ORTHODONTICS TO SMILE

Entire generations smile thanks to orthodontics!

Orthodontics is a serious affair at any age

To complete the services of the Dentisti Vignato Clinic, on the second floor of our building is a highly specialized orthodontic-pedodontic center, built after the most modern environmental architecture, in order to create a comfortable and informal place so that our adult and young patients can feel at home. This also reduces the negative impact of strict medical environments.

The Orthodontic Center is directed by doctor Leonella Caliari and her team of specialized orthodontists and pedodontists. They plan tooth shifting through accurate and individual diagnosis, clinical evaluations and X-ray surveys, able to select the correct orthodontic appliance, mobile or removable, fixed or invisible.

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For teenagers under 14, who are in treatment in our Orthodontic Center we have created the special DOC LEO CLUB that, with DOC LEO, a nice purple lioness, offers to young patients the chance to discover a world of real entertainment by coming to the dentist.

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Modern Orthodontics is a branch of orthodontics specialized in diagnosis, prevention, treatment of malocclusions which appear as anomalies of development and position related to maxillaries and teeth. The main goals the orthodontist wants to reach at the end of each treatment are not only a matter of correct teeth alignment, but also an harmonious face aesthetics, an efficient chewing function and improved health conditions of teeth and their support tissues.
It is defined as first-phase Orthodontics and is carried out in the period of mixed dentition (simultaneous presence of both baby teeth and permanent ones), usually between the age of 5 and 9. Its goal is to correct muscular forces, particularly of the tongue, which can have a negative influence on the harmonious development of maxillary bones through the use of mobile (functional) orthodontic appliances and specific exercises which help to correct the movements of the tongue and of the perioral musculature (myofunctional therapy). In this particular phase, it is important to cooperate with other specialists, such as speech therapists, osteopaths and otolaryngologists because the union of different approaches allows us to reach the most complete and final correction of any functional alteration. Therefore, interceptive orthodontics is fundamental to arrange a correct relationship between dental arches and allows us to create suitable spaces for the dental alignment, eliminating those muscular disorders which can obstruct future orthodontic treatments.
Dr. Caliari visits the patient in order to assess the nature of the problem and to prescribe any additional investigations. In this first phase will be explained the work we do with the patient and we will give him a folder that explains all the steps after this first visit. Orthodontics to smile folder
 Crossbites must be treated as soon as possible, in order to prevent the lower jaw from growing uncontrollably.
The treatment plan is always individual and depends on the diagnosis for which we need the medical check-up, X-rays, pictures of the face, pictures and models of dental arches. If necessary, the orthodontic treatment is divided into two phases. The first phase is the one of interceptive orthodontics and can start early, when baby teeth are still present. The end of this therapeutic cycle means “intercepting” those dental and skeletal disharmonies which, if not treated during growth, can considerably complicate future treatments. This phase of the early treatment does not eliminate the possible need of an orthodontic treatment during fixed dentition, but it makes it easier. The second phase starts when early dentition is about to end and allows to best coordinate dental relationships.
 The duration of the treatment depends on the orthodontic problem and the teeth position, but is conditioned and communicated by the orthodontist. We want to dispel the myth of infinite therapies, since some appliances are able to reach expected results in just one year, but the average of a complete orthodontic therapy is usually between 18 and 24 months.
Orthodontic treatments do not only regard children. More and more adult patients, indeed, go to the orthodontist to solve various unsolved problems dating back to their youth. Sometimes it is just an aesthetic problem, sometimes it is a matter of preparing the arch before inserting bridges, other times it is a matter of performing treatments in collaboration with the oral and maxillofacial surgeon in order to prepare the arches before its intervention.
Of course. The use of the orthodontic appliance is based on the seriousness of the problem and is very useful to correct dental shifts and to close spaces between teeth.
The Invisalign treatment is an election treatment for adult patients and is formed by a series of almost invisible and removable aligners which are substituted every two weeks by a new set. Each aligner is specifically and only realized for one´s teeth. When aligners are substituted, teeth move slowly, week after week, until they align in their final position, defined from our dentist. Moreover, a 3D virtual treatment program (software ClinCheck®) shows how our teeth will move during treatment. This allows us to know in advance what the aspect of our teeth will be once the treatment is finished. The results of the ClinCheck system allow us to realize transparent and customised aligners for each patient. They will gradually reposition the patient´s teeth and obtain a smile to be proud of. The advantages of these transparent masks are: • they can be removed when we eat, brush our teeth and use the floss • aligners (masks) are substituted every two weeks • teeth shift little by little • the dentist or orthodontist does regular check-ups on their progress • most people do not even realize there is an ongoing treatment • the system does not disturb our life style • there is no wire not metal strip irritating our mouth and, moreover, nobody will notice the treatment.

A qualified orthodontist or dentist creates a treatment plan. First pictures are taken, then dental impressions, a panorex and a tele-X-ray. Dental impressions are then sent to the USA, where a software (special computer program) simulates the teeth movements during treatment. Once we have these models, personalized transparent aligners are made and sent to the dental office. Each mask must be worn for two weeks and the orthodontist will monitor progresses until the result is reached. Besides straightening teeth in an almost invisible way, Invisalign can have positive effects on our mouth´s health, preventing painful gum inflammations and cavities. Invisalign is one of the many orthodontic treatment options available. Your dentist will be able to give you suggestions on the most suitable treatment for you.

Invisalign is not able to solve all cases 100%. In order to know if this invisible appliance can solve your particular problem, it is advisable to get a simple complete check-up with X-rays, so that the orthodontist is able to evaluate your specific needs and determine the best treatment plan. Invisible orthodontics usually works well in cases of non-severe dental crowding, rotations and aesthetic problems.
Some treatments can be carried out through removable appliances, commonly called mobile because they can be removed. Their advantage is the fact that they are not anchored to teeth, so hygiene is easier compared to fixed appliances. They can be used only in some cases and in mixed dentition.
 Fixed appliances are usually made of braces which are directly glued to the teeth through adhesive resins. Braces vary in shape and type. They can be made of steel or of white materials which make them nicer from an aesthetic point of view. Based on the treatment type, the orthodontist gives advice on the most suitable type of braces for each specific treatment.
It is a removable appliance for the upper arch, to be used only at night. For the lower arch, we usually use a metal wire internally fixed between teeth. The orthodontic contention is necessary at the end of the orthodontic treatment to stabilise the work done and should be worn according to the orthodontist´s prescriptions. It is generally worn for 3 years.
 Yes, it can. A temporary crown tooth is subject to movement as much as a filled tooth.
Apart from endoral X-rays , the main X-ray exams are extraoral radiographs such as the panoramic radiograph, commonly called panorex, and teleradiography. The panoramic radiograph gives an overall view of the two arches, excluding other parts which do not interest us. It enables us to observe teeth, their growth, the presence of supernumerary elements, crowdings or lack of dental elements, roots and possible deformities. It informs us on pathologies such as granulomas, cysts and fractures. Temporomandibular joints highlight asymmetries. Teleradiography is a lateral radiography of the skull, fundamental to have a detailed view on dental structures and skeletal support bases (maxillaries). It allows the orthodontist to analyse relationships of reciprocity and position, dentition and maxillaries compared to the craniofacial context. The cephalometric analysis of the skull through teleradiography gives us the chance to analyse the balance of teeth and jaws position in relation to the face, soft tissues and bone structures. CAT (or computer-assisted tomography) is essential in some complicated cases. It is a high precision X-ray exam made up of many three-dimensional images obtained from the computer-data processing of various frames of thin body layers.