Not sure where to begin? We understand that orthodontics can be a daunting and confusing experience. This is why the team at Smiling Wide Orthodontics have compiled some general information, as well as answers to questions we're most commonly asked. If you're ready to get started, call our clinic in Bundaberg, Maryborough or Hervey Bay to set up a consultation.
Orthodontics is the branch of dentistry that specialises in the diagnosis, prevention, and treatment of dental and facial irregularities.
An orthodontist is a registered dental specialist who has completed an advanced education program following dental school to learn the special skills required to manage tooth movement and guide facial development.
Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The Australian Society of Orthodontists recommends that every child first visit an orthodontist by age 7 or earlier if a problem is detected by parents, the family dentist, or the child's medical doctor.
Early interceptive treatment is undertaken well before all of the permanent teeth have erupted. Such treatment can occur between the ages of 6 and 10, and will often include use of expanders, removable appliances, functional appliances or partial braces. This treatment is often recommended to make more space for developing teeth, correction of severe skeletal discrepancies, crossbites, overbites, and underbites or harmful oral habits.
Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Over 20% of our orthodontic patients today are adults, some well on the smiling side of 50.
Braces and Invisalign use steady gentle pressure to gradually move teeth into their proper positions.
For braces, the brackets that are placed on your teeth and the archwire that connects them are the main components. When the archwire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.
Yes, you can play contact sports, but you must ask us for a mouthguard.
No. However, there may be an initial period of adjustment. In addition, brace covers or different wax can be provided to prevent any continuing discomfort.
Wearing braces is simple and generally quite easy with the modern devices available. However, braces do need to be regularly adjusted, and this will make the teeth feel tender for a few days. During this short period, a mild painkiller may be needed. A drug-free solution is to chew sugar-free gum, as this will relieve the cramping sensation in the teeth and gums without the need for a painkiller. The fitting of braces is generally painless. Discomfort usually occurs several hours after placement of the appliances and similarly after adjustments.
We are sensitive to the financial pressures on families today, so for your convenience, we provide a payment plan for your orthodontic care. An initial deposit is paid when the appliances are fitted, and the balance is paid in interest-free monthly instalments for the duration of the treatment. Payment can be made by Mastercard, Visa, cheque, cash, electronic funds transfer and direct debit.
No. You can arrange a consultation without your dentist's referral however, we will ask you to see your dentist for a check-up prior to any treatment. If you do not have a dentist, we will happily provide you with some convenient options. We have a large number of well-respected and caring colleagues in all local communities we service who can look after your general dental needs.
The care of your braces will be fully explained when they are placed. You'll get a full run-down on cleaning, things to avoid eating (to prevent damage to the teeth and appliances) and how to keep and get yourself out of trouble.
Most full brace treatments take an average 15 months. There are mild cases that complete in under 6 months, a few severe cases in excess of 18 months. If it takes a really long time, there could be cooperation issues like not wearing your elastics.
No two orthodontic problems are the same and the cost of orthodontic treatment will depend on the severity of the problem and the treatment required. Many orthodontic problems require only simple treatment and you might find that the cost is lower than you thought. Costs will be discussed in full at your initial consultation. The fee that we quote covers all aspects of your orthodontic treatment and the majority of patients pay this fee in instalments over the duration of the treatment to make the cost more manageable. A discounted fee is available if you prefer to pay for your whole treatment when you start.
Definitely! It is very important to continue your regular dental check-ups to prevent and detect dental decay and to monitor your overall oral health.
Health funds repay some of the cost of orthodontic treatment for fund members who have the appropriate level of dental insurance. Please carefully check the premiums, conditions and level or rebate to see whether you will be better off with insurance or not.
There is an ATO 20% tax rebate for a minimum indexed out of pocket medical and dental expenses. Our friendly staff or your taxation adviser can advise on how to maximise this assistance from the ATO.
The fee covers the entire treatment, including fitting of braces or other orthodontic appliance, periodic adjustments, removal of the braces or appliance, 1 set of retainers (if needed) and the retention and observation periods thereafter for a minimum period of 2 years. The fee does not cover such items as ancillary treatment that may be required before, during or after orthodontic treatment such as surgery and check-ups with your dentist.
Braces are available in clear ceramic or polycarbonate and metal. There are hundreds of different brace types on the market. You will be fitted with what we feel are the best brace available. We have a preference for low profile, smaller brackets. We have also routinely used clear braces for the upper front teeth for the last 25 years, without charging an extra fee. Also, remember that we may choose a different brace to what's on your friend because it suits your condition better.
The Australian Orthodontic Society recommends initial orthodontic assessment around the age of 7 years when the permanent incisor teeth are erupting. The majority of children examined at this age will not require immediate treatment, perhaps never. However early assessment helps detect problems that can benefit from early intervention.
We share your concern about missing work, and we make every effort to ensure that all patients receive a fair share of convenient appointments. In Bundaberg, we schedule longer appointments between 9am and 3pm and shorter appointments before and after school. Once treatment commences, the majority of your appointments will fall in the short category. If you are travelling more than an hour for your appointment, some special consideration will be made for your convenience, and please advise our friendly staff of your special travel requirements. For the Hervey Bay and Maryborough branches, all appointments are rotated during various times of the day.
There are plenty of reasons to get braces. The most important is that treatment is faster and better when completed on a young and growing patient. Other factors include everyone you know has braces at your age so it's easier to be one of the crowd rather than dealing with it when you are older; your teeth usually get more crowded with age so if you think it's minor now, things will probably worsen; when you are young your parents normally pay for it—they may not be as generous when you are older!
Early treatment is only indicated where there is demonstrable benefit in intercepting a developing problem; that is the condition would worsen without intervention to the point where future treatment was compromised. An example of this would be an extreme bite problem which is amenable to corrective treatment at an early age but potentially difficult or impossible to treat when older.
No, braces should not interfere with the way you speak or the sound of your voice. Certain appliances have a minor effect on your voice, however the tongue gets conditioned to these appliances quickly and speech nearly always returns to normal after a few days.
Modern orthodontics in conjunction with treatment at an appropriate age has reduced the need for extractions in the majority of cases—even with adults. There are cases where crowding, the position of the teeth in the face or the bite dictate the need to extract teeth, however these are very much the minority. Dr Saxby has a demonstrated preference for not extracting teeth unless required to produce a better aesthetic and functional result for you.
One of the most common problems orthodontists are asked to 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. With these patients, the orthodontist would like to encourage the lower jaw to catch up in growth, and braces like the Herbst appliance help this happen.
Smiling Wide Orthodontics uses the Herbst appliance to enhance the growth of the lower jaw in a forward direction. A tube and rod work together similar to a shock absorber to connect the upper and lower jaws. This does not interfere with opening and closing the mouth or with eating, however side to side movement is somewhat restricted. The Herbst appliance is cemented on the back molars and is in place and active 24-hours a day. It is generally worn full time for up to 8 months along with front braces. Once it is removed, braces are added to the side teeth to complete tooth alignment.
At first, your mouth will feel unusually full and speaking will be awkward. But if you practice reading aloud, your ordinary speech will return quickly. You may also notice more saliva than normal, but this will decrease as you become accustomed to the appliance. The appliance may irritate the inside of your cheeks at first but soon the tissue will toughen up to the appliance and not be a problem.
As the Herbst appliance makes corrections to the jaw relationship, most patients will notice that the back teeth will not meet, making initial chewing difficult. This is normal and necessary for the progression of treatment. The teeth will gradually come together so that chewing becomes more normal after about a week.
If the rod slides out of the tube while opening, open wide again and guide the rod back into the tube as you close.
If a screw or crown comes loose, save all pieces and call the orthodontist's office so they can repair the appliance. Bring all the pieces with you to the orthodontist.
The purpose of the appliance is to harness growth potential of the patient's lower jaw (mandible) for maximum orthodontic benefit.
Please note:
If you have any further concerns regarding the wearing of this appliance, please contact Smiling Wide Orthodontics.
The purpose of the appliance is to harness growth potential of the patient's lower jaw (mandible) for maximum orthodontic benefit.
Please note:
Your removable appliance must be worn at all times, preferably while eating. You should only remove your appliance when you are cleaning your teeth, playing sport or swimming. You may initially experience some tiredness in the joint area around the ear and the chewing muscles. This should settle within a few days.
When playing sport or swimming your appliance should be kept safe in the case provided to avoid breakage or loss. If lost, replacement costs will apply.
The first night or two the appliance may not stay in the mouth whilst asleep. Continual wearing of the appliance will normally solve this.
Please follow any instructions for expansion or screw to be turned.
After eating, remove the appliance and:
2. Brush the plate with toothbrush & toothpaste
Never use boiling water to clean your appliance (U.R.A/Twin Block/Andresen/Essix/Retainer).
At first you will have difficulty eating and talking and you will experience an increase in saliva flow. This will pass in a couple of days providing the plate is worn as directed.
REPLACEMENT APPLIANCES
YOUR DENTIST
You must continue your regular visits to your dentist every 6 months or so, during the orthodontic treatment period.
You don't need to wear the head gear at school, but you must wear it every day—all night when you're asleep and a few of the waking hours to make up the difference. These hours need not interfere with after school playtime, since it can be worn while doing homework, watching TV or on the computer.
Only the first night or two may be uncomfortable, as the molars may be sore and falling asleep might be difficult. Once the neck-strap adjustment is started it must be adhered to continuously, wearing every day and all night. If you leave it off just one night you may have to wear it many extra nights later on.
The bonded retainer has a wire bent inside the front teeth to retain the teeth in their new positions. This retainer will usually be kept in place for a longer period of time than a removable retainer.
Occasionally small seeds (strawberry or sesame) may be caught under the bonded wire retainer. A toothbrush will usually be sufficient to work out any such food.
If the bonded retainer becomes loose at any time during the retention period, please contact the surgery to have it re-bonded.
SITE LINKS
ABOUT US
Smiling Wide Orthodontics is a Bundaberg-based orthodontist with practices in Hervey Bay and Maryborough as well. We offer a specialised dental service, providing products like Invisalign, braces and removable appliances, designed to resolve dental issues like crowding, spacing and overbites. Contact one of our offices to arrange your complimentary initial consultation.
Bundaberg
Maryborough
Hervey Bay
CONTACT INFORMATION
By appointment only