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THE SEARCH FOR straight teeth isn’t always an easy one – and now Irish orthodontists are warning against ‘quick fix’ treatments.
The Orthodontic Society of Ireland (OSI), which represents the majority of orthodontists in Ireland, is warning people against attending quick fix smile clinics.
It says that orthodontists are growing increasingly concerned at reports of patients dissatisfied with the results of treatments used by some cosmetic dentists at ‘smile clinics’ to straighten teeth.
They are also having to rectify some of these failed treatments.
Treatment
Orthodontists claim that many of the treatments are offered by dentists who are inexperienced in providing orthodontic treatment “but who are claiming to give a beautiful smile in six months or less”.
They say that treatment provided by specialist orthodontists ensures that following the treatment, the patient is biting correctly and the teeth are in harmony with the jaws and lips.
The OSI is advising people that are considering getting their own or their children’s teeth straightened to follow this advice:
Qualifications
Options
Quick fix
Dr Katherine Condren, President, OSI and Specialist Orthodontist, Terenure, in Dublin said:
We understand that some people want a quick fix, however specialist orthodontists who treat patients with crooked and overcrowded teeth everyday know that six month braces will only work for a small amount of patients (approximately 5 per cent) and in those patients they usually only align the front teeth but do not provide a stable bite.
Dr Sinead O’Hanrahan, Vice-President OSI and Specialist Orthodontist, Navan said that it is never too late to consider specialist orthodontic treatment, because healthy teeth can be moved at any age.
Ideally however the first orthodontic consultation should be at approximately nine years of age before the last baby teeth are shed as this gives the orthodontist more treatment options. A decision can then be made as to whether early intervention is appropriate or whether it is better to wait until all the permanent teeth erupt (at aged 12 years approximately).
Case study
Edel Godfrey (31), who lives in Dublin, began orthodontic treatment in order to straighten her teeth. She was unhappy with the appearance of her smile and was treated by Dr Condren.
“I didn’t like the shape and the form they were,” said Godfrey. “I always felt everyone’s teeth were nicer than mine.”
Her dentist said that the upper left lateral incisor was dis-improving in its appearance as time passed, while “the upper centreline was off to the right of the midline by 2mm”.
The treatment involved an extraction to make room to move all the teeth to the left side and the fitting of fixed appliances.
Also, as Edel was already missing an eye tooth on the right, Dr Condren spent time during the treatment twisting the upper right premolar around to make it look like the missing eye-tooth.
Edel choose the clear ceramic brackets in the upper arch and the treatment took 18 months. Afterwards, Dr Condren fitted gold fixed retainers to keep the teeth straight, and Edel wears night time retainers.
“It might be expensive but you pay for quality,” said Godfrey. “I wanted to do things on a slower basis where the gum would still be healthy in 20 – 30 years time. If you pull the mouth so fast you are just pulling against the grain, so to speak. My teeth haven’t moved – they still look exactly the same since the day i got the braces off.”
She said she does not believe a six month treatment is good for teeth. “You’re dealing with a fully-qualified professional, just on moving the teeth. An orthodontist knows a lot more about how to move the teeth, bone structure, muscle structure.”
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If a driver hits a bridge they should have their licence revoked for a minimum of 6 months, and the cost of the repair should be billed to the driver’s employer. Any recurring incidents should be met with a more lengthy licence suspension.
@Alberto Balsam: some chance of that. A HGV driver crushed a cyclist causing them life changing injuries because he didn’t check his mirror before moving h off. Last week Judge Martin Nolan didn’t see cause to even disqualify him from driving.
All bridges have clearance height signs on them,and as a professional truck driver they are required to know the height of their vehicle. This is careless driving and should be punishable offence paid for by the driver and company responsible.
How about this for a radical idea, erect heavy duty steel goal posts braced with a cross bar and 45° angle bracing against the direction of travel, positioned at 50 metres from, or just after the last possible alternative route from each side of low bridges, set at the exact bridge height, so drivers that don’t know their trailer height hit those first.
@Dvsespaña: it has been recommended to DCC and Fingal Country Council and they both chose to ignore the advice.
@Dvsespaña: ah stop now, using a simple easy solution is not the way of any government or council in this country. Where are the years of consulting fees and committee payments going to materialize from then???
Why not have a system I have seen in France. Before the bridge have a heavy plastic/ rubber curtain across the road the same height as the upcoming bridge and if your vehicle hits that you know you won’t get under the bridge.This allows you time to stop.
Solution: stop vehicles hitting bridge.
@Sherry Adams – Norn Iron Drag Artiste: burn those bridges.
@Sherry Adams – Norn Iron Drag Artiste: Close the pubs
Engineers will still have to inspect the bridge so the delay won’t be much shorter.
We all get distracted while out and about it human nature, really 100 meters away from a bridge should be an automatic boom gate that will only open if you below the hight restriction.
Build better infrastructure.
@Foscam Dl: do you mean higher bridges.
@paulie: No. Lower roads.!
Most hit bridge in the country is in Portlaoise, but no let’s start with Dublin. Ya couldn’t even make this up
@DvdF: not to minimise your local
Issue, but impact is greater in Dublin
@DvdF: actually the most hit bridge is in Mulhuddart in Fingal.
Groundbreaking
Cameras are no substitute for proper safety inspection after a bridge has been hit.
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