what is orthodontics?

Orthodontics is that branch of dentistry that specialises in the diagnosis, prevention and treatment of problems in the alignment of teeth and jaws. Common problems encountered include crooked or crowded teeth, protruding or “bucky” teeth and incorrect jaw development. The technical term for these problems is malocclusion, which literally means bad bite. Orthodontic treatment involves the design and use of corrective appliances (such as braces, plates, and functional appliances) to bring the teeth and jaws into proper alignment.

what’s the difference between a dentist and an orthodontist?

An orthodontist is a dentist who has completed a 3-year full time university master’s training program that enables them to specialise in the area of orthodontics. Orthodontists do not generally perform general dental treatments such as fillings, extractions, crowns or tooth whitening.

what's the right age for orthodontic treatment?

The American Association of Orthodontists recommends that children receive a specialist orthodontic examination at age 7 if a parent or the family dentist discovers a problem. The timing of orthodontic treatment is extremely important and greatly affects the treatment result. Since no two patients are alike, there is no specific age that is best to begin treatment. Treating children during their growth stages allows orthodontists to achieve results that may not be possible when face and jaw bones have fully developed.

This early treatment can prevent more serious problems from developing and simplify future care. Typically, full treatment with braces is started when all the permanent teeth have erupted – usually between the ages of 10 and 13. In some cases, it is an advantage to start just before the last baby teeth are shed.

In the past, orthodontic treatment was generally restricted to children. However, the basic process involved in moving teeth is the same at any age and orthodontic treatment is also successful for adults.

why have orthodontic treatment?

Aside from the obvious improvements in smile aesthetics and self-esteem, orthodontic treatment can also lead to improvements in oral health and function. Orthodontic treatment will:

• Create beautiful looking teeth and an attractive smile
• Contribute greatly to facial aesthetics
• Enhance your self confidence
• Reduce the risk of tooth decay and gum disease by improving “cleanability”
• Decrease the risk of irregular or excessive tooth wear
• Help establish normal oral function related to chewing, breathing and speech
• Decrease the risk of dental trauma (accidental chipped, broken or lost teeth)
• Correct improper jaw relationships and reduce stress on the facial muscles and jaw joints

do I need a referral?

No, but it is recommended you see your general dentist for a general check-up beforehand.

what happens at your first visit?

Each individual’s orthodontic needs are different and deserve personalised attention. Your initial visit is an opportunity for us to get to know you and to help determine your orthodontic goals.

At your first visit, Dr Holmes will give you (or your child) a comprehensive orthodontic examination. This entails looking at your teeth and jaws, and how they fit together. An assessment will also be made of gum health, oral hygiene and facial symmetry. Dr Holmes will then review his findings with you and give advice on the treatment options available, when treatment should commence, the expected duration of treatment, and the approximate cost.

what happens next?

If it is determined that orthodontic treatment is necessary, arrangements will then be made for the taking of pre-treatment diagnostic records (Dental Casts, Photographs and X-rays). These records provide essential information for diagnosis and treatment planning. A subsequent consultation appointment can then be arranged to discuss the findings of these records, present a detailed treatment proposal and outline the financial aspects of the proposed treatment.

Each individual case presents unique challenges, with unique opportunities to achieve a beautiful and functional smile. That is why we take the time to fully diagnose and explain the details of our findings before starting any recommended treatment.

when can I start treatment?

Once you are comfortable with the proposed treatment plan and treatment objectives then you are ready to proceed into orthodontic treatment. Treatment times vary significantly depending on age, the severity of the initial problem, type of orthodontic appliances used and patient compliance. Comprehensive orthodontic treatment typically lasts between 1 1/2 and 2 years with appointments scheduled every 4-8 weeks. Once treatment is completed, retainers are worn to maintain the results.

will I need teeth extracted?

We believe in non-extraction treatment whenever possible. With this goal in mind, we stress the importance of early screenings and intervention when necessary for children. Even with early screening, about 30% of patients with crowding problems will probably need 2 or more teeth removed to create space to align the remaining teeth.

do I have to wear metal braces?

No. We offer all the latest innovative options in orthodontic treatment, particularly for our adult patients. These include tooth-coloured braces, Invisible “inside” braces and Invisalign® tooth aligners. Colourful rubber bands make braces fun for many of our younger patients.

what are retainers?

At the completion of the active part of orthodontic treatment, the braces are removed and retaining appliances (retainers) are fitted to hold the teeth steady in their new position. These appliances may be removable plates or wires fitted behind the teeth. Retainers play an important role in orthodontic treatment success. If they are not worn according to instructions, the teeth will move back towards their original position. The retaining appliances are usually worn:

* Full-time for up to one year
* Just at night for a further year
* One or two nights a week for the rest of your life

how much does treatment cost?

This is the question we are asked most commonly, but it is also the most difficult to answer! Our fees vary greatly depending on the nature and severity of the malocclusion, the treatment method, the type of appliances used and the anticipated treatment duration. We can provide a detailed quotation once a thorough examination has been completed and diagnostic records have been obtained. In most cases we are able to provide interest free payment plans for up to 18 months. Private health insurance funds usually rebate 50-75% of the total cost and any out of pocket expenses over $1500.00 are tax deductible.