did you know?

Your smile is often the first thing another person notices about you. Like these >

a pale imitation

Do you want a lighter look than metal? 'Clarity' ceramic brackets are the answer.

smile like you mean it

We will make you smile with confidence. You can shine, you know you want to.

Our Services

The Smile Says It All

A smile conveys so much to others in a social context. Sraight teeth and symmetry suggest good genes and robust health. A genuine smile is the mark of a friendly person, not a threat. It represents confidence and a relaxed state of mind. Orthodontics can help to achieve all these things.

Orthodontics

Definition

Orthodontics literally means straight teeth. Orthodontics is the oldest dental specialty. It deals with the diagnosis, prevention and treatment of malocclusion.
A malocclusion is a “bad bite”. This might be:
• dental crowding
• protruding teeth
• missing teeth
• bite problems
• jaw discrepancies
• dentofacial deformities.

For more, see FAQs >

Making your first appointment

No referral is necessary. However, we do like to know that every patient has a family dentist. We will liaise with your dentist in regard to your treatment and oral health. It is important that you continue to see your dentist for regular checkups. Remember it’s a team effort: you the patient; us at Pepperell Orthodontics; and your trusted, family dentist. You can call now for an appointment on 5562 7322 or email us.

First visit

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When you make your first appointment we will send you our Welcome Pack. This will include a medical questionnaire
and a referral to a radiologist, for one or two x rays which you will bring with you to show to Dr Pepperell.
Dr Pepperell will examine you, review your x rays and explain what he sees.
He will then recommend either:
• that no treatment is necessary
• that we should defer treatment until a later time
• a provisional treatment plan

Treatment

Braces

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Modern braces are precision machines and are the product of continuing technological development. We offer both metal (Victory™) and ceramic (Clarity™) brackets manufactured by 3M Unitek. Many archwires commonly used today are alloys of titanium, rather than gold or stainless steel. They deliver gentler forces that move teeth more efficiently. More pictures here >

Australian Society of Orthodontists >

Removable appliances ("plates")

These are useful in the minor correction of malposed teeth. They are not a substitute for braces, just because they seem like a nice alternative!

Functional appliances

These types of removable appliance can help correct a bite problem. They don’t have much to do with function directly, despite the name. They act to reposition the lower jaw while active growth takes place. They can’t align or straighten teeth like braces do, however. Braces may be necessary to detail tooth alignment and the meshing together of your teeth in the bite in a second stage of treatment. Functional appliances have names like Twin Block, Bionator and Frankel.

Expanders

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There are two types of fixed expander we use to widen a narrow upper dental arch. The one pictured, at right, is called a rapid palatal expander (RPE) or rapid maxillary expander (RME).
For some patients further treatment with braces will be needed. Expanders work best in younger persons before their late teens.

Headgear

Also called “cat’s whiskers”. Headgear is useful for the treatment of Class II (buck teeth) bites. Headgear acts like the reins on a horse, serving to pull back on the upper teeth and jaw. It has parts that fit the back of the neck (strap) or head (cap). For this reason compliance is a problem despite the fact that they are almost never worn in public.

Orthognathic surgery

Surgical orthodontic treatment is usually reserved for the most severe cases in adults where braces alone will not correct a bite problem. These types of bite problems generally result from a severe malrelationship of facial and jaw bones.
One or both jaws can be surgically repositioned in (up to) 3 planes of space. This treatment involves a more complex work up and requires a team approach with an Oral & Maxillofacial Surgeon. Braces are often in place for 24 months and the surgery occurs about half way through treatment.
This combination of treatments is necessary for a very small percentage of patients. For those who need it, the results are often amazing. Part of treatment planning involving surgery includes a careful assessment of risk and benefit in enabling a patient to provide an informed consent. More >

Retention

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Most orthodontic treatment involves the movement of one or more teeth. After your active treatment is complete, you will enter a passive or holding phase known as retention. The idea is to prevent unwanted tooth movement. To do this, we use retainers. They come in various forms, but for convenience we divide them into fixed and removable types.
The most common removable retainer used is a so-called “invisible” or clear retainer that is moulded to fit your teeth. It’s about 0.5 mm thick.
Normally a fixed retainer will be bonded to the lower front six teeth. This is a spiral stainless steel wire fixed to the back (tongue side) of the teeth.  A fixed retainer is often bonded to the upper front teeth, especially where they were severely rotated, excessively spaced or extremely crooked to begin with.