Removable Plates and Simple Treatments

For simpler cases that do not require full orthodontics, we may recommend a removable plate or just a segment of fixed appliances…

Sometimes a simple removable clear plate can be sufficient to correct minor orthodontic issues such as gaps between the front teeth.

removable-plates-gr-1 removable-plates-gr-2 removable-plates-gr-3

In a child, correcting an anterior or posterior cross bite might avoid or simplify a more expensive and involved treatment later in life.

We only recommend two phases of treatment if there is a demonstrable long term benefit…

At MYORTHODONTIST be assured that if early intervention will not avoid later treatment or make it a simpler plan later, we will not recommend two treatments. The orthodontic literature shows that in many cases, particularly crowding, two treatments show no additional benefit over just one treatment, undertaken when most of the permanent teeth are through. With this philosophy, underpinned by the evidence in the orthodontic literature, we hope to save you money.

Burn-out can be a risk…

Burn-out might be another issue. There is only so much co-operation you can expect from a person before they are overloaded and they have had enough. For a child, six to nine months of wearing a plate, keeping it clean, not losing it is about all you can reasonably expect. Orthodontic therapy should not last practically the entire childhood, not even half.

Our philosophy is firstly to see if any treatment in a seven, eight or nine year old will show a lasting benefit or avoid the necessity for treatment later. If the answer is yes, we try to get the maximum benefit within a six to nine months period and then let the child get on with being a child without being bother by the responsibility of complying with orthodontic therapy.

There may be a simpler plan than “full” orthodontics…

At MYORTHODONTIST we will always look for a simple solution, where one exists, if it will not involve too much compromise. For some orthodontic problems a few brackets bonded to the side teeth and a wire spring will be all that is necessary. An example of this approach can be seen in the case report on the right where we are moving an unerupted tooth out of the palate and down into the dental arch.

While it is true that most malocclusions do require “full” orthodontic treatment with braces or increasingly, not with braces but with clear plastic aligners, there are a significant minority of malocclusions where some simpler (and cheaper) option, might be all that is needed.

Dr Morris Rapaport

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