We practice early, teen and adult orthodontics

Contact

Reception
+32 2 344 94 84

 

Address

326 Avenue Brugmann
1180 Bruxelles

 

Emergency

Guard

Week-ends et holidays

from 10am to 12am

+32 70 22 20 88

Marie

Claeys

Hugue

Copin

Aurélie

Jossa

Thierry

De Coster

Valérie

Sterckx

Annick

Laroye

Secrétaire

Assistant

Assistante dentaire

Orthodontiste

Assistante dentaire

Secrétaire

Marie Claeys


Journalist

Training  

1991

Graduate in journalism, information-arts option, Université Libre de Bruxelles

1995

Graduate in management and personnel administration, EPHEC

Hugue Copin


Dental assistant

Training  

2016

Specialized dental assistant (endodontics-periodontics-implantology-dentistry-aesthetic).

2015

Dental assistant in general practice

Aurélie Jossa


Dental prosthesist, certified dental assistant

Training  

2010

CPSI Dental assistant certificate

2009

High school seventh year qualification certificate. Subdivision: Dental prosthesist, Institut De Mot Couvreur, Brussels

Thierry De Coster


Specialist orthodontist

Training  

1985

Degree in Dentistry, Université Libre de Bruxelles

1988

Postgraduate in Orthodontics, Case Western Reserve University, USA

1988

Master of Sciences in Orthodontics, Case Western Reserve University, USA

Valérie Sterckx


Nurse A1, certified dental assistant

Training  

1997

Nurse A1 certificate, Higher Institute of Nursing, Catholic University of Louvain

2001

Dental assistant training, dental assistant school of Angoulême, France.

Annick Laroye


Industrial engineer

Training  

1980

Industrial engineer certificate in food chemistry, CERIA

Schedule

Monday from 9am to 7pm
Tuesday closed
Wednesday from 9am to 7pm
Thursday from 9am to 6pm
Friday from 9am to 7pm
Saturday from 9am to 4pm
Sunday closed

 

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You can also contact us directly at +32 70 344 94 84 or contact the orthodontic guard (open all holidays as well as on week-ends from 9am to 1pm) at +32 70 222 088

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Treatments

 

We provide every available techniques (Invisalign, lingual braces, clear retainers, correction aligners, orthopedic and correction system, etc)

 

 

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L’orthodontie préventive et orthopédique

 

Elle se réalise entre 6 et 10 ans et est destinée :

  • à résoudre ou à réduire des malformations importantes qui peuvent avoir des conséquences :
    • sur le développement ultérieur des maxillaires,
    • sur les différentes fonctions oraux-nasales,
    • sur l’épanouissement psychologique de l’enfant
  • à traiter tôt ce qui ne pourrait plus être réalisé plus tard.
  • à empêcher des mauvaises habitudes (succion du pouce, tétée linguale, etc.) qui aggravent ou provoquent les malformations.
  • à conserver, après perte de certaines dents de lait les espaces d’éruption des dents définitives, ce qui limite le traitement ultérieur d’alignement dentaire.

N.B. : L’« Evidence Based Medecine » (médecine basée sur la meilleure preuve scientifique) conseille, après des études rigoureuses utilisant de larges populations, de limiter les actes thérapeutiques orthodontiques précoces à ces catégories précitées.

 

Les décalages sagittaux :

 

  • Les décalages importants entre les maxillaires; empêchant la fermeture des lèvres, perturbant la déglutition, l’élocution, le positionnement lingual, favorisant les fractures incisives et souvent très inesthétiques (1 et 2)

 

 1 : Réduction du décalage au moyen d’un appareil «multi-attache»partiel. Traitement +/- 6 mois.

 

2 : La réduction du décalage permet la fermeture des lèvres au repos et la récupération de fonctions buccales normales.

 

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Les traitements adolescents

 

Pour permettre le déplacement des dents de façon précise, on colle une attache sur chaque dent. Ces attaches comportent chacune une « gorge » au travers desquelles on insère un fil qui exerce une traction qui réalise l’alignement des dents.

 

C’est le seul procédé qui permette de guider aussi bien verticalement, horizontalement et en rotation les dents et /ou leur racine avec une précision et un contrôle de la force exercée parfaites.

 

Le mouvement dentaire se réalise grâce à un phénomène biologique de résorption d’os sur la surface en pression (vers laquelle on se dirige) et d’apposition d’os sur la surface en tension (position que l’on quitte) dans l’alvéole de la dent. L’application d’un couple de force permet tous les mouvements, même les plus compliqués.

 

 

L’usage de dents d’appui permet de réaliser des mouvements sur des dents « cibles » que l’on souhaite bouger en prenant pour appui des dents plus grosses (plus de racines) ou plus nombreuses.

 

Dans certains cas lorsque les dents sont plus fragiles ou quand on a besoin d’appui exceptionnellement résistants, les appuis peuvent être pris ailleurs que sur les dents, sur des vis implantées dans l’os, sur des implants qui vont servir de base de restauration dentaires ou même sur des appuis crâniens ou mentonniers.

 

 

Les mouvements dentaires peuvent se réaliser pendant toute l’existence. Ils se produisent d’ailleurs de manière spontanée et naturelle toute la vie. L’alignement dentaire est donc possible chez l’enfant comme chez l’adulte sain. Les modifications squelettiques, elles par contre, ne peuvent être entreprises que pendant la croissance (traitements orthopédiques) ou par la chirurgie.

 

 

 

 

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Les traitements adultes

 

Les mouvements dentaires peuvent se réaliser pendant toute l’existence. Ils se produisent d’ailleurs de manière spontanée et naturelle toute la vie. L’alignement dentaire est donc possible chez l’enfant comme chez l’adulte sain. Les modifications squelettiques, elles par contre, ne peuvent être entreprises que pendant la croissance (traitements orthopédiques) ou par la chirurgie.

 

 

 

 

 

Seule la chirurgie peut « aligner » les maxillaires entre eux. Les dents ne peuvent pas être orientées de façon excessive pour masquer un décalage entre les mâchoires sous peine de sortir les dents de leurs limites osseuses et de provoquer du « déchaussement ».

 

Your questions

Does wearing pads hurt?

No, wearing “pads” does not hurt. The force exerted on the teeth depends on the wire that is placed. At first it is very thin and very flexible (made of nickel-titanium). As the alignment progresses, the wire becomes thicker and more rigid, which allows a more precise alignment. At the most, one can generally speak of an embarrassment to chewing the first days after placement, when the tension “surprises” for the first time the tissues surrounding the dental alveolus. Eventually everything passes as if a movement was revived before it stopped. Like a ball that rolls and for which one must exert an additional thrust not to let it slow down.

Do pads damage teeth?

No, pads do not damage the teeth. When the tooth is placed, each tooth is mechanically cleaned (brushing) and chemically (special enamel preparation product). The lips are separated by a “mouth opening” which protects against a new contamination of the saliva. A liquid “glue” is brushed on the tooth, then the “paste” adhesive is placed on the base of the plate and applied to the tooth, hardening is obtained by UV light photopolymerization. In this way, And the tooth is waterproof. The glue used is a “composite” resin, it is the same product that currently allows in most cases to treat cavities or to reconstitute fractured teeth. This composite is stable for at least five years. If under the wafer the tooth is protected around the exposed part of the tooth, the brushing must eliminate at least twice a day any food residue or deposit that would eventually cause decalcification zones, caries, Inflammation of the gums (see section on brushing).

Part of my teeth is properly aligned, why am I forced to place a full multi-fastener?

Yes, in most cases because it is not only the alignment of the teeth on the jaw that is important but also the relations between the teeth of the upper and lower jaw, so-called “occlusion”. For treatment to be a real functional and “medical” benefit for tooth longevity and jaw balance and not just a “decorative” anterior alignment, contacts between cusps and pits ( Grooves) are established in a balanced manner, without causing any deviation or twisting of the “closing path” of the lower jaw. This may cause discomfort or pain in the joints (temporomandibular joints) or mechanical trauma on the teeth (dental arthritis). It should be noted, however, that the final “occlusion” is only achieved at the final stage of the orthodontic treatment, and that during the treatment the imbalances are permanent.

Can the teeth be aligned with a removable device?

The teeth respond to the mechanical pressure by a movement. Their cells move with them thanks to a complex cellular mechanism, which causes the bone to be removed (resorbed) on the compressed part (in the direction of displacement) and a reformation (apposition) on the “stretched” part (Position from which one moves away) from the alveolus. A tooth is partly “aerial” or external (dental crown) and partly “immersed” or internal, in the bone alveolus (tooth roots). The pressure exerted on it is not felt in the same way over the entire length of the tooth according to the place of application of the force and the biological resistance to movement. A removable device can not precisely “calibrate” the amplitude of the force, nor can it precisely orient this force according to the desired (more or less at least radicular or coronary) movement. A removable device can not easily exert a vertical force, but it is very difficult and unpredictable to exert a “force torque” allowing the rectification of a dental axis or the rotation of a “round” tooth. A removable device performs only “toggle” effects of teeth or small-amplitude movements on “flat” teeth (incisors). They are currently used essentially for stabilization after treatment or, in some cases, for the treatment of mild malformations which do not require the application of force torque, root or vertical movement.

What should I remove from my diet during my treatment?

We must avoid all that is:

  • Sticky (caramels, nougats, etc.)
  • Brittle, crunchy (nutshell, gnawing a pencil, etc.)
  • Sandwiches too thick
  • To nail his nails
  • All that can exert forces of a nature to take off the “wafers” or to twist the wires

This can either reduce the effectiveness of the treatment, slow it down or even introduce adverse, misdirected and poorly controlled forces (see guide for patients)

What should I do if the device hurts me?

If the device is injured, the sharp, sharp part, etc. must be shown (“troubleshooting” or emergency). To the orthodontist or to one of his colleagues to make the necessary modifications. The teeth move and the relationships between the cheeks, the lips and the apparatus evolve according to the position of the teeth, the closing of certain spaces, etc. It is therefore possible that, between two appointments, there will be changes and that there will be an uncomfortable “friction”. The “kit” starting treatment contains a small box of wax with which one can cover the irritating part of the device, time to arrive at the cabinet.

My teeth are sensitive. Is this normal?

Dental sensitivity often occurs within a few days of placement. It is advisable to eat easily chewable foods (soups, pasta ..) during this period.

What does INAMI provide for reimbursement in orthodontic treatment?

Refunds from INAMI for orthodontic treatments.

The intervention is carried out according to a very specific scheme, adopted by INAMI. The amount of the invalidity insurance for patients benefiting from the “Small Risks” coverage is determined every two years by the dento-mutualist agreement. The intervention of the mutual for an orthodontic treatment is flat.
It remains the same whatever the type of treatment carried out, whatever the type of equipment used (removable or fixed) or whatever the number. Unfortunately, the procedure only takes place once and the patient is entitled to only one reimbursement even if a new treatment is to be undertaken. It can only take place if the request reaches the medical officer before the 15th birthday of the patient.
Beyond this date, no intervention will be granted except in rare and precise cases of derogation from the age limit rule, granted exceptionally by the INAMI Dental Technical Council.

The intervention of the mutual is lost FINALLY:

  • If the patient, without the agreement of the practitioner, interrupts the treatment for more than three months
  • Or fails to send to the medical officer, prior to the date of the fateful death, the notice of interruption decided by the orthodontist or attestation of care bearing the code justifying the interruption.

No action is planned to cover:

  • The replacement of a lost device
  • Modifications and repairs of equipment
  • Uncommitted appointments that would be charged

In practice :
Before starting treatment: Mutual intervention possible every 2 years (or 1 year after preventive treatment) for:

  • The orthodontic examination with data collection for the establishment of a treatment plan and preparation of models of the 2 arcades: code 305550
  • Analysis of the data and establishment of a treatment plan: code 305572
  • The orthodontic opinion with respect to the dentist: code 305830
  • Cephalometric analysis: code 305911

Before 9 years:
Orthodontic first-line treatment (with a request for intervention in Annex 60 bis, together with code 305933: 1st package for first-line orthodontic treatment, code 305955: 2nd package at the end of preventive treatment or at the earliest During the 6th month of treatment before 9 years.

After 9 years:
Classical orthodontic treatment: at the earliest 12 months after code 305933 or if no first-line treatment (provided that a notification of intervention for orthodontic treatment is delivered to the mutual, Annex 60, imperatively before starting treatment and Before the child’s 15th birthday): codes 305616, 305631, 305675, 305653 (+ 305852).

Adults (after 18 years) receive only partial reimbursement of the first consultation before the start of active treatment via code 301092.

How does my mutual benefit in the cost of orthodontic treatments?

Your mutual insurance company intervenes in the costs of orthodontic treatment of children (if a request for intervention is sent to the mutual before the child reaches 9 years of age as part of a preventive treatment or if a notification of intervention is sent to the child In the context of a “conventional” treatment before the start of treatment and before the child reaches the age of 15. For more details, click on the following links:

If I change my health insurance plan, do I need to re-apply for my child?

No. The administrative file of your child, relating to the refunds already received as part of the orthodontic treatment, will be transmitted to your request to your new mutual.

More information about some supplementary insurance

  1. Click on the following links:

    1. www.dkv.be
    2. www.partenamut.be
    3. www.euromut.be
    4. www.mc.be

Orthodontic clinic

Reception

Diagnosis room

Room 2

Room 3

Room 4

Brushing

Sterilization

Records

Radiology

Level 1

Level 2

Location

We are located in Uccle
South-West Brussels

 

 

Our address
326 Avenue Brugmann
1180 Bruxelles