New Patient Visit
At your first visit Dan will discuss your orthodontic problem and the treatment options that are available.
If you are ready to start treatment then Xrays, photographs and impressions for digital study models can be taken.These diagnostic records enable Dan to determine a suitable treatment plan. We will then discuss every aspect of your treatment plan and show you the appliances that would be used in treatment. Importantly, we discuss the risks and limitations of orthodontic treatment as part of the informed consent process. We also discuss the costs and payment options available. An information letter is provided to each new patient which includes a summary of the Orthodontists findings, the suggested treatment, information about the appliances to be used, a financial agreement and general information about orthodontics.
At your next visit your braces are fitted. Its that easy!
It is of prime importance that all teeth are free of decay, the gums are healthy and that teeth cleaning is effective before orthodontic treatment is started. It is wise to make an appointment with your dentist every six months during orthodontic treatment to check for any new decay or potential problems. At the end of your orthodontic treatment it is essential that you continue these regular visits.
Visit For Placement Of Fixed Braces
At this visit the braces are fitted. This visit will take about an hour. There is no pain or discomfort during this visit. The braces will initially feel quite bulky to your lips and cheeks but you soon become very used to this feeling. Any discomfort from the braces is usually within 12-24 hours after the braces are fitted. This is due to the fact that the teeth are not used to the light forces applied by the braces and sometimes become tender. You may want to take some pain relief during this period and you will need to eat a soft diet. The period of discomfort lasts only a few days.
Braces are usually adjusted every 6-8 weeks during the course of the treatment. It is important that you keep these appointments to ensure that treatment progresses as efficiently as possible. If you have to change an appointment please let us know as soon as possible so the delay in rescheduling you is not excessive. Please make sure every time you leave the Practice that you have a new appointment time.
Visit For Removal Of Fixed Braces
Once the active phase of treatment is completed the braces are removed and retainers fitted. This visit takes approximately 30 minutes. There is no pain involved in this process. The teeth are polished to remove any glue from their surfaces and then specially made retainers are fitted.
Post Removal Retention
Once the active phase of treatment is completed the braces are removed and retainers fitted. Retainers may include removable plates and fixed wires. These retainers are designed to maintain the corrected “occlusion” while the surrounding bone and soft tissues adapt to the new tooth positions. Initially these are worn every night. When the teeth have become fairly stable the retainers need to be worn every second night for at least a further 12 months. The position of the wisdom teeth will be assessed prior to ceasing retainer wear, and their extraction recommended if they appear impacted. It is extremely important that retainers are worn as directed to prevent any relapse of the original orthodontic problem while the teeth are stabilizing.
Please note: There will be an additional fee for remaking lost or broken retainers.
Long Term Changes
The fact that you have completed orthodontic treatment does not ensure a lifetime of perfectly straight teeth. Once the retainers have been discarded the teeth will be as stable as can be expected. Any minor changes after that time are due to natural maturing and ageing processes which occur regardless of any previous history of orthodontic treatment.
Missing Out On School Or Work
Unfortunately it is almost impossible to undertake a full course of orthodontic treatment without missing some school or work. The majority of adjustment visits are scheduled so that as many patients as possible can be seen before or after school hours. This means however that longer visits, when required, will be scheduled during the day.
Arriving Late For Appointments
If a patient arrives late for an appointment, and we see them, then we are likely to run behind for all subsequent patients. This is unfair to other patients who arrive on time. To prevent this occurring please be on time for your appointment. If you are late we may have to reschedule your appointment.
Missing An Appointment
If a patient misses or forgets an appointment we will post you a letter to reschedule your next visit. These rescheduled appointments are usually made during working/school hours because of our limited free after school times.
If part of your brace becomes loose, broken or lost please call us as soon as the damage is noticed. We can reorganize your appointment so we have sufficient time to correct the problem with as little inconvenience to everyone as possible. Please do not expect us to find extra time to repair damage during your normal adjustment visit or to repair your brace when you do not have an appointment arranged as this will cause us to run late for other patients. Specific times during the week in school/working hours are set aside for those patients who have experienced damage to their braces.
Please note: Excessive breakages may incur additional costs which will be billed at the completion of the active treatment.
After Hours Emergencies
If you experience damage to the braces outside work hours and are in discomfort please telephone the practice. Our telephone answering system will inform you who to contact. Otherwise telephone the practice Monday morning so we can arrange to repair the damage.