Sometimes things just break to no fault of anyone. Obviously, however, the less breakage, the better and the quicker the treatment will proceed.
Placing the bracing is very simple. For the first day or days, there is normally some discomfort (varies amongst individuals). Although not usually necessary, any over the counter pain medication can be taken, if needed. After this period, they should be relatively pain free.
The “adhesive” normally takes a day to set up completely, so softer foods are generally better the first day or so.
If a fixed appliance has been placed, it will generally take from a few days up to a week to become comfortable. Some initial discomfort is normal. Eating, swallowing and talking may be more difficult at first. After this short initial phase, normal function returns quickly, with minimal complaints.
Should anything break, such as a bracket, archwire or appliance, the major concern is your child’s comfort. Normally, it is not an emergency and can wait for your next appointment. If you have to bend or cut a wire to temporarily relieve the problem, don’t worry, we can easily make the repairs when you come in.
Of course, if you have any questions, please call. If we need to see your child sooner, we will get them in as soon as possible.
Following treatment, retainers are necessary to maintain the alignment. The only way to insure this is to use them indefinitely, for as we all age, our bodies never stop changing and that includes the dentition.
There are two basic types of retainers – fixed and removable. We usually use fixed retainers in the lower arch and sometimes in the upper as well (though this is not always possible on the upper teeth).
Fixed retainers are not seen from the front and are tolerated well by most and easy to clean. They have the advantage of not needing cooperation and holding the teeth in position long term.
Removable retainers are most commonly worn 24/7 for one month and then only when sleeping. If that doesn’t work, other arrangements can be made.
We like to check the retainers every 6 months or so to make sure everything is still looking good. Of course, if there ever is a problem, we want to take care of it as soon as possible, so just call for an appointment.