MUDr. Eva Obermajerová - Orthodontist

Orthodontic Treatment

Our dental clinic specializes in orthodontics, that is in treatment of improper bites, tooth irregularities and disproportionate jaw relationships. Another concerns of the orthodontic treatment include congenital defects such as hypodontia, hyperdontia and lip, jaw and palate fissures.
Sometimes, the cooperation with a dental surgeon is necessary: skeletal defects when the problem lies in the improper growth of jaws.

Orthodontic defects can be treated (ie. teeth can be straightened) either with removable or fixed braces.

The treatment by wearing the removable braces is appropriate for the period of the growth of the child when deciduous (baby) teeth change for adult teeth.
Pros and cons:
+ braces are easily removable from the mouth
- a close cooperation of the patient is required
- the length of the treatment is considerable
- not every orthodontic defect can be treated (it often happens that the patient has to continue the treatment by the wearing fixed braces when they have the adult set of teeth) the length of the treatment is considerable not every orthodontic defect can be treated (it often happens that the patient has to continue the treatment by wearing fixed braces when they have the adult set of teeth)

The treatment by wearing the fixed braces is only possible when the adult set of teeth is formed (around the age of 11-12).
The treatment has two phases:
1. The active phase: straightening of the teeth by wearing the fixed braces
2. The retention phase: the retention of the achieved position of the teeth by wearing a special slide in the mouth
Both phases last approx. 18 – 24 months and are all equal in their importance. The retention phase may be longer when the defect is complicated.
Pros and cons:
+ great effectiveness of the treatment
+ shorter length of the treatment
- great demands regarding the dental hygiene

What does the treatment look like?

First Appointment:

  • examination of the set of teeth and the jaw joint
  • orthodontic examination of the face (symmetry, asymmetry), function and appearance of the set of teeth
  • overall assessment and recommendation of the orthodontic treatment
  • the patient is informed about the type of braces needed for the treatment of the respective defect
  • the length and the conditions of the treatment are proposed

Second Appointment:

  • Compulsory orthodontic documentation is obtained: impressions of the teeth, x-rays of the face and the teeth, photographs of the face and the teeth)

Third Appointment:

  • Consultation of the detailed method of the treatment, time requirements and financial costs.
  • The Treatment Plan is submitted for approval and signature of the patient

Subsequently:

  • Sometimes, a tooth might need to be extracted in order to carry out the treatment successfully
  • The patient has the braces fixed to their teeth OR the patient obtains the removable braces
  • Regular check-ups are necessary:
    • Fixed braces: 1 per 4-6 weeks
    • Removable braces: 1 per 12 weeks

• Note: During the orthodontic treatment, the patient also sees their stomatologist (dentist) for regular check-ups. Dental hygiene is vital for the treatment.

For Non-Czech Speakers
Please, kindly make a contact via e-mail and ask for an interpreter. Direct contact to the interpreter: adela.obermajer@gmail.com or +420 602 688 770. Thank you.

FREQUENTLY ASKED QUESTIONS

1. At what age can I wear fixed braces?

Fixed braces can be worn only after the permanent teeth have erupted. It is usually around the age of 12. However, there are grave orthodontic defects which require a treatment even before the permanent set of teeth is formed, i.e. permanent premolars and incisors do not have to be erupted yet. The exact time when the treatment can begin will be determined by the orthodontist.

2. Am I not too old to wear fixed braces?

Not at all. The upper age limit for wearing the fixed braces has not been stipulated at the present time. Patients of any age can successfully undergo an orthodontic treatment. The only limitation is not age but the condition of the teeth and gums.

3. How long does the treatment take?

The average duration of treatment is 2 years. The resultant condition has to be maintained by wearing removable braces or a special retainer, which takes approximately the same time as the actual treatment. A retainer is a thin wire fixed to the inner side of either the upper of lower teeth. It is inconspicuous and helps to prevent the teeth from moving back to their former shape (see picture).

4. Does the treatment cause pain?

Hypersensitivity and/or a slight sense of pain, especially when eating hard food, are usual during the first week. Patients seem to feel most pain the night after the fixation or the following morning. Those difficulties fade away within the first week and everything comes back to normal.

5. Cause the braces any limitations in every day life?

During the first few days it is necessary to adjust the consistence of food and follow the instructions of the orthodontist. Articulation can slightly deteriorate during the first week. A vast majority of patients gets used to the braces to that extent that they feel no limitations or restrictions whatsoever in their daily life, school, work or sport. Ask your orthodontist about playing the brass.

6. Can I have discreet braces?

Yes, there are certain types of fastening elements which appear less conspicuous such as miniature versions of metallic fastenings or ceramic fastenings (see picture). Those fastenings have, however, different characteristics than standard metallic fastenings and cannot be used for every defect. The suitability of discreet braces will be determined by the orthodontist.

7. Do the teeth decay under the fixed braces?

No. Individual parts of the fixed braces are fixed to the teeth with special materials which give off fluorides which prevent the teeth from decaying. However, if dental hygiene is not observed, the teeth may decay around the wires.

8. How much does the orthodontic treatment cost?

The price depends on the type of defect, the demands, the length of the treatment and last but not least on the quality and quantity of the orthodontic material used.

GUIDANCE FOR THE PATIENT (DOWNLOAD)

1. Guidance and instructions for the treatment with the removable braces (pdf format)
2. Guidance before the treatment with the fixed braces (pdf format)
3. Guidance and instructions after dental surgery (see http://www.maxfac.cz) (pdf format)

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