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Frequently Asked Questions

What kind of retainer will I have?

At Smile Design Orthodontics we use removable overlay retainers (like a very thin, clear mouthguard), and fixed retainers which are a flat ribbon-shaped wire bonded behind the six front teeth. The type of retainer, or combination of retainers, will depend on your individual circumstances such as your pre-treatment malocclusion (orthodontic problem) and even personal preference. Both upper and lower teeth require retention – everything about us will change as we get older, including our teeth unless we retain them.

How do I take care of my teeth and braces?

The most important care for your teeth, particularly when braces are fitted, is regular, thorough brushing. Ideally you should brush after each meal and snack, which realistically is not always possible. So at least brush three times every day – after breakfast, after lunch or when you get home in the afternoon/evening and after dinner. You will be given instruction on brushing when braces are fitted, we monitor oral hygiene at every appointment and we will assist with further instruction if oral hygiene problems arise during your treatment. Vigorous rinsing and gently chewing sugar-free gum can at least reduce food residue from braces when brushing is not accessible but won’t substitute for thorough brushing.

What happens if a bracket is broken off?

Take care when eating so you avoid breakages which can cause discomfort and slow treatment progress. If a breakage occurs, please phone to let us know the nature of the problem so that we can schedule the appropriate time to repair your braces. This also applies for broken or bent wires. We avoid repairing braces during the busy (short appointments) after-school sessions.

Is there anything I can’t eat?

There is very little restriction on diet other than avoiding hard, crunchy foods such as nuts, hard biscuits, raw carrots and avoid crunching ice. Also avoid altogether any sticky hard lollies such as minties, fantails, toffees and some muesli bars are too sticky and hard. We can’t give you a list that would cover everything, it’s more a matter of common sense and being aware to take care of your braces.

Does it hurt to eat with braces?

Your teeth will not be sore during or immediately after placement of braces and you can eat right after that appointment. However, some teeth will become tender when biting or chewing as the teeth respond to the light pressure of the braces and start to align. This initial discomfort lasts only for the first few days, sometimes a week, when eating softer foods for comfort is advisable. Anti-inflammatory pain relief tablets, taken as directed, can also help. Although your teeth are tender for the first few days following commencement of treatment and sometimes after adjustents, they continue aligning progressively over the duration of treatment.

Will braces cause ulcers in my mouth?

We are highly focussed on making your entire experience at Smile Design Orthodontics as comfortable and enjoyable as possible, which includes using particular braces and the appliances we design specifically for your treatment to achieve the very best result with minimum discomfort and mouth irritation. Although we intentionally choose to use braces that are small yet functionally efficient to achieve optimum results, mouth ulcers are not common but can be relieved using the orthodontic wax we provide as your mouth adjusts during the first few days of treatment.

Will I still be able to talk when I have braces?

Although at first it may seem otherwise, braces do not interfere with speech. Some appliances used in conjunction with braces, particularly expanders, will initially feel awkward when speaking and swallowing but your tongue will adapt after a short period of time.

Do braces hurt?

Placement of braces is usually a painless procedure – the braces are bonded to the surface of your teeth, no drilling or injections. You can eat straight after placement of braces, however later that same day your teeth may become tender as they start to move which can last a few days, but is easily managed by eating softer foods, chewing sugar free gum or by taking over the counter pain relief tablets (please follow directions carefully).

Will I need to have teeth removed?

At Smile Design Orthodontics we are philosophically committed to avoiding removal of teeth, although in rare cases there can be exceptions. We can explain in detail how our treatment techniques and timing of orthodontic treatment will avoid removal of teeth.

How often do I need to have my braces adjusted?

Adjustment intervals following placement of braces can vary from 4 to 6 weeks for repeated procedures involved in space closure and eruption of impacted teeth, to longer 8 to 10 week intervals for routine procedures such as wire changes. The latest wire and bracket technologies that we use at Smile Design Orthodontics allow fewer adjustments and greater comfort while achieving optimum results over shorter treatment times.

Are there any alternatives to wearing braces?

At Smile Design Orthodontics we not only offer alternative treatment to braces, we also offer different types of braces to suit your individual needs and preferences. We have extensive experience treating orthodontic problems using Invisalign as an alternative to braces. Our hi-tech braces include Clear (tooth coloured) braces, Damon self-ligating braces, and Harmony self-ligating lingual braces which are custom made to fit on the inside of your teeth. We also use combination techniques where both Invisalign and braces are used during the same treatment process to take advantage of the best features of both appliances.

How much does orthodontic treatment cost?

There are several factors that determine the cost of orthodontic treatment including whether one or both arches are involved, the estimated treatment duration and the appliances used which can also involve the type of braces. Your Treatment Co-ordinator will provide you with an itemised written quotation at the initial consultation for any proposed treatment. Payments can be made by initial instalment followed by monthly payments over the course of treatment and will cover all aspects of your treatment including post-treatment retention supervision. If you are in a private health fund you will be able to claim rebate entitlements and because Smile Design Orthodontics is a specialist orthodontic practice, your rebates will be paid to you at your highest possible rate which can vary according to conditions specified by your health fund.

How long will Orthodontic treatment take?

Treatment duration depends on many variables, particularly severity of the orthodontic problem, your particular treatment priorities, compliance and care for appliances. Although only an estimate, we will be able to give you a reasonable indication of treatment duration.

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After

Crowding

Crowding is a common orthodontic problem that compromises appearance, confidence and oral health. Difficulty cleaning crowded teeth can lead to gum disease (periodontal disease), resulting in gum recession, reduced bone support of the teeth and loss of teeth.

 

 

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Protudeed Theeth BeforeBefore Protudeed Theeth AfterAfter

Protruded Teeth

Protruded teeth (excessive overjet) are vulnerable to trauma and often associated with excessive gum display when smiling and talking. Speech is usually adversely affected and protrusion will also prevent the lips resting together, resulting in habitual mouth breathing, snoring and restless sleep.

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Anterior Crossbite Before TreatmentBefore Anterior Crossbite After TreatmentAfter

Anterior Cross Bite

Normally the upper teeth bite closely against the outer surface of the corresponding lower teeth. Anterior cross bite is where the upper front teeth bite inside the lower front teeth which can result in worn teeth and gum recession if in close contact, or loss of chewing function, compromised appearance and speech problems if there is a gap with the lower front teeth forward of the upper teeth.

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Before After

Cross Bite

The side and back teeth (premolars and molars) can also be in cross bite affecting only one side, often associated with deviation of the lower jaw when biting together, or affecting both sides. These cross bites are usually due to a narrow upper jaw, sometimes associated with compromised nasal breathing, snoring and sleep apnoea.

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Before After

Open Bite

An open bite is where some teeth don’t contact when unaffected teeth are biting together. Most open bite problems affect the front teeth and can be due to simple causes such as finger or thumb sucking habits, or more complex causes such as habitual mouth breathing due to nasal airway/allergy problems resulting in vertical (downward) lower jaw growth. Open bite affecting the side teeth can be due to abnormal tongue posture and function or ankylosed teeth (teeth fused to supporting bone).

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Deep Bite Before TreatmentBefore Deep Bite After TreatmentAfter

Deep Bite

A deep over bite is where there is too much overlap of the upper front teeth over the lower front teeth when biting together. A deep bite will cause excessive wear of the front teeth and can result in palatal impingement of the lower front teeth where they bite into the gum behind the upper front teeth. Deep bites can also result in jaw joint (TMJ) problems such as muscle pain, TMJ pain, headaches, clicking and locking.

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Before After

Missing Teeth

Teeth are sometimes missing from birth (congenitally missing) or lost because of gum disease or decay. With orthodontic treatment we can either close space where teeth are missing, sometimes with the assistance of TADs (temporary implant anchorage), or alternatively, space can be co-ordinated for replacement teeth, usually involving dental implants.

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Before After

Cleft Palate Patients

We have extensive experience treating cleft palate patients including early orthodontic treatment prior to bone graft surgery.

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Before After

Surgery/Orthodontic treatment

Some bite discrepancies are due to an imbalance between upper and lower jaw development or position, particularly severe overjet, open bite and cross bite, that can’t be satisfactorily corrected by orthodontic treatment alone. For these more severe malocclusions we co-ordinate orthodontic treatment with orthognathic (jaw) surgery in conjunction with our Maxillo-Facial Surgery colleagues.

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Before

After

Crowding

Crowding is a common orthodontic problem that compromises appearance, confidence and oral health. Difficulty cleaning crowded teeth can lead to gum disease (periodontal disease), resulting in gum recession, reduced bone support of the teeth and loss of teeth.

 

 

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