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Dr. Paul O'Connell Explains Orthodontic Consultations At 3Dental - Orthodontics
Dr. Paul O'Connell Explains Orthodontic Consultations At 3Dental - Orthodontics
Braces are often a first-line treatment option for teeth and bite alignment issues. They can encourage the teeth and jaw to gradually move into the correct positions, creating a more symmetrical smile that boosts confidence and maintains oral health.
However, before fitting braces, your orthodontist (or dentist) might recommend using spacers (also known as separators). In many cases, orthodontic separators are a crucial component of any treatment plan - but many patients don't understand what they are or their purpose.
With more than three-quarters of dental professionals revealing adults are seeking tooth straightening treatment, it's important to know the role of separators (BNDJ).
As part of our commitment to patient care and transparency, here's everything you need to know about orthodontic spacers, including their purpose and how we place them.
What Are Orthodontic Spacers?
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Orthodontic Spacers
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When an orthodontist or dentist decides braces are the best treatment, they'll evaluate the patient's teeth to determine if they're ready for appliances. Separators are beneficial for creating space between the teeth, preparing them for bracket and band placement.
Once your orthodontist or dentist places them, they'll work by putting the teeth through gentle pressure, which encourages gaps to form, making it easier to fit braces and ensure they serve their intended purpose.
Braces and retainers must be in the right place to work properly, and spacers are integral to preparing your teeth for them.
Types Of Orthodontic Spacers
In general, two types of orthodontic separators are available: metal and rubber. While each has its benefits, the ones you receive depend on what your dentist feels is best.
| Metal Spacers | Rubber Spacers |
|---|---|
| Also called metal spring separators, metal spacers use small metal spring clips. They fit between adjacent teeth, using light pressure to gently push them apart, making a gap that allows braces to fit correctly. Metal separators are known for their durability while remaining flexible, and many professionals use them for larger space creation. | Rubber spacers are standard treatment options to create gaps due to their flexibility. Made of rubber or elastic rings, the spacers create space by fitting around the teeth and encouraging them to move apart gradually. Many people prefer circular rubber bands because they come in different colours and can be less noticeable than metal spacers. |
Benefits Of Orthodontic Separators
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Orthodontic Spacer In Mouth
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The role of spacers in orthodontic treatment ensures braces can fit correctly and perform their duty. Many people require orthodontic spacers, and while they might seem an extra inconvenience, separators have numerous benefits.
Creating Space
As mentioned above, the main purpose of inserting spacers is to create space that will accommodate braces. Your orthodontist (or dentist) will evaluate your teeth and bite alignment before deciding which braces are best for your needs, but failing to create gaps means they might be unable to align them.
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Treatment Planning
Everyone wants the quickest possible results with orthodontic appliances, and separators make room for them to work. When we have the necessary room to place your spacers, it's easier to customise your treatment and ensure the perfect fit.
Minimising Discomfort
We all know that braces can cause discomfort, but spacers give your teeth more room. While spacers may be uncomfortable initially, they're better than braces that don't fit and cause constant pain.
Better Outcomes
Placing rubber or metal bands enables orthodontists and dentists to deploy comprehensive treatment strategies, ensuring better outcomes. Giving the teeth adequate space makes it easier to place braces and customise the treatment.
Meet Your Orthodontic Team
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Dr Sandra Montano
Specialist Orthodontist
Read BioDr Sandra Montano
Bachelor of Dental Science (BDS), University College Cork, Ireland. Master’s Degree in Orthodontics, Barcelona University, Spain. Postgraduate Certificate, Orthodontics and Orthopaedic Growth. PhD, TMJ (Temporomandibular Joint) and Occlusion. Postgraduate Degree, Orofacial Pain and Temporomandibular Disorders.
Specialist Orthodontist
Dr Sandra Montano is a renowned Specialist Orthodontist, duly registered in both Ireland and Spain.
Excelling academically, Dr Montano distinguished herself as the top student of her year in dentistry, leading to an invitation to undertake a rigorous four-year full-time specialist training program in Orthodontics at Barcelona University. She excelled and graduated as the top student in her class, earning a Master's Degree in Orthodontics.
With over two decades of dedicated experience, Dr Montano specialises in the art of straightening teeth and enhancing facial appearance through Orthodontics and Orthopedic treatments. Her expertise is further enriched by numerous advanced qualifications, including a postgraduate certificate in Orthodontics and Orthopaedic growth in patients, a PhD in TMJ (Temporomandibular Joint) and occlusion, and a postgraduate degree in Orofacial pain and Temporomandibular disorders.
Dr. Montano's illustrious career also includes a prestigious surgical orthodontics and jaw surgery residency under the mentorship of one of Spain's most esteemed Maxillofacial surgeons.
Based in South Dublin, she is a specialist orthodontist at 3Dental, where she has established a stellar reputation for delivering first-class results and superior orthopaedic care. As a Diamond II Invisalign provider, Dr. Montano brings extensive experience in all types of clear aligners, possessing profound insights into treatments for teens, children, and patients experiencing growth.
Dr Montano is not just a practitioner but also an active member of several leading professional bodies. Her involvement in the Orthodontic Society of Ireland (OSI), the Spanish Society of Orthodontics (SEDO), the European Orthodontic Society (EOS), the European Aligner Society (EAS), and the Pierre Fauchard Academy underscores her dedication to being at the forefront of the latest techniques and innovations in orthodontics. This commitment ensures she remains at the cutting edge, continually enhancing her expertise and shaping the future of orthodontic dental care.
Dr. Montano's commitment to excellence and comprehensive approach to patient care make her a venerated figure in orthodontics. She is trusted by patients and respected by peers for her depth of knowledge, innovative techniques, and incredible results.
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Dr Paul O'Connell
Practice Limited to Orthodontics
Read Bio)
Dr Paul O'Connell
Bachelor Dent. Sc. (Trinity College Dublin) 2004
Practice Limited to Orthodontics
Dr. O’Connell studied dentistry at Trinity College in Dublin, graduating in 2004. Prior to this, he studied and worked as a pharmacist.
Paul has also run his own highly successful dental surgery for over ten years in Limerick city and carries with him a wide range of knowledge and experience in all fields of dentistry.
Paul has trained extensively throughout Europe and the USA, learning various aspects of dentistry, most notably short-term and comprehensive orthodontics, cosmetic dentistry and endodontics (root canals).
He studied endodontics at the prestigious Eastman clinic, University College in London and Manchester University, before moving on to study at the top dental cosmetic clinics in Harley street, as well as abroad in Italy.
He trains constantly to improve his knowledge and skills in advanced dental techniques and enjoys applying them to help his patients get the very best in dental care.
Find out more about Paul O'Connell's role at 3Dental on his author page.
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Dr Paula Taracido
Practice Limited to Orthodontics
Read BioDr Paula Taracido
Bachelor Dent. Sc. (University of Santiago de Compostela (Galicia, Spain)) 2013
Practice Limited to Orthodontics
Paula graduated from the University of Santiago de Compostela (Galicia, Spain) in 2013 with a bachelor's degree in Dental Science.
She moved to Ireland in 2014 and has worked in private practices since then, maturing her skills in all areas of dentistry.
Since then, she developed a special interest in Orthodontics and enrolled in a 3-year masters in Orthodontics and dentofacial orthopaedics by the IDEOD institute in Seville, where she also became an Invisalign provider.
She joined the 3Dental team in 2017.
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Dr Robert Price
General Dentist with a Focus on Aligners and Implants
Read BioDr Robert Price
BDS, University College Cork
General Dentist with a Focus on Aligners and Implants
Dr Bobby Price is a distinguished member of the 3Dental team, providing treatment in General Dentistry, Aligners, and Implants. Born and raised in Limerick, Dr Price began his career in the dental field as a dental nurse at 3Dental, gaining invaluable experience early on. He then pursued formal dental education at University College Cork, dedicating five years to studying Dentistry and receiving his Bachelor of Dental Science (BDS).
Dr Price has mastered delivering compassionate and skilled dental care throughout his education and professional development. His approach to dentistry is centred on creating a relaxed and caring environment for his patients, ensuring they feel at ease during their treatments.
Currently, Dr Price is completing his master's in Dental Implantology at Salford Manchester and has successfully completed hundreds of aligner cases, showcasing his commitment to advancing his expertise and providing cutting-edge dental solutions.
At 3Dental, Dr Price values the modern surgeries and state-of-the-art technology that enable him to offer the best possible care. His core value is to ensure that every patient feels they have received the best service and value for their investment. He takes pride in his high standard of work, which not only meets his professional standards but also earns the appreciation and trust of his patients.
When not perfecting smiles, Dr Price enjoys an active lifestyle, engaging in activities like golfing, running, and watching rugby. His active lifestyle and interest in sports reflect his dynamic personality and his pursuit of excellence, both personally and professionally.
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Dr Cem Algul
Specialist Orthodontist
Read BioDr Cem Algul
Bachelor Dent. Sc. (University of Szeged, Hungary) 2016, Specialising in Orthodontics, 2019
Specialist Orthodontist
Dr Cem Algul is a highly skilled orthodontist with a passion for creating beautiful, healthy smiles. He graduated from the University of Szeged in 2016 with a degree in dentistry, and shortly after, he knew that he wanted to specialise in orthodontics.
After completing his general dentistry training, Dr Algul pursued a speciality in orthodontics, which he completed in 2019. During his training, he developed a keen eye for detail and a commitment to using the latest techniques and technologies to help his patients achieve optimal results.
Today, Dr Algul is recognised as a leading orthodontist in his community, and he is known for his friendly, compassionate approach to patient care. He takes the time to get to know his patients and works closely with them to develop personalised treatment plans that meet their unique needs and goals.
Whether helping a child achieve a healthy, straight smile or working with an adult to correct problems with their bite and improve overall dental health, Dr Algul is committed to providing the highest level of care and achieving the best possible outcomes for his patients.
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Sarah Dempsey
Orthodontic Therapist
Read BioSarah Dempsey
Dublin Dental Hospital Orthodontic Therapy
Orthodontic Therapist
Previously, Sarah worked in a small specialist orthodontic practice for 8years. She joined the previous practice as a dental nurse and, in 2018, went back to college to study orthodontic therapy at Trinity College/Dublin Dental Hospital.
She enjoys being clinically involved with the patients' treatments from start to finish and seeing the transformation after treatment is complete.
Sarah joined 3dental in July 2022 and enjoys her role within the practice. She likes that 3Dental is a multi-disciplinary practice, and all treatments are carried out here with clinicians having direct contact with each other when involved in cases, particularly complex cases.
Sarah enjoys spending time with her family and going to the gym in her spare time.
Disadvantages Of Orthodontic Spacers
As with most things, spacers can have some disadvantages, too. However, when weighing whether they're the best treatment options, most would agree the benefits of separators far outweigh them.
| Disadvantage | Description |
|---|---|
| Minor Discomfort | For some people, their spacers cause minimal discomfort when first applied, but this usually subsides after a few days. It might take a while to adapt to chewing or speaking with them, but most people wear spacers for one to two weeks, so the discomfort is temporary. |
| Dislodgement | Wearing spacers means you might need to make a few sacrifices to avoid dislodgement, including avoiding crunchy and sticky foods. While rare, failing to look after your oral health can cause the rubber or metal rings to fall out. |
Step-by-step Process of Placing Spacers
| Step | Description |
|---|---|
| Evaluation | Your orthodontist or dentist will thoroughly assess your mouth and determine whether you need spacers. You might require X-rays. |
| Preparation | When inserting spacers, the dentist might clean the teeth to decrease the risk of infection and ensure proper placement. |
| Choosing spacers | Your orthodontist or dentist will choose either circular rubber bands or metal spacers. Rubber is popular for teeth that require minimal positioning, while metal spacers are best to create larger gaps. |
| Placement | Using dental floss or a tweezers your orthodontist or dentist will place the spacer between your teeth. Some people experience mild discomfort during this stage of the spacer application process. |
| Follow-up | Once the spacers are in place, you'll receive aftercare instructions and a follow-up orthodontic appointment to review their progress. |
What Can Patients Expect During The Procedure?
While everyone responds differently to orthodontic treatment, if you feel irritation initially, don't be alarmed. This is completely normal. The gum will settle once the spacers are removed
At 3Dental, for example, with access to special orthodontic tools and a team of dedicated professionals, we go out of our way to make your experience as positive and stress-free as possible
Removal Of Orthodontic Spacers And Transition To Braces
Once your spacers perform their intended duty, it's time to remove them and transition to retainers or traditional braces. Here's what you can expect during the process:
- Evaluation: Your orthodontist or dentist will want to check the spacers first and evaluate whether there's enough space between the teeth. If not, they might advise wearing your spacers longer.
- Removal: When your orthodontist or dentist removes the spacers, you might feel a small amount of pressure, but this is often minimal. We have access to specialist tools, making removal as quick as possible.
- Preparation: Once your spacers are off, your teeth will be cleaned to prepare them for braces.
- Placement: Depending on the type of braces you opt for, the orthodontist or dentist will apply them and make adjustments if necessary.
- Check-ups: You'll attend regular check-ups throughout your appointment to check for any issues and adjust the braces. Once the treatment is complete, you'll have an enhanced smile.
Wearing Orthodontic Spacers
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A Patient Wearing An Orthodontic Spacer
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When wearing orthodontic separators, you should expect a little discomfort; however, most people find the effects subside in a couple of days.
To help you adjust to your spacers more quickly, these tips should ensure you make a smooth transition and don't put your spacers at risk.
Eating And Drinking
Spacers often attach to the top and bottom molars, so avoiding sticky and chewy foods like toffee, chewing gum and sweets is essential.
Steering clear of crunchy foods is also advisable, as the pressure exerted from chewing them can cause damage to the spacers. If you notice discomfort initially, drink cold drinks, eat ice cream and opt for other soft foods.
Pain Management
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Orthodontic Spacer - Individual
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Discomfort and pain is minimal. Pain relievers like paracetamol and ibuprofen can reduce your discomfort, but we recommend speaking to a specialist if you plan on taking anything stronger.
Care And Hygiene Tips For Orthodontic Spacers
Wearing spacers shouldn't restrict you from brushing your teeth and other essential oral hygiene. Failing to take care of your teeth can prevent you from having orthodontic treatment. Here's how to protect your spacers - and oral health.
Brush And Floss
Use a soft-bristled toothbrush to clean your teeth twice daily, along with fluoride toothpaste.
Remember to gently clean around the spacers and ensure you remove any food particles. You can also floss around the spacers; just be careful.
Orthodontic Wax
Some people find orthodontic wax decreases discomfort, as it forms a barrier around tender areas. If you apply it when pain begins, it should help you manage better.
Don't Miss Appointments
Follow-up appointments let your orthodontist or dentist assess whether the spacers are working correctly. It can also speed up the treatment and help you access braces quicker.
What If My Spacers Fall Out?
In rare cases, the orthodontic separators can fall out - but avoiding certain foods and taking care of your oral hygiene will reduce the chances of this. Here's what you should do if they do fall out:
- Contact your orthodontist or dentist immediately and arrange an appointment.
- Follow the dentist's instructions, then head to your appointment.
Please don't try to reinsert them yourself - even if you have rubber band spacers. An orthodontist or dentist knows how to place spacers properly without causing any damage
For more information about orthodontic spacers, or to discuss orthodontic treatment at 3Dental, please get in touch with our friendly team today.
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