Dr. Madeleine Smit completed her specialty in Orthodontics at the University of Barcelona in 2008. She obtained her general dental training (Bachelor in dental surgery ) at King’s College, University of London. In 2013 she was selected for the prestigious masters in lingual orthodontics at the University of Paris (University Diderot Paris 7) in collaboration with the University of Hannover in Germany.
Originally from Amsterdam, her family moved to Belgium where she graduated from high school at the International School of Brussels. Dr. Smit is an International Member of the American Association of Orthodontists (AAO), a Fellow of the World Federation of Orthodontists (WFO) and an Affiliate member of the Spanish Society of Orthodontics (SEDO).
”Le système MultiFonction (MFS): diagnostic des fonctions orales.” L’Orthodontie Bioprogessive, Vol 21(2), 2013. J. Dur-an Von Arx, M. Smit.
Dr. Smit is fluent in English, Dutch, French, and Spanish.
The orthodontic profession continues to see an increase in demand for discrete and preferably invisible treatments for both adults and young adolescents. Today’s technology allows for all patients to enjoy the esthetic and health benefits of “behind the teeth” custom-made appliances.
Throughout her career Dr. Smit always keeps in mind the importance of esthetics and comfort during treatment, and not just after treatment. She can confidently say that she is, and always has been, at the very forefront of the latest techniques and highest quality materials in her field.
She aims to always pursue and learn the latest advances in esthetics and invisible orthodontics.
To offer treatments that encourage patients to smile during treatment and not just after treatment.
Your smile is the prettiest thing you will wear today!
Throughout her career Dr. Smit has had a special interest in lingual orthodontics. Technological advances have resulted in the creation of a new generation of customized lingual appliances…
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Invisalign is a clear aligner system that provides patients with an esthetic alternative to braces. The appliance consists of a series of custom-made aligners that have the advantage of being removable…
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This appliance fits on the front surface of your teeth. It consists of a clear ceramic material that, unlike conventional clear braces, does not color when eating certain foods…
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taking care of your appliance
Getting braces does not hurt, but the initial movement of teeth may result in some soreness. I recommend taking Ibuprofen (Advil 200mg/ Neurofen 200mg) for the first two or three days. Everyone’s discomfort tolerance is different. Some patients may be more sensitive than others.
Eating with braces for the first time will be a little different. If your teeth are sore, begin by eating softer foods which require less chewing. Yogurt, fish, soup, pasta and mashed potatoes are a few suggestions. Do not worry, soon you will be able to eat most foods.
Try and avoid eating hard and sticky foods throughout your treatment. These foods can cause brackets to come off and wires to break or get displaced. A loose bracket is not an emergency. Please keep the bracket and Dr. Smit will place it back at your next appointment
It is not uncommon for mouth sores to appear after the initial placement of braces. Your cheeks need time to become used to the braces. Sores can be relieved by covering the bracket with orthodontic wax / silicone (from your patient kit). Rinsing with Alodont mouth rinse (pharmacy) or warm salt water will quickly help sores to heal.
If you have any questions, do not hesitate to call the clinic where you are being treated or send Dr. Smit an email :
Remember to brush after every meal.
1. Pokey wire – A wire poking can cause a sore lip or cheek. Use the eraser end of a pencil to push the wire away from the gum tissue. Orthodontic wax (from your patient kit) is also helpful to cover short pokey ends. For a long wire, cut the excess with a nail clipper which has been washed well and sterilized with Isopropyl Alcohol; catch the loose end with a folded tissue.
2. Sore Teeth – After the initial placement of your braces or after an adjustment appointment, some tooth soreness is to be expected; this is the result of tooth movement. An anti-inflammatory pain reliever such as Advil usually relieves the pain. This may be necessary for three to five days. Eating softer food during this time is a good idea, especially just after you get your braces.
3. Loose Bands or Brackets – If a bracket detaches from the tooth, or a band on your back tooth is moving up and down, you will need to schedule an appointment so we can repair it. Please save the bracket or band, and bring it to your repair appointment. If the loose bracket is the last one at the back of your mouth and the wire is poking, you can follow the instructions for poky wire, explained above.
4. Lost Separator – A separator is a blue colored elastic which is placed between your back teeth, to create space before cementing a band around your molar. If a separator comes out, the teeth may move together and will make banding the tooth very uncomfortable. Please call our office, and we will decide if it should be replaced.
5. Lost or Broken Retainer – If you lose or break your retainer, you will most likely require an impression appointment to facilitate repair or replacement. Call the office where you had your treatment, as soon as possible to avoid the risk of having your teeth move. You can also send Dr. Smit an email
Elastics are worn to achieve a good upper and lower jaw relationship. Excellent compliance with elastics is crucial to a good final treatment result.
1. Wear your elastics twenty-four hours a day, unless instructed otherwise.
2. Be sure to wear your elastics the way you were shown. These instructions are specific to your treatment.
3. Change your elastics at least twice a day. Make sure to always carry extras with you, in case they break.
4. You can remove your elastics when you eat, if you remember to replace them as soon as you have brushed your teeth.
5. Your teeth will feel a little sore at first; this soreness will go away with consistent wear.
6. Excellent results are achieved with regular wear.
7. Forgetting to wear elastics can cause a setback in progress and result in wearing your braces and elastics longer.
The more you wear your elastics the sooner you will be finished with them!
Francesc Pérez Cabrero, 19-21 Entlo 08021 Barcelona
+34 932 529 729