iDental Studio - Dental practice in Carouge

Orthodontics

1. Why consult an orthodontist?

An orthodontic treatment sets itself the objective of correcting dento-maxillo-facial dysmorphoses of which in general we only perceive the aesthetic aspect.

In reality, the practitioner seeks to improve the functions which are often disturbed like ventilation, swallowing, chewing, etc. which are capital objectives in our eyes. This is how the harmony and balance of the functions from which the beauty of the smile derives will be established.

In addition to a magnificent smile, it is above alldental and oral healththat are discussed in orthodontics. Its preventive role is, moreover, absolutely essential.

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Indeed, orthodontic treatment can bring you many advantages:
- Better dental hygiene: the treatment aligns the teeth correctly and thus makes brushing easier. This reduces the risk of cavities and is an excellent measure for preventing periodontal conditions (commonly known as “dental loosening”)

- A correct function when swallowing.

- Normalize ventilation - which must be done through the nose at rest and not through the mouth.

- A correct function during chewing(it must be bilateral).

- Better phonation.

- A better balance of functional forces.

- Long-term stability of dental positions.

- A more harmonious facial aesthetic.

- And, of course, a very nice smile.
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In addition, an improved appearance of the face contributes to strengthening self-confidence, and therefore the quality of life in general, especially during childhood and adolescence, but also later.

An orthodontic treatment represents a significant investment of time and money.

Whether you are looking for information for your child, adolescent or yourself, we wish you a pleasant journey through this website which will introduce you to a multitude of techniques.

Dr Ioana PUICESCU is always available to answer your questions on the various innovative orthodontic techniques, whether for esthetic or metallic self-ligating vestibular cases, palate expansion devices, as well as for almost invisible thermoformed aligners and Invisalign® treatment . The Doctor will be able to take the time to understand your needs and will suggest treatments that meet your expectations.

Because your smile is our main concern ...

2. Children

Current therapeutic possibilities cover the period from young children to the most advanced adulthood.

At what age can orthodontics be started ?

The first consultation, recommended from 6/8 years, allows the orthodontist to determine the most appropriate time to start treatment.

In some cases abnormalities such as a gap between the jaws or a significant lack of space for tooth eruption may benefit from short treatment with a simple device.

It is best to wait until all baby teeth are down (12 years old) to start treatment.

How long does orthodontic treatment last in a young child ?

Generally, in young children, the treatment phases are short and last between 6 and 12 months. But since the adventure is mixed, everything cannot be corrected. Indeed, all the permanent teeth are not yet on the dental arches. The first anomalies treated in children are mainly skeletal anomalies, known as orthopedic treatment.

The orthodontist will offer treatment in two phases: a first period of child orthodontics and a phase of adolescent orthodontics around 12-13 years old when the last permanent teeth have erupted.

Here are some examples of anomalies that will require interceptive orthodontic care:

- Severe congestion;

- Premature loss of a baby tooth;

- Cross joint (one or more upper teeth close inside one or more lower teeth);

- Slippage of the lower jaw when the teeth are closed;

- Excessive vertical and / or horizontal overhang (the upper front teeth greatly overlap the lower front teeth);

- Unusual eruption sequence or delay in tooth eruption;

- Included tooth (tooth caught in the jaw bone that cannot erupt as it should);

- Asymmetry of teeth or jaws; Open bite (“Open bite”);

- Disharmony between the size of the jaws;

- Thumb sucking;

- Breathing or airway problems;

- Pronunciation problems;

- Chewing problems;

- Dissatisfaction with the appearance of teeth, smile or facial contours.

Will there be a second treatment when my child is older?

Early assessment allows some patients to identify developmental disorders and to intercept problems that will be taken care of in a timely manner to ensure the best possible results.

This can eliminate the need for treatment in adult dentition, reduce the duration and complexity of the treatment, eliminating the need for extraction of permanent teeth or even surgeries in adulthood. Often, this treatment will be a first phase and will need to be completed in adolescence.

But beware : first phase treatments are not suitable for all children. Most will not need treatment before the permanent dentition appears. In adolescence, regular orthodontic treatment will be recommended.

3. Teenagers

Our patients confirm it, dental appliances are cool today!

Although orthodontic treatment can improve your smile at any age, there is an optimal period to start treatment.

Orthodontics improves smile adolescents in multiple ways. It is of course about aligning the teeth, but also and above all to guide the bone growth of the jaws, to obtain that all the teeth are put in place on the arch, to avoid occlusal interference…

At what age should a teenager consult an orthodontist ?

When we talk about adolescence, we mean 10 to 15 years, because the permanent teeth are generally all in place. In adolescence, this is the ideal period to start a complete orthodontic treatment because the movement of the teeth takes place quickly at this period and this allows to correct the anomalies and to eliminate the problems to come, if necessary.

How long do treatments last for adolescents ?

The duration depends on the type of malocclusion. A simple alignment will generally be quickly achieved while corrections of jaw growth will require more time. However, new technologies and modern protocols have made it possible to significantly reduce the duration of treatment, even for adolescents.

What type of device ?

The right device must be adapted to the adolescent and his pathology. Many systems exist: multi-rings, palate devices, elastics, etc. It is quite possible to have “aesthetic” white boxes (or rings) or gutters for adolescents. To find the solution that best fits your child, you can make an appointment for a consultation with Dr Ioana PUICESCU. She will be able to answer your questions and advise you on the appropriate treatment.

4. The Adult

Thanks to the appearance of new technologies, orthodontics is exploding in adults to become a real social phenomenon.

Children or adolescents who did not have access to orthodontic treatments when they were young seize the opportunity to perfect their smile when they are adults.

And why not !

Dr Ioana PUICESCU encourages you to go ahead to obtain a magnificent smile!

What types of orthodontic treatments are possible in adults ?

Depending on your case, you can benefit from different types of appliances:

- Self-ligating metallic dental appliances - the least aesthetic but the most effective and sometimes necessary in certain cases. Their self-ligating character: it closes by itself without the use of small elastic bands, allows them to be more hygienic and more effective.

- Ceramic dental appliances : with a transparent aesthetic, the ceramic technique is an interesting option although less used because it is supplanted by the Invisalign gutters.

- Invisalign type removable transparent gutters : It is the revolution of the last ten years and these aligners constitute the second type of invisible dental appliances.

What is the duration of treatment in adult treatments ?

Depending on the proposed treatment, the type of device, the duration, the price, as well as the advantages and constraints may vary.

Why carry out orthodontic treatment in an adult ?

The majority of adults consider that a beautiful smile improves their physical appearance and promotes better self-esteem, both in their personal and professional lives. It is totally true!

Orthodontics in adulthood also contributes to the maintenance of oral health. Well aligned teeth facilitate dental hygiene, which minimizes the risk of cavities and gum problems.

5. Aesthetic treatment - Invisalign

The Invisalign® treatment consists of a series of transparent, almost invisible and removable aligners that you change every week.

Each aligner is made individually and made to measure for your teeth. Your teeth move little by little, week after week, when you move to the next aligner, until your teeth are straightened and reach the desired final position.

In addition, a virtual three-dimensional model of your Treatment plan allows you to visualize the series of movements that your teeth will perform during the treatment.

You can thus visualize the position of your teeth and your smile once the treatment is finished. Invisalign ® is the best way to improve your smile without changing anything in your daily life.

This technique has been used for a long time, but has enjoyed tremendous popularity in recent years, especially for adult patients who express an interest in orthodontic care. That said, Invisalign is an interesting choice for both adults and adolescents who want to maintain a “normal” social life. We hardly notice anything and there is no longer any food constraint. You can eat whatever you want.

Gutters allow all types of treatments : alignments, space closures (happiness tooth), extractions ...

They are compatible with associated dental care such as prostheses or implants and comfortable, because Invisalign ® does not include rings or metallic wires that can irritate your gums or your mouth. Finally, since oral hygiene during treatment is simplified, this technique allows perfect brushing and is therefore recommended in the event of gum disease.