At our clinic, the first visit is a consultation. During the consultation, the patient is examined and a panoramic X-ray is taken. This examination is performed to determine the type of malocclusion and to assess the patient’s facial features. The examination and panoramic X-ray are used to assess the health of the teeth and periodontium, and to assess the number and quality of unerupted teeth. During this visit, we present the patient with a preliminary treatment plan and its costs. Patients who have healed their teeth and do not have pathological changes in the bones are qualified for orthodontic treatment. Some patients require consultation and treatment by other specialists before receiving braces, such as a conservative dentist, periodontist, surgeon, or endodontist.
The next visit is a diagnostic visit. During this visit, a cephalometric X-ray (i.e., a lateral view of the head) is taken (to determine the position of the teeth in relation to the skull bone), impressions are made on diagnostic models, and digital photos of the patient’s face, profile, and dentition are taken (to assess and document the facial features and the position and condition of the teeth before treatment). After completing these procedures and analyzing the results, we develop a final treatment plan. The treatment plan takes into account the patient’s expectations and an assessment of the occlusion and facial contours, such as the position of the chin, lips, and the degree of midface protrusion.
At the third visit, we apply orthodontic braces. With fixed braces, we typically apply one brace first, followed by the second brace at the next visit, to reduce the patient’s discomfort associated with the brace and to facilitate adjustment to the brace. We then thoroughly instruct the patient on the need and methods for maintaining proper oral hygiene, following an appropriate diet, and the date of the next visit.
We also offer follow-up visits
Follow-up appointments for fixed braces are held every 4-7 weeks, and for self-ligating braces, every 6-8 weeks. During these appointments, the orthodontist checks the progress of treatment and adjusts the pressure of the metal archwire on the teeth, which determines their movement in the correct direction. Neglecting this can negate the effects of previous treatment. Fixed braces need to be worn for an average of 1.5 to 2.5 years. And nothing can be rushed, as applying too much force to move the teeth or replacing the appliance’s components too frequently can damage the teeth. However, everything depends on the malocclusion and the patient’s age. Sometimes, it takes 2.5-3 years to correct the malocclusion.
The course of orthodontic treatment – step by step
The orthodontic treatment process is multi-stage and requires an individualized approach to each patient. Properly planned interventions not only effectively correct malocclusions but also ensure long-lasting results. Below, we present the process of orthodontic treatment, from the first visit to the end of treatment.
First visit – orthodontic consultation
Treatment begins with a consultation, which is crucial for the further course of treatment. During the consultation, the doctor conducts a detailed interview and oral examination. A panoramic X-ray is also taken.
Based on this, it is possible to:
- Determine the type and severity of malocclusion
- Assess the condition of the teeth and periodontium
- Detect any abnormalities, such as impacted teeth or bone changes
Another important element is the analysis of the patient’s facial features, which allows for treatment planning not only from a functional but also aesthetic perspective.
At this stage, the patient receives a preliminary treatment plan along with estimated costs. It is worth emphasizing that orthodontic treatment is only available to patients with healthy teeth – free of inflammation or other dental problems. In some cases, early treatment is necessary.
Diagnostic visit – detailed analysis
The next step is a more in-depth diagnosis, which allows for precise treatment planning. During this visit, additional tests and medical records are performed.
This includes:
- Cephalometric X-ray (lateral X-ray of the skull), which allows for the assessment of the relationship between the teeth and the bone structures
- Tooth impressions, from which diagnostic models are created
- Face, profile, and dentition photographs
The collected data allows for a detailed analysis of the bite and facial proportions, such as the position of the chin, lips, and midface protrusion. Based on this, a final treatment plan is developed, taking into account both the medical needs and the patient’s expectations.
Fitting an orthodontic appliance
The third visit is the beginning of the actual treatment, which involves fitting orthodontic appliances. With fixed appliances, a staged procedure is often used – first on one dental arch, then on the other. This approach reduces discomfort and facilitates patient adaptation.
After fitting the appliance, the patient receives detailed instructions on:
oral hygiene
dietary guidelines (avoiding hard and sticky foods)
care for the appliance
Even at this stage, cooperation with the dentist is crucial, as proper hygiene and adherence to instructions directly impact the course of treatment.
Follow-up visits and device activation
Regular follow-up appointments are an essential part of orthodontic treatment. For fixed braces, they typically occur every 4–7 weeks, and for self-ligating braces, every 6–8 weeks.
During these appointments, the orthodontist:
- assesses treatment progress
- adjusts the force of the orthodontic archwire
- replaces the components of the brace
This controlled application of forces gradually shifts the teeth into their proper position. Irregular appointments can significantly prolong treatment and even negatively impact its results.
Duration of orthodontic treatment
The average treatment time for fixed braces is 1.5 to 2.5 years, although in some cases it can extend to up to 3 years. This depends primarily on:
- the type and severity of the malocclusion,
- the patient’s age,
- the individual body’s response to treatment,
It is important to emphasize that this process should not be artificially accelerated. Excessive forces acting on the teeth or excessively frequent adjustments to the braces can lead to damage to the dental and periodontal structures.
Retention stage – consolidating the effects
After completing active treatment, a retention phase begins, designed to consolidate the results. This is crucial because teeth naturally tend to return to their original position.
For this purpose, the following are used:
- Fixed retainers (bonded to the inside of the teeth)
- Removable retainers (worn at night)
The duration of retention varies from person to person, but in many cases, long-term use is recommended to ensure the stability of treatment results.
Summary
Orthodontic treatment is a process that requires time, consistency, and collaboration with the doctor. Every step—from consultation, through diagnosis, to treatment and retention—is crucial to the final result. Modern methods make it possible to achieve not only a beautiful smile but also improve the patient’s health and quality of life.
