January 20th, 2019

031-563 1665 info@rtortho.co.za

Dr. Renton Tindall Inc. Orthodontist B.D.S.,M.DENT. (Witwatersrand)

Treatment

The Damon System
Website_pic_006 The Damon System is different to conventional braces. Conventional braces are tied in with coloured elastics, which cause friction and pressure, making treatment slower and less comfortable. Damon braces instead use a unique slide mechanism, which reduces friction allowing the use of gentler forces in the form of high technology alloy wires that move teeth faster, with minimal discomfort and fewer adjustment. The Damon System also offers a new clinically proven treatment approach that aligns your teeth and enhances your smile and facial aesthetics-usually without extractions or rapid palatal expanders. Damon braces are designed to be discreet, comfortable and easy to keep clean. Without the elastic ties which attract and collect plaque. Damon braces make hygiene easy during treatment. Find out more on www.damonbraces.com
Synergy Braces
syn13 The braces and materials provided with this system will be stainless steel lower friction braces. www.rmortho.com
These braces are less sophisticated and tend not to be as efficient as the Damon system of orthodontic treatment but are more efficient than the more common traditional braces and therefore will only be used for treatment of simpler orthodontic problems.
These metal braces may be also customised with colours on the front teeth to make them trendier!
Essix style “Invisible Aligners”
sonrisa_invisalign These consist of a series of transparent, nearly invisible, removable aligners that you change every two weeks for the next set of aligners. Each aligner is individually manufactured for your teeth, and your teeth only. As you replace each aligner, your teeth will move – little by little, week by week – until they have straightened to the final position prescribed by the orthodontist. This system is excellent for simple tooth movement where maybe there are one or two front teeth out of alignment. These can be realigned in a matter of a few months and so improving your smile dramatically. The Essix style treatment can slot simply and easily into your daily routine, without any fuss or embarrassment. There are no metal wires or brackets, so no need to worry about mouth irritations, as the aligners are comfortable to wear and can be easily removed for eating, drinking, brushing and flossing. The aligners however need to be worn at least 22 hours a day to be fully effective.As the Essix aligners are transparent and difficult to detect when worn, they allow you to straighten your teeth without feeling self-conscious – and should you have an important meeting or event coming up that’s causing concern, you can always remove the aligners for that short space of time.
Retainers
L3-3 Retainer U Retainer Removing your braces  The procedure for removing your fixed braces and fitting your retainers will take two appointments.First appointment: At this appointment all the braces are carefully removed and your teeth are polished to remove any remaining cement (glue). Impressions are then taken for the construction of your retainers.Second appointment: At this appointment your retainers will be fitted. These retainers are usually removable in the upper and a fixed bonded wire behind the teeth in the lower but can vary from patient to patient. We will then instruct you on how to wear and care for your retainers. Your retention phase will be monitored for approximately a year. Retention usually consists of full time wear for 3-4 months followed by night time wear. This is then further reduced until a long-term routine suitable for your teeth is established.Why I need to continue wearing my retainer?Once active treatment is over you will go into the retention phase. Our view is that your treatment is still continuing for a further three months with a more convenient brace. It is during this time that we control the settling in of your bite and the closing of any small spaces. This phase is equally important as the active phase as without your full cooperation we could lose a lot of what we have achieved with the fixed braces.

All your teeth are slightly loose and will move very quickly if they are not held firmly by your retainer. We require you to wear your upper retainer full-time day and night for the first three months in order to ensure the stability of the end result. THIS IS EXTREMELY IMPORTANT!

You may remove your retainer for mealtimes, for contact sports and for cleaning. Please ensure that you refit your retainer immediately after these times.

If you do as you are instructed your teeth will not move as they are held in place by the wire around the outside of your teeth and on the inside by the plastic palate. If there is any movement it will be because you are leaving your retainer out for too long! Normally after three months you may then wear your retainer only at night time and we will continue to guide you as to how to wear your retainer over the following twelve months until the wearing becomes more part-time. Please continue wearing your retainer sufficiently to keep it fitting comfortably.

We will never tell you to stop!

 Removable braces
Removable Braces Removable orthodontic braces are not normally alternatives to having fixed braces as they are limited to what they can achieve. They are normally used for simple treatment in younger children to intercept a developing problem such as crossbites, to expand and develop the narrow jaws and close down open bites as a result of bad habits like thumb sucking and abnormal swallowing patterns (tongue thrusts).Sometimes these removable braces can be used in adolescents and adults if there in a minor orthodontic problem requiring simple tooth movement.These are normally constructed of a special acrylic plastic plate and specialised orthodontic stainless steel wires, which make up the clips and springs.

Removable braces are also used as retainers once the active treatment with fixed braces has been completed.

Removable braces can also be in the form of vacuum formed Essix aligners and can also be used as retainers in certain circumstances.

 Bite Splint Therapy
Website_pics_003x A bite splint is an acrylic plate that is worn normally only at night, preventing the upper teeth from coming in contact with the lower teeth. It is a supporting appliance for people who suffer from clenching, bruxism (grinding of teeth) or TMJ problems (problems of the jaw joints). This appliance is custom-made from an impression of the teeth in order to optimize comfort and retention.Role of the bite splint  A person with badly positioned jaws can develop significant neuromuscular problems.  These problems can manifest themselves with migraines, worn down teeth from clenching, grinding and loose teeth, and pain and tension in the joints and muscles of the face (TMJ disorders), When the neuromuscular symptoms become more severe we can even find cracking of the joints, congestion of the ears, pain in the neck and shoulders, and inability to open the mouth wide. For these problems, a bite splint functions by: – Absorbing in part the forces of bruxism and of clenching. – Releasing the muscles of the jaws to ease the tension. – Relieving the joints of the jaws and thereby reducing the pain. – Limiting the progression of the deterioration of the teeth from the bruxism, and of the bone of the joints.Lifespan and limitations  The bite splint can last a few years depending on the severity of the bruxism. It must be redone every two to three years. It is therefore a temporary treatment in order to correct bad positioning of the jaws.Many dentists agree on other choices for a permanent treatment: – Orthodontics to move the teeth in order to allow the jaws to come in a comfortable neuromuscular position. It is the most recommended treatment. – Crowns, bridges, or dental implants on all the teeth to modify the location of the jaws in order to find the permanent comfortable position of the bite splint. This treatment is more invasive and is only recommended when teeth have large restorations.
What is the next step to achieving my perfect smile?
images (1) You or your child will undergo a half hour routine pre-treatment orthodontic examination followed by a brief discussion.If required and time allows and if you are happy to proceed a full orthodontic investigation is then carried out. This will include X-rays, photographs and impressions for study models. Otherwise a half hour orthodontic records appointment is scheduled for a later date.These records are then carefully analysed and a treatment plan formulated.This treatment plan is then presented and discussed with you at a subsequent appointment. You will have the option of having your braces fitted immediately after this appointment or you may want time to consider the treatment proposals and have your braces fitted later.The first consultation appointment, the orthodontic records, the treatment plan discussion and the fitting of braces are all lengthy procedures and in order for our time to be managed as effectively and efficiently as possible these appointments are confined to mornings only.The adjustment of the braces, which normally takes about 15 minutes are arranged after school hours.

All adult treatment is confined to the mornings.

Dr. Renton Tindall Inc. Orthodontist, Durban North, KwaZulu-Natal