What is an Orthodontist?
An orthodontist is a dentist who has completed a Dental degree followed by a further three year specialist degree in Orthodontics.
The specialisation makes orthodontists experts in diagnosis and treatment of crooked teeth, malaligned jaws and bite problems. Detailed knowledge of growth and development can help provide treatment at the ideal time. Orthodontists may treat children, teenagers or adults. An Orthodontist will consider not just your teeth but your facial appearance and profile when planning your smile aesthetics.
Benefits of Orthodontic treatment.
Having a beautiful smile can be a great confidence boost. Orthodontic treatment may have additional benefits including, making it easier to clean your teeth and gums, helping to maintain a healthy mouth. Orthodontics may help with chewing or speech difficulties and an orthodontist can help manage habits such as thumb sucking.
When should my child first see an orthodontist?
Not all children will need early orthodontic treatment. However, in some cases early treatment can help avoid long-term problems or simplify later treatment. Visiting the orthodontist between the ages of 7-10 will allow assessment of the development of the teeth and jaws and will provide information on the optimum timing for any treatment required.
If my child or I need treatment what are the options available?
Conventional fixed orthodontic appliances have evolved to make them less bulky and conspicuous. There are also cosmetic options available including clear fixed appliances and sequential clear aligners.
Early childhood treatment:
This is provided in selected cases before all the adult teeth have come through in the pre-adolescent development phase. This type of treatment may involve fixed or removable (clip on) braces. The aims of early treatment will be customised to individual needs but may include:
- Reducing protrusion (buck teeth), for psycho-social benefit and to reduce the risk of dental trauma.
- Correction of under bites (when the top teeth bite behind the bottom ones). This may encourage more balanced development and help reduce the risk of abnormal wear to the teeth.
- Expansion, which may be used to match the width of the top and bottom jaws (to correct cross bites) and or to create space for the adult teeth, or to correct an incorrect bite position.
- Habit cessation, is important especially once the adult teeth begin to come through. Continued thumb sucking can cause protrusion of the teeth and can alter the shape of the developing jaw.
All treatments are planned on an individual basis. Realistic expectations regarding the outcome and benefit of proposed early treatment can be discussed. Common broad aims include enhancing growth and facial development and simplifying later treatment.
Usually started when all or almost all of the adult teeth are through and often timed with the pubertal growth spurt, many treatment options are now available for teenage patients including:
- Conventional metal fixed on braces, to which colours may be added if requested.
- Clear cosmetic fixed on braces. Usually placed on the upper front teeth and therefore reducing the visibility of appliances.
- Clear aligner therapy (Invisalign). A computer-programmed series of aligners are custom manufactured, designed to gradually correct tooth and bite positions. Aligners are very discrete and are removed for eating and brushing. Due to the removable nature of the appliance good compliance is essential if optimum outcomes are to be achieved.
Teenage treatment is routinely comprehensive with a view to not only creating a beautiful smile but one, which is in harmony with the face and profile with excellent function.
Many adults wish they had received orthodontic treatment as a child or have noticed minor changes in their teeth with time. Adult orthodontic treatment now represents a significant part of an orthodontists role. Treatment, will not only have a cosmetic benefit, straight teeth are easier to maintain with less hard to reach areas.
Orthodontics is possible for most adults, as for younger patients it is essential that tooth and gum health is optimised through, working with your dentist or other specialists before commencing orthodontic treatment. Regular checks with your dentist will be required during orthodontic treatment to ensure your mouth remains healthy during treatment.
The advent of cosmetic orthodontic treatment has increased dramatically the discretion and acceptability of having orthodontic treatment as an adult.
Adults may wish to undertake comprehensive treatment for correction of their smile, bite and when indicated jaw position. Alternatively some adults may wish for a limited objective course of treatment to correct only elements of their bite or smile. The risks and benefits of alternative choices will be discussed to allow you to make an informed choice that is compatible with your goals and lifestyle.
Adults commonly selected between fixed orthodontic appliances with cosmetic upper anterior brackets or clear aligner treatment.
Clear aligners are a popular choice for adults. The advantages include subtle appearance of these so-called ‘invisible braces’, the ability to remove the aligners for cleaning, making it easier to maintain tooth and gum health during treatment. Additionally aligners are removed for eating, placing fewer restrictions on diet than traditional fixed on braces. The gradual nature of the programmed movement reduces discomfort through-out treatment
However for optimum results aligners must be worn for 22 hours per day so may not fit with all life styles. There will be a period of tongue adaption to aligners covering the inside of the teeth, which may alter speech.
Aligner therapy is suitable for correction of the more mild orthodontic problems.
Braces – ceramic, lingual and traditional
Should you require more complex orthodontic correction fixed on braces may be a more effective treatment over a shorter time frame.
Ceramic or cosmetic braces work in the same way as conventional metal braces. They are created from material matched closely to the natural colour of your teeth giving enhanced aesthetics during treatment.
Lingual braces are attached to the inside of your teeth. Conventionally gold in colour they offer great aesthetics with limited visibility. Lingual braces may also require a period for tongue and speech adaption. The ‘Incognito’ system is computer designed with customisation of the appliance and wires.
Braces combined with jaw surgery:
Orthodontists are trained to look not just at your teeth and bite but, also at the balance of your face and jaw positions. Some patients may request an improvement in facial appearance, in non-growing patients this may be achieved through surgically altering jaw positions in combination with orthodontic treatment. For other patients a change in facial appearance is not a primary goal however, jaw surgery may be required to allow full bite correction and better functional balance.
Treatment do’s and don’ts
For all age groups and appliance systems once of the major determinants of treatment success is patients compliance. You can help your treatment efficiency by:
- Coming to all your appointments.
- Continuing to have regular ‘ normal’ dental check-ups.
- Maintaining excellent tooth brushing.
- Avoiding a high sugar diet and cutting out sugary foods and drinks especially in between meals and within an hour of bedtime.
- Avoiding foods and drink high in acid such as fruit juice, fizzy drinks including diet fizzy drinks, sports drinks and energy drinks.
- In fixed on braces avoiding food that is too hard crunchy sticky or chewy. which may break the braces causing discomfort and slowing progress.
- Making sure you wear removable appliances for the number of hours requested.
- Wearing your retainers to help hold the teeth in the desired position.
SERVICING SURROUNDING SUBURBS
We offer our Orthodontic services to surrounding suburbs Point Cook, Truganina, Tarneit, Laverton and Hoppers Crossing.
Dr Anna Scott (Orthodontist)
Upon graduating from Dental School with Honours in 2000, Anna was awarded the British Dental Association prize for best performance in final exams. She enjoyed practicing in a family orientated dental surgery and thrived on building rapport with her patients and colleagues. Anna then progressed to work in special care dentistry and was also involved in teaching paediatric dentistry. She went on to complete her membership exams for the Royal College of Surgeons England and started a position as an assistant in a specialist orthodontic practice in 2002. This spurred her desire to specialise in orthodontics and triggered the move to Melbourne for specialist orthodontic training.
Anna is certified to provide Invisalign clear aligner therapy, Incognito lingual braces (fitted to the inside of the teeth), as well as tooth-coloured and conventional fixed-on and removable braces. Specialist training has allowed her to develop extensive knowledge of growth and development, customising treatments to optimise timing and outcomes to help reduce time in braces. Anna is a strong believer in the positive outcomes of orthodontic treatment, with a great smile creating confidence in children, teenagers and adult patients alike.
Anna loves living in Melbourne and enjoys exploring with her husband and daughter at the weekend and venturing out of the city on camping trips when time allows. Anna is passionate about giving back, and has provided charity care to children in rural Romania and helped with setting up a school in Nepal. She is really excited to be joining the team and William’s Landing Dental Clinic.