In many cases, the correction of malocclusions is associated with children and teenagers. The ideal of beautiful and straight teeth that give the appearance of a string of pearls, are however in adulthood possible to achieve - and this certainly only for aesthetic reasons.

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Treatment procedure

The treatment procedure follows two simple steps:

1. Step: Diagnosis 
During the first meeting we aim to get a better picture of the overall health of your Teeth, in which an orthodontic diagnosis is undertaken. This allows us instantly to establish by the first meeting if X-rays are needed or not. Using our modern on site, low-radiation digital x-ray machine we are able to instantly evaluate the results and decide upon the correct course of action.

Further diagnostic tests will be recommended should we come to the conclusion that orthodontic treatment is necessary. Our specialist will evaluate all the test results and explain in detail the findings. All this can be established during the first meeting.  

If your private insurance is covering the costs of the treatment, we will happily assist you in filling out the appropriate application documents. 


2. Step: Treatment Planning & Cost Overview
During the second meeting our specialists will explain the various treatment options available to you, and help you decide upon the best course of therapy to take. Once established a corresponding cost calculation will be made and sent directly to your health insurance company for verification. As soon as we have received the health Insurances conformation the planned course of treatment can begin.

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Orthodontics

As the teeth move very slowly, a negative change is not immediately visible. Eventually, however, misalignments are visible and Kauprobleme can be felt.

For this reason, we recommend that our patients after completion of treatment lifelong carrying the retainers, which is stuck behind the teeth. Thus, the teeth remain in their optimum position and keep your beautiful smile for a lifetime.
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Conditions

An orthodontic treatment can be performed at any age, however one important condition being that the periodontal ligaments (pine, gum, etc.) are healthy.

Conditions
  • The teeth should be free from possible decay or infection.
  • There should be no signs of inflammation in the periodontal areas or at the roots.
  • Existing Fillings can be retained, but will eventually need replacing someday. 
  • Once the planned orthodontic measures are in place and to avoid unnecessary alterations, we recommend not using Prosthesis, as both the bite and the tooth shape can often change.  
Already in the first meeting we can evaluate whether a trip beforehand to your own Dentist is necessary or not, and we are on hand to help you coordinate and plan this should it be the case.  

Please bring the following documents
  • Should you have private dental insurance please bring your insurance card with you.
  • If you have any actual X-rays pictures of your teeth, please bring them with you, 

*With your consent we can also request them directly from your Dentist. 


Treatment

If the necessary documents are presented, the diagnosis can begin immediately. Based on the findings of this diagnosis and an explanation of the various treatment options, a calculation of the relative costs will be made. 

Take your time to think about the right decision for you, and study our treatment options in complete peace and quiet.  

Once the orthodontic analysis is made we will develop a detailed treatment plan, including a cost overview. This plan will be then be discussed further in the second meeting and there after the treatment can begin. 

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Common Jaw Impairments

We would like to inform you of the different types of Jaw impairments and the effect they have on the general biting action. 

Normal Occlusion
With the Normal Occlusion, the teeth along the lower jaw line sit exactly 1-2mm behind the teeth along the upper jaw line. All teeth are in line with one another and have good contact during the biting process.


Retrusive Occlusion
The Retrusive Occlusion which is common amongst children, is where the teeth along the lower jaw line are much too far behind those of the upper jaw line. This causes a huge distance between Incisors when biting.  

What effects can the Retrusive Occlusion have?

  • Deep Occlusion: The Incisors of the Lower Jaw can grow into the flesh of the gums causing gum damage and discomfort. 
  • High Injury Risk: The Incisors are at risk of damage and injury (especially in sport or activity) because they are not protected by the lips and the teeth in the lower jaw cannot support them. 
  • Crowded Teeth: The Front teeth can crash into one another causing them to collapse or break through the dental arch. 
  • Forced Occlusion / Problems related to the Jaw Joint: The front teeth are angled inwards and during the biting process the lower jaw is forced further backwards. This causes additional pressure on the joint of the jaw, causing it to click or even lock relating in discomfort and pain. 
  • Worn and damage Teeth: When the jaw lines do not match, the teeth are overused and become worn and damaged, this causes the tooth enamel to wear away. This is common in younger people.

Closed Occlusion
The Closed Occlusion is a special form of the Retrussive Occlusion. This is where a section of the teeth along the upper jaw line lean forwards and another section backwards.

What effects can the Closed Occlusion have?

  • Deep Occlusion: The Incisors of the Lower Jaw can grow into the flesh of the gums causing gum damage and discomfort. 
  • High Injury Risk: The Incisors are at risk of damage and injury (especially in sport or activity) because they are not protected by the lips and the teeth in the lower jaw cannot support them. 
  • Forced Occlusion / Problems related to the Jaw Joint: The front teeth are angled inwards and during the chewing process the lower jaw is forced further back. This causes additional pressure on the joint of the jaw, causing it to click or even lock relating in discomfort and pain. 
  • Worn and damage Teeth: When the jaw lines do not match, the teeth are overused and become worn and damaged, this causes the tooth enamel to wear away. This is common in younger people.
  • Crowded Teeth: The Front teeth can crash into one another causing them to collapse or break through the dental arch. 

Pre-normal Occlusion
The Pre-normal Occlusion is a rare case, in which the lower jaw line protrudes so far out that the Incisors clash with the edges of one another, or in extreme cases clash with the Incisors of the upper jaw, known as the “cross bite”.

What effects can the Pre-normal Occlusion have?

  • Cross Bite: Because the front teeth of the lower jaw line, come into contact with the incisors from the upper jaw line the tooth enamel gets damaged very quickly.
  • Forced Occlusion / Problems related to the Jaw Joint: The front teeth are angled inwards and during the biting process the lower jaw is forced further back. This causes additional pressure on the joint of the jaw, causing it to click or even lock relating in discomfort and pain. 
  • Formation of Gaps: Gaps can start to appear along the row of teeth. 
  • Worn and damage Teeth: When the jaw lines do not match, the teeth are overused and become worn and damaged, this causes the tooth enamel to wear away. This is common in younger people.
  • Deep Occlusion: The Incisors of the upper jaw line actually cover those of the lower jaw line causing damage to the gums.

The Cross-Bite
The sideward Cross-Bite is when the lower jaw line has moved sideward so much that the back teeth of the lower jaw line are actually above those of the upper jaw line.

What effects can the Cross-Bite have?

  • Lopsided Face: If the Cross-bite is not treated than the teeth can continue to grow in a sideward manner causing the shape of the face to change and look lopsided.  
  • Worn and damage Teeth: When the jaw lines do not match, the teeth are overused and become worn and damaged, this causes the tooth enamel to wear away. This is common in younger people.
  • Forced Occlusion / Problems related to the Jaw Joint: The front teeth are angled inwards and during the chewing process the lower jaw is forced further back. This causes additional pressure on the joint of the jaw, causing it to click or even lock relating in discomfort and pain. 

Non Occlusion
In the case of the Non Occlusion the Incisors of both the upper and lower jaws do not touch one another during the biting process. In extreme cases only the back teeth actually make contact with one another. 

What effects can a Non Occlusion have?

  • Long looking face: Due to the continued growth of the lower jaw, the face can change shape and look longer.
  • Worn and damaged teeth: With the Non Occlusion very few teeth will have contact with one another and therefore they will wear very quickly. 
  • Problem with the Jaw Joint: If only a few teeth are used during the chewing process then the jaw must work twice as hard as normal which can lead to pain or discomfort. 
  • No bite possible: Due to the fact that the front teeth can no longer touch those of the lower   jaw line it can be completely limited or even impossible to chew or bite at all.

Protrusion 
If the front teeth are protruding outwards then they must be pulled back into place. To do this the lower jaw line must be pulled also backwards to allow for enough space. Causes of a Protrusion amongst adults are often an infection of the gums which causing deterioration of the tooth marrow. 

What effects can a Protrusion have?

  • Formation of Gaps: Gaps can start to appear along the row of teeth.
  • Deterioration of Gum Flesh: If the protrusion is not treated, the effected teeth push further outwards from their cavity and the gums recede dramatically causing possible gum disease.

Crowded Teeth
In the case of the crowded teeth, the teeth do not have enough space to grow and nest too closely to one another or even on top of one another. 

What effects can Crowded Teeth have?

  • Deterioration of Gum Flesh: The effected teeth can push further outwards from their cavities causing the gums to recede dramatically, and possibly causing gum disease.
  • Danger of Tooth Decay: Due to the uneven shape of the teeth it becomes difficult to clean them and tooth decay is very common. This can also lead to discolouring of the teeth or even inflammation of the gums.
  • Worn and damaged Teeth: When the jaw lines do not match, the teeth are overused and become worn and damaged, this causes the tooth enamel to wear away.

Gaps in the Teeth
Gaps along the row of teeth not only have a significant effect on the look of the teeth, but if they are not treated with a Bridge or Implant the neighbouring teeth can fall into the free spaces available, should this happen a orthodontic procedure would be necessary to correct the mistake.

What effect can Gaps in Teeth have?

  • Moving of the Teeth: The teeth can uncontrollably move, and lean against each other, causing individual teeth to possibly fall out.
  •  Deterioration of Gum Flesh: The effected teeth can push further outwards from their cavities causing the gums to recede dramatically, and possibly causing gum disease.
  • Worn and damaged teeth: Individual teeth are used more when gaps are present causing them to deteriorate quicker. 
  • Gaps at the Side: If gaps are not treated along the side with an Implant or a Bridge, the opposite tooth can grow significantly affecting the biting mechanism.

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Temporomandibular Disorder (TMJ)

There are a number of reasons the temporomandibular joint could cause pain, often it is not always the symptoms directly related to the temporomandibular joint that is cause of the discomfort. It is possible that the surrounding muscles strained by stress and other factors are the cause of the pain.

Usually a custom-made splint is necessary for TMJ, which helps the jaw find the ideal relaxed position, in extreme cases orthodontic therapy is needed to relieve TMJ symptoms. On occasions drug therapy for the treatment of pain and muscle tension is necessary, before splint therapy can be performed.

Please do not hesitate to contact us at this point, we will be happy to help you.