Steps in fixed appliance treatment

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First Visit:

X-rays, photos and impressions for plaster study models of your teeth are taken. Your orthodontist will plan your treatment using these records. Very often, permanent teeth are removed when they are crowded and there is not enough space in the jaws for all of them. The extractions are done just before or just after the fitting of your braces.

Second Visit:

Your orthodontist will explain the treatment plan and the braces suitable for your condition. Before braces are fitted, separators (small plastic  ‘doughnuts’) are placed between your molars for a week to create spaces for the molar bands.

Third and Fourth Visits:

Bands are cemented and brackets are bonded to the front of your teeth.

Subsequent Visits:

(Every 4 to 8 weeks) Adjustments are made to the braces by way of wire-changes, adding springs, elastics or other accessories.

NOTE: Accessories are necessary to make your braces work. Elastics are often used to get your upper and lower teeth to bite together properly. Facemasks, headgear or biteplates are sometimes used with fixed braces. It is very important to use all accessories exactly as you have been told, if not, progress of the treatment stops and may in some cases, reverse.

When treatment is completed:

Your fixed braces will be removed at a debanding appointment, followed by removal of cement and the polishing of your teeth. Moulds of your teeth in their new positions are taken to make retainers. After your braces are removed, you will need retainers to hold your teeth in their new positions for the next few years.