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A referral is not necessary. However, regular check-ups with your dentist are important before and during orthodontics.
A child should be assessed at 7 years of age for dental development, bite problems and jaw irregularities, e.g., impacted teeth, cross-bites, protruding upper teeth, prominent chin and thumb sucking habits. This provides the opportunity for early treatment which simplifies future treatment if required. Most children have comprehensive orthodontic treatment from 11 – 15 years of age. If there is any uncertainty, it is best to see an orthodontist earlier than later.
Adults certainly can have orthodontic treatment. They vary from minor alignments with clear braces or invisible aligners to more complex cases requiring a combination of orthodontics and jaw surgery.
They work in the same way. Clear braces are not as visible.
We use conventional metal braces with colours, clear braces, self-tightening (Damon) braces and internal (Lingual) braces.
A retainer is worn after braces are removed on completion of treatment. It can be fixed/bonded or removable, e.g., a plate. The suitability of each type of retainer needs to be assessed. A retainer guides teeth to settle into the ideal bite and maintains the teeth alignment. Lack of retainer wear can result in undesirable tooth movement.
They are both the most effective in tooth movement in the range of appliances today. Self-tightening braces have less friction and create quicker tooth movement. This reduces treatment time and visits for most patients. However, the suitability for each patient needs to be assessed.
The ideal age to start treatment again varies depending on the problem. E.G. Early treatment is usually 7 – 8 years of age. Comprehensive braces is usually 12 – 13 years of age.
Treatment duration varies according to type of treatment. E.G. Early treatment is usually 3 – 6 months. Comprehensive braces is usually 15 – 20 months.
Teeth can be slightly tender and feel bumpy for a short period, i.e., approximately three days after braces are adjusted or newly placed in the mouth.