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Orthodontics / misaligned teeth

At the dental practice on Fronwagplatz, Ms Brüggemann is a specialist in all treatments related to misaligned teeth. We focus on individual, modern and gentle therapeutic approaches to correcting tooth and jaw alignment – for optimal function and a balanced smile.

The focus is on careful diagnosis combined with personal support. During the initial examination, we check whether the teeth are changing in line with age, whether there is sufficient space for the teeth and whether the jaw position and bite function are normal. Based on this, we create a tailor-made treatment plan that is tailored to your situation and functional requirements.

Whether classic braces, transparent aligners or combined orthodontic procedures – we work with you to determine the most suitable method for correcting your teeth alignment.

The following are the most important areas of orthodontics:

Diagnosis of malocclusion
Our orthodontist specialises in accurately diagnosing deviations in tooth and jaw position. These include Class II anomalies (overbite), Class III anomalies (underbite), anomalies of the prognathic type (crossbite), lack of space with crowding (jaw narrowing) and open bites.

Treatment planning
After a comprehensive diagnosis, we create a customised treatment plan to correct the specific malocclusion. This may involve various orthodontic appliances and procedures.

Correction of malocclusions
To treat malocclusions, we mainly use braces (brackets and wires) that are attached to the teeth and move them into the desired position in a controlled manner. Depending on the severity, aligners, removable appliances or, in more complex situations, surgical support may also be considered.

Influencing jaw growth
We make targeted use of bone growth by promoting or slowing it down, as appropriate. Early orthodontic assessment of children is particularly important so that we can determine the ideal time for treatment.

Prevention
To prevent future malocclusions, we carry out preventive measures, known as interceptive treatments. These help to shorten or, in the best case, avoid subsequent orthodontic therapies.

Improving aesthetics
In addition to functional improvements, we also support the aesthetic optimisation of the facial profile. Correcting malocclusions contributes to a more harmonious smile and a balanced appearance.

Health benefits
Our orthodontic treatments can help prevent or alleviate complaints that can arise from malocclusions. These include problems with the jaw joint and limitations in chewing, speaking, swallowing and breathing.

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Orthodontics for children and adolescents

It is recommended that children be examined for any orthodontic malocclusions as early as possible. In general, orthodontic problems are easier and better to correct before jaw growth slows down. The age at which treatment begins for children is usually between 5 and 7 years, well before pubertal growth. Please feel free to contact us for advice at any time.

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Orthodontics for adults

Although orthodontics is often associated with children and adolescents, many adults want a beautiful and healthy smile throughout their lives. Orthodontic treatment may be necessary for adults – whether to correct misalignments or improve dental aesthetics. Adults of all ages can be treated with our orthodontic appliances and methods. Our orthodontist will be happy to advise you at any time.

How does treatment work and how long does it take?

Initial assessment and counselling
If you would like clarification, make an appointment by telephone for an initial examination with Mrs. M.Sc. med. dent. Tine Brüggemann. During the initial examination, the findings are recorded. This involves checking whether the change of teeth and the development of the teeth and jaws is/was age-appropriate, whether the teeth have sufficient space, whether the jaw position looks normal and whether sufficient jaw and bite function is guaranteed.

Preparations for drawing up the treatment planIf treatment is recommended, various follow-up examinations and health documents must be prepared, which are essential for a smooth orthodontic treatment process. These include

Health questionnaire / medical history
Impression/moulds of the upper and lower jaw for the production of models
Special x-rays
Photos of the face, teeth and jaw position
Detailed examination of dental health, tooth position and function

Joint preparation of the treatment plan
A detailed and individualised treatment plan can only be drawn up after an exact evaluation of the X-ray images in combination with the other findings about the tooth misalignment. In a consultation (together with the parents in the case of children, of course), all the findings are discussed, the existing deviations/misalignments are explained and possible treatment approaches are outlined. The course of treatment is then roughly outlined and the expected duration and costs of treatment are suggested.

Carrying out the treatment from the insertion of the braces or appliance up to and including the retention phase
Orthodontic treatment sometimes takes several years. The influence on growth and the weak forces must be able to take effect over a longer period of time. In addition, the treatment result achieved must be stabilised during the retention or holding phase.

What treatment methods are available? What are the advantages/disadvantages?

The range of orthodontic treatments offered at our practice includes preventive care and early treatment for young children, traditional correction of misaligned teeth in children and adolescents, and surgically assisted tooth correction for adults. The most suitable method and type of braces (fixed or removable) depends on the individual circumstances and the severity of the misalignment of the teeth and jaw.

The age of the patient plays a key role and is taken into account both in the preparation of the planning documents and throughout the entire treatment process. Regardless of whether a fixed or removable appliance is chosen, active cooperation is crucial.

Thanks to modern materials and optimised treatment techniques, we can carry out orthodontic treatment efficiently, gently and, in many cases, in a shorter time.

Some orthodontic appliances and braces are presented below:

Aligner (removable)

Aligners are transparent, removable plastic splints that we use to gently correct misaligned teeth in several steps. They offer an aesthetically unobtrusive alternative to traditional fixed braces.

The advantages include their inconspicuous appearance, high wearing comfort, the possibility of removing the splints for eating and drinking, good oral hygiene, less pain and easy handling.

Aligners require consistent wear, as they should be worn for at least 20 hours per day. However, not all misalignments can be treated with aligners, such as pronounced skeletal deviations, severe rotations, significant tilting or vertical misalignments.

Our orthodontist will be happy to advise you on whether aligner therapy is suitable in your case.

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Multibracket appliance (fixed)

A multi-bracket appliance is a fixed orthodontic device that we use to treat misaligned teeth and correct the bite. It consists of metal or ceramic brackets that are bonded to the teeth, as well as wire arches that are threaded through these brackets.

In children and adolescents, the brackets are usually bonded to the outer or buccal surfaces of the teeth. As the appliance remains firmly anchored in the mouth for a long period of time, careful handling of the braces is crucial. Thorough oral hygiene, proper care and a suitable diet contribute significantly to the success of the treatment. Fixed braces are very efficient and often the best treatment option for severe jaw misalignments.

For adult patients, we recommend lingual braces, which are invisibly attached to the inner or lingual surfaces of the teeth. The type of bracket system used depends on the individual situation and the respective diagnosis. We would be happy to advise you personally.

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Palatal expansion appliance (PEA)

The palatal expansion appliance (PEA) is a fixed orthodontic device that we use to widen the upper jaw if it is too narrow, if there is a crossbite, or if a high, narrow palate offers too little space for the tongue.

The upper jaw consists of two bone halves that are connected by the median palatine suture (Sutura palatina mediana). In children and adolescents, this suture is not yet fully ossified and can be stretched by applying gentle, controlled pressure. This is done by turning a screw located centrally in the palate area.

In adults, GNE can be used in combination with a supportive surgical procedure.

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Activator / Bionator

Our orthodontic activators and bionators are functional orthodontic appliances that we use to correct misalignments of the jaw and teeth. These bimaxillary appliances are worn loosely in the mouth and are made of plastic and metal brackets.

The advantages include effective correction of the bite, promotion or inhibition of jaw growth, and stabilisation of previously treated jaw misalignments.

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Treatment by M.Sc. med. dent. Tine Brüggemann

All orthodontic treatments at the Fronwagplatz dental practice are carried out by Ms Brüggemann. She is our proven expert in the field of orthodontics. Thanks to her in-depth specialist knowledge, many years of experience and empathetic approach, our patients receive the best possible care from her.

Ms Brüggemann treats children, adolescents and adults. She is also a member of the Swiss Dental Association (SSO) and the SSO Schaffhausen.

Career
Studied dentistry and state examination, Albert Ludwig University of Freiburg, Germany
Further training assistant in orthodontics, Dr Hermann Classens, Herbolzheim, Germany
Assistant dentist, Department of Paediatric Dentistry/Orthodontics, Cendenta Berlin, Germany
Master's degree in orthodontics, Danube University Krems, Austria
Since 2015 Orthodontist at Zahnärzte am Fronwagplatz, Dr Cornel Jud

FAQ - Frequently asked questions

So that you can inform yourself in advance about any orthodontic treatment, we have compiled the most frequently asked and most important questions for you below:

What types of misaligned teeth can be treated with orthodontics?

With our orthodontic methods, we can correct a variety of misalignments, including overbite, underbite, crossbite, gaps between teeth, crowding, crooked teeth and other abnormalities.

How long does orthodontic treatment usually take?

The duration depends on the type and severity of the misalignment. It usually takes between 1 and 3 years.

Is orthodontic treatment painful?

Mild discomfort or irritation may occur at the beginning. This is usually temporary and can be relieved with painkillers if necessary.

Do orthodontic appliances need to be adjusted regularly during treatment?

Yes. Regular check-ups and adjustments are necessary to monitor the progress of treatment and optimise the appliances.

Can I continue with normal activities such as sports or playing musical instruments during orthodontic treatment?

Yes. Most activities can be continued without any problems. Depending on the appliance, individual precautions may be advisable.

Are there any long-term effects after orthodontic treatment?

Successfully completed treatment usually leads to long-term improvement in aesthetics, function and dental health. Retention is crucial to ensure that the results achieved are permanent.

Are there certain foods I cannot eat during my orthodontic treatment?

With fixed braces, hard, sticky or very sugary foods should be avoided as they can damage the appliance. With aligners or other removable appliances, the splints can be removed for eating, which means there are fewer restrictions.

Can I remove braces or other appliances myself?

No. Fixed appliances may only be removed by our orthodontist or specialist staff to prevent damage.

Can orthodontics treat sleep apnoea?

In certain cases, orthodontics can help with mild to moderate sleep apnoea symptoms by widening or stabilising the airways.

Can I see an orthodontist in an emergency during my treatment?

Yes. We offer support for acute problems such as loose brackets/attachments, broken wires, sharp wires or loss of appliance parts.

Can I whiten my teeth after completing my orthodontic treatment?

Yes. Teeth whitening is possible after treatment is complete. Our orthodontist will advise you on this together with our team of dentists.

Who performs orthodontic treatments?

All orthodontic treatments are performed by Ms Brüggemann and her specialised team.