Is there parking?
There is plenty of free parking on both sides of the street outside the practice.
How long does an assessment take?
it usually takes about 20 minutes and will include a discussion on what treatment is best for you or your child.
How long does it take to put a fixed brace on?
it takes about 1/2 an hour to put the brace on and then you are given information on how to keep the brace clean and intact. Patients are given a pack of interdental brushes and a small box of relief wax which some patients use until the mouth gets used to the appliance.
What can’t I eat/do with a fixed brace on?
You need to cut out fizzy drinks and reduce sugary food intake to reduce the chances of getting marks on the teeth around the the brace. The difficulty is that these marks are often hidden so it’s important to get into good habits before the brace goes on. It is very important to use interdental brushes to clean under the wire as well as your normal thorough toothbrushing.
It’s important to keep the brace intact, so you need to remove certain hard foods from the diet – crusty rolls, pizza crusts, crunchy cereals and popcorn are the most common foods that cause damage. Obviously hard sweets and toffees are out too! If in doubt, cut food into smaller pieces for eating.
I have ceramic brackets on my upper teeth, will these discolour during treatment?
No they won’t, we use a top quality self-ligating ceramic bracket. The self-liagting part means that it doesn’t need a small rubber tie to keep the wire in the bracket – it’s the rubber tie that is clear when it goes on, but is discoloured by some food dyes.
I’ve broken my brace, is this an emergency?
No, it’s not a big problem unless something is digging into your gum or cheek. Phone the practice and we will let you know if you need to come in sooner or if it can wait until your next appointment.
Is there any pain getting a fixed brace on?
No, a special gel is put on the teeth and they are simply washed and dried before placing the brackets on the teeth. A day or two after the brace goes on, some patients experience a dull ache as the teeth get ready to move. There isn’t much that can be done about this other than take some paracetomol and it usually passes after 2 or 3 days. For the majority of patients it’s quite mild but sometimes a softer diet is needed.
What’s the average treatment time?
Treatments usually last 18 months to 2 years, occasionally patients can finish treatment sooner as teeth don’t all move at the same rate. If you needed teeth out as part of your plan, your treatment will usually last at least 18 months. Treatment for some growing patients who need a functional brace followed by a fixed brace will typically last 2 years.
I’ll soon be finishing treatment, what happens when the brace comes off?
You will be a given a date to take the brace off and you need to come to the practice twice on that day – an early appointment to take the brace off and a later appointment to have removable retainers fitted. You will also have photographs taken at the end of treatment.
How long do I wear retainers for?
Retainers are full-time wear for 3 months and then nights only for another 15 months. This is the minimum 18 month retainer wear following treatment. We know that some people are more prone than others to having their teeth move if they stop wearing retainers, so it’s ideal to continue wearing them on alternate nights going to bed on a long-term basis. Long term can be as long as you want to be sure the teeth stay straight. If at some point, you stop wearing retainers completely the teeth can move.
Do I need a bonded/fixed retainer as well as removable retainers?
A bonded retainer is a thin bar bonded behind upper and lower front teeth. Some patients benefit from having a bonded retainer as their pre-treatment situation meant that they are more likely to be prone to relapse or unwanted movement of teeth after treatment. Spacing of upper teeth that has been closed or very twisted/rotated teeth that have been straightened are examples of this.
Bonded retainers do not remove the need to comply with wear of the removable retainers which you will also be given. Bonded retainers can sometimes break and need to be carefully maintained. At Oriel Orthodontics we usually reserve bonded retainers for those patients who stand to gain most clinical benefit from them. Your orthodontist will discuss with you what is best for your case.