Orthodontics holds a special place in Triclinium’s offer. This is due to the personality and an exceptional approach of the clinic’s co-owner Dr. Kamila Wasiluk, an orthodontist, for whom the job equals passion. In our clinic we provide high standards and increasingly modern orthodontic treatment, which assumes a holistic approach to a patient.
Orthodontic treatment in our clinic is preceded by comprehensive diagnostics and formulation ofa precise treatment plan. We also pay special attention to the youngest children andprevention of malocclusion. If necessary, we start orthodontic therapy without waiting for teenage age.
Early orthodontic treatment
The period of childhood is crucial in the development of proper occlusion.
Childhood is a time of active growth of the entire body, including facial bones. It is the best moment to start orthodontic treatment. At 6-7 years of age, exerting the appropriate strength with the help of orthodontic appliances, we have the ability to somehow control the growth of the patient’s jaw bones in width and in the anterior direction. In this way, we can treat it comprehensively. Wecanmodel not only the alveolar ridge system in which the teeth are embedded (i.e. how they stand in the arch -straight or not), but we also try to influence the entire stomato-gnathic system. Thanks to thiswecanmake the bite, i.e. the jaw system, correct. Additionally,muscle tension in the skull and jaw bonesbecomes optimaland the face develops horizontally instead of vertically.
Detecting a developing malocclusion, in preschool or early school age, we can begin treatment with orthodontic appliances without delayand implement appropriate interdisciplinary procedures to eliminate the causes of its occurrence. However, if we leave a child with a malocclusion without orthodontic treatmentuntil all permanent teeth appear, it may get worse. If we miss the right moment, it can be too late to achievegood results of subsequent treatment.
In preschool children, we focus mainly on eliminating irregularities that contribute to the development of malocclusion. These are:
- harmful habits e.g.thumb sucking, prolonged pacifier use, biting pencils, crayons etc.
- problems with chewing, biting and so-called swallowing with a pressed tongue between the teethmouth breathing,
- mouth always ajar, snoring
- frequent upper respiratory tract infections, recurrent otitis media or allergiesteeth grinding or clenching
- premature loss of milk teeth due to caries or injury
If the child is too small for treatment with orthodontic braces, it should be under control of anorthodontist, whose role isto make the parent aware of the problem and strengthen their motivation to work with the child. Steppingin with active treatment when the child is ready to cooperate (takingimpressions and wearing an appliance) is also up to the doctor.
In the treatment of preschool children, the emphasis is on interdisciplinary cooperation: not only theorthodontists, but also speech therapists, myotherapists, physiotherapists, allergists, ENT specialists and othersshould be involved to enhance the treatment.
What methods do we use?
Orthodontic treatment in our clinic is carried out after a detailed and individual therapy planning.
Children often require treatment oriented towards the specific cause of the developing malocclusion. That is why, in addition to treatment with orthodontic appliances, myotherapy, speech therapy and nose breathing training are carried out at the same time.
Orthodontic treatment at Triclinium is based on CAD (Coordinated Arch Development) technique.
We use this technique to treatdefects both in children and adults. It is the most modern and optimal orthodontic treatment technique which allows for a durableelimination of malocclusion in more than 98% of patients without tooth extraction. Its main objective is orthodontic treatment using small and physiological forces acting in different directions so asto ultimately set the teeth in the so-called neutral space, i.e. where the muscles of lips, cheeks and tongue are balanced without triggering the unwanted movement of teeth.In the first phase ofCADtreatment special additional appliances are used, e.g. Lip Bumper or GMDexpandingdental arches in order to make enough space for improperly aligned teeth which need to be shifted into the right place. In the second stage, a therapy using fixed appliance is necessary.
CAD technique helps achieve permanent effects of treatment without the risk of defect recurrence as it focuses not only on straightening the teeth but also on the expansion of mandible and maxilla and fitting the straightened teeth in the neutral space. The result of such treatment is not only abeautiful smile without the need of tooth extraction but also significant rejuvenation of the face.
What a patient should know before visiting an orthodontic office?
The success of any orthodontic treatment depends, to a large extent, on proper planning.Therefore, during the first visit it is necessary to conduct a medical interview with a patient, carry out both intra-and extra-oral examination, take photographs of the face and teeth from different angles as well as X-ray of the skull and execute dental impressions to make a copy of the patient’s teeth (diagnostic casts). All of these procedures are necessary for right evaluationof malocclusion and proper treatment planning.
During the next visit at the dental office a doctor talks to the patient about the treatment plan. This is a very important element as the patient, before deciding on the therapy, should be aware of how longit is going to last and howexactlyit will proceed.
After accepting a treatment plan, a proper therapy (depending on the type of defect) begins. Sometimes the fixed braces are puton straightaway.The duration of orthodontic treatment varies, largely depending on the type of malocclusion. It usually takes from 1 to 3 years.