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What is orthodontics?
Who is an orthodontist - Orthodontist Toronto - Toronto Braces
Types of active orthodontic appliances
Treatment Duration  The duration of active orthodontic treatment depends on the severity of the orthodontic problem, the type of treatment provided and the patient compliance with the treatment. It may last from 6 months to 30 months. Average orthodontic treatment duration is about 18-24 months. Patients are seen for regular orthodontic visits every 6-8 weeks to check the treatment progress, make adjustment to facilitate tooth movement and monitor oral hygiene.  Once the active orthodontic treatment finishes, patients are required to wear retainers, which are passive orthodontic appliances, to stabilize the treatment results. Retention protocol is case specific and must be adhered completely for stable results. In our office we provide retainer check appointments for one year following the removal of braces in order to check the compliance with retainers and the stability of treatment results.
BRACES The most commonly known fixed orthodontic appliance is BRACES.  In my office I use two different types of braces: Metal and Clear. Metal braces are small metal attachments that are bonded on each tooth with tooth-coloured glue. This glue is strong enough to withstand orthodontic forces during treatment and is easily removed without damaging tooth enamel at the end of treatment. The arch-wire is the active element of the system, and it moves teeth to their desired positions. The arch-wire is held in the metal attachments by metal clips or colourful elastic rings. The colours can be changed at every orthodontic visit if desired. Clear braces are small ceramic attachments that are bonded on each tooth. They are used for patients who prefer a less visible option during their orthodontic treatment.
Treatment Cost Orthodontic treatment offers a lifetime value by achieving healthy dental and jaw function which complements a beautiful smile with straight teeth. It improves our patients’ quality of life with added self esteem and confidence. Orthodontic treatment costs depend on the complexity of the orthodontic problem and the type of treatment provided. We are happy to offer a complimentary consultation in our office to evaluate your orthodontic needs. At the end of each consultation appointment, a fee schedule is provided to our patients if orthodontic treatment is recommended. In our office, we offer flexible payment plans to meet your individual financial needs.
At what age is a patient too old for orthodontics?  Patients who have healthy teeth and supporting tissues are never too old for orthodontic treatment. More and more adults are seeking orthodontic treatment to achieve perfect smiles thanks to the latest advancements in orthodontics. Adult patients’ perception of orthodontic treatment has changed considerably over the recent years as clear braces and clear aligners have become more available. Adult orthodontics can also be a part of full mouth rehabilitation, providing restorative dentists the ideal space for implant placement or proper alignment for veneer fabrication.
Types of Orthodontic Treatment Early orthodontic treatment (also known as “interceptive orthodontic treatment” or “Phase 1” treatment) is a type of orthodontic intervention for our young patients. The aim of Phase 1 treatment is to create a better environment for incoming adult teeth. Some examples are the insertion of a habit breaker for a patient with a thumb-sucking habit or the expansion of a narrow upper jaw to eliminate a lower jaw shift. If left untreated, these functional problems result in skeletal deformation of jaws, which is more difficult to correct in the teenage years.    Comprehensive orthodontic treatment is treatment for patients who are in late mixed dentition (almost all adult teeth are in the mouth) or permanent dentition (no baby teeth present) stages. For misaligned teeth in patients with good facial proportions, braces or clear aligners are the go-to orthodontic appliances. If improvement of jaw misalignment is desired, then growth modification appliances such a
Why do some children require orthodontic treatment before all of the permanent teeth erupt? This is why we recommend early treatment for certain orthodontic problems: -	Guiding erupting adult teeth into more favourable positions -	Preserving or gaining arch space for incoming adult teeth -	Reducing risk of fracture of protruded upper teeth -	Eliminating jaw shift that may result in asymmetric jaw growth Early treatment generally reduces the complexity of comprehensive treatment in teenage years.
Clear Aligners – Invisalign - Instructions Clear aligners are custom orthodontic appliances and work beautifully when these instructions are followed:  1) Wear your aligners full time – that is 22 hours per day. 2) Remove your aligners when you are eating and/or drinking. Only water is allowed with your aligners. 3) Keep your aligners clean by brushing them with a toothbrush before putting them in your mouth. 4) Keep good oral hygiene by brushing and flossing your teeth regularly. 5) Do not miss your orthodontic appointments - the frequency of your orthodontic visits is customized for your unique needs.  6) Accept the aligners as part of your daily routine. The improvement of your bite depends on your compliance.
Initial consultation appointment In our office, we offer a complimentary initial consultation to our patients. You do not need a referral to book an appointment with our clinic. The initial consultation is a 40 minute appointment where we get to know you. We take extra-oral (outside of mouth, ie. photographs of the face) and intra-oral (inside of mouth, i.e. photographs of the teeth and gums) photographs and provide an in-person comprehensive orthodontic examination. In some cases, we take necessary x-rays and/or a digital scan of your bite. Then we review the clinical exam findings together. Our aim is to provide answers to all your questions about orthodontic treatment.
CLEAR ALIGNERS – INVISALIGN® Clear aligners are a type of removable orthodontic appliances. The most recognized brand of clear aligners is Invisalign®.  The system consists of removable clear aligners and fixed attachments on the teeth. The fixed attachments are tooth-coloured resin placed on specific teeth to facilitate desired tooth movements.  A soft-ware called ClinCheck® is used to check the simulated tooth movement during treatment. The simulation is done according to the doctor’s specific instructions on the type and amount of movement for each tooth. Once treatment starts, regular orthodontic visits are required to monitor treatment progress. This system usually requires additional aligners, as individual response to orthodontic treatment varies greatly.
At what age should a child have their first orthodontic screening? The American Association of Orthodontists recommends that a child’s first visit to an orthodontist takes place at the age of 7. At this age, early detection of orthodontic problems is possible. Orthodontic treatments provided at this time focus on guiding the eruption of permanent teeth and the growth of upper and lower jaws. The need for comprehensive orthodontic treatment is assessed once the patient is in late mixed (almost all adult teeth are in the mouth) or permanent dentition (no baby teeth present).
Types of Passive Orthodontic Appliances – RETAINERS After orthodontic treatment has completed, there is a tendency for teeth to return back to their pre-treatment positions. To prevent this, a combination of fixed and removable retainers is used to stabilize the orthodontic treatment outcome. The fixed retainer is a simple wire that is glued behind the front teeth. It could be placed only on the lower front teeth or both the upper and lower teeth. The patient is not able to remove this type of retainer. Certain tooth movements are best stabilized by this type of retainer. Removable retainers are fabricated at dental labs. Patients are required to wear them full time except when eating or brushing. The individual retention protocol is case specific and must be adhered to completely for stable results.
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