Sometimes patients are undergoing orthodontic treatment, but for different reasons cannot return to the previous clinic to continue regular follow-ups. As a result, the orthodontic devices in the mouth have not been replaced or adjusted for several months, causing a series of oral problems. At this time, the patient may seek help from other dentists to handle his/her unfinished orthodontic treatment. However, it is often difficult for patients to find a dentist who is willing to take over the handle. We will briefly introduce the procedures for new dentists to take over unfinished cases of orthodontics and the points that patients need to pay attention to. For aligner cases specifically, switching dentists or stopping Invisalign mid-treatment sets out the practical consequences.
Traditional metal braces, self-ligating braces, ceramic braces and lingual braces are used together with the application of wire, unless you are using transparent braces (Invisalign). Orthodontics generally require regular follow-up visits to replace the elastic and wire to increase the tension. Without regular follow-ups, changes in the position of the teeth will deviate from expectations and slowly move to a bad direction, leading to misalignment of teeth and occlusion. The worst result may even harmful to the teeth and teeth roots. The longer there is no follow-up visit, the greater the risk to the patient.
When a patient wants to remove the braces to stop the orthodontic treatment, or wish to consult another doctor to take over to continue the orthodontic treatment, a clinical evaluation is required first. After consideration, if the patient accepts the current condition of the teeth and decides to remove the braces, it is also necessary to consider making a retainer to prevent the teeth from relapse. If want to continue the orthodontics, reformulate of the treatment plan, remove the current braces and then reattach the braces are required.
Why need to remove the existing braces and reattach the braces? The styles, types, and brands of braces are different, and every dentist has different skills when using it. The position of the teeth will change due to the degree and angle of the braces, the thickness of the wire, the tightness of the elastics, etc. Improper handling may cause the teeth to tilt forward or backward excessively, resulting in "overjet" or "underbite". The doctor who takes over the orthodontic treatment for the patient will formulate a new treatment plan and remove the existing braces. After that, reposition the brace based on the patient's oral condition at the time. The same reassessment applies outside orthodontics, where taking over failed dental treatment covers restorative and surgical work begun at another practice.
If other problems arise due to stagnant orthodontic treatment, such as changes in facial shapes, difficulty in cleaning, and inflammation and recession of gums, subsequent treatment will become more complicated. Therefore, if you are facing this problem, and you want to give yourself a confident smile and healthy teeth, you can consult a professional dentist as soon as possible to provide you with detailed orthodontic information.
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