Expansion Appliance

What is a Rapid Maxillary Expander (RME)?

The RME is a metal plate which is fixed onto the upper jaw (maxilla).  It is termed a "Rapid" expander because it widens the upper jaw in less than 30 days.  During this time, the expander actively pushes on both sides of the top back teeth to expand the jaw.

How does it work?

The upper jaw is made of two separate bone plates with an open suture (crack) in the middle.  The expander pushes the two halves away from each other and, in so doing, makes the jaw wider.

How much time do I need to wear the RME?

The RME is permanently fitted onto the top teeth and must stay in your mouth for at least 9 to 12 months for the treatment to work.  What about the screw in the middle of the RME?  The expansion screw must be turned into the mouthas follows:

  • 2 turns a day for the first 2 days
  • 1 turn a day thereafter

You will be required to see Dr Chin every 2 weeks during the expansion period.  Dr Chin will instruct you when you can stop. Expect to see a gap between the 2 front teeth whilst the RME is being expanded.  This will close up in a few months.

Will it be painful?

It is likely to be uncomfortable for the first 2 weeks, days after the RME is placed in your mouth.  You can also expect the following during the first few days:

  • Mild tenderness of your teeth and jaw muscles.  This will disappear after a few days.
  • Increased salivary flow and swallowing.  This is normal and will quickly pass.
  • Your speech will be different.  Practice reading our loud at home and your speech will return after a few days.

What about eating?

You must avoid ALL hard, sticky and sugary foods such as nuts, bubblegum and lollies as they can damage the RME.

How do I take care of the RME?

Brush your teeth three times a day and use a fluoride mouthwash at night.  Clean the entire metal plate with a small interdental and check after brushing to make sure it is shiny.

What do I do if my RME breaks?

Ring up for an appointment as soon as possible.  Do not wait for your next routine appointment as the breakage may slow your treatment and damage your mouth.


Rapid Maxillary Expander RME Perth


Orthodontic Plate

Adjust Your Teeth With an Orthodontic Plate in Perth

A removeable orthodontic plate appliance is a plate which you can take out for cleaning or eating.  They work to straighten your teeth and/or improve your bite.

How long will treatment take?

Treatment normally takes between 6 to 18 months depending on the severity of your case.

Will it be painful?

Your teeth will be sore for 3 to 5 days after:

  • The initial fitting of the plate
  • Each subsequent monthly adjustment

If required, mild painkillers such as Parecetamol (Pandaol) or Ibuprofen (Nurofen) may be taken to ease the discomfort.  Yo will also be given some wax to stop the plate from rubbing on your cheeks and lips.

Can I eat normally?

Yes, you should be able to eat normally with the orthodontic plate in place.  However, for your treatment to work well an in the shortest possible time, it is important that you take good care of your teeth and plate.  In order to prevent damage to both, please avoid the following foods:

  • Sticky foods such as toffees, chewing gum etc
  • Hard foods such as crusty bread, popcorn, toast, biscuits etc.  However, if you cut up any hard foods into small bite sized pieces, then you may eat them carefully
  • Sugary foods such as lollies and chocolate
  • Fizzy drinks and excessive amounts of juice

What about toothbrushing?

It is very important that you brush your teeth four times a day with a fluoride toothpaste.  Always take the orthodontic plate out to clean your teeth.  You should be brushing after meal times including:

  • After Breakfast
  • After Lunch
  • After Dinner
  • Before Bedtime

A fluoride mouthwash should also be used before bedtime after toothbrushing.  Be thorough when you brush your teeth, gums and plate clean, your gums will become inflamed and your teeth will be permanently scarred.

How do I clean my plate?

To clean your plate thoroughly:

  • Remove the plate from your mouth
  • Use a soft toothbrush and soapy water to clean all the surfaces of the plate.  Ensure that you remove all the food debris and particles from the plate
  • Clean all the metal parts by brushing them gently
  • Rinse the plate thoroughly before reinserting it back into your teeth

 

  Removable Appliance Perth

 

 

Carriere Distaliser Appliance

Carriere Logo

Creating a Corrected Bite Without Headgear

The Carriere Distaliser is an orthodontic device developed to correct a bite without removing permanent teeth when teeth have erupted incorrectly.  With an effect similar to headgear, but without the use of a bulky appliance, the Carriere Distaliser pushes upper teeth back to create a corrected bite prior to the addition of braces.  How does the Carriere Distaliser work?

  • First, your orthodontist will create an anchor point, most commonly with a lower Essex Appliance, a passive lingual arch, full mandibular fixed appliance, or mini screws.  A Carriere Distaliser arm is then attached to the upper teeth on both sides of your mouth.
  • An elastic band is attached from the upper bar to the lower back molars and should be worn at all times except when eating.
  • With good elastic wear, you bite can be corrected in a matter of months, depending on the severity of your case.
  • When the Carriere Distaliser arms are removed, we will place upper braces to finish correcting your bite and aligning your teeth to the perfectly straight, ideal smile you've always wanted.

 Carriere Class II

 

The Carriere Motion Class III Appliance

The Motion Class III Appliance is a minimally invasive appliance that Perfect Smiles Orthodontics may use to treat Class III malocclusions.  Ideally, this is done to eliminate extractions, painful orthognathic surgery, or traditionally uncomfortable and obtrusive facemasks.  The Motion Class III Appliance features a custom fit and gentle repositioning of the molar with no complicated springs, push rods, bands, or crowns.  It provides predictable results and creates a harmonious, balanced profile, all while preserving your natural features.

The Carriere Motion Class III Appliance is used at the beginning of treatment, before Perfect Smiles Orthodontics places your braces or aligners.  It helps reduce overall treatment time by several months, allowing you to spend less time in braces.

 

 Carriere Class III

 


 

Forsus Appliance

What is a Forsus appliance?

A Forsus appliance is a fixed appliance that works on the upper and lower teeth at the same time.  It works by pulling the top teeth back and pushing the bottom teeth forward so that your bite matches up. 

How long do I need to wear the Forsus Appliance?

The Forsus are permanently fitted onto your top and bottom teeth.  For the treatment to work, the appliance must stay in your mouth for 6 to 9 months.

Will it be painful?

It is likely to be uncomfortable for the first two weeks after the Forsus appliance is inserted.

During the first 2 weeks:

Rinse with warm salty water every hour (1 tsp salt to 1/2 cup warm water).  Reduce the rinsing to three times a day thereafter.  At night, place cotton rolls between the cheeks and the springs to cushion the area while sleeping.  Take panadol and eat soft foods during the first 3 days to alleviate the intitial discomfort. 

Can I eat normally?

At first, your bite will feel awkward and eating will seem different until you adjust to your new jaw position.  For your treatment to work well and in the shortest possible time, it is important that you take care of your teeth and brace.  In order to prevent damage to both, you should:  Avoid eating all kinds of sugary foods, lollies and chewing gum.  Avoid fizzy drinks (including diet drinks) and excessive amounts of fruit juice.

What is toothbrushing?

It is important that you brush three times a day and use a fluroride toothpaste.  If possible, carry a brush with you for use after lunch.  Keep the fluroide toothpaste.  If possible, carry a brush with you for use after lunch.  Keep the Forsus springs very clean by checking the entire appliance after brushing to make sure it is shiny.  If plaque bacterium is allowed to remain on the appliance, it will appear dull and may cause sores (ulcers) to form inside your mouth.  Please call the office if sores develop inside your mouth.

How often will I need an appointment?

You will need regular appointments (every 6 - 8 weeks) for the Forsus to be adjusted.

What do I do if my Forsus breaks?

Ring up for an appointment as soon as possible.  Do not wait for your next routine appointment as the breakage may slow your treatment and damage your mouth. 

Forsus Appliance Perth 


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