Fixed Appliance
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st Johns in St John, st john
The Dental Room
Telephone: 861343
From outside Jersey
Telephone: 44 (0) 1534 861343
Address:
3b Temple Court,
La Rue du Temple,
St John Jersey JE3 4BJ
info@thedentalroom.je
A fixed appliance or TrainTrack brace is made up of small brackets glued to your teeth. The brackets are handles used to hold your teeth and straighten them. The archwire, which runs through the brackets moves the teeth. We start with the most gentle archwire and gradually move up through five sizes. The archwire is held in place by the brackets themselves or by tiny coloured elastic coloured bands holding onto the bracket margins.
It is usual for the teeth to be uncomfortable for the first few days after the brace is first fitted – so stay with a soft diet and if necessary take one or two tablets of paracetamol or ibuprofen.
If one bracket comes off then leave it until your next scheduled visit. If several break off then phone for an appointment to have the brace repaired.
Often as the teeth move the archwire sticks out at the back. If this scratches your cheek come in to have the end cut off. Ask reception for a packet of wax where your appliance is fitted in case this happens.
Since the brace is fixed you cannot remove it for brushing. It is extremely important to spend extra time brushing all around the brace and especially the gums. If the dirt builds up then your gums will bleed a lot (gingivitis) and your teeth will decay. Special brushes and fluoride mouthwashes for daily use can usually be obtained from the receptionist of your dental surgery.
Poor cleaning and too many fizzy drinks can cause permanent decay marks around where the brackets have been attached. The importance of thorough brushing and the use of a fluoride mouthwash cannot be emphasised enough.
Contact sports such as rugby present a problem since it is difficult to make a gum shield that will fit over the brace. A reasonable solution is to buy a cheap gumshield from a sports shop which can be softened in hot water and moulded over the brace.
It usually takes about 18 months to straighten your teeth before the fixed appliance is removed. Occasionally it takes longer. "TrainTrack" braces are very good at straightening teeth so that they look better in months. It is important to remember, however, that if the brace is removed too quickly before the teeth have settled into their new positions, then the teeth tend to go crooked again.
So how are the teeth kept straight after the fixed brace is removed?
To keep the teeth straight after the fixed appliance is removed usually a removable appliance or brace called a retainer is made for you to wear at nights for at least 12 months. Alternatively sometimes a wire is fixed to the insides of the teeth to hold them straight and these may be retained for several years.
Orthodontic treatment (Fixed ApplianceDocument Download)
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The Dental Room
Telephone:
(01534) 861343
3b Temple Court,
La Rue du Temple,
St John Jersey JE3 4BJ
info@thedentalroom.je