TREATMENTS

Treatments

Get the Best Orthodontic Treatments that 
Wollongong & Campbelltown, NSW Have to Offer!

For the treatments on this page, everyone should be prepared to complete the second phase which is orthodontic therapy with fixed braces. Click below for more information. 
Orthodontic Therapy
Rapid Palatal Expander (RPE)

Orthodontic Treatments, Wollongong, NSW
Occlusal Coverage with Resin Pads
(Usually used for palatal expansion of younger children)

Original Designer: Unknown

Description:

The Resin-based RPE is constructed with a large palatal expansion screw whose metal arms of .045 wire are curved out to engage in the resin pads that cover the dentition. A section of .032 wire is soldered to surround the first bicuspid extending to the molar on each side. These wires serve to strengthen the appliance. The resin pads create occlusal coverage for torque control and to reduce the amount of vertical (skeletal) opening that occurs as a result of treatment. It is best used for children between ages 3 and 8 years.

Indications for use of Rapid Palatal Expansion Appliance (RPE):
• Constricted Maxillary Arch • Crossbite • Class III growth pattern
• Crowded Maxillary incisors and/or crowded cuspids
• Patients with TMD • Patients with obstructed nasal airways

Contraindications for use of Rapid Palatal Expansion Appliance (RPE):
• Patients with cleft palate or lip • The majority of adult patients
• Horizontal (skeletal) growth patients

Mahony Twin-Block Appliance


All Orthodontics, Campbelltown & Wollongong, NSW
Redesigned by Dr Derek Mahony

Description:

The Mahony Twin-Block Appliance explained here is fitted to advance the Mn to a near Class I relation. The appliance is best described as two blocks of acrylic resin, one fitted in the Maxillary arch and the other in the Mandibular arch, with inclined planes of 70 degrees. When the patient closes his/her jaws to occlude the dentition, the Mn is carried forward by the action of the inclined planes into the desired new anterior relation that is at or near an incisor end-to-end relation. In other words, it is a ‘twinned’ appliance, with one half worn on the upper arch and the other half worn on the lower arch, its activation achieved by the force of occlusion against the inclined planes. Dr Mahony’s variation moves the incline planes (which activate the mandibular advancement) to mesial of the first bicuspids. This arrangement proves to be more stable and produces less relapse than the Clark Twin Block.

Indications for use of Mahony Twin-Block Appliance:
• Class II growth pattern • Arches needing slight transverse correction
 Patients with TMD • Patients with obstructed airways
3D Teeth Straightening Appliance

Check out our clear teeth braces

The 3D is a removable appliance that is worn to expand your upper arch. For optimal results your 3D should be worn 24 hours a day and removed only for eating, cleaning and sport. An adult may need to turn the key to ensure proper activation. You may feel pressure shortly after activation; therefore, we recommend turning the key before bedtime. Ensure that the appliance is seated in your mouth properly especially after activation. To keep your appliance clean, brush it every time you brush your teeth and soak in RETAINER BRITE (you can purchase this from us for $8.00 for a box of 32 tablets) at least 3 times a week. Expansion is normally active for 6-10 months with compliance, then wear is continued to maintain space and promote bone development in the dental arches. In some cases, a gap will appear in between the front teeth. Don't be alarmed; we are creating space for your other permanent teeth. You will receive a case to store your 3D. When the 3D is not in your mouth or being cleaned, make sure that it is in the case. Please bring the 3D to each appointment. If your 3D is fitting improperly or does not seat all the way, please call our office so that it can be adjusted.

Instructions for 3D Appliance:

Once Dr Van Vuuren has fit your 3D Appliance carefully, it becomes your responsibility to follow these instructions conscientiously. Please feel free to call our office at any time if you have any questions. 

1. If unusual discomfort from your appliance is noticed, please call our office immediately. Do not hesitate, as treatment time can be prolonged if the discomfort becomes serious. Soft white wax can be supplied by Dr Van Vuuren upon your request and can be applied over the areas of irritation to help reduce soft tissue irritation to the cheeks and tongue, especially during the first week or so.
2. Special care must be taken to eliminate certain foods from the diet as they may bend the wires or loosen the bands. Repair appointments will prolong treatment time. Avoid these foods:
HARD FOODS: ice cubes, whole carrots or hard apples, tacos, Doritos, hard popcorn or other hard, crunchy snack foods.
STICKY FOODS: sticky candy, roll-ups, fantails, minties, caramels and all types of gum.
SWEETS: all foods that are high in sugar content. Try to limit between meal snacks.
3. Brush thoroughly after each meal. Brush around the gum line as well as your teeth. If you fail to get teeth thoroughly clean and do not exercise the gums, the gums swell and make it more difficult to maintain good oral hygiene. Continued neglect of these areas may result in bad breath, white marks on the teeth or even tooth decay. Always clean your appliance when you clean your teeth. You can do this by using a toothbrush OR ask us about RETAINER BRITE, a special cleaning agent that Dr Van Vuuren can supply to help to keep your palate in great condition.
4. Do not play with the appliance with your tongue, because it may loosen the fit. Do not pick at the wires with your fingers or bite on pencils or pens.
5. There may be an initial difficulty in speech, which should disappear in a day or two. We recommend that you practice reading out loud for fifteen-minute intervals several times a day until normal speech has returned.
6. Remember, all patients with appliances are ordinarily seen on a 6–12-week basis for re-evaluation of the bite and fit of the appliance. If you have not been seen for 3 months, please call for an appointment.
The Schwarz Appliance

The Schwarz is a removable appliance that is worn to expand your upper arch. For optimal results your Schwarz should be worn 24 hours a day and removed only for eating, cleaning and sport. An adult may need to turn the key to ensure proper activation. You may feel pressure shortly after activation; therefore, we recommend turning the key before bedtime. Ensure that the appliance is seated in your mouth properly especially after activation. To keep your appliance clean, brush it every time you brush your teeth and soak in RETAINER BRITE (you can purchase this from us for $8.00 for a box of 32 tablets) at least 3 times a week. Expansion is normally active for 6-10 months with compliance, and then wear is continued to maintain space and promote bone development in the dental arches. In some cases, a gap will appear in between the front teeth. Don't be alarmed; we are creating space for your other permanent teeth. You will receive a case to store your Schwarz. When the Schwarz is not in your mouth or being cleaned, make sure that it is in the case. Please bring the Schwarz to each appointment. If your Schwarz is fitting improperly or does not seat all the way, please call our office so that it can be adjusted.
Instructions for Schwarz Appliance

Once Dr Van Vuuren has fit your Schwarz Appliance carefully, it becomes your responsibility to follow these instructions conscientiously. Please feel free to call our office at any time if you have any questions. 

1. If unusual discomfort from your appliance is noticed, please call our office immediately. Do not hesitate, as treatment time can be prolonged if the discomfort becomes serious. Soft white wax can be supplied by Dr Van Vuuren upon your request and can be applied over the areas of irritation to help reduce soft tissue irritation to the cheeks and tongue, especially during the first week or so.
2. Special care must be taken to eliminate certain foods from the diet as they may bend the wires or loosen the bands. Repair appointments will prolong treatment time. Avoid these foods:
HARD FOODS: ice cubes, whole carrots or hard apples, tacos, Doritos, hard popcorn or other hard, crunchy snack foods.
STICKY FOODS: sticky candy, roll-ups, fantails, minties, caramels and all types of gum.
SWEETS: all foods that are high in sugar content. Try to limit between meal snacks.
3. Brush thoroughly after each meal. Brush around the gum line as well as your teeth. If you fail to get teeth thoroughly clean and do not exercise the gums, the gums swell and make it more difficult to maintain good oral hygiene. Continued neglect of these areas may result in bad breath, white marks on the teeth or even tooth decay. Always clean your appliance when you clean your teeth. You can do this by using a toothbrush OR ask us about RETAINER BRITE, a special cleaning agent that Dr Van Vuuren can supply to help to keep your plates in great condition.
4. Do not play with the appliance with your tongue, because it may loosen the fit. Do not pick at the wires with your fingers or bite on pencils or pens.
5. There may be an initial difficulty in speech, which should disappear in a day or two. We recommend that you practice reading out loud for fifteen-minute intervals several times a day until normal speech has returned.
6. Remember, all patients with appliances are ordinarily seen on a 6–12-week basis for re-evaluation of the bite and fit of the appliance. If you have not been seen for 3 months, please call for an appointment.
The William Appliance

Appointment necessary to fit your appliance:

1. A quick (five minutes) visit to put spaces between the teeth that will have crowns later fitted on them.
2. About 1 week later, we see you for a half-hour visit to fit crowns around the teeth and take an impression of your teeth while the crowns are on. We will then remove the crowns and replace the spacers.
3. About 1 week later, another half-hour visit is scheduled to put in the expander and give you instructions.

The Williams Appliance allows Dr Van Vuuren to correct the lower arch and regain any arch length lost during the mixed dentition. This allows the orthodontic finish in the permanent dentition to be more simplistic and stable. One major advantage of the Williams Appliance is that it is totally fixed, which in turn allows Dr Van Vuuren complete control of the treatment. In addition, the appliance is well tolerated by the patient, and easy to keep clean. The various components of the Williams appliance include:

Crowns: One of the major advantages of the Williams appliance is that it is a totally fixed orthopaedic-orthodontic device. The appliance is secured by banding it to either the deciduous second molars or the permanent first molars.
Expansion Spring: The expander is fitted with a self-activating spring screw. It does not require you to manually adjust it. Dr Van Vuuren will review the rate of expansion at each adjustment appointment.
Lingual Arch Wire: A lingual (behind the lower teeth) arch wire is inserted into lingual tubes. When the appliance is placed the arch wire is automatically activated against the lingual surface of the lower anterior teeth. As the arch is developed, the lingual arch wire begins to align the incisors. If at any stage the lingual arch comes out of the tube and is causing annoyance or discomfort, either place it back in the tube, or if you are unable to do that you may gently remove the wire with a pair of tweezers or something similar.

Advantages of the Williams Appliance:

1. Being fixed, it lessens the potential for loss or damage, as well as the need for constant repair during the treatment period.
2. It is composed of heavy-duty materials, yet is comfortable for the patient to wear.
3. Use of the fixed spring expansion mechanism allows a predictable expansion force.
4. Patient and parent acceptance has been excellent.

Instructions for Lower Williams Appliance

Once Dr Van Vuuren has fit your Williams Appliance carefully, it becomes your responsibility to follow these instructions conscientiously. Please feel free to call our office at any time if you have any questions.
1. If unusual discomfort from your appliance is noticed, please call our office immediately. Do not hesitate, as treatment time can be prolonged if the discomfort becomes serious. Soft white wax can be supplied by Dr Van Vuuren upon your request and can be applied over the areas of irritation to help reduce soft tissue irritation to the cheeks and tongue, especially during the first week or so.
2. Special care must be taken to eliminate certain foods from the diet as they may bend the wires or loosen the appliance. Repair appointments will prolong treatment time. Avoid these foods:
HARD FOODS: ice cubes, whole carrots or hard apples, tacos, Doritos, hard popcorn or other hard, crunchy snack foods.
STICKY FOODS: sticky candy, roll-ups, fantails, minties, caramels and all types of gum.
SWEETS: all foods that are high in sugar content. Try to limit between meal snacks.
3. Brush thoroughly after each meal. Brush around the gum line as well as your teeth. If you fail to get teeth thoroughly clean and do not exercise the gums, the gums swell and make it more difficult to maintain good oral hygiene. Continued neglect of these areas may result in bad breath, white marks on the teeth or even tooth decay. Always clean your appliance when you clean your teeth. You can do this by using a toothbrush OR ask us about RETAINER BRITE, a special cleaning agent that Dr Van Vuuren can supply to help to keep your plates in great condition.
4. Do not play with the appliance with your tongue, because it may loosen the fit. Do not pick at the wires with your fingers, or bite on pencils or pens.
5. There may be an initial difficulty in speech, which should disappear in a day or two. We recommend that you practice reading out loud for fifteen-minute intervals several times a day until normal speech has returned.
6. Remember, all patients with appliances are ordinarily seen on a 6–12-week basis for re-evaluation of the bite and fit of the appliance. If you have not been seen for 3 months, please call for an appointment.
Share by: