DENTAL IMPLANTS

Ideal replacement of one, more or all teeth

LINE UP YOUR TEETH

Aesthetic "invisible" braces

Quick and easy to perfect teeth

ALL CERAMIC CROWNS AND VENEERS

to a PERFECT smile

Invisible teeth correction

without BRACES

Forget about total dentures

Zaboravite na totalne proteze koje spadaju

Dentures with Attachments

Comfort, stability, aesthetics

ORTHODONTICS

What is actually an orthodontics and what is its main goal?

Ortodoncija je oblast stomatologije koja se bavi ispravljanjem nepravilnog položaja zuba i nepravilnog položaja vilica. U periodu mešovite denticije kada su prisutni i mlečni i stalni zubi željeni efekat se postiže mobilnim aparatima, a u periodu stalne denticije fiksnim protezama.

Cilj ortodontske terapije je postići pravilan i estetski izgled zagrižaja koji će omogućiti optimalnu funkciju žvakanja i preraspodelu sila tako da dobijemo jednako opterećenje svih zuba. Takođe pravilnim položajem zuba olakšavamo oralnu higijenu i samim tim smanjuje se rizik od nastanka karijesa i parodontalnih oboljenja.

ortodoncija zablude

Orthodontics mislead

Orthodontics is the field of dentistry which deals with the correction of irregular teeth position and improper jaw position. In a period of mixed dentition when both primary and permanent teeth are present, the desired effect is achieved with a mobile apparatus, and in a period of permanent dentition with fixed dentures.

The goal of orthodontic therapy is to achieve a proper and aesthetic appearance of the bite, which will enable an optimal chewing function and a redistribution of forces so that we could get the same load on all teeth. Also, with the correct position of the teeth the oral hygiene is facilitated and hence the risk of development of the caries and periodontal diseases is reduced.

FIXED ORTHODONTIC THERAPY

Fixed orthodontic appliance consists of tubes or rings which are mounted on the first permanent molars, the brackets to be bonded to each single tooth and the wire arcs which pass the central groove of the bracket (slot). Wire arcs in the slot (central groove) of the bracket can be hold by the wired or rubber colored ligatures and then we are talking about conventional or traditional brackets.

More modern and for patient certainly more comfortable is a variant of the self-ligation brackets. These brackets do not contain rubber ligature which keeps food particles and which are difficult to maintain. Self-ligating fixed appliance has brackets which adhere the wire in the slot by the door or a piston, which opens and closes itself. Due to their mechanical properties, these brackets reduce the overall duration of treatment.

Besides this division into classical and self-ligating, there is also a division between the aesthetic and metal brackets. Brackets on teeth sets exclusively orthodontics specialists and patients could not remove them. Controls are at 4-6 weeks. Which brackets will be set depends on a case-by-case, the patient’s wishes and of course prices.

In our office we use the best technology and the most modern brackets manufactured by company American Orthodontics. So we will choose what’s the best for you, depending on your anomaly.

american orthodontics

Hygiene maintenance and advices

Fixed appliance requires more time and effort because the elements (brackets), which are adhered to the teeth hinder proper hygiene. The teeth should be brushed after every meal because the food retains on the tubes and brackets. Besides the classical toothbrushes, you should also use an interdental toothbrushes which are small, so that you can clean the spaces between teeth and brackets. There are many products on the market designed specifically for orthodontic patients. After placing a fixed appliance, the teeth will be sensitive and you may feel a discomfort for a few days. This is completely normal and it originates as a result of applying the force to the teeth.

There is also a possibility of irritation of mucous membranes of the cheek and lips, which can be prevented by placing a protective wax or silicone over the brackets or wires which irritate you. Tooth movement (oscillation) is normal occurrence and you should not be worried. Avoid food which adheres to the teeth and brackets (caramels, chewing gum) and pay a special attention to the hard food and nuts because they could peel off the tube and bracket. You may not tear anything with your teeth, but the food should be cut into small pieces and chewed slowly.

ortodoncija higijena

Retaining the teeth position (RETENTION)

After the completion of the orthodontic treatment phase follows the retention phase, which is equally important as wearing a fixed appliance. The patient receives a retention device which can be: fixed or mobile, and its task is to keep teeth in the corrected position. Mobile retainer can be transparent foil which is carried in the first year, every night and as many hours during the day as possible. Fixed retainer has a wire connections 3-3 down and 2-2 up. When you’re not wearing your mobile retainer after removing the fixed appliance, teeth will be moving over the next 12 months, because the periodontal fibers tend to return the tooth to its original position while the bone tissue around the teeth is not mineralized and until the tooth is not used to the new force.

If you do not wear your retainer we can not guarantee you the stability of the results. Failure to follow the instructions on the retention, increases the probability of RECURRENCE!

Setting a fixed appliance in one jaw is completely painless and takes about 45 minutes.

MOBILE ORTHODONTIC APPLIANCE

mobilna protetika ortodoncija

These appliances are intended for the youngest patients who are still growing and developing. They may be only for one of the jaw (active panels) or for both jaws (activator, bionator). Patients themselves put them in and take them out of the mouth. It should be noted that while carrying the removable orthodontic appliance, cooperation and the desire of the child to wear the appliance is extremely important for success of the therapy. Appliance is worn for 14 hours a day. In the appliance there is a screw which is rotated in consultation with an orthodontist at 7 and 10 days. Mobile appliances can not properly and fully correct heavily rotated or tilted teeth, nor teeth that have sprung up at the wrong place. For such anomalies fixed orthodontic appliances should be used.

Treatment with mobile orthodontic appliances is mainly the first phase of treatment that begins at an early age and by which the position of the jaws is corrected, and after that, a fixed  appliance is set, which corrects the position of teeth and completes the therapy. If the problem is not resolved at a young age, it becomes more difficult over time.

On the first visit to the dentist, orthopan digital recording of all teeth needs to be done, then profiled tele x-ray imaging and dental impression in the office should be performed. The procedure is short, extremely simple and painless. Based on all 3 parameters a specialists doctor is performing analysis, and in only a few days appropriate appliance will be produced.

INVISALIGN ALIGNERS FOR TEETH CORRECTION

Correcting teeth with INVISALIGN aligners is an alternative to fixed brackets – plastic aligner (transparent foil) is made to correct teeth and arrange them correctly in pre-designed position. Each set of aligners is precisely designed with a software, based on dental impression made in our office.

Aligners are designed to correct lighter, moderate, and severe orthodontic cases. In addition to being aesthetically acceptable because because they could not be seen at all, they have many other benefits. They are significantly easier to maintain than fixed dentures which are difficult to maintain hygiene, because it is impossible to remove and wash them properly. With aligners, the oral and teeth hygiene is better because there is no fixed work which obstructs it.  Forces acting on the teeth are distributed over the whole surface of the tooth, not only on the surface of the bracket. If it is an exact solution for your case, it remains to be determined after detailed analysis.

For best results, you must be fully dedicated to the plan of the treatment, which means that the aligner should be worn as long as it is determined by the dentist. For results, it is necessary to wear aligner for a minimum of 16-18 hours per day.

According to jaw impression we can make a 3D computer animation, and according to this to find out how many aligners are necessary to correct the teeth, as well as how it would look at the end of therapy. The final decision is, in the end, up to you. Exam is certainly free and analysis costs 30 euros. If you decide to do the aligners, cost of analysis is calculated in the price of aligner.

ortodoncija invisalign