Orthodontics Dental Service

Orthodontics (teeth straightening), has seen a rapidly growing adult audience thanks to the wide availability of a range of discreet treatments.
If you missed out on corrective action when you were a child, but don’t fancy being stuck with ‘Ugly Betty’ braces for months on end, Illume’s experienced Cheltenham-based dentists offer a variety of orthodontic treatment options for effective but discreet tooth straightening.

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Removable or Fixed?

REMOVABLE APPLIANCES

These are not fixed in place and are removed for cleaning and sometimes for eating.

Removable appliances may not be able to make the range of movements achievable through fixed brackets but can be very effective in many cases.

Older types can be bulky and limited but newer versions such as SMILELIGN® from S4Sdental® can offer a complete solution in many cases. SMILELIGN® and similar systems consist of a series of clear plastic positioners used in sequence to gradually move teeth in a virtually invisible way.

Inman Aligner™ has been developed mainly to improve the alignment of the front teeth. It is relatively bulky, however it can give rapid results.

Although they are much less obvious than typical fixed orthodontics there are limitations to how far and how fast teeth can be moved and some movements are very difficult if not impossible to carry out. They have limited usage, particularly in more severe cases.


FIXED ORTHODONTICS

These are small brackets fixed to the teeth linked together with a wire to shape the arch and sometimes some springs and elastics to help move the teeth.

Fixed appliances can be attached to the front surface of the teeth (labial orthodontics) or to the inner surfaces (lingual orthodontics).

Both are efficient and achieve accurate and predictable movement of teeth.

Traditionally labial orthodontics have been the most common but are visible and the metal brackets are very obvious.

Ceramic (tooth coloured) bracket systems, such as ClearSmileBrace made by Intelligent Alignment Systems (IAS), have been developed to give a more discreet approach and are much less obvious than metal ones giving a rapid, predictable and almost invisible solution.


Full Correction or a Limited Objective

Whilst full correction of crowded and disordered teeth is possible in the majority of cases it can be complex and time consuming.

Our experience is that often people are less concerned about crowding and problems in the back teeth and are more concerned with the straightness and appearance of the front teeth alone.

In many cases it is possible to improve the appearance of the front teeth without moving the back teeth – we call this Anterior Alignment Orthodontics, abbreviated to AAO. This is a compromise on full correction but is often less complex and quicker to carry out using removable appliances like the Inman Aligner™, clear aligners like Smilelign, fixed brace systems such as ClearSmileBrace, or a combination of these.

During diagnosis and treatment planning both full correction and limited objective treatment plans are considered and the final plan will take into account the complexity of the case and the desires and requirements of individual clients. More complex treatment plans requiring full correction may well require referral to a Specialist Orthodontist but Illume's clinicians have been trained to assess cases and can provide AAO, when appropriate, using ClearSmileBrace, ClearSmileAligner, Inman Aligner™ and SMILELIGN®.


Retention

People often ask “how long do I need to wear my retainers?” and the answer is simple – for as long as you want your teeth to stay in the same place.

It is now considered that retention of the final position is mandatory and should be considered 'life long'.

Whether orthodontically corrected or not teeth will continue to drift and move slightly over a lifetime. After the teeth are aligned, clients must be committed to wearing retainers (fixed or removable) for as long as they want their teeth to remain straight.

Retainers are either bonded to the backs of the front teeth or can be made as a thin, clear plastic removable device worn at night, or a combination of both. It is also possible to make very long lasting cast metal retainers also worn at night. These are more easily cleaned and last much longer than conventional plastic retainers.


Diagnosis and Treatment Planning

Whether using systems such as SMILELIGN® and Inman Aligner™ or fixed appliances like ClearSmileBrace, careful diagnosis and treatment planning is essential to ensure that each case is appropriate for AAO.

Initial feasibility is made following a discussion of each client’s treatment aims and expectations, an examination and photographs. In the case of ClearSmileBrace these are uploaded to their forum for discussion with their Specialists.

If the case appears appropriate for AAO then there is a further Diagnostic examination and screening along with x-rays and impressions for models.

In the case of SMILELIGN® the models are scanned and the aligners planned and made by the S4S laboratory.

For Inman Aligner™ and ClearSmileBrace the diagnostic information and models are sent to IAS for a more formal assessment.

With these assessments of each individual case we then put to the client a number of options and treatment plans along with fees involved and can show clients on the computer the planned movements of their teeth.

There is a discussion of the possibilities with opportunities to ask questions, and, assuming the client wishes to go ahead consent is obtained and the technical stages started.


Fees & Payment

Clients are informed of fees at the start of treatment and reductions are available for advance payment and for clients in Membership.

Interest Free Credit

We can also help spread the cost of treatment through credit facilities, often interest free, to help make treatment more affordable.

Initial discussions and feasibility discussions are free of charge.

There is then a non-refundable Diagnostic fee to cover in-depth examination and screenings, x-rays and impressions for models.




How We Can Help?

If you are unhappy with crooked teeth and would like to benefit from the extra confidence that an attractive smile can bring please ask us for a free consultation to discuss the possibilities and options open to you.

In many instances we will be able to offer you a solution here and when the requirements are more complex we can make the necessary referral to a suitably qualified Specialist.

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Further Information

To find out more about Illume's orthodontic methods, you can visit the websites below.