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Your First Appointment

The first stage of the consultation is addressing your needs and concerns. Dr Kyi has treated over a thousand patients tailoring their individual needs with the available brace options. Dr Kyi will then discuss with you what will be your most favourable treatment options, what will be the likely course and timing of treatment, and if there are any circumstances or special events that require further tailoring of treatment.

Dr Kyi and patient

The first appointment will take approximately 1-hour and you will meet Dr Kyi and her team. Please let us know of any individual needs before your appointment so we may make your experience as pleasant and comfortable as possible.

The first appointment known as your consultation appointment will consist of a full clinical assessment which will first examine the facial features then assess the dental features.

Assessment of the Facial Features

Assessment of the Facial Features . Female - side view

The clinical orthodontic assessment will always start with examining your profile, soft tissues and lip support.

Dr Kyi will assess your facial pattern and soft tissues. Your teeth support your lips and profile of the lower face. Moving teeth will affect the lip support. This patient has a balanced profile, however if the teeth were to be moved too far back, the lips would also move back, resulting in lack of support and appearing more ‘aged’. The correct treatment involves maintaining the lips in their current position and keeping the balanced profile.

If teeth are moved too far forward the lips can appear being pushed out. This can happen when the teeth are ‘over-expanded’, when ideally teeth should have been removed to correct the crowding but instead everything is widened.

There are some brace treatments carried out by general dentists where the teeth are widened and no consideration is given to either the facial profile nor the end resultant ‘bite’.

The assessment of your profile is vital to ensure no detrimental effects can be caused by incorrect tooth movements with brace treatment.

Assessment of the teeth

A dental assessment is made to examine the general health of the teeth including the condition of the gums.

An orthodontic assessment of the teeth will involve assessment the degree of crowding or spacing in the mouth, your midlines of the teeth and a full assessment of the ‘bite’.

Assessment of the teethThis photo shows an ideal ‘bite’. When you bite your teeth together the upper teeth should meet in front of the lower teeth by 2-3mm and should overlap the lower teeth by 30-50%.

It is essential that the assessment and planning is accurately determined to produce a correct diagnosis. Radiographs are taken as clinically necessary along with further records to ensure the correct treatment is planned. We take high-definition photographs and state of the art digital x-ray to fully assess the position of your teeth. Your treatment plan is discussed in depth at your consultation and will take into consideration the expected treatment outcome.

Why should an orthodontic specialist carry out my consultation?

A specialist orthodontist is a qualified dentist who has undergone further extensive and specialized post-graduate training. They have to successfully pass the Royal College of Surgeons examination and a post-graduate Masters degree. This extensive training enables them to provide professional and proficient treatment for their patients.

The teeth and the associated facial structures (lip position, jaw position and profile) are affected by orthodontic treatment as shown above. It is important that the orthodontic treatment is planned and properly completed to achieve successful treatment with long-term stability.

At the end of orthodontic treatment – we are aiming to achieve a good bite with no crowding and coincident midlines

Photo: Before Treatment - teeth (right side, oblique view) Photo: Before Treatment - teeth (frontal view) Photo: Before Treatment - teeth (left side, oblique view) Photo: After Treatment - teeth (right side, oblique view) Photo: After Treatment - teeth (frontal view) Photo: After Treatment - teeth (left side, oblique view)

This case above was an adult who had braces as a child with the removal of four teeth. Over time the teeth had relapsed and moved considerably. The patient was re-treated as an adult by Dr. Kyi with an upper lingual brace and lower ceramic fixed braces to achieve a stable correct bite.

Read Reviews From WhatClinic.com

  • “I’ve been Dr Kyi’s patient for about 2 years wearing Invisalign braces. I only wanted braces that people will not notice, and have to say that Invisalign absolutely achieved my expectations. It is incredible difference between ‘before’ and ‘after’ pictures and my teeth look just perfect! I am so pleased with the results and my new smile ? I would definitely recommend Dr Kyi to anyone who is looking for a professional orthodontist, who understands your expectations and provide brilliant service with excellent results.”

  • “The team at welcome orthodontics have far surpassed any expectations I originally had. They are incredibly professional and friendly. Dr. Chaw Su Kyi and her team helped me make an informed decision about which type of treatment I wanted to go forward with and never once did I feel pressured. Outstanding service!”

Come in for a consultation with Invisalign specialist, Dr. Kyi at West London Orthodontics at Hammersmith Grove. Start your journey to a healthy, straight smile. Call us today at 020.8222.8760.

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AAO - Member American Association of Orthodontists BDA - British Dental Association World Federation of Orthodontists BOS - British Orthodontic Society RCS - Advancing Surgical Slandaros British Dental Health Foundation British Lingual Orthodontic Society