FAQ
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Why do we need treatment plan?
If you visit a Specialist Orthodontist, you would like to know how long the treatment will take, how much will it cost, if extraction of teeth is involved, what will it look like at the end…..
The Orthodontist tells you his/her opinion, but states that these are just estimates, for a detailed plan can only be made after anamnesis, photos, impressions, x-rays (OPT & Ceph) were taken and evaluated. The Orthodontist can see any malocclusions, crowding or spaces better on a model, and the x-rays give information on teeth and jaws, and their relation to the cranium.This can result in a different opinion on treatment planning than was thought at first sight.
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When to start treatment?
It is best to start treatment at an age when a child is still growing, for if the jaws need to be guided into better position, this can be achieved by the use of growth. The first evaluation is best at the age of 7, for by that time some of the adult teeth are already int he mouth, especially the first molars, and that is important for the diagnosis and the fitting of appliances as well. This doesn’t mean that the child will get an appliance at once, treatment might not be needed, or we must wait for further eruption before we can decide on treatment plan.
Treatment can be started at any age, everyone can get their teeth straightened. Teeth do not get loose as a result of treatment, but the patient should be parodontically stable, without active inflammation of the gums throughout the treatment.
The course of treatment
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First appointment
Fill out the medical history, photos, impressions & x-rays (OPT & Ceph). From these informations the treatment plan is evaluated for the second visit by the Orthodontist (from the models the bite, crowding and spaces, from the x-rays the position of the jaws cayn be seen).
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The start of active treatment
Removable appliance fitted or fixed appliance bonded. The appliances got to be adjusted at certain intervals. At the end of active treatment a retentive phase is needed to conserve the results and avoid relapse.
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The Orthodontist works in team with other specialists:
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with the patient’s General Dentist (fillings, prosthetics and their timing)
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with the Parodontologist, if the state of the gums require it
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with the Dento-Alveolar Surgeon (extractions, wisdom tooth’s removal…)
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or Maxillo-Facial Surgeon if the position of the jaws require surgery – this happens when the size of the upper or lower jaw is far from normal (eg. lower jaw too big/small, open bite at the front…).
In these cases, after the two dental arches are aligned, the jaws should be repositioned surgically to create a correct bite.
What is the retentive phase?
At the end of the active treatment (that is, when the appliance is debonded), the teeth cannot just be let on their own, they should be kept in their new positions.
Frequently a removable appliance is given (first to be worn 24/7, than only at night, than every second night than even less) to remind the teeth to keep their new positions. This is required so that the ligaments surrounding the teeth can remodel too – this takes a longer time than the bone to remodel – and not pull the teeth back towards their original position. Another retentive method is the bonded retainer, which is a custom bent wire behind the front 4-6 teeth. It is more common int he lower arch. This can stay bonded lifelong.
What payment plan is available?
Medicredit Zrt. is a medical loan company. Visit www.medicredit.hu for further information.
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| Tel.: 06 20 465 0140
