Since children, unlike than adults, do enter our office on their own accord but of their dentist’s or parents’, we have to respect their deviant motivation and adjust the treatment planning to the needs of these patients.
Thus, it is inappropriate to treat young adults with removable orthodontic appliances as these strongly affect speaking and therefore cannot be worn sufficiently. With removable appliances, overly long treatments and bad results are normal and more than a third of these treatments are discontinued without any success. Moreover, it is stressful for the parents as they constantly have to supervise and remind their children to wear their appliances. Though, most removables are completely unnecessary since the children get fixed braces in a second treatment phase. As a matter of fact, most treatments can be performed with braces alone without a long pretreatment with removable appliances. The explanation for the nonsense of prolongued treatment with removables as common in Germany is on one hand the poor training of the orthodontists, on the other hand the regulation of fees which makes treatment with removables more profitable.
In contrast to that, it is consequent to work almost exclusively with fixed braces which re-quest only good dental hygiene and result in short treatment times. When an orthodontic treatment takes an average of three to four years, we content ourselves with 18 to 20 months, i.e. half the time. The keys to that are clever timing of treatment, mostly starting when all permanent teeth are present, leaving out needless steps, and a consequent use of state-of-the-art fixed braces. Even if this method is best for all participants, it is still the exception rather than the rule in Germany. From an international point of view, our office concept is located at the exact center of the mainstream and this concept is scientifically sound.