ORTHODONTIC PHASES
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PHASE 1 - PLANNING STAGE ​
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The orthodontist makes an exact diagnosis in order to realign the teeth in the most effective and expedient way. The first several visits may comprise of some of the following evaluations:
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Medical and dental evaluations – Dental and physical problems tend to go hand in hand. Problems in the oral cavity can lead to (or be caused by) medical problems. The goal of this evaluation is to ensure that prior medical and dental issues are completely under control before treatment begins.
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Study model (castings/bite impressions) – The patient is asked to bite down into a dental tray filled with a gel substance that hardens around the teeth. The trays are removed from the teeth and filled with plaster to create models of the patient’s teeth. Study models enable the orthodontist to scrutinize the position of each tooth, and how it relates to the other teeth.
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Panoramic X-rays – X-rays are fantastic tools for viewing potential complications or pre-existing damage to the jaw joint. X-rays also allow the orthodontist to see the exact position of each tooth and its corresponding root(s).
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Computer generated images – Such images allow the orthodontist to treatment plan and examine how specific treatments may affect the shape of the face and symmetry of the jaw.
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Photographs – The “before, during and after” photographs of the face and teeth of the patient will be taken to assess how treatment is progressing, and the impact the treatment is having on the patient’s face shape.
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PHASE 2 - ACTIVE STAGE ​
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All of the above diagnostic tools will be used to diagnosis and develop a customized treatment plan for the patient. Next, the orthodontist will recommend custom orthodontic device(s) to gently move the teeth into proper alignment.
Orthodontic appliance may be fixed or removable:
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Most commonly, traditional fixed braces are affixed, which utilizes individual dental brackets connected by an arch wire.
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Lingual braces are also fixed, but fit on the inside (tongue side) of the teeth to make them less visible.
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Removable devices are an alternative to fixed braces. Examples of removable devices include the Invisalign system, headgear and facemask. These devices are designed to be worn for a specified amount of hours each day to expedite treatment.
Whatever the orthodontic device, the orthodontist will regularly adjust it to ensure adequate and continual pressure is being applied to the teeth. It is essential to visit the orthodontist at the designated intervals and to call if part of the device breaks or becomes damaged.
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PHASE 3 - RETENTION STAGE ​
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When the teeth have been correctly aligned, fixed braces and removable devices will be removed and discontinued. The most cumbersome part of the orthodontic treatment is now over.
The orthodontist will next create a custom retainer. The goal of the retainer is to ensure that the teeth do not begin to shift back to their original positions. Retainers need to be worn for a specified amount of time per day for a specified time period. During the retention phase, the jawbone will reform around the realigned teeth to fully stabilize them in the correct alignment.​
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DON'T STOP WEARING YOUR RETAINER !
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if you do not wear your retainer as directed by your orthodontist, your teeth may revert back to their original position, thus losing the teeth straightening progress you made during your orthodontic treatment.
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If you put in your retainer after not wearing it for a week, you may notice it might feel a little tight. After a few hours of wear, it will feel less tight as your teeth will begin to move into position. You may feel a little pain or some tender gums and teeth during this process, as it is similar to the slight pain of wearing braces, however this should cease after some time.
