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FAQ

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Orthodontics

1. Why should first orthodontic evaluation of children begin by age seven?

By age 7, the permanent first molars and incisors have usually come in, and enough jaw growth has occurred that the orthodontist will be capable to identify any problems, anticipate future problems & alleviate parents’ concerns.

Below are some signs or habits that may indicate the need for an early orthodontic examination:

Early or late loss of baby teeth
Crowding
Injury-prone upper incisors(front teeth) that protrude (stick out) excessively
Thumb or finger sucking
Missing, misplaced, or blocked out teeth
Cross bites
Difficulty in chewing or biting
Mouth breathing
Jaws that shift or make sounds
Biting the cheek or roof of the mouth
Teeth that bite abnormally or not at all
Jaws & teeth that appear out proportion to the rest of the face

If your child has not seen an orthodontist till age seven, don’t worry. The Orthodontist will still be able to detect & evaluate any existing problems, determine what type of treatment, if any, is recommended, and advice you of the best time to start treatment regardless of the age.

2. What is the optimal age for orthodontic treatment?

Orthodontic treatment is appropriate when patients have primary (baby) teeth as well as permanent teeth. The orthodontist will determine the appropriate timing of orthodontic treatment based on your specific needs.

Phase I, also known as ” interceptive treatment ” or early treatment, may begin while primary (baby teeth) are still present. This treatment corrects potentially harmful conditions or makes dental adjustments that are best accomplished while the patient is still growing. Phase I treatment usually does not eliminate the need for the later treatment of your permanent teeth with full braces, but may mean future treatment goes more quickly.

Phase II, also referred to as ” definite treatment “, is the period of treatment when full braces are used to adjust the position of permanent teeth to develop a proper bite and achieve the best aesthetic result. This phase can start before or after the loss of all primary (baby) teeth, and is usually necessary after Phase I interceptive treatment.

3. My teeth have been crooked for many years. Why should I consider orthodontic treatment now?

Orthodontic treatment, when indicated, is a positive step, especially for adults who have endured a long- standing problem. Orthodontic treatment can restore optimal tooth and jaw function. Teeth that work better usually look better, and a healthy, beautiful smile can improve self-esteem, no matter what age.

4. Can orthodontic treatment do for adults what it does for children?

You may be amazed to learn that one in five of the orthodontic patients is an adult. In fact, the American Association of Orthodontists estimates that nearly 1,000,000 adults in the United States and Canada are currently receiving orthodontic treatment from a specialist.

Healthy teeth can be moved at almost any age. Many orthodontic problems can be corrected as easily and as well for adults as children. Orthodontic forces move the teeth in the same way for both a 55- year –old adult and a 12-year-old child. Complicating factors, such as lack of jaw growth and periodontal ( bone and gum) disease may create special treatment planning needs for the adult.

5. How does adult treatment differ from that of children and adolescents?

Despite the fact that teeth can be moved at almost any time in your life, some complicating factors, such as periodontal (gum and bone ) disease, missing, worn, and damaged teeth become more common as you get older.

The Orthodontist will ensure close communication among your general (family) dentist, periodontist, endodontist, and oral surgeon to assure that adult orthodontic treatment and any special problems are well-managed. Below are the most common characteristics that can cause adult treatment to differ from treatment for children.

Gum or bone loss (periodontal breakdown); Adults are more likely to have experienced periodontal (gum and bone) disease than children. Special treatment by the patient’s general (family) dentist or a periodontist may be necessary before, during and/or after orthodontic treatment. Bone and gum loss may limit the amount and direction of tooth movement that is advisable.

Missing, worn or damaged teeth: Missing, worn, or damaged teeth are perfect reasons to consider orthodontic treatment. Missing teeth that are not replaced often allow adjacent teeth to tip and drift. This is likely to worsen the bite and may increase the likelihood of developing periodontal problems.

No jaw growth: Jaw problems can usually be managed well in a growing child with an orthopedic growth modification appliance. Unfortunately, the adult patient no longer has growth potential. On occasion, it may be recommended for an individual to pursue both orthodontic treatment and jaw surgery to modify the size, shape and position of his or her jaw. If surgery is a necessary component of your chosen orthodontic treatment plan, the orthodontist will discuss all aspects of your orthodontic treatment with you and an oral surgeon prior to initiating any treatment. As with all procedures, you will be able to discuss all of your concerns thoroughly with orthodontist and an oral surgeon so that you are comfortable with your treatment decision.

6. Why do teeth sometimes need to be removed?

On occasion, selective removal of primary (baby) teeth may alleviate future crowding by allowing permanent teeth to erupt in a more desirable location and in the correct order. Sometimes, particularly in cases of severe crowding, permanent teeth may need to be removed as part of your orthodontic treatment. Tooth removal will be recommended only if it is absolutely necessary and would improve your prospects for successful orthodontic treatment.

7. Why does orthodontic treatment sometimes take longer than anticipated?

Each patient is an unique individual and only an estimate of treatment time can be made depending on the patient’s growth maturity. Permanent teeth respond at different rates to orthodontic treatment. Rest assured, the orthodontist has specific treatment goals and objectives in mind and is dedicated to continue treatment until they are achieved. The estimated time of treatment is usually very close to the actual treatment time.

The length of treatment largely depends on the severity of the initial problem, the patient’s growth pattern, and the level of patient cooperation. Patient cooperation is the single best predictor of staying on time with treatment. Patients who cooperate by wearing rubber bands or other needed appliances as directed, while taking care not to damage braces will most often have on-time and excellent treatment result. However, treatment can be lengthened if growth occurs differently than expected or if the patient’s cooperation is less than ideal. Inability to keep appointments, excessive tardiness, poor appliance wear, and excessive breakage can all extend treatment time.

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