First visit to the orthodontist
The placement of a fixed orthodontic appliance is preceded by a comprehensive diagnostic assessment, an accurate diagnosis of the malocclusion, and the development of an individualized treatment plan. This process is essential to achieve properly aligned teeth, optimal occlusion, and improved facial aesthetics. Individualized treatment plans are designed to ensure stable and long-lasting results.
During the first visit (approximately 30 min), an orthodontic consultation is conducted. The discussion focuses on understanding the patient’s expectations regarding the outcome of orthodontic treatment.
In cases of skeletal facial malformations, please refer to the separate medical procedure: Treatment of skeletal malformations and orthodontic-surgical treatment.
Development of the treatment plan
Creating an individualized treatment plan involves a clinical examination that includes assessment of the teeth and occlusion, analysis of the patient’s facial features, evaluation of diagnostic scans and models, computerized CT scan, evaluation of a panoramic radiograph, and assessment of a lateral cephalometric radiograph. Based on these findings, a diagnosis is established, and the appropriate treatment method is selected.
During this visit, digital scans of the patient’s dentition are taken. To obtain complete information about the condition of the teeth, a current panoramic radiograph (not older than 1 year) is required.
Photographs of the patient’s occlusion and face are also taken using a camera. After the examination, the orthodontic treatment plan is presented, including the proposed course of treatment, the appliances to be used, the estimated duration, and the costs.
For more complex malocclusions—when detailed model analysis or additional radiographs are necessary—a follow-up appointment is scheduled to present the final treatment plan.
The patient’s consent to orthodontic treatment is formalized by signing an agreement, ensuring the safety and high quality of the services provided.
Orthodontic treatment in children
This procedure aims to correct malocclusions or misaligned teeth in children, most commonly between the ages of 5 and 9. This stage is often referred to as Phase I treatment, which precedes Phase II treatment using either aligner therapy or a fixed thin-archwire appliance.
Orthodontic treatment in adults
In modern orthodontics, the goals of treatment—for both children and adults—include:
- harmonious, aesthetically pleasing facial features
- proper occlusal conditions
- healthy teeth and periodontium
- correct function of the temporomandibular joints and masticatory muscles, with a stable mandibular position
- efficient airway function
- long-term treatment stability
Follow-up visits
Patients attend orthodontic follow-up visits every 4–8 weeks. The frequency depends on the type of orthodontic appliance and the individual needs of the patient. Some cases may require more frequent visits, especially during critical stages of treatment.
What is done during follow-up visits?
- Appliance adjustment: The orthodontist may change archwires, adjust elastics, or modify appliance components to gradually move the teeth into their desired positions.
- Progress evaluation: The orthodontist assesses whether tooth movement is progressing according to the treatment plan. This may include taking X-rays or visually evaluating tooth alignment.
- Oral hygiene instruction: Patients receive guidance on proper oral hygiene while wearing an orthodontic appliance, which is essential for maintaining healthy teeth and gums.
- Problem-solving: Any issues—such as loose brackets or discomfort—are addressed by the orthodontist during the visit.
Removal of the appliance and subsequent procedure
Retention treatment is the continuation of orthodontic therapy and is essential for maintaining the results achieved. This phase is just as important as earlier stages, as teeth have a natural tendency to shift back toward their original positions.
After the orthodontic appliance is removed, the retention phase begins. The orthodontist selects the appropriate type of retainer for the patient. This may be a fixed retainer — a thin wire bonded to the inner surface of the teeth, or a removable retainer — a device, often made of plastic or metal, that the patient can take out.
During the initial fitting, the patient receives detailed instructions on how to wear and care for the retainer. Regular follow-up visits are necessary so the orthodontist can monitor progress and make any needed adjustments.
In the early period after the removal appliance, the retainer may need to be worn full-time. As the teeth stabilize, the orthodontist may gradually recommend wearing it primarily at night. The duration of retainer use is individualized and may range from several years to lifelong use.
Maintaining good oral hygiene while wearing a retainer is crucial. Removable retainers require regular cleaning, similar to the routine care of the teeth and gums. Hard foods that could damage the retainer should be avoided. Ongoing orthodontic check-ups ensure that the results of treatment remain stable.
Contact us
Wrocław Orthodontic Center OrthoLine
ul. Legnicka 59 C, lok. U10-U11
54-203 Wrocław
Mon. - Thu: 12:00 - 19:00
Friday: 8:00 - 14:00