This depends on the appliance you choose to have. During your “tightening” visit, we will change your elastics (the wrap around the wire to hold it in place) and may adjust or replace your wire.
Your visit intervals may vary but on average if you have:
- Metal or ceramic braces you will be seen every 6-8 weeks
- Lingual braces/ Incognito you will be seen every 4 weeks
- Invisalign or Invisalign teen you will be seen every 6-8 weeks
There are many factors that play a role in your treatment length. We are only able to estimate the length of your treatment, and will give you an estimated timeline during your complimentary initial consultation.
In order to maintain your teeth in their proper position you will need to wear a form of a retainer for life. Our bodies are alive and are in constant movement and so are our teeth, they tend to move forward and inward as we get older.
If you have a fixed lingual retainer, this is enough to hold your teeth in place and a night time retainer is not required after the first year.
If you choose not to have a fixed lingual placed you will need to wear your retainer 12-22 hours a day for the first 2 months, then 12 hours a day for up to a year. Once the first year has passed, we recommend wearing your retainer 3-5 nights a week.
Once growth and development has stopped, some maintenance is still required to maintain the orthodontic results. We will help you make an informed decision on the best way for you to keep your orthodontic results. Some choices may include fixed lingual retainers, Essix retainers or a mix of both.
The concept of tooth movement is the same with both traditional braces and Incognito. The main difference is their placement. Traditional braces are placed on the front surfaces of your teeth and lingual braces are placed on the back surface of your teeth, where they are invisible to everyone else. They are completely hidden and lay on the tongue side of your teeth. This allows our adult patients the ability to correct their teeth without anyone knowing they are having treatment done. Lingual braces allow our NYC adult patients the ability to have zero changes in their lifestyle, from feeling confident during dating, conducting business meetings and enjoying their lives without feeling self conscious of their treatment.
During your initial consultation visit, Dr. Grinbaum will take a look at your teeth and ask you questions about your likes and dislikes of the appearance of your teeth. She will ask you lifestyle questions to get to know you so she can offer you the best treatment options.
During her evaluation, she will check your teeth and bite position. She may need to take a panoramic x-ray, unless you have one taken recently that you can have sent over or brought with you from your general dentist.
She will have a discussion with you about how your teeth and bite can be corrected and explain all of the available appliances (types of braces such as metal traditional braces, ceramic braces, Invisalign, Invisalign teen, hidden braces/ lingual braces/ Incognito). You will aslo be able to touch and feel theses appliance to better help you decide which is the right choice for you.
Your discussion will go over the differenced between the options, the different outcomes, and the process from the initial records taking such as impressions and photographs to the day the appliances are placed and the process throughout.
This first consultation will leave you informed and is personalized to fit your needs and wants.
No! You are never too old to fix your teeth. As long as your gums and bone structure are in a healthy condition you may move your teeth to straighten them. For adults there are many different options other than “typical traditional metal brace”. At Grinbaum Orthodontics in New York City we offer esthetic and hidden options to give you the smile you always wanted. Some of these options include, Invisalign , ceramic braces and braces behind the teeth called lingual braces such as Incognito. All of these options are highly recommended for our adult population wanting to correct their teeth.
You are never too old to begin orthodontic treatment, but if you start at an earlier age, there are certain problems that may be easier to correct. The American Association of Orthodontists recommends that a child should see at orthodontist for an evaluation around the age of 7, or as soon as the child’s adult or permanent teeth begin to come in.