SMILE NEWS 3 How to Detect Bite

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DON’T WAIT! Refer yourself and your children today for a specialist orthodontic assessment because... Octagon Orthodontics are brace specialists for adults and children Experienced, expert clinicians provide comprehensive care with guaranteed results We can improve your smile, bite, dental health and conﬁ dence using modern braces and digital technology We can check your child’s eligibility for NHS braces We have no waiting lists You can choose alternative low cost options for children who do not qualify for NHS treatment Affordable payment plans, discounts and 0% ﬁ nance are available Multiple clinic locations ensure convenient appointments including after school or work, evenings and weekends

& PRIVATE PRIVATE PRIVATE PRIVATE > HIGH WYCOMBE > BEACONSFIELD > DENHAM > LONDON OCTAGON ORTHODONTICS OCTAGON ORTHODONTICS (AFFILIATED CLINIC) OCTAGON ORTHODONTICS AT THE BEAUTY SOCIETY 31-33 AMERSHAM HILL, AT DENTAL ART CHESTERTON GARDENS, GROVE ROAD, THE ASHCROFT CLINIC 2 ASHCROFT DRIVE AT THE AVENUE 112 THE AVENUE, HIGH WYCOMBE, BUCKINGHAMSHIRE HP13 6NU BEACONSFIELD, BUCKINGHAMSHIRE HP9 1UR DENHAM MIDDLESEX UB9 5JF EALING, LONDON W13 8JX TELEPHONE: 0845 601 0700 TELEPHONE: 01494 681367 TELEPHONE: 01895 831 049 TELEPHONE: 0208 566 9567 Meet the clinicians… What’s in the latest issue? At Octagon Orthodontics we are dedicated to providing the highest possible 2 Who can beneﬁ t from Orthodontics? 8 New treatment for goofy teeth and overjets 3 standard of orthodontic (brace) care through our specialist orthodontists A bad bite can cause you problems 9 Fixed appliances 4 Straight teeth: 10 Handling emergencies with ﬁ xed braces who lead a team of highly trained therapists, nurses and customer • What should they look like? • What is wrong with my teeth? 11 Oral health and braces service personnel. 5 • Problems to watch for in Children and Adults 12 Invisalign Braces, Invisalign product range > • Dentists’ information: When should children see an Orthodontist? See page 14 13 Keep on smiling - Retainers 6 Dentists’ information: Eruption etable 14 Meet the clinicians and practice locations 7 Parents’ information: When should children see an Orthodontist?

THIS PUBLICATION IS PART OF THE SMILES & FACES MAGAZINE GROUP | WWW.SMILESANDFACES.NET DESIGNED, CREATED, EDITED AND PRODUCED BY LUSH DESIGN: WWW.LUSHDESIGN.BIZ 2 OCTAGON ORTHODONTICS | WWW.OCTAGONORTHODONTICS.COM THE ASHCROFT CLINIC | WWW.THEASHCROFTCLINIC.CO.UK Who can benefit from Orthodontics? Some believe braces are “for children only” but the truth is that there is a higher uptake of orthodontic treatment among adults than ever before!

Tooth movement is based on biological and physical manipulation of the teeth and their supporting structures. The movement is a basic healing cycle which is replicated several times during the orthodontic process and is identical in children and adults. For this cyclical healing process to be effective the teeth, the gums and their supporting bones must be healthy. It is never too late to have orthodontic treatment. Whether you are 7 or 70 years old, you can still have a wonderful smile.

THE BENEFITS OF HAVING ORTHODONTIC TREATMENT INCLUDE: 4 Good appearance and a great smile. 4 Improved self confidence and psycho-social advantages. >

4 Several options to resolve problems such as crowded or spaced teeth. It’s never too 4 late for braces Reduced risk of accidental injury to protruding teeth. Whether you are 4 7 or 70 years Influencing the growth of the jaws helps produce a better facial profile. old, you can still 4 have orthodontic Re-arranging the teeth to improve the bite. treatment and a 4 Teeth are made easier to clean thereby reducing the risk of decay wonderful smile. and gum disease. 4 Harmful digit sucking habits can be stopped. 4 Early intervention reduces the complexity of treatment in later life. 4 Elimination of undue stresses on the jaw joints and abnormal wear of teeth. 4 Preparation of the teeth for future work by other dental specialists. 4 Aids speech development and adaptation. 4 Having well arranged teeth can make you look younger.

A bad bite problems: > Abnormal wear or breakdown of

tooth surfaces > can cause Loosening teeth & gaps between

the teeth >

Receding gums > Diffi culty cleaning certain areas

between the teeth > you problems Localised tooth decay or

gum disease >

Jaw aches & pains >

means "bad bite." benefit adults as well as children because Non-specifi c tooth-ache or pains Most malocclusions are inherited healthy teeth, bones and gums respond > although some are acquired i.e. they can well to orthodontic treatment at almost Discomfort when your teeth meet be caused by factors such as thumb- any age. It really is never too late to have a sucking, tongue thrusting, dental beautiful smile or correct bite. disease, premature loss of baby It is easy to take eating for granted or permanent teeth, accidents if you have always had a normal bite, for or some medical problems. some, however, this can be an ordeal or Malocclusion or ‘incorrect bite’ embarrassment. One patient’s troubles may involve crowding of teeth, with chewing were especially unpleasant improper spacing or upper and best characterised by his statement, and lower teeth that do not fit “I couldn’t even bite into a sandwich.” together correctly. Nowadays, thanks to the art and science Problem: Unattractive appearance. Although typical of orthodontics, countless individuals can orthodontic patients look forward look forward to greater ease and function. Teeth are hard to clean or maintain to having a beautiful smile at the Starting treatment in your and will decay more readily. end of treatment, braces also have a older years might cause slight initial significant positive impact on long- embarrassment, but you should never term health. As one orthodontist condemn yourself to a lifetime of explains “Growing up with dissatisfaction, like many adults who improperly aligned teeth and jaws missed or were never presented with can cause a variety of problems opportunities to have straighter teeth. later in life.” Patients who have covered their As we mature, untreated teeth during social interaction for many bite problems can continue to years feel liberated after a short course worsen. Crowded teeth can be of orthodontic treatment. By removing Corrected: Braces have created a very difficult to keep clean, and physical and psychological obstacles healthy, attractive smile. The teeth are may result in tooth decay, gum such as crowding or spacing your self- now easier to clean and to whiten. disease and be a disadvantage esteem can be boosted. socially. Also, over a period of You don’t need to feel that you time, an incorrect bite may lead to are wasting the specialist’s time by braces do not have to show! Some abnormal wear or breakdown of tooth seeking consultation or treatment recent innovations for adults using surfaces and to damage of the bone and because you are taking a positive step ‘high-tech’ aesthetic materials include soft tissues that support the teeth. toward self improvement. clear removable plastic aligners, lingual Because a high standard of dental “It’s fantastic”, says Christine orthodontic braces behind the teeth, hygiene is compulsory for orthodontic Grover, an adult orthodontic patient. tooth-coloured brackets and ‘white patients, orthodontists provide extensive “Now I smile broadly and look people system braces’. education to patients in relation to straight in the eye!” Today, many of her As one orthodontist observes, proper brushing and flossing techniques, friends are in her orthodontist’s care. “When braces change your looks, with follow-up and reinforcement at Hopefully you now understand they change your outlook too.” Proper alignment of your teeth and each orthodontic appointment. Good that teeth can be moved at any age Orthodontics can be credited for jaws are key factors in your long-term eating habits are also encouraged and and what the benefits are of investing dramatic improvements in the careers dental health. Malocclusion is the technical in combination with good orthodontic in a beautiful and healthy smile. and personal relationships of those who term used by orthodontists for crooked, treatment and excellent dental hygiene, It is important to note that your have grasped the opportunity. crowded or protruding teeth which do not a positive difference in future health can treatment can be conducted without be achieved. Orthodontic treatment can compromising your lifestyle - your > Sourced from www.braces.org fit together properly. Literally, the word The American Association of Orthodontists TOOTH WHITENING FOR A BRIGHT WHITE SMILE HOME WHITENING KIT (£280)

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WHAT SHOULD IT LOOK WHAT THEY SHOULD LOOK LIKE LIKE WHEN VIEWED FROM FROM THE TOP OR BOTTOM? THE FRONT? The two curved lines drawn over the In the diagram, the midline (the dashed teeth should be balanced and symmetrical blue line) between the two middle upper and arches in an ideal scenario. However, this is not achievable in everybody due to differences in lower front teeth should coincide. Preferably tooth sizes, shapes and bone structure. this dental midline should coincide with the centre-line of the face. There is an aesthetic zone (in the green box) which falls between the canines and the smile zone which includes all the teeth that appear within the lips when you smile. All the teeth that appear in both zones should be in a balanced relationship with each other. Contrary to popular belief, the biting edges WHAT SHOULD IT LOOK LIKE of the teeth need not be straight; it is perfectly natural for your teeth to form a contoured pattern, FROM THE SIDE? such as illustrated by the red line. The presence of When teeth are viewed from the side there this contoured pattern enables us to distinguish should be an obvious cog-like arrangement, in Straight between somebody who is wearing machined the same way gears fit together. This aspect of dentures or ill-designed veneers and somebody straightness is an indication that your teeth can with a natural look. The ideal relationship between function properly when you bite together. If you the upper front teeth should be stepwise with the are having difficulty with biting, you may have a central (1) and lateral incisor (2) and canine (3) at problem with overjet or your overbite, which are teeth… different levels. described next. What should they look like?

Do you feel that your Not everybody can conform to WHAT IS OVERBITE? WHAT IS OVERJET? understanding of the term “straight the ideal or perfect ‘dental arrangement’ When your teeth are together the upper Overjet is the extent to which the front top teeth” is incomplete? You’re not alone because of differences in tooth shape, size, teeth should overlap the lowers - this is defined teeth protrude past the lower front teeth. This because most people focus on what is bone structure and racial characteristics. as overbite. In a perfect smile, the upper teeth is represented by the arrows on the diagram. visible when you smile and that is usually However, aesthetic professionals agree should cover no more than 30% of the lowers (the Preferably, overjet should be between 2 to 4 mm, the front six teeth! that there is no ‘normal’ because of this difference between the red and green line). however this can differ depending on the extent Straight teeth should be assessed on variability! When analysed from different If there is no overbite and your front teeth to which your jaws grow. Observe the diagram the basis of 32 adult, healthy, working teeth viewpoints there are five key features meet at the top edges, they will wear down rapidly to see that the upper and lower front teeth stick arranged correctly in the upper and lower that need to be demonstrated for your (reduced overbite and attrition). Deep bite occurs forward slightly, this is important because they jaws. The relationship between all teeth, orthodontist to be satisfied that your teeth when your teeth overlap too much causing injury to provide a surface on which the upper and lower adjacent and opposing, within each jaw are straight. Here we lay them out for you the gums and teeth behind the upper arch. lips rest (lip support). should be harmonious and aesthetic. in plain language.

Malocclusions (bad bites) are described under What is wrong standardised groupings which have become accepted world-wide. These groupings allow universal classifi cation of problems and enable dental with my teeth? professionals to communicate using the same terms.

CLASS I MALOCCLUSION CLASS II DIVISION 1 CLASS II DIVISION 2 CLASS III MALOCCLUSION Here the teeth meet in good positions, the MALOCCLUSION MALOCCLUSION In 2% of malocclusions, the lower teeth overbite and overjet are correct, but the teeth are positioned ahead of the uppers (a reverse might be crowded or displaced. Depending on The upper teeth are projecting forwards The upper incisors are retroclined overjet or complete class III). This is often the degree of displacement, the orthodontist will of the lowers (the overjet is increased) and (tipped backwards) although the upper jaw associated with misalignment of either the determine the kind of braces that would best the upper incisors are proclined, or pointing might be protrusive. The overbite is usually upper or lower jaws. These cases may need a treat the specific case. forwards. Crowding may also be present. greatly increased (deep bite). About 18% of combination of braces and a jaw operation to This arrangement is seen in about 34% of malocclusions are like this and the treatment is correct the bite. Because the lower jaw is one the population. Depending on the degree very similar to a class II division I malocclusion of the last bones to stop growing, treatment is of discrepancy, functional braces, headgear, described above. often delayed until the patients are adults, so extractions or surgery may be needed to create that a correct treatment plan can be made. a good correction.

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PROTRUSION COMPLETE CLASS III (Goofy - upper jaw (Lower jaw protrudes forward of All busy dentists are glad for too far forward) upper jaw) time saving tips and clear guidance > Example point 1: on which cases to refer in order Upper jaw and to fulfil their responsibilities to tooth position patients who ultimately remain in Goofy appearance their care from birth to adulthood. has resulted from A short and simple clinical upper jaw being examination can lead to the too far forward discovery of problems which can and upper teeth be addressed or corrected. pointing forward. CROWDING OPEN BITE Lower jaw position (Overlapping teeth) (Teeth don't meet at the front - Lower jaw set back > Example point 4: can be caused by thumb sucking) THINGS DENTISTS relative to top. Supernumerary teeth. CAN CHECK INCLUDE: 1: SKELETAL 3: HABITS 5: THE OCCLUSION DISCREPANCIES > Thumb and finger sucking, Teeth can be out of the Severe class II or III patterns nail biting and pen chewing can intercuspal position due to crowding, are easy to pick up during facial disrupt the occlusion. spacing, cross bites, overjet or overbite problems, centerline shifts DIASTEMA OTHER PROBLEMS examination. Moderate or mild skeletal problems require a closer 4: ECTOPIC, MISSING and skeletal discrepancies. (Spacing) Other problems can occur > which can only be seen on x-ray. look and might only become obvious OR UNERUPTED TEETH through detailed measurements or 6: PREMATURE CONTACTS radiographic examination. With the help of an eruption & DISPLACEMENTS calendar a tooth count can 2: SOFT TISSUE FORM determine whether the clinical These can be determined picture matches the patient’s age. by examining the occlusion in a Lips might not meet at rest Supernumerary and supplemental retruded contact position. PROBLEMS TO WATCH or the patient might be unable to teeth might not be obvious close their lips [incompetent]. The clinically but a radiographic FOR IN ADULTS lips might protrude excessively as in examination is recommended if bimaxillary proclination cases. these are suspected.

COMMON MISCONCEPTIONS REFERRAL PREFERENCES

‘Waiting’ for all the deciduous teeth to fall Impaction, submergence, ectopic eruption and other consequences > out before referral > can be avoided if we see your patients early > ‘Early referral is inappropriate and a waste > We prefer to see patients from age 7 as recommended by the British CROWDING DIASTEMA of time’ Orthodontic Society & the American Orthodontic Association

(Overlapping teeth) (Spacing) Clinical assessment based on alignment or A detailed orthodontic examination carried out by us will reassure > degree of crowding > you and all patients by avoiding misdiagnosis

Waiting for permanent canines to erupt Permanent maxillary canines should be palpable between 8 – 10 > > years of age. If they cannot be palpated, alarm bells should sound

PROBLEMS THAT CAN BE FOUND ON X-RAYS

PERIODONTAL PROBLEMS PROTRUSION (Gum disease) (Goofy - upper jaw too far forward)

ANTERIOR CROSSBITE BRUXISM (With forward displacement) (Tooth wear)

Missing Tooth Root Resorption Wisdom teeth There is no evidence of a tooth The root of the baby tooth has Position of back teeth can be to replace the one that is missing. dissolved. assessed including wisdom teeth. Some people do not grow all of Root Position their teeth. Impacted Tooth Tooth root is in wrong position (Tooth stuck in the gum) This tooth - this cannot be seen in the mouth. OPEN BITE DEEP BITE Tooth Position is leaning against the roots of Tooth is leaning the other teeth which can cause Root Development (Teeth don’t meet (Top teeth overlap into the space. damage. This root is not completely developed. at the front) lower teeth)

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DENTISTS' INFORMATION Eruption timetable

8 8 7 7 5 3 4 3 5 6 4 6

8 2 2 1 1 8 6 7 6 1 1 7 2 2 5 4 4 5 3 3

UPPER LOWER > An orthodontic consultation process usually involves radiographic 1 Max. central incisors - Eruption age: 7-8 years 1 Mand. central incisors - Eruption age: 6-7 years investigation of the jaws and teeth. These x-rays help the orthodontist to discover any problems that cannot be seen by 2 Max. lateral incisors - Eruption age: 8-9 years 2 Mand. lateral incisors - Eruption age: 7-8 years physically looking into your mouth or at your face. Max. canines - Eruption age: 11-12 years Mand. canines - Eruption age: 9-10 years 3 3 X-rays can be useful for: • Diagnosis and classifi cation – 4 Max. first premolars - Eruption age: 10-11 years 4 Mand. first premolars - Eruption age: 10-12 years determining what your specifi c problems are • Determining your suitability for certain 5 Max. second premolars - Eruption age: 10-12 years 5 Mand. second premolars - Eruption age: 11-12 years types of treatment • Planning treatment and predicting Max. first molars - Eruption age: 5-6 years Mand. first molars - Eruption age: 5-6 years what the results are likely to be 6 6 • Measuring changes to the teeth and bone which occur before, during and 7 Max. second molars - Eruption age: 12-13 years 7 Mand. second molars - Eruption age: 12-13 years after treatment 8 Max. third molars - Eruption age: 17-25 years 8 Mand. third molars - Eruption age: 17-25 years PROTECT YOUR SMILE! WITH A CUSTOM MADE SPORTS GUARD PROFESSIONAL OR AMATEUR SPORTS PERSONS, WHO PLAY SPORTS WHERE THERE'S RISK OF TOOTH DAMAGE, MUST ALWAYS WEAR A SPORTS-GUARD! ORDER YOUR OWN SPORTS GUARD TODAY!

SOME EARLY WARNING SIGNS THAT MAY INDICATE YOUR CHILD SHOULD SEE AN ORTHODONTIST:

> Crowded or misplaced teeth

> Protrusion (overjet)

> Deep bite (overbite)

> Early or late loss of baby teeth

> Thumb and finger sucking

> Speech difficulty

> Difficulty in chewing or biting

> Grinding or clenching of teeth

> Jaws that shift or make sounds

> Missing teeth

> Signs of enamel wear

When should HOW TO HELP YOUR CHILD WITH THEIR ORTHODONTIC TREATMENT:

> Make sure they brush their teeth a children see an minimum of 4 times a day especially after every meal.

Ensure they take a toothbrush and some > toothpaste to school so that they can Orthodontist? clean their teeth after lunch. Make sure they don’t eat sweets or drink > fizzy drinks. Encourage healthier, tooth friendly alternatives such as fresh fruit While orthodontic treatment can and water. > If your child is sporty, protect their improve smiles at any age, there may be teeth and braces with a mouth-guard. Help keep your child’s removable braces > safe when they’re not wearing them by an optimal time for individual patients purchasing a brace case. to begin treatment in order to achieve Call the orthodontic clinic straight away > maximum improvement in a minimum for advice on lost or broken braces. > Once braces are fitted, purchase a brace amount of time. cleaning kit. Sourced from www.braces.org The American The American Association of Orthodontists Association of Orthodontists PARENTS' INFORMATION recommends that a child’s first visit to an orthodontist takes place no later than THE RIGHT Orthodontists can spot subtle Early treatment may prevent more age seven if an orthodontic TIME FOR AN problems with jaw growth and serious problems from developing problem is detected. ORTHODONTIC emerging teeth while some baby and may make treatment at a later age Depending on the type of teeth are still present. shorter and less complicated. problem, this first visit could CHECK-UP: NO 1: 4: take place as early as age LATER THAN AGE 7 four to six. While your child’s teeth may In some cases, the orthodontist may be Sometimes, Even though appear to be straight, there able to achieve results that may not be malocclusions are present most people associate could be a problem that only an possible once the face and jaws have behind seemingly acceptable orthodontics with pre- orthodontist can detect. finished growing. Early treatment may smiles. And while treatment teens and teens, there 2: 5: give your orthodontist the chance to: may not be started until are good reasons why years later, early examination your child should get an Guide jaw growth allows the orthodontist to orthodontic evaluation The check-up may reveal that your child’s bite is fine. Or detect and evaluate problems much sooner. Lower the risk of trauma to the orthodontist may identify and plan appropriate protruded front teeth treatment at the optimum a developing problem but time. In some cases, early 3: recommend monitoring the Correct harmful oral habits WHY YOUR CHILD treatment may be initiated child’s growth and development. to prevent more serious SHOULD GET AN Then, if indicated, begin Through an orthodontic evaluation at an early age, problems from developing. ORTHODONTIC treatment at the appropriate you will be giving your child the best opportunity for a This early intervention may CHECK-UP NO time for the child. In other cases, healthier and more beautiful smile. Because patients differ make treatment at a later age the orthodontist might find a in both physiological development and treatment needs, shorter and less complicated. LATER THAN AGE 7 problem that can benefit from the orthodontist’s goal is to provide each patient with the early treatment. most appropriate treatment at the most appropriate time.

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New treatment ORTHODONTIC ENGINEERING for Goofy teeth TOOLS OF THE TRADE and Overjets…

One of the most common orthodontic problems is a discrepancy that occurs if the lower jaw is set back relative EFFECT OF FUNCTIONAL APPLIANCES ON THE PROFILE to the upper, giving the appearance of goofy or protruding upper teeth. With these cases the treatment objective would be to encourage the lower jaw to catch up in growth and a functional appliance may help this happen. Functional appliances are devices used to correct bad bites and they are mainly used in growing patients. They are so-called because you can ‘function’ when they are in your mouth. These appliances exploit the muscle actions used when speaking, eating and swallowing to produce forces that move the teeth and align the jaws. Invisalign Teen with ≥ ≥ mandibular advancement (for complex cases) offers a BEFORE: AFTER: simpler, more efficient and patient-friendly treatment The lower jaw is smaller than the upper causing an The jaws have been brought into alignment by wearing option than traditional functional appliances to treat goofy adverse profile where the top appears to stick out as functional braces which has corrected the profile creating teeth and overjets. shown in the silhouette. a much straighter silhouette. COMPARISON OF FUNCTIONAL APPLIANCE METHODS INVISALIGN TEEN TWIN BLOCK FOR COMPLEX CASES & FIXED BRACES NEW METHOD

Twin Block Functional appliance Treatment

• SIMPLE • MORE EFFICIENT Fixed Brace Treatment • MORE PATIENT-FRIENDLY SOLUTION

TREATMENT LENGTH 24-36 MONTHS TREATMENT LENGTH 18-24 MONTHS - 6 MONTHS QUICKER TREATMENT PLAN 2 PHASES: TREATMENT PLAN SINGLE PHASE COMBINED TREATMENT: OVERJET CORRECTION & TOOTH CORRECTS GOOFY TEETH & STRAIGHTENS STRAIGHTENING DONE SEPARATELY TEETH TOGETHER SPEECH AFFECTED BY TWIN BLOCK SPEECH UNAFFECTED BY INVISALIGN VISIBILITY OBTRUSIVE VISIBILITY INVISIBLE COMFORT VARIABLE COMFORT VERY COMFORTABLE LOST BRACES EXPENSIVE LOST BRACES NO COST FOR LOST ALIGNERS 4 MILLION PATIENTS WORLDWIDE HAVE MORE REASONS TO SMILE FIX YOUR SMILE WITH INVISIBLE REMOVABLE BRACES & PRIVATE PRIVATE PRIVATE PRIVATE > HIGH WYCOMBE > BEACONSFIELD > DENHAM > LONDON OCTAGON ORTHODONTICS OCTAGON ORTHODONTICS (AFFILIATED CLINIC) OCTAGON ORTHODONTICS AT THE BEAUTY SOCIETY 31-33 AMERSHAM HILL, AT DENTAL ART CHESTERTON GARDENS, GROVE ROAD, THE ASHCROFT CLINIC 2 ASHCROFT DRIVE AT THE AVENUE 112 THE AVENUE, HIGH WYCOMBE, BUCKINGHAMSHIRE HP13 6NU BEACONSFIELD, BUCKINGHAMSHIRE HP9 1UR DENHAM MIDDLESEX UB9 5JF EALING, LONDON W13 8JX TELEPHONE: 0845 601 0700 TELEPHONE: 01494 681367 TELEPHONE: 01895 831 049 TELEPHONE: 0208 566 9567

ORTHODONTIC ENGINEERING TOOLS OF THE TRADE Fixed appliances one of the most effective ways of straightening teeth.

A B C

A fixed brace is an orthodontic appliance A B C D which cannot be removed from the mouth by LIGATURE ARCHWIRE BRACKETS ELASTIC HOOKS & RUBBER BANDS the patient. Amongst OR MODULE These act as a These are small Not every patient needs to wear elastics. These teenagers, fixed braces guide or track, along square shapes which are are small rubber bands which are attached to hooks on are commonly known as A ligature is a tiny wire and a module is a which the teeth are to be cemented directly onto your brackets to cause a continuous, gentle force to help “train tracks” which can moved. They are changed each tooth. The arch wire individual tooth movement or to align one arch to the be used to treat children tiny elastic, both of which can be used to hold the throughout the treatment. is then placed through next. If you are required to use them please note that they and adults alike. Each archwire change the bracket. We use three are speeding up the day you get your braces off so it is in Fixed braces are archwire in place on each bracket. brings us closer to an ideal types of brackets metal, your best interests to wear them. Teeth have never failed one of the most effective tooth position. gold and ceramic. to move when elastics are worn consistently as directed ways of straightening by the orthodontist. teeth. They can be used in combination with removable or functional METAL BAND SEPARATORS braces and while a fair (NOT SHOWN) (NOT SHOWN) number of patients benefit from more than one type These are thin bands To make it more comfortable for you, before placing part of your fixed brace, of brace, most will have or rings of metal, carefully we may need to make space between your back teeth to allow the bands to go into fixed braces. fitted to the tooth and then place. Slowly over a few days, separators gently move certain teeth slightly apart It is important to cemented in place. They to allow us to accurately place bands on your next appointment. This can cause familiarise yourself with the have either a tube or hook temporary soreness that will go away in a few days. Rinsing with warm salt water can different components that attached so that the wire can help relieve the soreness. It is important to call the practice for advice if you lose one, make up your fixed brace. be held in place. or more of the separators.

CONTACT US TODAY TO ENHANCE YOUR LIFE | VISIT OCTAGON ORTHODONTICS: WWW.OCTAGONORTHODONTICS.COM OR VISIT THE ASHCROFT CLINIC: WWW.THEASHCROFTCLINIC.CO.UK 10 OCTAGON ORTHODONTICS | WWW.OCTAGONORTHODONTICS.COM THE ASHCROFT CLINIC | WWW.THEASHCROFTCLINIC.CO.UK While there are different brands of fixed braces, they work in the same way and common issues crop up. Handling emergencies with fixed braces

Read on to find DISCOMFORT out the answers to some commonly asked questions It is quite normal which arise for patients to experience discomfort in fixed braces. Most of for a day or two after these problems are not braces or retainers are detrimental to treatment fitted or adjusted. The and any discomfort can discomfort can make eating be alleviated at home by uncomfortable – this is both PROTRUDING WIRE using the information normal and temporary. below. If you are in pain Keep to eating soft foods Occasionally, the end or discomfort, then every during this time and use of a wire will work itself effort will be made to a mild analgesic such as out of place and irritate the schedule an appointment Ibruprofen or paracetamol mouth. Use a cotton bud or for you to see the for the first few days if pencil eraser to push the wire orthodontist. discomfort is experienced. so that it is flat against the tooth. If the wire cannot be moved into a comfort able position, cover it with relief wax supplied in your cleaning >

pack. In a situation where Most of the the wire is causing extreme problems listed to the left are pain and you are not able to not detrimental see the orthodontist soon, to treatment and can be alleviated you may, as a last resort, cut at home. If you are in pain or IRRITATION OF the wire using a sharp pair discomfort, then FOOD CAUGHT of nail scissors or clippers. every effort LIPS OR CHEEKS will be made To reduce the possibility of BETWEEN TEETH to schedule an swallowing the snipped piece appointment for Sometimes new you to see the This is not an braces can be irritating of wire, use a folded tissue or orthodontist. emergency, but can be a to the mouth, especially gauze around the area. Relief little uncomfortable. It is when eating. A small wax may still be necessary easily fixed with dental amount of non-medicinal to provide comfort to the floss. Try tying a small relief wax makes an irritated area. knot in the middle of excellent buffer between the floss to help remove brace and mouth which the food, or use your you can find in your interspace (small headed) cleaning pack. Simply brush or toothpick to pinch off a small piece dislodge food caught and roll it into a ball between teeth and braces. the size of a small pea. Flatten the ball and place it completely over LOOSE BRACKETS, the area of the braces causing irritation. Eating WIRES OR BANDS will then become more comfortable (avoid hot If the braces have drinks as this will melt come loose in any way, the the wax). If the wax is orthodontist should be called to determine appropriate LIGATURES accidentally ingested, it’s not a problem as the wax next steps. Brackets are the COME OFF is harmless. parts of braces attached to teeth with a special adhesive. Tiny rubber bands MOUTH SORES They are generally positioned or small, fine wires, known in the centre of each tooth. as ligatures, hold the wire Some patients are The bracket can be knocked to the bracket. If a rubber susceptible to episodes of off if hard or crunchy foods ligature should come off, mouth sores. While braces have been eaten. If the loose you may be able to put it do not cause them, they bracket has rotated on the back in place using clean may be made worse by wire and is sticking out and tweezers. If a wire ligature an irritation from braces. you cannot immediately comes loose, simply remove One or several areas of reach the orthodontist, it with tweezers. If the ulceration of the cheeks, you can do a temporary wire ligature is sticking lips or tongue may appear. fix to ease discomfort and out into the lip but is not This is not an emergency, prevent further damage. This loose, it can be bent back but may be very must only be done as a last down with a cotton bud or uncomfortable. Prompt resort. Take care to prevent pencil eraser to eliminate relief may be achieved by swallowing or other injury. the irritation. When one applying a small amount To put the bracket back in ligature pops off or breaks, of topical anaesthetic place, use clean tweezers to others may follow. Examine directly to the ulcerated slide the bracket along the all ligatures adjacent to the surface using a cotton wire until it is between two missing ligature. Please swab. Re-apply this when teeth. Rotate the bracket back notify your orthodontist to needed or as directed by to the proper position then check whether the ligature the instructions on slide it back to the centre of needs to be replaced. the product. the tooth.

HOW TO USE DISCLOSING TABLETS:

1 Place a disclosing tablet in your mouth. 2 Chew thoroughly with just saliva, spread it all over tooth and gum surfaces with your tongue, until your mouth has been completely covered with disclosing dye. 3 Spit out the saliva. 4 Rinse your mouth out with water. 5 Areas of plaque will be stained by the dye and will show you where you are missing and not brushing properly. 6 Brush your teeth until the dye has been removed, then concentrate on those areas the next time you brush. 7 We recommend you do this once a week.

DENTAL MIRROR Use the dental mirror to familiarise yourself with the different parts of your brace and regularly check it so that you are aware if something comes loose or breaks. You can also use the dental mirror to check for any food or plaque that may be stuck behind or around the teeth which was missed when brushing. It is also useful for checking for plaque on your back teeth when you use the disclosing tablets.

FLUORIDE MOUTHWASH Fluoride mouthwash Oral health provided in the cleaning pack must be used at least once a day, morning or evening after brushing, or and braces more often if you prefer. When wearing braces, it is essential that you maintain a high standard of oral hygiene FLOSS AND THREADERS throughout your treatment: It is important to regularly floss your teeth to maintain healthy gum lines, threaders will allow you to continue to > TOOTHBRUSHES & margins. Be sure no food or plaque is left do this throughout your treatment. They on the braces or teeth as this will cause are flexible so that you can thread floss Brush your INTERSPACE TOOTHBRUSHES braces and permanent damage. through them then move around the wires teeth at least It is important to remember to take a minimum of During your orthodontic treatment on the brace allowing you to push the floss four times a you must brush your braces and teeth at a toothbrush and interspace brush with between the teeth to clean as normal. day, after every you when you go out of your home so that meal, morning least a minimum of four times a day - after and night. every meal and morning and night. Use you can always clean your teeth after every WAX two different types of toothbrush to do meal. A travel toothbrush and a travel this, a regular toothbrush and an interspace interspace toothbrush will make this easier To prevent the brace from rubbing toothbrush (small headed brush). for you. against the inside of your lips and mouth Use the regular toothbrush firstly you may need to apply wax. You do this > to remove all the food and plaque for 3-5 DISCLOSING TABLETS by pulling off a pea-sized amount of Use two minutes. Use short, fast and firm forwards wax, rolling it into a soft ball and then different types To ensure you are cleaning your teeth moulding it around the bracket that is of toothbrush to and backwards motions and make sure you clean. A regular brush above and below your brace to clean well we recommend the use of disclosing rubbing. The wax becomes the barrier toothbrush tablets. The tablets highlight where plaque (shown above) your gum lines. Then use the interspace between your brace and the sore area and and an interspace toothbrush (small headed brush) to get has developed on the teeth and around stops it rubbing allowing the mouth to toothbrush (small headed brush). through all the areas missed by the large the gum line. Using the tablets to show the heal. Don’t worry if you swallow the wax headed toothbrush. You do this by firmly plaque will allow you to concentrate on as it is harmless and be aware that if you brushing so that the bristles spread out brushing the specific areas to reduce the have a hot drink when wearing in-between the wires, brackets and gum damaging plaque build up. > wax it will probably melt!

CONTACT US TODAY TO ENHANCE YOUR LIFE | VISIT OCTAGON ORTHODONTICS: WWW.OCTAGONORTHODONTICS.COM OR VISIT THE ASHCROFT CLINIC: WWW.THEASHCROFTCLINIC.CO.UK 12 OCTAGON ORTHODONTICS | WWW.OCTAGONORTHODONTICS.COM THE ASHCROFT CLINIC | WWW.THEASHCROFTCLINIC.CO.UK

ORTHODONTIC Invisalign ENGINEERING braces TOOLS OF THE TRADE Invisalign is a removable brace system that uses a series of custom-moulded aligners to move your teeth.

Invisalign can be help. It is successful in of minor discomfort for used to treat the vast treating crowded or widely a couple of days - this majority of common spaced teeth. It can also sensation is typically problems for adults and relieve more complex described as a feeling of children. Using advanced issues, including overbites, pressure and is a sign that 3-D computer imaging overjets, under bites and Invisalign is working. to check your treatment however, you must make technology to project tooth even cross bites. In fact, The aligners progress and make sure sure that you brush your movement, Invisalign your orthodontist can use gradually reposition your your teeth are responding teeth prior to re-inserting allows you to visualise your Invisalign clear aligners teeth over the period of to the aligners. your aligners to maintain treatment from start to in all or part of many treatment – the length Invisalign aligners good hygiene. finish through animated treatment plans. of which is determined must be worn all day, Irrespective of the visuals, which can be Every two weeks by the complexity of the except when brushing, simplicity of your case, > viewed online. you will have to replace the case and what you and flossing or eating. your treatment is best The Invisalign system is Whether your old aligner for a new one your orthodontist have delivered to the patient as Fortunately, because you handled by an orthodontic a ‘Series’ of numbered and smile needs minor which will continue to guide agreed to achieve. You will can remove your aligners specialist, who is trained labelled aligners. improvements or more your teeth in the necessary need to go in periodically to eat and drink you can to diagnose and solve any The patient changes to the extensive adjustments, direction. Each new aligner for a few orthodontic eat all your favourite problems which may arise next sequential aligner within the series every 2 weeks Invisalign can certainly may give an initial feeling appointments in order foods. After each meal, during your treatment. throughout the treatment. Invisalign product range:

i7 lite full scanning MILD CASES: MODERATE CASES: SEVERE CASES: ALL PROBLEMS: MAINTAIN YOUR SMILE: NO IMPRESSIONS

ALIGNERS (PER ARCH): ALIGNERS (PER ARCH): ALIGNERS (PER ARCH): ALIGNERS (PER ARCH): ALIGNERS (PER ARCH): PROVEN IMAGING PRECISION Up to 7 Up to 14 No limitation No limitation Set of 3 dual arch retainers TREATMENT TREATMENT TREATMENT TREATMENT TREATMENT Instead of taking impressions or moulds, your doctor might PARAMETERS: PARAMETERS: PARAMETERS: PARAMETERS: PARAMETERS: choose to take a scan of your Very minor crowding Smile improvements Broad applicability - based Broad applicability - based Maintaining smiles teeth (serial computerised and spacing on level of experience, on level of experience, images of your teeth), using Minor crowding and spacing including comprehensive including comprehensive UPGRADE: this latest high-tech gadget Minor orthodontic relapse called the iTero Scanner Aesthetic treatments treatments treatments and two phase N/A Aesthetic improvements treatments for teenagers with BENEFITS OF Simple corrections UPGRADE: erupting or erupted dentition ADDITIONAL ALIGNERS Partial treatments ITERO SCANNER: Pre-restorative alignments N/A UPGRADE: (REFINEMENTS & SINGLE ARCH MID-COURSE An improved Partial or ADDITIONAL ALIGNERS TREATMENT N/A CORRECTION): case presentation combination treatments (REFINEMENTS & AVAILABLE: ADDITIONAL ALIGNERS Better orthodontic SINGLE ARCH MID-COURSE N/A (REFINEMENTS & experience with more Yes TREATMENT CORRECTION): comfort and less anxiety MID-COURSE REPLACEMENT AVAILABLE: UPGRADE: Additional aligners for CORRECTION): ALIGNERS (EACH): Reduced chair time refi nement and mid-course Yes to Invisalign Lite or Yes Chargeable correction included Additional aligners for Easier re-fabrication of lost Full or Teen UPGRADE: refi nement and mid-course or broken appliances REPLACEMENT CANCELLATION FEE: ADDITIONAL ALIGNERS correction included Potentially reduced Yes to Invisalign Full or Teen ALIGNERS (EACH): Yes (REFINEMENTS & REPLACEMENT treatment time ADDITIONAL ALIGNERS MID-COURSE Chargeable ALIGNERS (EACH): (REFINEMENTS & CORRECTION): CANCELLATION FEE: MID-COURSE Free of charge for up to 6 Limited to 1 CORRECTION): Yes individual single arch aligners automated set of additional (or 3 sets for dual arch refi nement aligners Limited to 1 aligners). automated set of additional Additional replacements REPLACEMENT refi nement aligners ALIGNERS (EACH): are chargeable REPLACEMENT CANCELLATION FEE: Chargeable ALIGNERS (EACH): Yes CANCELLATION FEE: Chargeable Yes CANCELLATION FEE: Yes

Keeping your new smile After braces have been removed teeth have a tendency to return to their original position Retainers undoing your great new smile. To Options & Instructions prevent this, your orthodontist may advise that you wear a retainer.

Retainers are designed to hold your teeth in the corrected positions after the braces have been removed.

It is your responsibility to keep your teeth in the corrected positions. If the retainers are not worn your teeth will move back to an incorrect position. Retainers are to be worn on a long term basis because changes can occur throughout your life time. If retainers are broken or lost you will have to pay for new ones. After you are discharged from the orthodontic clinic your dentist may continue to monitor your retainer wear when you go for check-up appointments.

VIVERA REMOVABLE RETAINERS BONDED FIXED RETAINERS HAWLEY REMOVABLE RETAINERS ESSIX REMOVABLE RETAINERS Like Invisalign, Vivera retainers These consist of a wire bonded This is the most common retainer This is a clear or transparent retainer are custom made especially for each to the tongue-side of your teeth. They and is made of a metal wire that surrounds that is moulded to fit over the teeth. individual patient. You are provided are designed to hold your teeth in a the teeth, keeping them in place. The wire with three sets that are made from clear particular position for a long period of is rooted to a piece of specially moulded INSTRUCTIONS thermoplastic using 3D digital imaging time, and the longer they remain in place acrylic, which resides in the palate or floor FOR ESSIX REMOVABLE RETAINERS and the most advanced fabrication the greater the guarantee that your teeth of the mouth. Wear these retainers during the day whilst wearing the Hawley technology. The combination of all of this will remain straight. INSTRUCTIONS FOR retainers at night. This will help the retainer to last longer. technology enables the Vivera retainers to Do not drink hot drinks whilst wearing the retainer as this will not only be strong and almost invisible, INSTRUCTIONS FOR HAWLEY REMOVABLE RETAINERS distort it, as will any contact with hot liquid. Remove when brushing teeth, eating or playing sports. but also to have a precise fit. BONDED (FIXED) RETAINERS Wear your retainers day and night for 6 months. Then wear them every night into the future if you want to keep your When the retainers are out of your mouth, place them in a Bonded retainers are designed to hold the teeth in the teeth straight. brace/retainer case for safety. INSTRUCTIONS FOR exact position over a long period of time. The longer they remain in place the greater the guarantee that your teeth Remove when brushing teeth, eating or playing sports. Clean them 3-4 times a day by brushing with a toothbrush and VIVERA REMOVABLE RETAINERS clear liquid soap under cold water only. Do not use toothpaste. will remain straight. When the retainers are out of your mouth, place them in a brace/retainer case for safety. Bring your retainers for the periodic check-up appointments. Wear these retainers EVERY NIGHT into the future if you You must note and memorise the position of the thin wire want to keep your teeth straight. Your orthodontist might behind the teeth and the special cement used to attach this Clean them 3-4 times a day using a toothbrush and toothpaste. There is an additional cost for replacement or repair of ask you to do additional hours if necessary. wire to each tooth. this retainer. Bring your retainers for the periodic check-up appointments. Do not drink hot drinks whilst wearing the retainer as this Check the wires with a small mouth mirror every morning. will distort it, as will any contact with hot liquid. There is an additional cost for replacement or repair of Brush the back of your teeth and over the wires thoroughly this retainer. Remove when brushing teeth, eating or playing sports. 2-3 times a day, especially after eating sweet foods. When the retainers are out of your mouth, place them in a Sticky sweets and hard foods can break the wire or its attachments, so be careful! brace/retainer case for safety. Helps Remove Brush your teeth after eating before replacing the retainer. If the wire breaks or an attachment becomes loose, % telephone this clinic for an immediate appointment to have Kills 99 Plaque & Tartar Clean them once a day using a toothbrush, water and a it checked. Ensure you wear your removable retainers to clear liquid soap only. keep the teeth in position until your appointment. of 7 Common Cleans & Brightens Removable Dental Appliances Do not use toothpaste to clean them, because it can make When wearing a Bonded retainer you need only wear your Odour-Causing your retainers more brittle and prone to breakage. removable retainers at night. Keeps dental Bring your retainers for the periodic check-up appointments. There is an additional cost for replacement or repair of Bacteria appliances fresh Vivera retainers come in sets of three, so if you break or this retainer. loose a set, you will already have a replacement to hand. AVAILABLE AT ALL OUR CLINICS, ASK AT RECEPTION There is an additional cost for any additional replacement sets.

CONTACT US TODAY TO ENHANCE YOUR LIFE | VISIT OCTAGON ORTHODONTICS: WWW.OCTAGONORTHODONTICS.COM OR VISIT THE ASHCROFT CLINIC: WWW.THEASHCROFTCLINIC.CO.UK 14 OCTAGON ORTHODONTICS | WWW.OCTAGONORTHODONTICS.COM THE ASHCROFT CLINIC | WWW.THEASHCROFTCLINIC.CO.UK MEET THE CLINICIANS

Welcome to Octagon malocclusions (bad bites), overjets, Orthodontics which is the premier overbites, cross bites, open bites, deep Services available: provider of braces for adults and bites, crooked teeth, and various other 4 ALL ORTHODONTIC BRACES FOR children in Bucks, Berks, Middlesex, problems of the teeth and jaws. If ADULTS AND CHILDREN Oxford and West London. With our you have any cosmetic, structural or NHS TREATMENT FOR CHILDREN clinics in High Wycombe, Beaconsfield functional problems with your teeth UNDER THE AGE OF 18 and Ealing, accessibility is easy for or jaws, resident orthodontists at any everyone looking for modern invisible branch of the Octagon Orthodontic 4 SPECIALIST ORTHODONTIC CARE FOR ADULTS AND CHILDREN braces or any type of orthodontic group of clinics can help correct them treatment to correct crooked teeth or using a variety of techniques. It all 4 AESTHETIC AND INVISIBLE BRACES: bad bites. The Octagon Orthodontics starts with an orthodontic consultation specialist team is led by Dr Peter with one of our specialists who will INVISALIGN PREFERRED PROVIDER Ilori who has over 27 years of dental/ assess, investigate and diagnose your INVISALIGN TEEN PROVIDER orthodontic experience and is an specific problems and inform you of Invisalign Diamond provider. Octagon the various treatment options. ITERO INTRAORAL SCANNING FACILITIES PRINCIPAL ORTHODONTIST Orthodontics has been the largest At Octagon Orthodontics we 4 CERAMIC, AESTHETIC AND provider of NHS and private brace TOOTH COLOURED BRACES DIAMOND INVISALIGN DOCTOR are dedicated to providing the highest services in Buckinghamshire, Berkshire possible standard of orthodontic LINGUAL (BEHIND THE TEETH) BRACES TREATED OVER 4 1000 INVISALIGN PATIENTS and the Thames Valley region since its (brace) care through our specialist inception in late 1996. orthodontists who lead a team of highly 4 REMOVABLE APPLIANCES INVISALIGN SPEAKER LECTURER At Octagon Orthodontics we trained therapists, nurses and customer 4 REMOVABLE AND FIXED RETAINERS specialise in dental braces (also known service personnel. Patients will find each orthodontic clinic has state-of-the-art 4 HYGIENIST PROCEDURES Dr Peter Ilori as orthodontic braces, or simply & TEETH CLEANING SERVICES equipment and hospitality services in a BDS LDS[Eng.] FDS[Eng.] FFD[Ire.] M.Sc[Manc.] braces) which are devices used to modern and spacious setting. AIR POLISHING & AIR ABRASION M.Orth[Edin.] M.Orth[Eng.] MBA [Brunel] align and straighten teeth and help 4 to position them in the correct bite, Since opening in 1996, Octagon 4 ORAL HYGIENE PRODUCTS SPECIALIST while also working to improve the Orthodontics has acquired an excellent TEETH WHITENING & BLEACHING IN ORTHODONTICS dental health of adults or children. reputation for high quality treatment 4 Orthodontic braces are used to correct and excellent customer service.

Dr Zeyneb Al-Shebib Dr Montu Eipe Dr Elettra Aguglia Dr Mariana Holdsworth Lic. Odonto. [Spain], MSc. Orth [Warwick] BDS, MDS [Orth], LDSRCS [Eng], BDS [Milan], MSc. Orth [Milan] Master’s in Dentistry [Czech Republic] MClinDent[Orth][Eng], MOrthRCS [Edin]

DENTIST WITH SPECIAL SPECIALIST SPECIALIST SPECIALIST INTEREST IN ORTHODONTICS IN ORTHODONTICS IN ORTHODONTICS IN ORTHODONTICS

Dr Adewale Akinwale Grad. Odonto. [Spain] Rebecca Leonard Christine Grover Rashida Akram RDN Dip Orth (Warwick) RDN Dip Orth (Warwick) RDN Dip Orth (Warwick) DENTIST WITH SPECIAL INTEREST IN ORTHODONTICS ORTHODONTIC THERAPIST ORTHODONTIC THERAPIST ORTHODONTIC THERAPIST

BOOK AN APPOINTMENT AT OCTAGON ORTHODONTICS TODAY | TELEPHONE: 0845 601 0700 BOOK AN APPOINTMENT AT THE ASHCROFT CLINIC TODAY | TELEPHONE: 01895 831 049 NEWS AND UPDATES FROM OCTAGON ORTHODONTICS AND THE ASHCROFT CLINIC SMILE NEWS 15 WHERE BEAUTIFUL SMILES ARE CREATED CALL YOUR PREFERRED PRACTICE TODAY > HIGH WYCOMBE > BEACONSFIELD > DENHAM > LONDON

Octagon Orthodontics Octagon Orthodontics The Ashcroft Clinic Octagon Orthodontics at The Beauty Society at Dental Art (Afﬁ liated clinic) at The Avenue 31-33 Amersham Hill Chesterton Gardens 2 Ashcroft Drive 112 The Avenue High Wycombe Grove Road, Beaconsﬁ eld Denham Ealing Buckinghamshire HP13 6NU Buckinghamshire HP9 1UR Middlesex UB9 5JF London W13 8JX

TELEPHONE: 0845 601 0700 TELEPHONE: 01494 681367 TELEPHONE: 01895 831 049 TELEPHONE: 0208 566 9567

For over a decade Octagon I was looking for an orthodontist to The Ashcroft Clinic in Denham This stunning branch clinic is Orthodontics’ High Wycombe practice continue brace treatment for my children (Octagon Orthodontics affiliated clinic) situated in a beautiful old town house has been creating beautiful smiles for and me following our relocation from is proud to be the first private clinic in which has been restored and refurbished thousands of adult and child patients. Connecticut, USA. Dr Ilori’s practice the area with acute hospital status. Our whilst retaining most of the original This practice certainly has the wow welcomed us and the transition has been resident specialist orthodontists will use features. Established within the 2,500 factor! You can easily locate the impressive a smooth process. My children are happy their expertise to diagnose and manage square footPERIV spaceALE is a specialist orthodontic listed building which is situated within and the level of service is just amazing,” any concerns that you might have with clinic and several multi-purpose clinical the town centre and near the train station JC of Chalfont St Giles. your teeth, bite or smile. We also have and meeting rooms. with an abundance of parking available For those seeking to improve their other allied practitioners in the fields of The feel is more of a cosy, nearby. The entrance to this impressive smiles, Octagon Orthodontics runs a dentistry, medical aesthetics, beauty/skin welcoming home, with high ceilings, four floor building brings you to a quirky specialist orthodontic service at Dental therapy and private medical doctors who large rooms and original fireplaces which and refreshingly original mini reception Art, an advanced dental practice located provide their A40on-site services to cater for complement the cutting edge technology desk made from half a vintage mini one. in Old Town Beaconsfield. your total well-being. used by the resident specialists. Smartly uniformed staff are on hand to This purpose built dental centre Qualified, experienced clinicians If you are seeking orthodontic greet each and every visitor with warm is colourfully decorated and features a utilise the latest technologies and care, cosmetic dentistry or other A40aesthetic and wonderful smiles. unique gallery of paintings, sculptures equipment to aid them in delivering treatments, The Avenue, in Ealing is close A406 Specialist clinicians are on hand and jewellery from local artists, which exceptional results. Every clinician offers to central London making it accessible to

to provide personalised comprehensive can be purchased or just enjoyed, reassurance of first class treatment anyone in the metropolis. HANGER brace care for adults and children with the contributing to an interesting and inviting boasting not just skill but also vast The philosophy behind all LANE

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