Appliances

We mainly use fixed braces for teeth correction.  With young patients we often start with removable appliances.  Here you will find the appliances which are used in our practice.  From January 2018 we use a Trios (3Shape) Intraoral Scanner.  This means that alginate dental impressions are no longer necessary!  It simplifies the process and is much more comfortable for our patients.  The models of the teeth are then produced with a 3D printer (FormLabs Form2)!

Speed-braces

These are the smallest self-ligating braces in the world.  SPEED Braces are small; typically 1/3 smaller than traditional braces, and their small footprint results in less food trapping, so good oral hygiene is easier to maintain throughout your treatment.

They are made in Canada.

Forestadent Quick Clear

A self-ligating ceramic brace In the upper jaw only from canine tooth to canine tooth.

Incognito

The world leader of lingual braces.  Incognito braces are an advanced generation of brace that is hidden discreetly on the back of the teeth, not on the front like conventional 'train tracks'.  This allows people to go about their daily routine without feeling self-conscious because their braces are virtually invisible from the outside. They are completely custom-made in gold.

Invisible Treatment…Invisalign®

Unfortunately this treatment is not always as effective as a treatment with convientional braces, so it is not recommended in all cases. Patients must wear the aligner for 24 hours and changed every 2 weeks. With each new set of aligners the correction to the teeth is increased. Depending on the circumstances, 5 to 20 aligners will be worn. We are certified Invisalign® providers and are happy to advise you! Invisalign (Align Technology) is the world leader in clear aligner technology and treatment.

Palatal Expansion

If the roof of the mouth (palate) is too narrow, it is sometimes necessary to expand the upper jaw for a proper fit with the lower jaw or to make room for crowded teeth. This procedure uses a device that effectively stretches the palate to make more room for permanent teeth to emerge, and the effect occurs over a few weeks or months. In some cases, expansion is the only treatment necessary to correct the bite. Usually, however, the orthodontist will also use braces to be sure all the teeth are correctly positioned.

The best device for a quick and lasting result is the Rapid Palatal Expander.  The metal appliance is custom-made using 3-D computer images and laser melting and glued directly onto both sides of the upper molars with a dental composite. Usually it will left in the mouth for 3 to 6 months.

W-Expansion Appliance

If the palate is too narrow, the upper jaw must be expanded.  If the expansion with a rapid palatal expansion is not possible  (because there is too many teeths available) we can do it slowly with this device.

Palatal Implant - Miniscrew

The Swiss palatal implant (Straumann©) provides maximum anchorage in the mouth.  With this device we can achieve corrections to all three levels of dental problem (Class II, vertical open bite, deep bite, closure of gaps between teeth, distalisation of teeth – refer to chapter above on position of teeth/facial profile). With the Swiss palatal implant the patient and parents are not required to do anything. An experienced oral surgeon only needs a few minutes to insert the implant, and also remove it after treatment. It is painless and very discreet! At some point it is also possible to use instead of an Implant smaller screws. They will have the same effect, are easier to set, smaller but we need 2!

Iner-arch Elastics

Rubber bands, or elastics, are generally used to help improve how teeth fit together.  They are also often used to help close spaces, or make sure spaces are closing in the right direction, and improve crossbites and midlines. They are simply small rubber bands that are attached by the patient onto little hooks that are a part of the braces.  Since they need to be placed by the patient, the patient must carefully follow the instructions for wear.  This is critical to make progress and achieve a good outcome.  As an alternative, and often when the patient hasn’t followed the instructions, the elastics must be replaced by fixed springs. (e.g. Twin Force, Eureka)

Twinforce Bite Corrector

These fixed springs work together with fixed appliances to successfully correct a Class II deep-bite malocclusion.  They are often used when elastics have not been properly worn by the patient. They take some getting used to, but after a few days the patient adapts and they are often better tolerated than elastics.

 

Herbst appliance

One of the most common problems orthodontists treat is the discrepancy that occurs when the upper teeth protrude beyond the lower.  Ordinarily, when we see a patient with the upper teeth protruding, we tend to think that the upper jaw and teeth are too far forward; but, more often than not, this condition is due to a small lower jaw that is further back than it should be.  This device works very effectively to correct a severe reserve of the lower jaw (backbite). It is a fixed device consisting of metal tubes attached to the lower canines and upper molars.

 

It is especially useful for late correction to encourage the lower jaw to catch up in growth when the patient has almost finished growing (14 years).  As an alternative, elastic bands are recommended for lighter deformities of the jaw, and high-grade deformities require jaw surgery.

Lingual Arch

Very often used, this orthodontic device connets two molars in the lower dental arch.  It works to maintain length in the dental arch. 

Space Maintainers

If a gap in the mouth needs to be maintained for a long time, a space maintainer produced by the laboratory or directly by us, will be used.

Monobloc/HG

This functional orthodontic appliance is used on the back of the lower jaw to encourage its forward growth and to inhibit the forward growth of the upper jaw.  The ideal age for this therapy, often used as a first step in Class II cases, is when the patient’s growth spurt begins.  It should be worn for at least 12 hours a day and so it is basically worn at night and usually combined with some headgear.  

Plates (Bite plate, Strech plate, Retention plate)

These devices are good for minor corrections in young patients.  They are also often used after teeth extraction as a retention device.

Retainer = Stabilising wire at the end of a treatment

These custom-made devices are ALWAYS used in the upper and lower jaw to hold teeth in their new and improved position.  Once a phase of orthodontic treatment has been completed to straighten teeth, there remains a lifelong risk of relapse due to a number of factors.  Using a retainer can help minimise any further changes post-treatment.  If the retainer is loose or becomes detached from the teeth, we must correct this immediately so as to avoid expensive post-operative corrections.