Orthodontics can be for both children, and adults of all ages.
It is important for parents to bring their children in for regular dental check ups from a young age.
During the regular check up, we can also monitor the progress of the orthodontic alignment.
If your child is deemed to have an orthodontic problem, and warrants further investigation, then a detailed case diagnosis may be performed.
This includes taking records like:
Plaster Moulds of Teeth.
The records are used to analyse the case, and formulate a treatment plan.
The Value of Early Interceptive Treatment
Often, early non-invasive interceptive orthodontic treatment can help to prevent invasive orthodontic extractions, and very invasive orthognathic surgery later in life.
Non-invasive early interceptive orthodontic treatment can include:
Anti-thumb Sucking Guards
Functional Appliances eg Twin Block Appliances
Rapid Maxillary Expansion Appliances.
These come in many different designs, including unilateral, or bilateral as show here.
With premature loss of baby teeth, it is necessary to preserve the space available, so that in later years sufficient space remains to allow the permanent teeth to erupt - otherwise crowding may occur.
Headgear & Reverse Headgear
Headgear is used in children who have a very large upper jaw, esp as a result of thumb sucking causing teeth to stick out etc.
Reverse headgear is used in children with a short upper jaw, or with an oversized lower jaw.
Do ask us for more details, and to view photographs.
Twin Block Appliances
Twin block appliances are used to treat children who have a small lower jaw.
These are removable two-piece upper and lower appliances that can only be used in young children to literally "grow" the lower jaw.
Rapid Maxillary Expansion Appliances
These appliances come in various designs.
The patient is given a pen-sized wrench to do 1/4 turn per day.
This rapidly widens the upper arch.
Before rapid maxillary expansion.
After rapid maxillary expansion.
Braces at deband [after removal].
A beautiful finish.
In certain situations, if there is crowding and a shortage of space, space can be provided by interdental stripping, where 0.25 mm of enamel can be removed from the side contact surfaces of the front teeth to provide up to 3.0 mm in space per arch.
Interdental stripping can also reduce unsightly triangular spaces in between teeth.
As a last resort, some orthodontic cases require the removal of teeth. The four (4) photographs above show before and after the removal of teeth with orthodontic treatment.
A beautiful finish.
Impacted Teeth Retrieval (esp canines)
After x months
After removal of braces.
The five (5) photos above illustrate the retrieval of impacted teeth.
We can perform surgical exposure, with "gold chain traction" of the impacted tooth, under your choice of: local anaesthetic, nitrous oxide sedation, or general anaesthetic.
We also perform orthodontic retrieval and alignment of such teeth using fixed appliances.
Both the braces, and the impacted tooth retrieval surgery are performed "in-house" for your convenience, rather than referred to another operator.
Under certain circumstances, implants are used as "anchors" to assist in orthodontic treatment.
Corticotomy & Orthognathic Surgery
Certain orthodontic cases, especially large discrepancies between the upper and lower jaw bones - may require minor or major surgical assistance.
Damon is a type of orthodontic bracket that uses a clip "gate" to secure the orthodontic archwire in place, rather than tie-wires or clear/grey/coloured elastic o-rings.
It is similar to comparing shoes with laces, versus shoes with an elastic "slip-on" or a velcrose fastener.
Scientific studies show that Damon-type brackets with a clip gate deliver faster chairside time for the dentist/orthodontist to fasten the main orthodontic archwire, over the tie-wire or clear/grey/coloured elastic o-rings.
For example, it is faster to wear a slip-on shoe or a shoe with velcrose fasteners, than it is to wear a shoe with shoe laces; however the shoes with laces are tighter and more secure fit, thus preferred for sports and competition use.
Despite the marketing hype, scientific studies show that Damon-type brackets have no clinical benefit for the patient, neither in overall treatment speed, nor in a straighter finish.
Damon braces are available.
Normally, we use IP Individual Prescription appliances which are clinically superior because they are customised [tailor made] to each patient.
IP appliances also have a patented trapezoidal cross-section to over-correct the teeth by 4, 6, or 8 degrees to overcome the natural inefficiencies inherent in conventional/Damon braces which use the conventional rectangular cross-section.
The 4 to 8 degrees of over-correction helps to speed up the treatment, and prevent relapse [where the teeth return to their original crooked position].
Ceramic orthodontic brackets are available to give an almost invisible appearance, especially from a distance of 1 metre onwards.
Ceramic orthodontic brackets are especially popular for adult orthodontics.
We are an accredited Invisalign provider, for those patients who prefer straighter teeth, without the need to wear conventional braces.