| Dr. Michael Shearer
commenced orthodontic practice in 1982 and was joined by Dr. Robert Schwartz in 1991. Our CBD rooms are located on the 18th Floor, 15 Collins Street -
Melways Reference 1B M10. We are situated at the Spring Street end of Collins Street.
There are several ways of parking in the City: Parking Stations are located on
Flinders Lane, Bourke Street and Little Collins Street which are in walking distance to
our surgery. Meter Parking is also available on Macarthur Street near St. Patricks
Cathedral. Alternatively, via rail Parliament Station is situated on Spring Street within
200 metres of our surgery.
The Greensborough practice is located at 271 Greensborough Bypass Road - Melways reference
20 D6. We are on the corner of Somers Avenue, opposite Windsor Reserve where parking is
available.
Unlike many Australian orthodontists who are trained in Begg Technique (developed by Dr.
P. R. Begg in Adelaide, S.A.), we are an Edgewise-based practice - as are most University
of Melbourne graduates.
In most cases, we use a Straight-Wire technique which employs fairly simple,
"straight forward" mechanics for tooth movement. Dr. Schwartz will often use
Ricketts mechanics (developed by Dr. Robert Ricketts in Southern California) and this will
often involve the use of "segmental" wires in conjunction with
"looped" archwires.
Ceramic or "clear" braces are often preferred by many patients for aesthetic
reasons as from a distance of 3-4 metres, these appliances are almost invisible and all
that can be seen is the orthodontic wire. However, with sliding mechanics there is a
substantial increase in frictional forces and tooth movement will be delayed. As a general
rule, an average treatment time will be increased by as much as six (6) months or 25-33%.
A further problem with ceramic braces is that teeth that come into contact with the
brackets can become excessively "worn down" due to the hard, brittle nature of
the ceramic material. As such, we never use ceramic brackets on lower teeth.
Having Your Braces Fitted
Fitting braces involves two appointments one week apart. The first being a quick
visit where records are up-dated (ie. plaster casts, photos |
& x-rays) and
Separators are placed betweenthe molar teeth. The next visit takes approximately one hour.
At this appointment all appliances are fitted and the archwires are placed. Thorough
instructions on how to look after your braces and dietary recommendations are also given
and must be introduced as part of your home-care responsibility immediately. Once this is
completed, you are asked to make an appointment in 4-6 weeks time. Follow-Up Appointments
These appointments are usually quite short and fairly straight forward. Your orthodontist
may change or alter your archwire and assess your treatment status. Any irritations or
damage to your appliances should be told to the Dental Assistant prior to your
Orthodontist arriving. Questions relating to treatment progress can be raised with your
Orthodontist during this appointment time and he will be happy to
discuss them with you.
Oral Hygiene
Once braces have been placed the Dental Assistant will inform you of your home care duties
and ways to look after your braces. She will show you how to clean your teeth, what to
look out for, how to avoid breakages, what to do in case of a breakage and what foods to
avoid. She will explain to you that teeth, gums and braces need to be cleaned three times
per day (ie: after each meal) and of the consequences of poor oral hygiene. During
treatment oral hygiene is assessed on a regular basis and reiterated if it is not
maintained. Poor oral hygiene can lead to the early removal of braces leaving the teeth in
a less then desirable position.
Headgear & Elastics
At some stage during your treatment you may be asked to wear Headgear or Elastics. You are
informed of this at your second consultation.
Headgear performs various functions such as moving upper teeth back to create more space
for unerupted teeth. It also inhibits the forward
growth of the upper jaw allowing the lower jaw to "catch-up". Elastics are used
in tooth related movements and can be worn in various ways.
Elastics and Headgear are a vital part of treatment and must be worn as explained by the
Dental Assistant in order to successfully achieve results. Incorrect wear results in
unwanted tooth movement. At any stage during treatment if you are not sure on how to wear
your elastics contact the surgery for further clarification. Both Headgear and Elastics
are not worn for the full course of treatment but you may be asked to recommence at
various times.
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