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Omotesando Sakurai Orthodontic Dentistry
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Early Treatment

_Phase I Treatment

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From kindergarten to elementary school

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We support your child's growth until all of their teeth are replaced by permanent teeth, and create a foundation for the permanent teeth to be neatly aligned.

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Braces

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From junior high school students when permanent teeth have grown in to adults

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Brackets are attached to the front of the teeth to help align the permanent teeth.

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Invisalign

_Aligner

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From junior high school students when permanent teeth have grown in to adults

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We use removable mouthpiece-type orthodontic devices to neatly align your permanent teeth.

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Lingual Braces_

Lingual Orthodontics

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From junior high school students when permanent teeth have grown in to adults

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Brackets are attached to the back of the teeth to help align the permanent teeth.

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What is a mouthpiece-type orthodontic device?

This is a revolutionary orthodontic treatment in which you wear a nearly transparent mouthpiece-type orthodontic device (aligner) yourself instead of the traditional wire braces to straighten your teeth. Treatment progresses by replacing the orthodontic device with a new one and wearing it according to the stage of treatment.
As they are made from a transparent, thin material, they are barely noticeable during treatment and can be removed by you when eating and brushing your teeth.

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Treatment method for mouthpiece type orthodontic appliance

The treatment will proceed while changing to a new mouthpiece every 10 days to 2 weeks. Nothing is attached to the teeth, but rather, by attaching an unnoticeable device called an attachment, the treatment is similar to wire orthodontics.

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Precautions for mouthpiece-type orthodontic devices

The advantages are that they are hard to notice, can be removed, so they have less impact on eating and brushing your teeth, and cause less trouble in the mouth than wire orthodontic treatment. However, because they are easily removed, treatment will not proceed smoothly if they are not used.

Process

The process from first consultation to completion of orthodontic treatment

Process

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01

First, an initial consultation

Our clinic operates by appointment only.

First, please make an appointment for your initial consultation at a time that is convenient for you.

First, we ask patients about their concerns and requests for orthodontic treatment. We will discuss the details of treatment with each patient without being bound by preconceptions. Please feel free to consult us about anything.

Counseling Room

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02

Workup

We will carry out various tests necessary to create an orthodontic treatment plan. We will take photographs of your face and inside your mouth, X-rays, and other things related to the alignment of your teeth, as well as check for cavities and other issues.

(In some cases, we can perform a detailed examination on the day of your initial consultation, so please consult with us.)

Treatment in progress

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03

Treatment plan proposal

There are various types of orthodontic treatment methods and devices, so we will propose a treatment plan based on the data from a detailed examination to suit the patient's teeth alignment, lifestyle, and requests.
We have provided you with a file containing your data.

Treatment plan proposal

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04

Treatment

Orthodontic treatment will begin. The specific procedure will vary depending on the type of treatment, but please visit us approximately once a month during treatment to have the appliances adjusted and to check for any problems.

The general treatment period and number of visits is approximately 12 to 24 visits (about 2 years) for pediatric orthodontics (first stage orthodontic treatment), approximately 6 to 12 visits (6 months to 12 months) for partial orthodontics, and approximately 24 to 36 visits (2 to 3 years) for full jaw orthodontics.

Treatment in progress

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05

Post-treatment maintenance

After using orthodontic appliances to move the teeth to their ideal position, a retainer is inserted to stabilize the position of the teeth so that they do not revert. Just like the treatment to move the teeth to their ideal position, the maintenance period to stabilize them is also very important.

During this time, we will monitor the progress of your wisdom teeth and, if necessary, have them extracted.

During maintenance, we check and adjust the retainer as well as clean the teeth. You will come to the clinic 4-5 times a year for about 2 years.

Treatment in progress
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General risks and side effects of treatment

Side effects and potential risks of orthodontic treatment

① At first, you may experience discomfort or pain due to the orthodontic device, but you will get used to it within 2-3 days to a week.
② Because the way teeth move varies from person to person, the treatment period may be extended.
③ Patient cooperation is extremely important in orthodontic treatment, including the use of devices, intermaxillary elastics, and regular visits to the hospital, and these factors will affect the results and duration of treatment.
④ During treatment, it will be difficult to brush your teeth because of the appliances. This increases the risk of cavities and periodontal disease, so it is important to brush your teeth carefully and receive regular maintenance. Also, as your teeth move, hidden cavities may become visible.
⑤ Moving teeth can cause the roots to become shorter and absorbed. Also, the gums can recede.
⑥ In very rare cases, the teeth may become fused to the bone and cannot move.
⑦ In very rare cases, moving the teeth can cause nerve damage and necrosis.
⑧ You may experience allergic symptoms to metals, etc. during treatment.
9. During treatment, you may experience temporomandibular joint symptoms such as "clicking in the temporomandibular joint, jaw pain, difficulty opening your mouth," and treatment may be required.
10. Various issues may require changes to the originally planned treatment plan.
⑪ There may be cases where the shape of your teeth is corrected or your bite is fine-tuned.
⑫ There is a risk of accidentally swallowing the orthodontic device.
⑬ When removing the device, there is a possibility that microcracks may appear in the enamel or parts of the cap (prosthesis) may break.
⑭ If you do not use the retainer as instructed after the appliance is removed, there is a high possibility of relapse.
⑮ After the devices are removed, you may need to have caps (prostheses) fitted to suit your current bite, or have any cavity treatment (restorations) redone.
16. As your jaw grows and develops, your bite and teeth alignment may change.
⑰ After treatment, wisdom teeth may grow in, causing unevenness. If the bone supporting the teeth becomes thinner due to aging or periodontal disease, the bite and alignment of the teeth may change. In such cases, retreatment may be necessary.
⑱ Once orthodontic treatment begins, it will be difficult to reverse the original state.

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