MadukeBulat is an owner operated orthodontic speciality practice

Frequently Asked Questions

Surrey Orthodontics FAQ

The Doctors Are In!

Dr. Maduke and Dr. Bulat would be pleased to respond personally to any orthodontics/braces questions you may have. Simply use the form at the bottom of this page to state your orthodontics questions, then click on SUBMIT. Dr. Maduke or Dr. Bulat, Surrey orthodontists, will review your questions and send you specific answers back by email.

In order to help our patients further, we have created a list of the most common orthodontics and braces questions we are asked:

Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

An orthodontist is a specialist who has completed an advanced degree requiring two to three years of extra training after obtaining a general dental degree, to learn the special skills required to manage tooth movement and guide facial development.

  • Upper front teeth protrude excessively over the lower teeth, or are bucked
  • Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
  • Upper front teeth are behind or inside the lower front teeth (underbite)
  • The upper and lower front teeth do not touch when biting together (open bite)
  • Crowded or overlapped teeth The center of the upper and lower teeth do not line up
  • Finger or thumb sucking habits which continue after six or seven years old
  • Difficulty chewing
  • Teeth wearing unevenly or excessively
  • The lower jaw shifts to one side or the other when biting together
  • Spaces between the teeth
  • A more attractive smile
  • Reduced appearance-consciousness during critical development years
  • Better function of the teeth
  • Possible increase in self-confidence
  • Increased ability to clean the teeth
  • Improved force distribution and wear patterns of the teeth
  • Better long term health of teeth and gums
  • Guide permanent teeth into more favorable positions
  • Reduce the risk of injury to protruded front teeth
  • Aid in optimizing other dental treatment

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The Canadian Association of Orthodontics recommends that every child first visit an orthodontist by age 7 or earlier if a problem is detected by parents, the family dentist or the child’s physician.

Orthodontic treatment can be successful at any age. Everyone can benefit from a beautiful and healthy smile. In fact, twenty to twenty-five percent of orthodontic patients today are adults.

Many patients – teenagers as well as adults – are excellent candidates for Invisalign treatment. For details regarding your specific diagnosis and treatment, it is best to schedule an examination with one of the doctors. During this initial appointment, Dr. Maduke or Dr. Bulat would tell you if you would benefit from Invisalign therapy.

You should see your general dentist every six months, whether you are
undergoing orthodontic treatment or not. It is important that we, your orthodontist, work closely with your family dentist to achieve and maintain optimal dental health

You may continue to play any musical instrument during orthodontic treatment, however; depending on which treatment you are having, there may be an initial period of adjustment.

No. It is recommended that patients with braces protect their teeth by wearing a mouth guard during any sporting activity.

The placement of orthodontic appliances does not hurt. Once active tooth movement has begun, you may feel some soreness on your teeth for anywhere between one and four days.

Treatment time varies on a case-by-case basis. The best way to find out how long your specific treatment will take is to speak with one of the doctors. We offer no- charge examinations, during which Dr. Maduke or Dr. Bulat will discuss your concerns and explain our treatment options.

Some patients benefit from phase I treatment, which is done between the ages of 6 and 10 and would involve growth modification, the correction of crossbites, underbites, overbites, severe crowding and harmful oral habits. Phase I is most often followed by phase II treatment (braces or Invisalign) to complete the correction, once all of the adult teeth have erupted. If phase I is not needed, we usually wait until most of the adult teeth have erupted to commence treatment.

Orthodontic treatment creates a better bite, making teeth fit together and decreasing the risk of future dental problems.  Crooked and crowded teeth are more difficult to clean and maintain, and an improper bite  can cause tooth enamel to wear abnormally, or make it difficult to chew or speak.  Improper bites can also result in excess stress on the supporting bone and gum tissues.  Aside from the health benefits of a good bite, straight teeth can lead to increased confidence and self esteem.  If you have specific questions, call or email to schedule a complimentary initial examination at our office and we would be happy to discuss your individual needs! A referral from your family dentist is not required. 

We see people of all ages, but a good time  for a first visit is at 7 years of age. 

In some instances early treatment is recommended, and in other cases monitoring is recommended in order to predict and  intercept at the appropriate time. 

A referral from your family dentist is not required for anyone who would like to see an orthodontic specialist. If you see any of these signs, it may be time to schedule an appointment:

  • early or late loss of baby teeth
  • difficulty chewing or biting
  • crowded or misplaced teeth 
  • protruding teeth    
  • teeth that meet in an abnormal way or don’t meet at all 
  • sucking of the thumb or fingers, or other oral habits 
  • cheek biting, or biting on the roof of the mouth 

Traditional metal braces are smaller and more comfortable today than ever before, and clear braces are less visible on teeth.  Braces are affixed to the teeth and hold a wire which is changed regularly  by us in order to achieve the desired tooth movement.   We also have Lightforce braces, which are clear and custom designed by us via computer simulation. 

Clear aligner therapy (Invisalign)  is another option for patients of all ages who require orthodontic treatment. Aligners are clear and removable, and we design a series of aligners in order to achieve the desired tooth movement. Whether you chose fixed braces or clear aligners the goal of orthodontic treatment at our office is the same – straight teeth with a healthy bite that will improve your oral health and give you a beautiful smile! 

Dr. Maduke, Dr. Bulat and Dr. Peres are all Certified Specialists in Orthodontics.  They have their Dental Degrees (DMD) as well as a Diploma or Masters in Orthodontics which means they  had three additional years of research and clinical training at an accredited university after completing their Dental Degrees.  Dr. Peres also holds a PhD in sleep medicine.  McGill University, the University of British Columbia, Boston University, the University of Washington and Oregon Health Sciences University are some of the specific universities that our three doctors have attended.  Drs. Maduke, Bulat and Peres are involved in a number of national and international study clubs in order to continue to remain on the cutting edge of the latest orthodontic research and techniques. 

Orthodontics refers to the straightening of misaligned teeth using controlled, gentle forces with braces, aligners or other appliances.  Orthopaedics deals with changes in the structure of the face and jaws.  For younger patients, orthopaedic treatment at our office involves using the existing growth potential to change the relationship of the jaws to each other. In adults, it refers to integrating orthognathic (jaw) surgery into the treatment plan. This type of surgery is generally recommended for adults who have a malocclusion (bite problem) that cannot be corrected by orthodontic treatment alone. In short, Dr. Maduke, Dr. Bulat and Dr. Peres are certified specialists in orthodontics who specialize in correcting abnormalities involving the positions of the teeth as well as the positions of the jaws. 

Retainers are appliances that are required in order to maintain the orthodontic correction of teeth. The desire for teeth to return to their pre-treatment positions is called orthodontic relapse. Regardless of how the teeth are moved, the relapse of teeth is universal and must be taken seriously in order to maintain the correction that was achieved. Once orthodontic treatment is complete at our office you will be fitted with two sets of retainers –  retainers can be fixed (permanent) or removable. Fixed retainers are frequently used as they are small and are placed behind the teeth so they cannot be seen. Clear removable retainers are also popular, easy to wear, and aesthetic. Our goal is to create a stable, functional, aesthetic smile that can be maintained with retainers indefinitely. 

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