palate expander nhs

Video 103: Demonstrates extraction of the lower first premolars and reduction of the reverse overjet. They are thin clear plastic retainers which cover the teeth. The orthodontist will activate this to produce a widening affect of the upper teeth. Most patients do not like gappy teeth. The headgear enables the patient to grow in the right direction and also prevents the patient's lower jaw from growing downwards. Video 290: Demonstrates how the rapid maxillary expander screw is turned by the patient/parent. Which teeth or combination of teeth are extracted will depend on the degree of crowding and the patients bite. The teeth most often missing are the upper lateral incisors or the lower second premolars. Video 102: Demonstrates extraction of upper first premolar teeth and simultaneous overjet reduction and space closure. A palate expander is a device used in early orthodontic treatment to widen the upper jaw by expanding the palate, or roof of the mouth. Wherever possible we will always try to treat patients by taking no teeth out. Video 209: Demonstrates the space closure of a midline diastema. Fixed braces are precise and can be used to move teeth in any direction and these braces give you that perfect smile at the end of the treatment. Video 565: Demonstrates the upper 2’s are missing. Video 564: Demonstrates a bridge to replace a missing lower right 5 tooth. What a quadhelix looks like on a model of teeth. Video 668: Demonstrates an implant to replace a missing lower right 5 tooth. This is simply a metal bar which crosses the palate and follows it closely and links the upper first molars together. This is therefore used in people with smaller faces and squarer jaws and who have deep bite tendencies. This is a fixed expansion appliance usually used in the upper arch. Kindly note that we are only given funding to treat a fixed number of children each year so there may be a waiting list for treatment. Testimonials Video 101 and Video 287 : Demonstrates extraction of four first premolar teeth, followed by alignment of teeth and space closure. The palatal expander (PAL uh tuhl ex PAN der) is a dental appliance used to widen the roof of the mouth (Picture 1). Video 190: Demonstrates an occlusal view of the extraction of both upper first premolars and space closure and alignment. Living with a palate expander can be difficult. These are used to pull the upper back teeth forwards and the lower front teeth back. Video 460: Demonstrates extraction of one lower incisor and alignment of teeth and space closure. These elastics are used to move the teeth in order to: close spaces, improve bites, pull teeth forwards or backwards, bring teeth in the different arches together and correct midlines. The advantages are that they are fixed and not removed. Video 380: Demonstrates a rapid maxillary expander, widening the upper teeth and then a fixed brace is placed to align the teeth and avoid extracting any teeth. During the course of many orthodontic treatments we will give our patients a bag of small elastics called intermaxillary elastics and these are warn between the upper and lower jaws. Rapid Maxillary Expander Recovery There is not enough time for any damage to be done to either your teeth or your jaw throughout the brace process. In the most simple terms, it is used to widen the upper jaw. This is possible when there is no significant shortage of space. Studies have shown that these are effective in keeping the upper teeth straight, but Essix retainers are better at keeping the lower teeth straight. An expander is most commonly prescribed when there is a crossbite between the two arches or not enough space for the permanent teeth to erupt. Also space can be gained by expanding the dental arches and also by interdental stripping of teeth (removal of enamel from between the teeth- to gain space). There is a screw mechanism and this is turned on a daily basis by the parent. Once the teeth have been perfectly positioned they need to be held there by retainers. Video 603: Demonstrates who Twin Blocks work. These are very effective in widening very narrow jaws and can sometimes help avoid extractions. Braces which are used in growing children and they help correct protrusion of the upper front teeth ('treat teeth which stick out'). Video 436: Demonstrates extraction of one lower incisor and alignment of teeth. Also these do sometimes break and need replacing or maintaining. They are very helpful to make approximate useful movements especially in children who are not yet ready for fixed appliances. The head gear is simply a small black strap which fits on the head and then is attached to a face bow which is fixed to the brace. In past few years, there has been a great advancement in orthodontics from extracting teeth to expanding the arches when there is crowding present. A removable brace which come as one large piece of acrylic. The muscles of the jaws then help push the teeth and jaws in the right directions. These are thin wires stuck behind the upper or lower anterior teeth. They are useful where you want the bite to continue to improve after the fixed braces are removed, as well as keeping the front teeth straight. When this brace is worn there is separation of the back teeth and this allows them to grow together and encourages lengthening of the face. Free NHS Treatments These are used to hold the back teeth where they are as front teeth are moved back and they are also used to hold expansion which has been achieved by an earlier expansion device. Video 638: demonstrates box elastics helping correct an anterior open bite. Once the teeth are aligned we progress into thicker wires called stainless steel wires and then we close any gaps in the thicker wires. We always prefer to extract the minimum number of teeth possible to get the best result. The orthodontist will teach the patient how to wear these and the patient will practice before leaving the practice and show the orthodontist that they are able to wear these correctly for the right tooth movements to occur. The first set is given free on the NHS and future ones must be bought to keep your teeth straight. Similar to Hawleys, and are made of hard plastic with a wire on the outside of all the teeth. Why choose us? They are usually held in place by a small amount of white dental glue. Dentist referral. A palatal expander is a device in the field of orthodontics which is used to widen the upper jaw (maxilla) so that the bottom and upper teeth will fit together better. This is similar to the TPA above and this brace links the two lower molars together and prevents the forward movement of the lower molars. A thin flexible wire (Ni Ti wires) is first used to align the teeth gently. Video 208: Demonstrates simple alignment of teeth. At Purely orthodontics we tend to use 3 main varieties of these braces: The most commonly used functional appliances and consist of an upper and separate lower removable component. At Purely Orthodontics we always will aim to produce a great smile without extracting teeth. Push incisors forwards to correct an anterior cross bite, To improve deep bites (where the front teeth overlap too much). It will take approximately two months but the appliance remains in the mouth longer while the new bone is generating in your expanded arch. Video 341 and Video 395: Demonstrates class 3 elastics working. Gaps can be closed by fixed appliances and sometimes by aligners. Video 328: Demonstrates a rapid maxillary expander widening the upper jaw, an x-ray view. Video 106: Demonstrates extraction of the four second premolars and the relief of crowding and space closure. People first think about braces when they think about orthodontics. Hard plastic retainers with a wire in front of the front 6 teeth to keep then straight. However, this is not always possible. However, there are further orthodontic treatments generally used to improve the look, smile or the arrangement of the teeth. Video 334: Demonstrates how a quadhelix expands the upper arch. The disadvantage is that they are harder to clean. This is fitted on the upper teeth and then the lower teeth need to be held forwards to engage into the patient's teeth imprints on the lower part of the brace. We provide a range of NHS treatments free of charge at Purely Orthodontics to eligible children and teenagers under 18 years old. As these are clear they are not too visible and well accepted by most patients. But with a little patience you can make it through the process and end up with a beautiful smile! We generally will always aim to close spaces where possible in these instances. Extractions of teeth are sometimes necessary to produce more space for the alignment of crowded teeth or sometimes to enable the front teeth to be moved back in the mouth, so that they look better. They are often followed by fixed braces which are used for more precise tooth movements. This consists of a thin metal framework which sits close to the palate and widens the upper premolar and molar teeth. If your child is not eligible for NHS treatment we can stll achieve a perfect smile for them on a private treatment plan. Sometimes it is necessary to open the spaces with fixed braces and then your dentist will place a bridge or an implant to fill the space. They are useful to allow the back teeth to settle as the teeth at the back can erupt a little to improve the bite after the fixed brace is removed. This will also involve a surgical exposure, where a surgeon will uncover the tooth (teeth) and the orthodontist will then move these teeth into the right position. Rapid Palatal Expander: Effectively stretches the roof of the mouth by gently separating the upper arch in the centre of your palate. They are easy to take out to clean and eat food. When the patient bites together, they need to bring the lower jaw forwards for the blocks to fit correctly. This consists of a thin metal framework which sits close to the palate and widens the upper premolar and molar teeth. These are used in the upper arch and consist of a metal framework which is linked to upper first premolars and the upper first molar teeth by bands. These can produce dramatic improvements if worn correctly and you will see a fantastic rapid change in your child's face especially if the teeth really stick out a lot. Since palatal expansion is medically necessary, most insurance plans cover most or all of the treatment costs.

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