ORTHODONTIC TREATMENT PROCESS

Below, in general, is the outline of the orthodontic treatment process.

  1. Consultation
    • Treatment fees

  2. Records

  3. Treatment Plan

  4. Treatment

  5. Retention



ORTHODONTIC CONSULTATION

This is just a consultation appointment.

There will only be an examination. No treatment will be done.

The orthodontist will advise you on what he/she thinks is necessary for you/your child.

If you have any questions, please do ask the orthodontist.

Should you have doubts on the advice given by the orthodontist, you may want to seek a second opinion from another specialist.

You should be aware that orthodontic treatment will usually only be recommended if you/your child:

  • Has good oral health with no carious teeth or gum disease
  • Has good medical health
  • Is fully motivated to undergo a few years of treatment
  • Is willing to accept your responsibilities as a patient



ORTHODONTIC TREATMENT FEES

The cost of orthodontic treatment may vary from patient to patient. The fees charged usually depend on the complexity of the treatment and the materials used during treatment.

Different clinics have different payment methods and plans. Tailored payment plans, to meet each individual's financial needs, are common. Payment can usually be spread over the duration of treatment.

Should you decide on having orthodontic treatment, your orthodontist will discuss the fee with you before treatment is commenced.



ORTHODONTIC RECORDS TAKING

During this appointment, some records will be taken.

This may involve any/all of the following:

  • History and Examination
  • Impressions for Study Models
  • Photographs of your face and teeth
  • Radiographs as necessary


These records will be used to assess your teeth and occlusion (bite) and plan your orthodontic treatment.

This plan will be discussed with you at your next appointment.

If you have any questions, please ask the orthodontist.



ORTHODONTIC TREATMENT PLAN

During this appointment, the doctor will discuss his/her orthodontic treatment plan, which he/she feels is suitable for your problem.

This plan is this orthodontist's opinion. Other orthodontists may have different opinions. If you are not confident that this plan is suitable, feel free to seek another opinion.

You can take your time to think the plan over. You do not have to decide to accept/reject the plan immediately.

If you accept the plan, you must be aware that you are committing yourself to 2-3 years of treatment, with appointments every 1-2 months, and accept your responsibilities as a patient.

There will be a fee that needs to be paid, which is ………………. If your braces are repeatedly damaged/broken, you may be asked to pay for the repair/replacement of the appliance.





ORTHODONTIC TREATMENT (Fixed Braces)

Fixed appliances are braces that are stuck to the teeth. It cannot be removed from the mouth and should not become detached.

Active treatment will, on average, take 2 years. In some cases, treatment may take longer and in other cases, shorter. Subsequently, you will usually be given retainers.

Regular appointments are usually arranged 1-2 months once.

You should expect the following:

  • Some possible pain, funny speech or mouth ulceration, in the first few days after fitting of the appliance, and after appliance adjustments. You will get used to the appliance after a while. You can take your usual painkiller medication if necessary.

  • Some possible discomfort while eating and jaw clicking due to the change in tooth positions. This is usually temporary and will settle after treatment.

The successful outcome of treatment is mostly dependent on your own effort. You must fulfil your responsibilities.

You must do the following during treatment:

  • Keep your mouth clean. You must brush your teeth well after every meal. Failure to do so may cause caries and gum disease to develop. Use a fluoride toothpaste and a special 'bottle brush', if necessary, to clean under the wires. Added use of a fluoride mouthrinse may also be beneficial.

  • Eat only soft foods. Hard large and sticky pieces of food (nuts, crisps, chunky meat, chewing gum etc) may damage your brace. You should cut large pieces of food into small ones before eating them.

Should you have a problem with your brace, please attend the clinic as soon as possible for a check-up.

PLEASE KEEP ANY ITEM THAT BECOMES DETACHED FROM THE TEETH OR BRACE AND SHOW IT TO THE DOCTOR.

If you are unable to fulfil your responsibilities, and damage is being done to your teeth by continued wear of the braces, treatment may be discontinued.



ORTHODONTIC TREATMENT
(Functional And Removable Appliances)

Removable appliances are braces that can be removed from the mouth. Functional appliances are special braces that are used to improve your jaw relationship. They are commonly removable.

These appliances will only work if you cooperate fully with our instructions. They may include the following:

  • You must wear it almost all the time. This includes going to school, going to bed, watching TV etc.
  • You should only remove it, to brush your teeth, when playing contact sports, when public speaking, eating or swimming.
  • When out of the mouth, keep it in a secure container, before placing them in bags, pockets or elsewhere.
  • When you brush your teeth, please clean the brace too.

You should expect the following:

  • Discomfort in the teeth and jaw muscles.
  • Lots of saliva flow.
  • Difficulty speaking and temporary voice changes.
  • The brace may also feel loose at first.

You will get used to wearing your braces after a while.

Should you have a problem with your brace, please attend the clinic as soon as possible for a check-up.

PLEASE KEEP ANY ITEM THAT BECOMES DETACHED FROM THE TEETH OR BRACE AND SHOW IT TO THE DOCTOR.

If you are unable to fulfil your responsibilities, and damage is being done to your teeth by continued wear of the braces, treatment may be discontinued.




ORTHODONTIC RETENTION

You have now completed your active orthodontic treatment. You will be given retainers to wear. The purpose of these retainers is to hold the teeth and prevent them from moving back to their original position (relapse).

The teeth and gums need time to settle in their new position.
A common regime of retainer wear (removable retainers) is as follows:

  • 6 months full-time wear.
  • 6 months part-time (eg. night-time only) wear.
  • Continued wear, a few nights each week, as long as you wish.

Occasionally, due to your specific problem, you will have to wear your retainers indefinitely, for life, if you wish to maintain the achieved result. In this case you can either wear a removable retainer as above or have a wire attached to your teeth (fixed/bonded retainer).

The orthodontist will advise you of the best option in your case.

Due to continued growth and aging, we cannot guarantee that if you have straight teeth now, you will have straight teeth in later life. The best way to maintain their positions is to continue wearing your retainers.

You should follow the following instructions:

  • For removable retainers:

    • Wear them as much as orthodontist instructs.
    • Take them out when eating, playing contact sports, brushing your teeth, swimming; anytime when it can be damaged.
    • When out of the mouth, keep them in a secure container, before placing them in bags, pockets or elsewhere.
    • When brushing your teeth, please clean the retainers too.

  • For fixed retainers:
    • You must care for it just like when you were wearing your braces (brushing, soft foods, etc).
    • Should it become detached, partially or fully, attend the clinic as soon as possible to have it checked.

 

 
 

 

 

 

 

 

 
 
Copyright © 2009 Malaysian Association Orthodontists (MAO).
All Rights Reserved. Web Design by JustSimple.