Braces and Wisdom Teeth
Wisdom teeth are commonly the last adult teeth to erupt. They are also well-known for not erupting and lying dormant for several years. They can be impacted, meaning they can be positioned at an angle instead of being positioned ‘straight’. The x-rays below shows two lower wisdom teeth being impacted horizontally. In these cases, it is very unlikely they will erupt into function.
What is crowded teeth?
Braces and Teeth Extraction
One of the commonest reasons for having orthodontic treatment is crowded teeth, which can cause the teeth to be appear crooked. The teeth often overlap each other and this can cause food or plaque to become trapped between the teeth. Flossing can be quite difficult as the contacts are very tight, sometimes unable to get floss between the teeth. The plaque trap and difficulty with flossing can increase the risk of gum disease due to the crowded teeth
Crowding means the size of the teeth is often larger than the space available in the mouth, hence the teeth erupt in the best position possible and often overlap each other. The degree of crowding is therefore dependant on the total size of the teeth and the size of the mouth. The degree of crowding is often termed mild, moderate or severe crowding.
Will metal braces cut my child's mouth if he plays contact sports?
If you are playing contact sports it is essential to wear a mouthguard. Contact sports includes hockey, rugby, boxing or any sport which involves physical contact or moving objects.
A third of dental trauma injuries are from sport. Teeth can be broken or even completely knocked out. Also the inside of the mouth and gums can be cut and damaged.
Which braces are ideal if I have sensitive teeth?
There are a number of reasons why you may have sensitive teeth, and it’s important to find out the reason why the teeth are sensitive. Before having brace treatment, it is vital to be assessed by your dentist to find the cause of the sensitivity and have the appropriate dental treatment completed.
If there is some gum recession this can result in an area of tooth being exposed which has less enamel on the surface and even a small amount of root area may now be exposed. Enamel is the protective layer on your teeth and when there is less enamel you are able to ‘feel’ sensitivity. This is often a common cause of sensitive teeth and sometimes only affects a few teeth.
Why do I have to wear a retainer after removing my braces?
This is the most important stage of treatment. The active brace treatment will result in your great smile but only the retainer will ensure it is always a great smile.
The teeth need time to adjust in their new positions and with any process in the body – it takes time for the tissues to adapt and re-organise. The fibres which hold the roots in the bone need time to adapt to their new positions and to form new fibre attachments. While this process is undergoing – the retainer ensures the teeth can settle in this new position.
However, teeth are constantly moving throughout our lives irrespective of having brace treatment or no brace treatment. Tooth movement is an aging process, like getting wrinkles or going grey. As we get older, our teeth will move more. If there is a small amount of crookedness or crowding – over the next 20 years this may become more crowded. If there are bite issues, the overbite may worsen over time. The extent of tooth movement varies in every individual – some people always age a lot better than others.
When retainers are not worn as recommended the teeth will move in varying amounts.
What is high definition digital radiograph technology and how do you use it during assessments?
One of the most important assessments before starting treatment is assessing the roots and bone levels to ensure you are suitable for treatment. One of the main risk factors with brace treatment is root shortening. In all patients with braces there will be some minor changes. However, in some cases this can be more severe and often it is not possible to tell if someone is at risk, but there are certain conditions which can make you more at risk of root changes. Having high definition digital radiographs help us assess the roots more precisely to assess and plan treatment appropriately.
Do you offer sedation for dental procedures? Would you recommend it for people with phobias?
During orthodontic treatment, you often attend every 6 weeks during an average 18-month treatment. If you had a dental phobia, orthodontic treatment would probably not be a good option until you felt comfortable with seeing your dentist in the first instance for routine check-ups. Once you were comfortable with attending your regular family dentist, then we would recommend being seen by an orthodontist to assess your bite and concerns.
Patients of West London Centre of Orthodontics now have two locations from which to choose
In an effort to better serve our patients, and lessen wait times, we at the West Centre of Orthodontics have recently opened a second Central London facility, on Harley Place.
This sister site to our flagship facility on Hammersmith Grove will afford Londoners the luxury of quicker, more convenient care, in a comfortable, state of the art, boutique-like location.
At 152 Harley Street, London W1G 7LH, UK, patients will receive the same quality care they’ve come to expect from the original West Centre of Orthodontics, delivered by our accredited, award-winning specialist Dr Kyi and her dedicated skilled team.
From the initial consultation, to the individualized assessment and treatment options, our staff will do everything possible to ensure your orthodontics is a great experience.
The hours of operation at our locations of Harley Place and Hammersmith Grove location, and are as follows:
To book an appointment at either Central London or West London locations, please call: 020 8222 8760
Whichever location you choose, we at West London Centre of Orthodontics look forward to serving all your orthodontics needs, one smile at a time.
The foods and beverages you consume while wearing braces directly affect the outcome of your braces treatment
In this article, I’d like to discuss the importance of making the proper food choices while undergoing your brace treatment, as the foods you choose will in large determine your brace-wearing success.
Foods to eat (and how to eat them)
Luckily, with a little bit of ingenuity, brace wearers may indulge in a multitude of their favourite foods and beverages. For instance, you may still enjoy a delicious bag of popcorn, as long as you avoid the kernels as well as any pieces that are not entirely popped. Likewise, snacks such as crisps and crackers may be eaten, provided they are first broken into small pieces and chewed with the back teeth; the same goes for fruit and raw vegetables. Fizzy / carbonated drinks are not recommended, but may be consumed in small amounts occasionally at mealtimes and preferably using a straw. Lastly, many brace wearers are ecstatic to discover they may still eat frozen yoghurt!
Foods to Avoid
Along with the good news comes the bad, but remember, this situation is only temporary. Your braces will be off in no time, and you’ll be able to return to eating anything and everything your heart desires.
Topping the, what NOT to eat list, is anything sticky or chewy. This includes toffee, caramel, sweets, jelly beans and hard chocolate bars to name a few. Hard foods, such as pizza crust, hard sweets, ice cubes, nuts and crusty bread should also be avoided, as they can damage your braces and extend your wear time. The same holds true for hard-centered foods such as ribs, chicken drumsticks, and corn on the cob, which may only be eaten if you remove the meat from the bone, or corn from the cob prior to consumption.
In addition to watching what you eat while wearing braces, you’ll also want to be aware of any potentially damaging habits you might have, such as fingernail biting and chewing on pens and pencils. These bad habits should be avoided for the duration of your treatment, so as not to break or loosen braces.
These tips and tricks, if followed diligently, will optimize your braces treatment, and the superior smile that results will be well worth the small sacrifice.
If you are considering braces and have some concerns you would like to address, please schedule a consultation at my centre in Hammersmith in West London, or my new centre in Harley Place Central London. I would be happy to meet with you, answer your questions, and provide you with multiple brace options to cater to your individual lifestyle and preferences.
Do Invisalign prices vary from office to office? How can I decide where to go?
Invisalign fees can vary but you have to make sure you read thoroughly what the fee contains. With all our treatment fees we include the entire treatment – all your appointments including any emergencies, your retainers and monitoring you during the retention period for an additional year. So there are no hidden surprises during treatment for additional fees for retainers or add-ons for emergencies.