Are there food restrictions during treatment with braces?
When braces are first fitted, it is important to eat only soft food for the first 24 hours. During treatment, there are certain foods that can damage your braces which should be avoided. These include chewy foods (like muesli bars and licorice), crunchy foods (like popcorn, corn chips, and ice blocks), sticky foods (like caramels, lollies, and chewing gum), hard foods (like nuts and hard lollies), and foods that require biting into (like corn on the cob, apples, carrots), although these can be cut into bite-size pieces and eaten.
Is there any discomfort from braces?
When you first get your braces, your teeth and mouth might feel a little tender. To relieve the discomfort, you can use pain killers (Nurofen) 30mins prior to eating. Some patients have found comfort by chewing on sugarless chewing gum. Your lips, cheek and tongue may become irritated during the first two weeks as they toughen up and become used to the braces. We will provide you with orthodontic wax which helps to create a barrier between the wire or bracket and your cheek.
My teeth feel a little 'loose'; is this normal?
If your teeth feel a little loose, don’t worry; this is normal! Your braces must first loosen your teeth in order to move them into the right position. Once your teeth have been repositioned, they will no longer feel loose.
One of my wires seems loose; what should I do?
The wires, bands and brackets may, on rare occasions, become loose. (This is mainly due to improper dietary habits.) If this happens, please contact us so we can assess the situation and, if necessary, schedule an appointment to repair it. It is very important that you inform us of any damage to your braces because damaged appliances can increase the length of your treatment. In some cases, the repair can wait until your next appointment.
You can temporarily fix the loose wire by using tweezers or the rubber on the end of a pencil to carefully and gently push the wire back into place. If the loose wire or bracket is causing irritation to your cheek or lips, put wax or a wet cotton ball over the wire or bracket to create a barrier between it and your cheek. Sugarless chewing gum can also help.
Do I continue to brush and floss throughout treatment?
Yes. It is very important to brush and floss after every meal during treatment in order to keep your teeth and gums healthy. We will provide you with cleaning devices to help you keep your teeth and brackets clean. We will also provide a small travel kit that you can use when you’re away from home during meals.
Will braces interfere with playing sports or playing a wind instrument?
No. However, we recommend that athletes protect their teeth by wearing a mouldable mouth guard while playing sport. Mouth guards are inexpensive and comfortable and will protect your teeth and braces. They can be purchased from a chemist or sports store. For musicians, there may be an initial period of adjustment after you get your braces on. There are also mouth guards specifically designed for musicians. We can recommend a company where you can purchase one of these.
In case of a sports emergency, be sure to immediately check your mouth and your appliance for any damage that may have occurred. If you notice any loose teeth or if your appliance has been damaged, please contact us. You can temporarily relieve the discomfort by using wax or by rinsing your mouth with warm salt water.
What is the twin block appliance?
The twin block appliance is a device that is made up of two removable plates that clip onto the upper and lower (back) teeth. (The twin block appliance can also be fixed in place.) The appliance props your lower jaw forward so that its full growth potential can be reached in such a way that it creates a properly aligned bite. You will need to come into our practice every 6-8 weeks for adjustments of the appliance.
Is wearing the twin block appliance painful?
It is likely to be uncomfortable for the first 3-5 days. You can also expect some mild tenderness of your teeth and jaw muscles; this will disappear after a few days. Increased salivary flow and swallowing is also normal and will quickly pass. Your speech might be different but you can practice speaking aloud at home. The more you practice talking with the appliance, the easier it will get.
How do I take care of the twin block appliance?
Remove the appliance three times a day to brush your teeth and rinse with a fluoride mouthwash. While the appliance is out of your mouth, clean it with a separate toothbrush and diluted mouthwash. Rinse thoroughly. Be very careful not to distort the wires.
How do I prevent breakages?
Do not click the twin block appliance in and out with your tongue, as this will break the wires and increase treatment time. If a breakage does occur, please call us as soon as possible; do not wait for your next routine appointment.
What are Temporary Anchorage Devices (TADs)?
Temporary Anchorage Devices are very small screws inserted into the jaw to act as immovable anchors to push against in order to move another tooth. The TAD does not move but allows a force to push or pull on other teeth. These are occasionally used when there is not a large tooth to push against. We use topical anaesthetic when placing TADs; these are removed when they are no longer needed.
How does Invisalign work?
Invisalign uses a series of clear, plastic aligners which are virtually invisible to move teeth into position. Custom made to meet your individual requirements, each set of Invisalign aligners is worn for approximately two weeks. After two weeks you simply remove the aligner and replace it with the next one in the series. While each case is different, the average number of aligners is 24.
What are the primary benefits of Invisalign?
There are a number of benefits of Invisalign. First of all, the aligners are made of clear plastic, so many people will not even be able to see you are wearing an orthodontic appliance. Also, the aligners are completely removable, so you can eat and drink as normal; there are no food restrictions. You can also brush and floss normally, which helps you to maintain good oral hygiene. Invisalign aligners are comfortable as well because there are no metal brackets or wires to irritate your cheeks and gums. Finally, with Invisalign 3D imaging technology you can view your future results prior to starting treatment.
What do the aligners look like?
Invisalign aligners are thin, clear plastic mouthpieces that fit snugly over the teeth; they look similar to tooth-whitening trays or thin sports mouth guards. They are lightweight and made of strong medical-grade plastic that is nearly invisible when worn.
Is this a new way to straighten teeth?
It is not brand new. As far back as 1945, Dr H. D. Kesling believed that eventually modern technology could be used to create a series of tooth positioners for comprehensive orthodontic treatment. For years, orthodontists and dentists have used removable appliances for limited treatment. Today, with the application of computer technology and custom manufacturing, Invisalign is now able to straighten teeth without braces, and can even treat a broad range of cases with great precision.
Do orthodontists need special training in order to treat patients with Invisalign?
Align Technology, the company that manufactures Invisalign aligners, requires all orthodontists and dentists to attend special training before they will accept cases from that orthodontist's practice. Over 30,000 orthodontists and dentists worldwide are accredited to treat with Invisalign. Invisalign has been available in Australia since 2001.
Do certain conditions exclude me from being an eligible Invisalign patient?
The majority of orthodontic cases are eligible to be treated with Invisalign. However, there are some complicated cases that cannot be treated with Invisalign, such as severely tipped teeth, multiple missing teeth, and facial profile irregularities. We can help you determine if Invisalign is the right option for you.
What if I have previously been told that I was not suitable for Invisalign?
Invisalign has been used to treat over 1.5 million people worldwide. Because of increased Invisalign clinical experience, providers in Australia now treat an ever increasing range of complex orthodontic cases. Therefore, even if you were told in the past that you were not suitable for Invisalign, you may now be a suitable candidate.
How to I clean Invisalign aligners?
Because Invisalign aligners are completely removable, they are easy to keep clean. Simply remove your aligners prior to eating or drinking anything but water. Rinse them with water after you remove them and again before you put them back in. This keeps them fresh and odour free. Then once or twice a day when you brush and floss your teeth, brush your aligners inside and outside with your regular toothbrush. You can also soak your aligners for 15 minutes in a denture cleaner to keep them extra fresh.