Cosmetic Orthodontics

Choices in Braces

Metal braces..

are the most common and are made of a high grade stainless steel. Today's braces, especially the ones we use, are much smaller than they used to be and lots of teenagers like to dress these up with different coloured elastics that can be changed at each appointment.
Ceramic braces..

are a translucent clear material and are the most popular with adults and teenage girls. You have to be very close to someone to tell that they are there. The only drawback is that they are more fragile so we don't put them on anyone who is involved in contact sports or who is accident prone!


Invisible Orthodontics:

Lingual braces

"Invisible" braces may be located on the tongue (lingual) sides of the teeth in upper and lower jaws.

     


Invisible Orthodontics:

A new system is shortly to be available at NCAFOS that makes invisible orthodontics possible without the use of braces. Transparent gum shield tooth aligners are used to move teeth in a complete cosmetic system.

What is Invisalign®?

Invisalign® is an invisible way to straighten your teeth without braces.
A set of clear removable aligners straighten teeth without braces.
Invisalign® has been proven effective in clinical research.


Thousands of adults have already benefited from treatment in the United States where over 3000 orthodontists have treated their patients with Invisalign®. This service is now available in the UK through NCAFOS Clinics.

The system is Invisible so no one can tell you're straightening your teeth. It is also Removable. so you can eat and drink what you want while in treatment; brushing and flossing are no problem. It is Comfortable. because it has no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your orthodontist's practice getting adjustments.

Invisalign® uses amazing advanced 3-D computer imaging technology to transform your bite impressions into a custom-made series of clear and removable aligners. There may be as many as 48 in the series or as few as 12, depending on your individual treatment plan.

How Are Aligners Made? - Amazing Internet Dentistry...

The aligners are made through a combination of your orthodontist's expertise and the same 3-D computer imaging technology that has been adapted by a NCAFOS Surgeon for use in reconstructive and cosmetic facial surgery planning (Engineering Assisted Surgery) http://www.maxfac.com

Invisalign® - Clinical Procedure

To ensure a high degree of accuracy throughout the process, impressions are taken of your teeth. These are sent to Invisalign® and are used to make plaster models of your teeth.

Using advanced imaging technology, Invisalign® transforms your plaster models into a highly accurate 3-D digital image. Teeth are moved on the computer screen as required to achieve the optimum cosmetic appearance.
A computerized movie - called ClinCheck® - depicting the movement of your teeth from the beginning to the final position is created.
Using the Internet, the Orthodontist reviews your ClinCheck® file - if necessary, adjustments to the depicted plan are made.
From your approved ClinCheck® file, Invisalign® uses laser scanning to build a set of actual models that reflect each stage of your treatment plan.
Your customized set of aligners are made from these models, sent to your doctor, and given to you. You wear each aligner for about two weeks.
After wearing all of your aligners in the series, you get the beautiful smile you've always wanted


How Does Invisalign® Work?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
As you replace each aligner with the next in the series, your teeth will    move - little by little, week by week - until they have straightened to   the    final position your orthodontist or dentist has prescribed.
Total treatment time averages 9-15 months and the average number       of      aligners worn during treatment is between 18 and 30, but both will vary from case to case.
You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.


Further information is available from http://www.invisalign.com/GB/index.html

Orthodontic Treatment - What to Expect?

Initial Visit
Records & Examination
Consultation


Initial Visit

This is a relatively brief visit where will see if you are ready for braces and give an estimate of treatment and the time you would need in braces.

Records & Examination

At this appointment you will receive a thorough examination of your teeth and mouth. In order to learn as much as possible, you will also have the following:

Impressions to make plaster models of your top and bottom teeth X-rays of your head, teeth and jaw joint Photographs of your teeth and face Medical and dental history

Consultation

At the consultation appointment, your treatment plan will be discussed. Any risks or limitations will also be discussed and you will be encouraged to ask questions. Write down any questions so they may be answered at this visit.

Before orthodontic treatment commences, you will probably need to visit your Cosmetic Dental Surgeon for a good cleaning and cavity check. While you are in braces you will need to see your dentist every 3-6 months for cleaning and check-ups. It is important that your teeth and gums stay nice and healthy.

Accelerated Orthodontics

To change your smile by changing the appearance of your front teeth you may consider porcelain veneers, bonding, crowns or traditional braces. Accelerated orthodontics is another option for you and your Cosmetic Dental Surgeon to consider. Accelerated orthodontics is relatively new way to move teeth faster than traditional braces. It can be applied in most cases where orthodontics is the chosen solution. While traditional braces take anywhere from one to three years to give you a great smile, accelerated orthodontics can give you a great smile in only three to eight months in most cases.

Overview: Accelerated Orthodontics

Accelerated orthodontics addresses the straightening, spacing, closing of gaps and repositioning of your front teeth. The result is fast, usually only three to eight months. Accelerated orthodontics uses proven orthodontic and periodontal (gum) surgery techniques. This treatment involves a team of dental specialists that have been specifically trained in accelerated orthodontics. There is dental chair side procedure in addition to conventional orthodontic treatment. Techniques to "slim" or reduce the widths of your teeth provide the space needed to correct any crowding of your teeth.

Who is a candidate for accelerated orthodontics

If you're an adult considering orthodontics for cosmetic reasons, accelerated orthodontics is a way to achieve a great smile in far less time than traditional braces. Many adults are choosing this solution as a way to speed up the process and avoid two or three years with braces. Accelerated orthodontics is effective in most cases where orthodontics is the recommended solution to correcting your front teeth for a terrific smile. Accelerated orthodontics should be discussed with your Cosmetic Dental Surgeon along with options such as porcelain veneers and tooth bonding.

About the accelerated orthodontic procedure

The accelerated orthodontic procedure involves a team of dental specialists that have been specifically trained in accelerated orthodontics. There is minor in-office procedure in addition to conventional orthodontic treatment. Techniques to "slim" or reduce the widths of your teeth provide the space needed to correct any crowding of your teeth. This also may reduce the need for extractions.

Accelerated Orthodontics and Periodontal (Gum) Surgery

Accelerated orthodontics can involve some periodontal surgery within about a week after your braces are placed. Done under a local anaesthesia, the procedure itself creates no more discomfort than your regular dental cleanings. You will feel minor discomfort for a few days following the procedure, but it is overall less painful than traditional orthodontics. It is common to have an itching sensation in your gums initially as your teeth are moving much faster than with traditional dental braces.

You will have regular and frequent follow-up visits as you would with traditional braces to check for any adjustments that may need to be made. Your doctor may suggest a retainer to be worn periodically afterwards to keep your teeth in their new position.

About the costs of accelerated orthodontics

Accelerated orthodontics involves a team of people specially trained for this treatment. As such, the cost will vary depending on your region and the fees charged by the specialists. Typically the cost of accelerated orthodontics is similar to traditional braces, but with the benefit of speeding up the correction of your teeth. Lingual braces, those mounted behind your teeth, will add to the cost. Many insurance companies only cover a portion or do not cover accelerated orthodontics. Be sure to speak with your insurance company to see if you would have any coverage for this procedure.

Advantages of accelerated orthodontics

The biggest advantage is the three to eight months it takes to have a great smile, versus one to three years with traditional braces. Your teeth are assisted in moving faster with little loss of either root or bone support as with previous methods.

Disadvantages of accelerated orthodontics

If crowding is an issue, your teeth will need to be altered and "slimmed down" to create the needed room. Accelerated orthodontics is relatively new and requires special training for the doctors. This may make it difficult to find a doctor who has been trained in accelerated orthodontics until the procedure becomes more common.

Before and After Photos of Accelerated Orthodontics

  

Accelerated Orthodontics

Joint Clinics

A multidisciplinary approach to patient care is the cornerstone of NCAFOS philosophy in order to achieve the best possible result for patients. Orthodontic patients facial growth problems may be seen jointly with Cosmetic Oral and Maxillofacial Surgeons, Cosmetic Dental, Plastic and ENT Surgeons all of whom have a specialist interest and particular expertise to bring to the case. As such we are confident in providing care of the highest standards.

Orthodontic Engineering and Surgical Orthodontics

An osteotomy is a controlled surgical fracture of bone, and is usually carried out with saws and instruments which can split the bone along its natural "grain". Combined with Invisalign and other methods of Orthodontic treatment, using Engineering Assisted Surgery planning techniques and customised jigs, precision osteotomy bone cuts between the tooth roots may be used to mobilise teeth so that they may be orthodontically moved into the correct position using treatment ... lasting a few days or weeks to get the teeth into the final position - instead of months or years

This concept is a major breakthrough in the treatment of misaligned teeth.




Computer Simulated Segmental Osteotomy
illustrating the mobilisation of two lower teeth


We advocate that these new methods of Orthodontic Engineering and Surgical Orthodontics will transform treatment for many patients and significantly shorten treatment time.