Dr Thanh-De Nguyen
DMD MSc, Orthodontist
Certified Specialist in Orthodontics
Braces and Invisalign in Montreal
F.A.Q.
1- If my teeth have been crooked for years, why do I need orthodontic treatment now ?
There is no age limit to begin an orthodontic treatment. Some patients begin their
treatment in their 30′s, others in their 50′s or 60′s. In fact, in 2010, adults
accounted for 22 percent of patients! (and increasing since 1994). Healthy teeth
can be moved at any age. It’s never too late if your teeth are healthy to treat
yourself with a beautiful smile and higher confidence. Click here for more info.
2- Do I need to change my oral hygiene routine during orthodontic treatment ?
Our approach is to make the treatment easy and simple for the patient. The
appliances are designed to be unobtrusive and easily maintained. We will show
you the easiest techniques to keep your teeth clean during your braces
treatment.
3- What are my options if I don't want braces that show ?
We have numerous options that will make your braces as esthetic as possible.
For instance, we provide the Damon Clear™ , Ceramic braces, the very esthetic
braces Inovation C, and Invisalign. We will be glad to show you all the live
models of these metal braces alternatives at your consultation appointment.
4- At what age should my child have an orthodontic evaluation ?
Since beginning a treatment at an earlier age makes the treatment easier and
often less costly, the American and Canadian Associations of Orthodontists
recommend an orthodontic evaluation for every child from the age of 7. Indeed,
there are certain procedures such as widening of the bone supporting the teeth
to make more room in crowded cases that is much easier to do at a young age.
5- What Causes Crooked Teeth ?
There are many factors that can cause crooked teeth. For example:
- The size of the teeth (too large) for the available space given by the jaws and
the gums
- The front teeth that have come out in a wrong position (too forward or too
backward) and therefore the bite is not “in line”
- The upper and lower jaws that have not grown in harmony can cause
interference with tooth eruption
- Bad habits such as thumb sucking, bad tongue posture, infantile swallow.
6- How Do Teeth Move ?
With gentle forces applied by the braces, teeth will relocate within the jaw bones.
There is also a reshaping of the gums surrounding the teeth that will occur.
7- Will orthodontic treatment hurt ?
Some discomfort may be felt during the days following the installation of the
appliances and the subsequent adjustments. If necessary, this can be easily
relieved with a regular painkiller (of the kind that one would take for a headache,
for example). Generally, the discomfort subsides after 3 to 5 days without any
intervention.
8- How does bite plate work ?
Typically, a bite plate will protect your teeth from causing damage to your
opposing teeth (ex. Keep the lower teeth from biting in the palate and keep them
from pushing the upper teeth more forward, or keep them from wearing each
other out)
9- How long would I have to wear braces ?
Generally, a treatment takes from 12 to 36 months to achieve ideal and stable
results, depending on the severity of the case. From the fourth appointment on,
only shorts visits are required for monitoring the progress and making
adjustments whenever needed. In any case, beginning the treatment at an early
age makes the treatment easier, thus shorter.
10 – How much does an orthodontic treatment cost ?
Fees vary depending on the case and treatment type. Consequently, an estimate
of the total costs of the treatment will be given at the consultation appointment
with your orthodontist. In many cases, a limited treatment will suffice to reach the
desired results. Many people are surprised to find out that an orthodontic
treatment is less costly than they expected.
The correction of your natural dentition is a change from which you could benefit
for a lifetime. In addition, we are glad to offer a flexible payment schedule
adapted to your financial needs.
11- What are the types of orthodontic appliances ?
We offer all sorts of appliances and will assist you in choosing the most suitable
ones that can correct your orthodontic problems. Among other, we will present to
you the following types of orthodontic appliances:
- Removable plates
- Self-ligating stanless miniature steel brackets
- White ceramic brackets
- Gold plated brackets
- Self ligating esthetic ceramics brackets
- Invisalign (clear trays)
12- What is Invisalign ?
Invisalign braces are a new type of adult braces whose main advantage is that
they are almost not visible compared to regular types of braces. They are easy to
clean, and you can remove them whenever you want, for brushing, flossing, or
for other reasons (taking important pictures, important interviews…). In fact, they
look like a series of bleaching trays (but in a different material) the dentist would
use to bleach your teeth. Another aspect to keep in mind about Invisalign is that
they are very efficient in correcting your teeth, although it is highly recommended
to wear them as much as possible in order to enjoy the best results and it might
not be suitable for all.
13- Will I be able to eat normally with braces
Most of the time, you are allowed to eat almost everything. You will come to
realize that an orthodontic treatment is much more comfortable than most of
people think. In fact, you must only change the way you eat certain hard foods
and cut them in pieces in order not to bite directly in them, and avoid damaging
the orthodontic appliances. Follow these simple tips:
1) Cut into small pieces all hard foods, such as carrots and other raw vegetables,
also apples, pizza crust ( you must let it get soft in your mouth before chewing),
pretzels, and all meats and steaks
2) Avoid chewing directly into meat that is on a bone: remove the meat from the
bone instead
3) Avoid chewing directly into the following foods, instead let them melt in your
mouth: Chips like Doritos, ice hard candies, popcorn.
4) Corn niblets must be removed from the cob before eating the corn
14- Do I wear my braces when I go to sleep
Yes if you have chosen fixed braces: they are glued on to your teeth enamel and
will only be unglued once your treatment is finished. If you have chosen
removable appliances, the requirement for night time wear will depend on the
stage of your treatment. We will obviously advise and guide you every step of the
way.
15- What is the step by step routine procedure to brush my teeth
1) Brush your teeth 3 times a day. Pay extra attention to clean around each
bracket and along the gum line.
2) Use the dental floss at least one a day. You can use floss threaders sold at all
major brand pharmacies to help you pass the floss under the metal wire. Again,
we will demonstrate to you on your own teeth the proper technique and obviously
advise and guide you every step of the way.
16- What are orthodontic retainers
Braces are usually needed to correct the alignment of teeth, but, after they are
removed, retainers must be employed to keep the teeth in the new position.
Teeth are dynamic entities. Therefore they tend to move throughout the whole
lifetime of an individual.
17– What are the recommended best types of retainers ?
We have all types of retainers. The fixed wire on the back of the lower teeth are
the most widely used because you do not have to remember to wear them and
they are relatively more comfortable. However, it is a bit harder to keep clean.
The removable retainers have the advantage of easier oral hygiene (you can
take them off to brush your teeth and put them back on after) but if you are not
disciplined enough to wear them, your teeth might shift. To view different types of
retainers that we offer, click here.
18- Do I need to see my orthodontist every week during treatment ?
No. Typically, the appointment frequency is once every 6 to 9 weeks, or on
average 8 times a year.
19- Are braces only for children ?
NO! There is no age limit to begin an orthodontic treatment. Some patients begin
their treatment in their 30′s, others in their 50′s or 60′s. In fact, in 2010, adults
accounted for 22 percent of patients! (and increasing since 1994). Healthy teeth
can be moved at any age. It’s never too late if your teeth are healthy to treat
yourself with a beautiful smile and higher confidence. However, since beginning
a treatment at an earlier age makes the treatment easier and often less costly,
the American and Canadian Associations of Orthodontists recommend an
orthodontic evaluation for every child from the age of 7.
20- Does the orthodontic treatment vary from children to adult ?
Generally, a treatment in a child will require a shorter treatment time because of
the lower density of the bone surrounding the teeth.