Treatment Options

Traditional Metal Braces – 3M Victory Series™

Traditional metal braces are the most popular and common type of braces and are more comfortable today than ever before. Made of high-grade stainless steel, metal braces use brackets adhered to your teeth, connected with archwires, and held in place by elastics (rubber bands). This system creates pressure that gradually straightens your teeth and will require periodic adjustments. With metal braces, you have the option of choosing from a wide variety of coloured elastics giving patients the option of customizing their own unique smile.

Colour Elastic Options

In our office we primarily use the 3M Victory Series™ of metal brackets which are recognized as the standard to which other metal brackets are compared to. View Elastic Options to Colour Your Smile

Victory Series Braces

Self-Ligating Braces – American Orthodontics Empower®

Similar to traditional metal braces, self-ligating braces use the same size high-grade, stainless steel metal bracket and archwire system. However, the brackets for self-ligating braces use a specialized clip instead of elastics to hold wires in place. The wire is fed through the bracket on each tooth and guides teeth into place by pushing or pulling them depending on the movement desired. The clip reduces the amount of pressure on the tooth, and requires fewer appointments because there are no elastics to replace. Patients have the option of traditional metal, ceramic, or clear brackets so aesthetic desires can also be met using this system.

We use American Orthodontic Empower® Brackets in our office, but are familiar with other self-ligating systems on the market today and have used most, if not all available options.

Self-Ligating Braces

Clear Ceramic Braces – 3M Clarity™ ADVANCED

Ceramic braces incorporate function of traditional braces but use a translucent ceramic material for the bracket system that blend with your natural tooth colour. They can give the same efficient orthodontic result without the need for noticeable metal and is popular with older teenagers and adult patients with cosmetic concerns. The ceramic material used resists staining, so you can eat and drink all your favourite foods and beverages without worrying about discoloration. Although these braces have a more attractive appearance, they are larger and more brittle then their metal counterparts and require patients to pay more attention to their oral hygiene. They are primarily used on upper front teeth rather than lower teeth for this reason.

We use 3M Clarity™ ADVANCED in our office and offer our patients brilliant aesthetics and enhanced patient comfort. The beauty of Clarity™ brackets is clear!

Image of Clarity Braces

Clear Aligners – Invisalign®

Clear aligners are a series of removable and comfortable invisible plastic trays that you wear over your teeth, straightening them like braces. 3D imaging is used to design an individualized series of custom molded aligner trays that gradually and gently shift your teeth into place ¬- no metal brackets to cause mouth abrasion or wires to tighten are required. You wear each set for about two weeks until your teeth have straightened to the desired alignment, with appointments around 6 week intervals to ensure your treatment is progressing as planned. The removable trays give you the freedom to eat and drink what you want while in treatment, plus your brushing and flossing routine can remain the same.

Our office uses the industry standard Invisalign® - the most advanced clear aligner system in the world. You’ll achieve a great smile with little interference to your daily life routines.

Invisalign Braces

Treatment Addition - AcceleDent® Aura

AcceleDent® Aura is a light weight medical device used alongside orthodontic treatments of fixed braces or clear aligners that helps speed up tooth movement. This safe and easy-to-use appliance uses exclusive SoftPulse Technology® - precisely calibrated micropulses – that have been clinically shown to accelerate teeth movement by up to 50% faster. It also can decrease discomfort associated with many orthodontic treatments. A clear mouthpiece is attached to the device and worn by the patient for 20 minutes every day – It’s fast, gentle, and reliable.

Contact us to inquire about an AcceleDent® Aura prescription to help you achieve your desired smile faster!

Acceledent Kit

Types of Appliances

Retainers

Retainers

Retainers

Retainers are required to hold straightened teeth in position after braces. If a retainer is not worn, there is a risk of teeth shifting back into misalignment. A retainer should be worn full-time except for when eating. Clean it once a day with a toothbrush, toothpaste, and warm water. They are very fragile and should be kept away from heat and stored in the case when they are not in use.

Elastics (Rubber Bands)

Elastics - Rubber Bands

Elastics (Rubber Bands)

Elastics (Rubber Bands) are used to improve the fit of your upper and lower teeth by adjusting your bite and jaw position. These are connected to the brace brackets with hooks, often connecting a top tooth bracket with a bottom tooth bracket. They are to be removed during meals and before brushing your teeth and often need to be replace daily due to wear. The need for elastics is based off a patients existing jaw alignment and not everyone who gets braces will require them. Watch Video on Class II Elastics.

Palatal Expander

Partial Expander

Palatal Expander

A palatal expander "expands" (or widens) your upper jaw arch (roof of your mouth) by putting gentle pressure on your upper molars each time an adjustment is made. This is primarily used to correct cross bites and reduce crowding. The appliance is often worn for several months to solidify the expansion and to prevent regression.

Separators or Spacers

Separators or Spacers

Separators or Spacers

Separators are little rubber doughnuts that may be placed between your teeth to push them apart so that orthodontic bands may be placed around a molar tooth. The separators are used until there is enough space and will be removed before placing a band. Patients are advised to avoid sticky foods and are not allowed to toothpicks or floss while they are placed.

Interceptive Orthodontic Treatments

Interceptive orthodontics is the guidance of tooth eruption and correction of an abnormal bite (malocclusion) in children by early intervention and monitoring by an orthodontist. The American Association of Orthodontics recommends that a child be brought in to see an orthodontist for assessment by age seven when the first set of permanent molars have grown in. Interceptive orthodontics is often the first phase of orthodontic treatment and is usually achieved by simple fixed or removable appliances. It may not prevent the need for braces, retainers, or other treatments in later years but it can minimize serious, complicated problems in the future.

What are the advantages of interceptive orthodontics?

The key advantage of Interceptive orthodontics is to prevent the development of future serious problems through diagnosing and treating malocclusions as soon as they are detected. The advantages of early treatment through interceptive orthodontics also include:

  • Improvement of a child’s appearance and the way the lips meet by guiding jaw growth to create facial symmetry
  • Lowers the risk of trauma to protruded front teeth
  • Correcting of harmful oral habits that are damaging to the teeth and jaw
  • Guiding permanent teeth into a more favourable position
  • Creating room for crowded, erupting teeth and preserve space for un-erupted teeth reducing the risk of impactions
  • May reduce the need for removal of permanent teeth in the future

Would your child benefit from interceptive orthodontics?

Dr. Dagasso would be happy to see you and your child for a consultation, at that time he will examine your child’s developing teeth and jaws and make recommendations that are appropriate to guide the development of the occlusion.

 

Orthognathic Surgery and Orthodontics

Traditional Orthodontics whether with braces or Invisalign can usually correct malocclusions which are due to the teeth being in the wrong positions. However when the upper and lower jaws are different in size, shape, or position, orthodontics alone cannot align the teeth and jaws for a better fit. In these cases a combination of orthodontics and Surgery becomes necessary.

Surgically moving one or both jaws to correct the position of the jaws with orthodontics to correct the position of the teeth is often required to achieve the best combination of a good bite and good facial esthetics.

What is a typical orthodontic-orthognathic surgery treatment timeline?

Orthognathic surgeries will take place in a hospital and are performed by an Oral and Maxillofacial surgeon. After the surgery, we can then resume regular orthodontic visits “fine-tune” your bite and correct tooth alignment.