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Orthodontics / misaligned teeth

Orthodontics deals with the diagnosis, prevention and correction of congenital or acquired jaw or tooth misalignments. Our specially trained orthodontists specialise in the precise analysis of tooth and jaw anatomy as well as the development and implementation of treatment plans to correct misalignments. Orthodontic treatment can take anywhere from weeks to years, depending on the severity of the misalignment and the treatment approach chosen. The long-term results are usually improved oral health, corrected bite function and a more beautiful smile.

The following are the most important areas of orthodontics:

Diagnosis of malpositions
Orthodontists specialise in diagnosing misalignments of the teeth and jaws. This includes problems such as overbite, underbite, crossbite, crowding (narrowing of the jaw) and gaps between the teeth.

Treatment planning
After diagnosis, the orthodontist will develop a personalised treatment plan to correct the misalignment. This plan may include various orthodontic appliances and techniques.

Correction of malpositions
The most common method of correcting misalignment is the use of braces (brackets and wires), which are applied to the teeth to move them into the desired position. There are also other treatment options such as Invisalign, removable appliances and surgical procedures, depending on the severity of the misalignment.

Influencing jaw growth
In some cases, orthodontics can also influence the growth of the jaws in order to correct misalignments. This can be done in children and adolescents when the bones are still growing.

Prevention
Orthodontists may also recommend measures to prevent future misalignments. This may include the use of retainers after treatment or the early detection and treatment of problems in young children.

Improving the aesthetics
In addition to the purely functional side, orthodontics also plays a role in improving the aesthetic appearance of the face. Correcting misalignments can lead to a more harmonious smile and an improved appearance.

Health benefits
Orthodontics can also help to prevent or alleviate health problems that can be caused by misalignments. These include jaw joint problems, chewing and speech.

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Orthodontics for children

It is recommended that children are examined for orthodontic treatment as early as possible (around the age of 6 to 8). In principle, orthodontic problems can be corrected more easily and more effectively before jaw growth slows down. Children usually start treatment between the ages of 11 and 12, or before pubertal growth. Seek advice from your family dentist, school dentist or our orthodontic specialists.

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Orthodontics for adults

Although orthodontics is often associated with children and adolescents, more and more adults are seeking orthodontic treatment to correct misalignments or make cosmetic improvements to their teeth. Tooth alignment problems can be corrected with orthodontic appliances and methods throughout a person's life, including adults of all ages. Many people want their teeth to look better as they get older.

How does treatment work and how long does it take?

Initial assessment and counselling
If you would like clarification, make an appointment by telephone for an initial examination. During the initial examination, the findings are recorded. This involves checking whether the change of teeth and the development of the teeth and jaws is/was age-appropriate, whether the teeth have sufficient space, whether the jaw position looks normal and whether sufficient jaw and bite function is guaranteed.

Preparations for drawing up the treatment planIf treatment is recommended, various follow-up examinations and health documents must be prepared, which are essential for a smooth orthodontic treatment process. These include

Health questionnaire / medical history
Impression/moulds of the upper and lower jaw for the production of models
Special x-rays
Photos of the face, teeth and jaw position
Detailed examination of dental health, tooth position and function

Joint preparation of the treatment plan
A detailed and individualised treatment plan can only be drawn up after an exact evaluation of the X-ray images in combination with the other findings about the tooth misalignment. In a consultation (together with the parents in the case of children, of course), all the findings are discussed, the existing deviations/misalignments are explained and possible treatment approaches are outlined. The course of treatment is then roughly outlined and the expected duration and costs of treatment are suggested.

Carrying out the treatment from the insertion of the braces or appliance up to and including the retention phase
Orthodontic treatment sometimes takes several years. The influence on growth and the weak forces must be able to take effect over a longer period of time. In addition, the treatment result achieved must be stabilised during the retention or holding phase.

What treatment methods are available? What are the advantages/disadvantages?

The orthodontic treatment spectrum ranges from prevention and early treatment of small children, to the classic correction of misaligned teeth in children and adolescents, to surgical tooth correction in adults. Which treatment method is optimal and the resulting type of braces (fixed or removable) depends on the aspects and severity of the misaligned teeth and jaws. The age of the patient is of course decisive and is taken into account when preparing the planning documents and for the course of treatment. With both fixed and removable braces, the active co-operation of the patient is very important. By using the latest materials and optimised treatment techniques, orthodontic treatment can be carried out quickly and gently.

Some orthodontic appliances and braces are presented below:

Invisalign

Invisalign is an advanced orthodontic treatment system that is used to correct misaligned teeth and bite problems. Unlike conventional metal or ceramic braces, Invisalign uses transparent, removable plastic aligners that are customised for each patient. These aligners are replaced every few weeks to allow for the gradual shifting of teeth until the desired position is achieved. Invisalign can be an excellent option for those looking for a less visible and more comfortable method of correcting misaligned teeth. However, suitability depends on the individual situation and it is advisable to seek advice from an orthodontist to determine whether Invisalign is the right choice.

Advantages include aesthetics, comfort, the ability to eat and drink without restrictions and shorter treatment times. Disadvantages include the discipline required for daily use, the limitation for severe misalignments, the cost and the need for regular appointments with an orthodontist.

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Bracket brace (fixed)

Bracket braces, also known as fixed braces, are an orthodontic appliance used to correct misaligned teeth and bite problems. Essentially, they are metal or ceramic brackets that are bonded to the teeth and wire arches that are threaded through the brackets. Bracket braces are a proven method of correcting misaligned teeth, but they have certain disadvantages in terms of aesthetics and comfort. The choice between bracket braces and other options depends on the patient's individual needs and preferences, as well as the severity of the malocclusion. An orthodontist can help select the most appropriate treatment option.

Advantages include effectiveness for severe problems and versatility. Disadvantages include visibility, discomfort, dietary restrictions, difficult oral hygiene and frequent dental visits.

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Expansion plate

An orthodontic expansion plate, also known as a palatal brace or active plate, is an orthodontic appliance that is used to correct misaligned teeth and jaws. It consists of plastic and metal parts that are customised and worn in the mouth. Orthodontic expansion plates are an option for correcting misaligned teeth and jaws, especially in younger patients.

Advantages include early treatment, easy adjustment, possible improvement in breathing and avoidance of tooth extractions. Disadvantages include temporary impairments in speaking and eating, regular adjustments, aesthetic limitations and limited effectiveness in severe malocclusions.

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Activator

An orthodontic activator, also known as a functional regulator or activator appliance, is an orthodontic device that is used to correct misalignments in the jaw and teeth. The activator is made of plastic and metal parts and is worn in the mouth. The use of orthodontic activators can be very effective, especially in the treatment of malocclusions in children and adolescents.

Advantages include effective correction, early treatment and possible improvement in breathing. Disadvantages include a familiarisation phase, regular adjustments, visibility and limited effectiveness with severe misalignments.

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FAQ - Frequently asked questions

Text der Seite Englisch So that you can inform yourself in advance about any orthodontic treatment, we have compiled the most frequently asked and most important questions for you below:

What types of misaligned teeth can be treated with orthodontics?

Orthodontics can treat a variety of misalignments, including overbite, underbite, crossbite, spaces between teeth, crooked teeth and more.

How long does orthodontic treatment usually take?

The duration of treatment depends on the type and severity of the deformity, but can generally be between 1 and 3 years.

Is orthodontic treatment painful?

Orthodontic treatment can initially cause slight discomfort and irritation, but this is usually temporary and can be alleviated with painkillers.

Do orthodontic appliances need to be adjusted regularly during treatment?

Yes, regular adjustments are necessary to monitor the progress of the treatment and to adjust the appliances.

Is it possible to carry out normal activities such as sports and playing musical instruments during orthodontic treatment?

Yes, most activities can be continued during treatment, although certain precautions may be necessary.

Are there any long-term effects after orthodontic treatment?

As a rule, successful orthodontic treatment leads to improved long-term appearance, function and dental health. However, compliance with aftercare instructions (retention) is important to maintain the results.

Can I not eat certain foods during my orthodontic treatment?

With fixed braces, hard, sticky and sugary foods should be avoided as they can damage the appliance. With Invisalign and other removable appliances, you can remove the splints to eat, which means fewer restrictions.

Can I remove braces or other appliances myself?

No, braces and other orthodontic appliances should only be removed by an orthodontist or their specialised staff in order to avoid damage.

Can orthodontics treat sleep apnoea?

Yes, in some cases, orthodontics can help treat mild to moderate sleep apnoea symptoms by opening the airway.

Can I see an orthodontist in an emergency during my treatment?

Yes, we offer emergency services for unexpected problems such as wire breakage or loose brackets.

Can I whiten my teeth after completing my orthodontic treatment?

Yes, after treatment is complete, you may consider teeth whitening to further enhance your smile. Your orthodontist can make recommendations.