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Raphaël Filippi's orthodontic practice

Welcome to the world of orthodontics

Why might an orthodontic treatment be necessary ?

You or your child have crooked teeth, a misaligned jaw or an asymmetrical face which can cause functional and aesthetic problems.

The causes of these dysmorphoses can be varied :
- hereditary
- congenital
- functional...

A detailed study will enable us to elaborate a treatment plan which can be carried out with fixed or removable appliances, and with the possible collaboration of practitioners in other disciplines, according to need.We work alongside dental surgeons, maxillofacial surgeons, orthophonists, physiotherapists, etc...

These appliances do not cause any particular pain or discomfort. However, teeth may be temporarily sensitive during the first few days. When the appliances are fitted, we will provide advice on how to improve comfort while getting used to them.

Before starting a treatment, people should understand that any orthodontic treatment comes with constraints, limits and possible complications and therapeutic risks. By being informed and cooperating fully with the practitioner, these risks can be minimized and you will be in a position to obtain the best therapeutic results.

Because your smile is our main concern...

Treatment Constraints

Length of treatment

It depends on the complexity and severity of the problems, on how much your jaw has to change or how far your teeth have to move, the stage and type of growth (favorable or unfavorable) of the patient and the stage of dental development. The most important factor is to scrupulously respect the therapeutic instructions we give you : this is the key to the quickest treatment possible.

Maintain a healthy mouth

Carious lesions must be treated before or during orthodontic treatment. A periodic examination to check for any signs of decay should be carried out every six months by your dentist. Avoid eating sweet things and brush your teeth after every meal.

Dental hygiene must not be neglected; practical advice on how to brush your teeth will be given and this will be checked on every visit.

Decalcification spots following orthodontic treatment are not due to the treatment but to dental plaque that has accumulated due to negligence around the different parts of the appliance. These spots, always due to insufficient hygiene can quickly become irreversible. The same goes for gingivitis which is a complication due to inadequate brushing.

Always respect the fixed appointments

They are set in relation to treatment requirements.

Give up certain bad habits

Such as thumb or finger sucking, nail biting. Carrying on with these bad habits will prevent the correction of dento-maxillary anomalies. It is forbidden to eat hard or sticky food such as caramel, nougat, and biting into an apple is not allowed (as this could dislodge orthodontic brackets).

Possible complications, limits and risks

In certain cases, fortunately extremely rare, the roots of the teeth may shrink during the treatment : this corresponds to root resorption which is only a problem when this exceeds a certain level of severity which can affect the longevity of teeth.
Many temporomandibular joint problems can be corrected by an orthodontic treatment but some resist and may even become worse or may appear over time, even if dento-maxillary anomalies have been eliminated.
Contraindications are for medical reasons or due to a refusal of the constraints outlined above. If the refusal appears during treatment, the practioner will have to interrupt the treatment, obviously after many warnings.

Aim of the treatment

An orthodontic treatment aims to correct facial, maxillary and dental dysmorphoses even though the patient only notices the esthetic aspect. In reality, the practitioner aims to improve functional problems. Normalization of breathing (which should be through the nose during rest) , swallowing, chewing (it should be bilateral) and speech function are the main objectives in our eyes.
Harmony, balance and correct function result in beautiful smiles.
Correcting facial, maxillary and dental anomalies is also an excellent way to prevent periodontal diseases (commonly known as « gum disease ») and decay due to improving teeth alignment (making it easier to brush teeth).

« The function creates the organ... and the body adapts to the function » P.Planas

The first consultation

During the first appointment we will carry out a full examination in order to establish a diagnosis.

This examination includes

- a thorough clinical examination
- a panoramic radiograph

- a side view teleradiograph and in certain cases a front view

- a radiograph of the hand to determine the stage of growth of children

- dental impressions
- intraoral photographs
- portraits
- cephalometric analysis which is carried out by teleradiography

The second consultation

During this appointment we provide all the information on the orthodontic technique envisaged as well as a precise estimate of the length of the treatment. We give a quotataion which you can give to your health insurance. For children or adults who require surgery, an application will be made for the social security. Orthodontic treatment can then start.

Fitting the braces

This is the longest appointment as it lasts one and a half hours. The braces are fitted and we will give you all the explanations necessary for the treatment to run smoothly.

We will provide you with a hygiene kit which includes :
- a soft toothbrush
- a travel toothbrush
- a tube of toothpaste
- interdental cleaners
- orthodontic wax to relieve discomfort by adhering to appliance
- plaque disclosing tablets so that you can tell that you’ve successfully removed plaque after brushing

You will be given a prescription for analgesics (in case of dental pain at the start of the treatment) and mouthwash.

Adult Orthodontics

Many more adults are seeking orthodontic treatment for a wide variety of reasons.

Firstly, it is one of the best ways to improve your smile, in collaboraton with our dental surgeon colleagues who can afterwards apply veneers, crowns or carry out teeth whitening in better conditions.

Many adults come to see us with functional problems that can be due to occlusal problems (maxillary and mandibular teeth don’t fit together properly) or skeletal problems (jaw structure). These problems can cause a number of health problems (neck pain, muscle pain, headaches) and must be corrected even if there is no problem with appearance.

We work in collaboration with dental surgeons who sometimes need teeth to be positioned correctly in order to insert crowns, bridges or implants in the best conditions.

Most of our patients are adults which is why we have decided to offer them invisible orthodontic techniques. It is true that visible braces are often difficult for adults to deal with for several months.

Orthodontics for high-level sportsmen

Dental occlusion plays a vital role in high-level sportsmen looking to improve their performance.
Here is an article published in the magazine « Médecins du sport » by Doctor Pierre Emmanuel Hager and Doctor Raphaël Filippi :



Click here to see the article in pdf format
Please wait for the document to open (1,2 Mo)

Retention

Once the practitioner’s objectives have been met, the corrections need to be maintained to allow perfect stability. It is likewise possible to limit the risks of relapse. This is the retention period which is just as important as the treatment itself.

There are different retention appliances. We often use a fixed stabilizing wire on the lower incisors and a clear plastic shell for the upper teeth. This shell should be worn at night only.

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