People of any age can benefit from orthodontic treatment. Teeth that are crooked, crowded, or that stick out affect the way your teeth look and function. Orthodontic treatment not only improves the look of your smile but your health as well.. If you are not happy with the way your teeth look or function, orthodontic treatment may help.
The removal of permanent teeth is something we try to avoid. In the majority of patients, we try to encourage skeletal and jaw development (instead of extracting teeth), therefore we are able to accommodate all the teeth. However, because of certain biological or esthetic factors, in some situations it is necessary to consider the extraction of some permanent teeth in order to achieve optimum results. We are careful not to prematurely start treatment. Optimal timing keeps a child's treatment to a minimum, avoiding excessive treatment time. However, there are many patients who will benefit from two stages of treatment. Often an early interceptive stage can decrease the complexity, duration and cost of the total orthodontic treatment.
Dr. Vu and Dr. Madej offer traditional braces and Invisalign clear braces to adjust teeth. Just like extractions and root canals, general dentists provide orthodontic treatment for the majority of mal-aligned (crooked) teeth and refer the more complex cases to a specialist (orthodontist).
Traditional braces have improved! You can now choose from metal and tooth colour ceramic brackets placed on the front of teeth. Low tension applied to a thin wire threaded through the brackets gradually shifts teeth into their ideal arrangement. This type of orthodontic treatment isn’t just for kids and teens. Many adults choose it, too. Learn more about Traditional Braces.
Invisalign Clear Braces
Clear, BPA-free acrylic aligners fit over teeth and work by exerting gentle pressure. This pressure incrementally moves teeth in the desired direction for a beautiful, healthy smile. The aligners are removable, which is an attractive feature. You can easily clean your teeth – and your aligners. There are no diet restrictions with Invisalign, and our adult patients appreciate the discrete nature of treatment with clear braces. Learn more about Invisalign.
The Right Method for You
At your orthodontic consultation, you and the doctor will discuss your goals and expectations to determine whether traditional braces or Invisalign clear braces is the best method to create the smile you’ve always wanted.
What Makes our Practice Special?
Optimal Treatment Timing
Treatment is started when your child is truly ready. Some children require early treatment, including several different phases of therapy. Others are best treated by waiting until all the permanent teeth are erupted. At the initial examination visit, if your child is not yet ready for treatment, they will be placed into our recall program until the ideal treatment time occurs.
Dr. Madej and Dr. Vu and their team are here to answer any of the questions you may have regarding Traditional Braaces or Invisalign. Book in today for your consultation!
Caring and Qualified Staff
Our staff is comprised of trained dental professionals who take pride in the quality care we provide.
Current Sterilization Methods
For your safety, we follow the most current Alberta sterilization standards and no recycled appliances are used.
Modern Materials and Appliances
We use the latest materials, resilient wires, and current techniques, thereby increasing patient comfort and decreasing overall treatment time with fewer visits.
Appropriate Treatment Protocols and Appliances are Used
Dr. Madej and Dr. Vu will treat patients without dental extractions, if at all possible. Should extractions be required, our dentists will give you all the necessary information that you will require to enable an informed decison with options.
Treatment will then fall into one (or more) of the following three categories:
Interceptive Orthodontic Treatment with Fixed or Removable Appliances
Two Phase Approach
- First Phase
- Resting Phase
Comprehensive Orthodontic Treatment
- The Second Phase of Treatment
- Orthognathic Jaw Surgery combined with Orthodontic Treatment
Orthodontic Treatment for Adults
"I wish I would have done this when I was younger!" This is one of the most frequently heard statements in our office once we present orthodontic treatment options to our adult patients.
In recent years, more and more adults are taking advantage of orthodontic services to improve their dental function and enhance their facial and dental appearance. While facial growth is no longer alterable other than by surgery, significant dental changes and improvements can be accomplished in the adult patient.
For the esthetic conscious adult there are ceramic tooth colour brackets that are reduced in size to minimize their appearance and maximize patient comfort.
We have had adults in our practices who, after bringing their children to the office for evaluation, asked us, "By the way, can anything be done for my teeth?" The answer is a resounding yes!
Frequently Asked Questions
What causes crooked teeth?
Crowded teeth, thumb sucking, tongue thrusting, premature loss of baby teeth, and an obstructed airway caused by enlarged adenoids or tonsils can all contribute to poor tooth positioning. In addition, there are the hereditary factors such as extra teeth, large teeth, missing teeth, spacing, and/or small jaws. All of these can cause problems.
Why should I be concerned about my child’s bite?
A bad bite can be detrimental to the future of your child’s mouth. Dental restorations, such as crowns or bridges, are often impossible for a dentist to perform without prior repositioning of the teeth. Properly aligned and supported teeth are healthier, easier to clean and therefore may be more likely to last throughout a patient’s lifetime.
Does heredity play a part?
Heredity is a complicated combination of factors primarily affecting the skeletal relationship more than the teeth. Have Dr. Madej and Dr. Vu evaluate your child’s bite and proceed from there.
At what age should someone see a dentist?
In most cases it is helpful to start orthodontic treatment before all the permanent (adult) teeth come in. This is called interceptive orthodontics. At this early age conditions may be found that can be corrected by interceptive measures. Your dentist can do an orthodontic exam to find out if your child will need orthodontic treatment to correct a bad bite. Interceptive orthodontics allows your dentist to treat or stop a problem as it is developing. This often will lessen or eliminate the need for help at an older age. Please don’t wait until your child has lost all of his or her baby teeth. There are definite advantages to correcting many problems at an early age. Waiting until all baby teeth are lost can often complicate an otherwise fairly simple problem. Let your dentist decide the best time to intercept or correct your child’s orthodontic problem.
How do dentists straighten teeth?
Tooth movement is actually a normal response to light, continuous and controlled pressure. Pressure is applied by using a variety of orthodontic appliances, the most common being a bracket attached to the teeth and connected to an archwire. Periodic changing of these archwires puts pressure on the teeth. At different stages of treatment your child may wear a headgear, brackets, wires, elastics, a positioner or a retainer.
How long will treatment take?
Orthodontic correction can vary from the comparatively simple closing of spaces in a few months, to the complex realignment of unsightly and poorly functioning teeth. In the young child or the adolescent, treatment is as much a matter of timing and guidance as anything else. The normal treatment time varies from eighteen months to three years, depending on the complexity of the problem. The average time needed for comprehensive treatment is 20-24 months.
Will it hurt?
Mild discomfort may result when we begin to apply orthodontic forces. This usually lasts about 24 to 48 hours and then disappears. Each succeeding adjustment will mean some minor discomfort, although our patients report it decreases as the treatment progresses.
How much will it cost?
Do not assume your treatment will cost the same as someone else’s. Because no two problems are the same, treatment plans and accompanying costs will vary among patients. Those factors affecting the simplicity or complexity of your problem will be explained in detail by Dr. Madej and Dr. Vu. Our office offers reasonable payment plans, conveniently spread over the estimated treatment period.
Will my dental insurance pay for it?
Today many dental policies include orthodontic benefits. For questions concerning eligibility we will need your insurance information. Some companies require submission of a diagnosis and treatment plan as well as a suggested payment schedule by your dentist before treatment begins. The percentage of reimbursement to you varies from plan to plan.
Will I look funny?
Not necessarily. Minor corrections can be accomplished with appliances nearly completely concealed within the mouth. More involved treatment may require braces on the teeth to successfully move them to the desired positions. Braces are the handles used to move your teeth. They vary from the conventional steel bands cemented around the back teeth to less obvious brackets bonded to the outer surfaces of the remaining teeth. In all cases, regardless of the braces used on your teeth, the active part of your braces is the wire that goes from tooth to tooth.
How often will I need office visits?
Appointments can be scheduled from four to eight week intervals, or even longer, depending on the stage of treatment. In the initial stage, the appointments are more frequent. Once the appliances (braces) are in place, appointments are scheduled at longer intervals. For children, every effort will be made to schedule appointments after school hours, but many times your child's appointment will occur during school hours. School authorities are usually understanding.
What about extracurricular activities?
We heartily encourage your child to pursue extracurricular interests. Athletics can be a regular part of this routine. Certain musical instruments can actually be helpful during treatment (while others may need to be avoided). Speech may at first be somewhat affected, but only for a day or two. We tell our patients that orthodontics is a normal part of this phase in their lives and that treatment should not preclude any activities they usually pursue within their school’s programs.
Do I have a choice of colors to go with my braces?
With coordinating force modules now available in a rainbow of colors from blue to nearly invisible, today’s braces are not just functional. You will be able to pick any color or combination of colors to match your favorite style of fashion.
Will the improvement be permanent?
Teeth, like all parts of the body, are constantly changing and adapting. Where growth guidance is accomplished, the results are usually permanent.. However, there are certain types of facial patterns that continue to change even past adolescence. (Should this be the case with your child, of course, it will be discussed thoroughly with you so you will be made aware of any detrimental growth factors.) Conscientious retainer wear following treatment will minimize minor movement or relapse.
As effective as modern orthodontic treatment is, it cannot stop the normal process of aging and maturation. These processes affect the mouth and teeth of everyone. The 15 year-old with perfect teeth and an untreated, naturally ideal bite will undergo facial and dental changes that include crowding, deepening of the bite and some malalignment of the teeth. These changes may be severe enough to require orthodontic treatment at age 25 or 30. Therefore, one should not assume that the same changes would not occur in an orthodontically treated patient over the same time period.