Orthodontics in Kyiv

Orthodontics is a branch of dentistry that deals with the diagnosis and correction of anomalies of individual teeth, dental arches, the relationship of the jaws, and bite. The nature of occlusion, that is, the closure of the upper and lower dental arches, affects the quality of chewing and load distribution, and can also be associated with enamel wear, the condition of the gums, and the comfort of the temporomandibular joint (TMJ).

Orthodontics for adults does not have a strict upper age limit. Teeth can be moved even after jaw growth has ceased; however, the treatment plan must take into account the condition of the bone tissue and gums, existing fillings, crowns, and implants. Therefore, a consultation with an orthodontist begins not with the selection of brackets or aligners, but with a comprehensive assessment of the dental and jaw system.

Orthodontic Services at Dobrobut Dental Clinic

An orthodontist for adults evaluates the shape of the dental arches, the position of the teeth, the type of bite, the condition of the periodontium, occlusion, and the function of the TMJ. This approach helps plan teeth alignment, taking into account bite function and the future stability of the results.

At Dobrobut Dental Clinic, orthodontic treatment for adults may include:

• examination and analysis of the bite;
• photographic protocol and digital scanning;
• cephalometric X-ray (CXR), panoramic image, and, if necessary, jaw CT;
• treatment with braces, aligners, and other orthodontic devices;
• preparation for implantation or prosthetics;
• assessment of occlusion and TMJ function;
• installation of retainers after the active phase.

The orthodontist for adults also considers existing restorations, missing teeth, enamel wear, and gum diseases. If necessary, specialists such as gnathologists, periodontologists, orthopedic dentists, therapists, or surgeons are involved in the planning.

Correcting Bite with Braces

Braces are non-removable structures consisting of brackets, archwires, and auxiliary elements. The arch creates controlled pressure, allowing the teeth to gradually move in the planned direction.

Braces are used for crowded teeth, diastemas, gaps, rotations, tilts, and various types of malocclusion. The system can be metal or ceramic, ligature or self-ligating. The choice depends on the clinical task, the required mechanics of movement, aesthetic demands, and budget.

Clear Aligners – Teeth Straightening without Braces

Aligners are a series of clear custom-made trays, each of which gradually changes the position of the teeth according to a digital plan. They are removed during meals and hygiene but should be worn as prescribed by the doctor.

Aligners can be used for crowding, gaps, and certain types of malocclusion. They are not a universal replacement for braces: in complex clinical cases, braces may be more appropriate for specific tooth movements.

Indications for Orthodontic Treatment for Adults

It is advisable to schedule a consultation if the teeth are unevenly positioned, do not close properly, or if their position makes maintaining hygiene difficult. Orthodontic treatment is also carried out prior to implantation, the installation of crowns, or comprehensive smile restoration.

Main indications include:

• crowding of teeth and lack of space in the dental arch;
• diastemas and gaps;
• tilted, rotated, or displaced teeth;
• deep, open, crossbite, distal, or mesial occlusion;
• uneven enamel wear;
• displacement of teeth after the loss of neighboring units;
• preparation for implantation or prosthetics.

Pain, clicking, limited mouth opening, or tension in the masticatory muscles require a separate functional assessment. In such cases, a gnathologist may be involved in planning to evaluate the TMJ, masticatory muscles, and occlusal contacts.

Stages of Teeth Straightening at Our Clinic

Modern orthodontics begins with diagnosis. Before installing the orthodontic appliance, the doctor assesses the position of the roots, bone tissue, jaw relationships, the state of the gums, and TMJ function.

At Dobrobut Dental Clinic, treatment takes place in several stages:

1. Consultation with the orthodontist: gathering medical history, analyzing complaints, dental arches, bite, and TMJ function.
2. Digital diagnostics: photographic protocol, scanning, CXR, panoramic image, and if indicated, computer tomography.
3. Crafting a plan: choosing a method, determining approximate timelines and costs of orthodontics.
4. Preparation: if indicated, treating cavities, stabilizing the condition of the gums, and performing professional hygiene.
5. Installation of braces or issuance of a set of aligners.
6. Check-up visits and system adjustment.
7. Retention phase after completing active tooth movement.

During orthodontic treatment, related specialists may be involved. This is necessary, for example, if a space for an implant needs to be prepared, the condition of the periodontium stabilized, or TMJ function corrected.

Dental Care During Treatment and Retention Period

Meticulous hygiene reduces the risk of cavities, gum inflammation, and the appearance of white spots around the braces. During treatment, it is important to clean not only the surface of the teeth but also the areas around the brackets and under the archwire.

For care, orthodontic and single tufted brushes, interproximal brushes, floss, and an irrigator may be needed. Aligners should be removed before meals and only put back on after cleaning the teeth. During treatment, a professional teeth cleaning is also recommended according to an individual schedule.

After teeth straightening, the retention period begins. Fixed retainers, clear retainers, or a combination of both help keep the teeth in their new positions. It is not advisable to independently change the wearing schedule of the retainer or stop retention, as the teeth may gradually shift.

Advantages of Orthodontics for Adults at Dobrobut Dental Clinic

The advantage of a comprehensive approach lies in the fact that the doctor plans the outcome together with related specialists if necessary. This is especially important for adult patients with crowns, missing teeth, gum diseases, enamel wear, or TMJ dysfunction.

The patient receives:

• digital diagnostics and recording of the initial state of the dental arches;
• the choice between braces and aligners when indicated;
• coordination of tooth movements with future prosthetic work;
• monitoring the condition of the gums, occlusion, and TMJ;
• a clear sequence of active and retention phases.

The cost of orthodontics depends on the complexity of the disorder, the chosen system, the duration of treatment, the number of check-ups, additional elements, and the type of retainers. After diagnostics, the orthodontist in Kyiv prepares a preliminary estimate based on the full scope of treatment.