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WINDSOR CENTRE FOR
ADVANCED DENTISTRY

DORSET HOUSE
1 DORSET ROAD
WINDSOR
BERKSHIRE
SL4 3BA
UK

T: +44 (0) 1753 833755
F: +44 (0) 1753 830477

info@advanceddentistry.co.uk

Mon: 9am – 6pm
Tues: 8.30am – 5.00pm
Wed: 8.30am – 5.00pm
Thurs: 8.30am – 5.00pm
Fri: 8.30am – 1.00pm

Dr TIDU MANKOO BDS
Dr DAVID WINKLER DDS
Dr LAURA FROST DDS
Dr NIKITA MEHTA, BDS
Dr DANIELA MANCUSO, BDS, MSc
 

Orthodontics

 

Orthodontics is the field of dentistry that addresses straightening of crooked or overcrowded teeth and closing gaps between teeth. More and more adults who never had the opportunity as children to have their teeth straightened are turning to orthodontists to improve their smiles.

Young adults - Starting off right

Traditionally, people consider braces when they are not pleased with their smile. However braces can also help you keep your teeth healthy well into your later years by ensuring that your tooth spacing and alignment is optimal for easier flossing and brushing.

Similarly, people with extensive overbite, underbite or crowding of teeth benefit from addressing the problem early.

First stop for Aesthetics

Those interested in improving their aesthetic appearance are often surprised to discover that they are able to achieve the result they are hoping for with bleaching and orthodontics instead of veneers. We do recommend orthodontic treatment as part of an aesthetic treatment programme as this will minimise any changes made to existing teeth. Using veneers to straighten teeth can result in bulky uncomfortable restorations as well as extensive preparation of otherwise healthy teeth.

Restoration - a vital role

However the core of our work here at the Windsor Centre for Advanced Dentistry is helping adults with often severely compromised teeth and gums. Orthodontic treatment plays an invaluable role in the inter-disciplinary treatment often necessary in these cases when coordinated with other treatments such as dental implants, crowns, bridges and veneers especially in complex restorative cases.

The reason that braces work so well is also the reason they are required to treat people. Teeth will readily move to a new position with braces but also if there is no resistance in a particular direction when teeth are missing or lost. This can often be the beginning of the collapse of an otherwise healthy mouth, a domino effect if you like.

For example, if a back tooth is lost and something not placed in the gap, like a dental implant or bridge, all of the teeth adjacent to the gap will begin to migrate into the gap. The teeth behind and in front will typically tilt in the direction of the gap, and even the tooth opposite in the opposite jaw will 'overerupt' as there is no longer chewing pressure keeping it in place.

Of course this will happen at different rates for different people, but ultimately it affects everyone. We do recommend implants for missing teeth as they do not require disturbing healthy adjacent teeth as is the case with making a bridge. There are a variety of methods of preparing bridges, most all of which do require cutting into the adjacent teeth to anchor the bridge.

 Treatment Options

Modern orthodontic treatment usually involves the use of fixed braces to move teeth, enabling patients to be treated to a high standard and giving the best possible results.

Treatment options are more varied now than ever. Conditions that were not possible to be treated can now be treated as a matter of course.

 Kinds of Braces

Labial (exterior) fixed braces

Conventional labial fixed braces are the best value, and come in more varieties than ever before. Traditional metal braces are smaller and less obvious than ever, for youngsters we make these with changeable coloured elastics so you can surprise your friends with a different colour after each visit to the dentist.

Ceramic braces are available that are tooth coloured and are very difficult to see.

Crystal brackets are now available which are made from clear crystal, and are virtually invisible as well.

Selection of these types of exterior braces is mostly down to personal preference and budget, as they all are able to achieve similar results in equivalent time scales.

Lingual fixed braces

Lingual braces are placed on the inside (backs) of the teeth in a similar fashion to labial braces and are an equally effective option. Although these are more expensive in that they require specialist expertise and longer visits they have the huge advantage of being hidden from view and therefore are not visible in the smile.

Removable clear braces

Invisalign© being the most widely known - are an increasingly popular method of treatment. A great way to have orthodontic treatment without anyone knowing.

These removable clear braces slip onto your teeth and can be used in many circumstances, however it is particularly important to have a consultation with an orthodontist to discuss your objectives, as they may find that an alternative appliance suits you better.

   

These slides show a patient with lingual 'hidden' braces on the inside of the teeth. The front view shows how these are invisible in the patient's smile.

 

Orthodontics plays a key role in many of our treatments and rehabilitations, not only as a stand-alone treatment for malaligned or crooked teeth in adults and children, but also as a complimentary treatment to restorative and cosmetic treatments, or even full mouth rehabilitation. Positioning the teeth correctly has a dramatic impact on the long-term outcome of any restorative or cosmetic treatments. With InvisalignT or lingual braces as (shown above), orthodontic treatment can be carried with 'hidden braces' with great results.

 
   
 

 

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