodontic wax to apply over the appliance in places where it irritates the buccal mucous membrane. Patients also receive detailed instructions how to deal with the appliance.
5. Can I eat hard foodstuffs while wearing an orthodontic appliance?
You can eat normally during the orthodontic therapy, i.e. eat what you used to eat before, you should, however, avoid “biting into” hard foodstuffs, e.g. apple – cut it into pieces and then eat, do not take bites of an apple. We recommend avoiding such hard foodstuffs as hazel nuts, walnuts, almonds and hard sweets, as well as sticky foodstuffs which may adhere to the elements of a fixed appliance, i.e. toffee, fudge, honey etc.
6. Gaps appeared between my teeth while wearing an orthodontic appliance. Do I have to worry about it?
Gaps may appear between the teeth during the therapy and this is a part of the treatment. Teeth move as intended during specific stages of the therapy, hence the gaps – smaller or bigger. At the end of the therapy the teeth will be on their proper places, well-aligned and without any gaps.
Orthodontic consultation PLN 150-200
Follow-up visit (fixed appliance) PLN 750-800
Metal fixed appliance (one arch) PLN 2000
Porcelain fixed appliance (one arch) PLN 2500
Crystal-clear (sapphire) fixed appliance (one arch) PLN 2700

Scheduled an appointment

For more specific information about our services, please contact the reception desk or fill in the form below – we will contact you. Filling in the contact form does not mean that you have scheduled an appointment.

Schedule an appointment