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Treatment
What is orthodontics?
Orthodontics is a specialty branch
of dentistry that deals with the diagnosis, prevention
and treatment of dental and facial irregularities.
Braces are appliances normally used to correct
these problems.
Why is orthodontics important?
An attractive smile and improved
self-image is just one of the benefits of orthodontic
treatment. Without treatment, orthodontic problems
can lead to tooth decay, gum disease, bone destruction,
chewing and digestive difficulties, speech impairments,
tooth loss and other dental injuries.
What are the benefits of braces?
Having straight teeth that fit
together properly improves function and your teeth
and jaw joints can work more effectively. Straight
teeth make it easier for you and your dental team
to keep them clean. If you ever need a filling,
crown or bridge, your dentist can usually do better
restoration if the teeth are aligned properly.
The appearance of teeth and face is improved.
Having a pleasing smile improves self-esteem,
confidence and a feeling of acceptance in our
daily activities.
At what age should orthodontic
treatment occur?
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 American Association
of Orthodontists 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 childs physician.
What is a malocclusion?
Malocclusion literally means
bad bite. Most malocclusions are inherited, however,
it is possible to acquire a bad bite from habits
such as tongue thrusting and thumb sucking. The
premature loss of baby teeth or the extraction
of adult teeth can also cause the development
of malocclusion.
What are some early warning
signs of a bite problem?
Early or late loss of primary
teeth, Difficulty in chewing or biting, Mouth
breathing, Finger sucking or other oral habits
beyond age 5, Overlapped, misplaced or blocked-out
teeth, Protruding teeth, Biting the cheek or into
the roof of the mouth, Teeth that meet in an abnormal
manner or do not meet at all, Jaws that shift
or make sounds, Jaws that protrude, retrude or
contribute to facial imbalance, Speech difficulty.
Will braces hurt?
Most patients experience some
discomfort the first week after their braces are
put on and immediately after their braces are
tightened. Aspirin, non-aspirin pain reliever
or ibuprofen can be used to ease the discomfort.
What can I eat with braces?
Most foods can be enjoyed just
as before you got your braces. Hard, crunchy and
sticky foods can damage braces and should be avoided.
Why do baby teeth sometimes
need to be pulled?
Pulling baby teeth may be necessary
to allow severely crowded permanent teeth to come
in at a normal time in a normal location. If the
teeth are severely crowded, some permanent teeth
will either remain impacted (teeth that should
have come in, but have not), or come in to an
undesirable position. To allow severely crowded
teeth to move on their own into much more desirable
positions, sequential removal of baby teeth and
permanent teeth (usually first premolars) can
dramatically improve a severe crowding problem.
This sequential extraction of teeth, called serial
extraction, is typically followed by comprehensive
orthodontic treatment after tooth eruption has
improved as much as it can on its own.
What about the wisdom teeth
(third molars), should they be removed?
In about three out of four cases
where teeth have not been removed during orthodontic
treatment, there are good reasons to have the
wisdom teeth removed, usually when a person reaches
his or her mid- to late- teen years. Your orthodontist,
in consultation with your family dentist, can
determine what is right for you.
How long will I have to undergo
orthodontic treatment?
It will vary for each patient
and always depends on how much your jaw needs
to change and how far your teeth must move.
Will I still be able to play
sports?
Yes. It is recommended, however,
that patients protect their smiles by wearing
a mouth guard when participating in any sporting
activity. Mouth guards are inexpensive, comfortable,
and come in a variety of colors and patterns.
Will braces interfere with
playing musical instruments?
No. However, there may be an
initial period of adjustment. In addition, brace
covers can be provided to prevent discomfort.
Can you be too old for braces?
No. Age is not a factor, however,
there are advantages to treating young people
while they are still growing. About 25% of orthodontic
patients in the United States are adults. If you
are an adult considering orthodontic work, that
treatment has changed a great deal in the last
few years. Braces are more comfortable and more
effective today. You can get braces in the tradition
silver color, or with much less visible clear
brackets.
Why are retainers needed after
orthodontic treatment?
After braces are removed, teeth
can shift out of position if they are not stabilized.
Retainers provide that stabilization and are designed
to hold teeth in their corrected, ideal positions
until the bones and gums adapt to the treatment
changes. Wearing retainers exactly as instructed
is the best insurance that the treatment improvements
last for a lifetime.
Is orthodontic care expensive?
Orthodontic fees have not increased
as fast as many other consumer products. When
orthodontic treatment is implemented at the proper
time, treatment is often less costly than the
dental care required to treat the more serious
problems that can develop years later. After examining
you or your child, we will review the costs involved
with treatment. Financing is usually available
and our office offers customized-flexible payment
programs that will meet your needs. In addition,
many insurance plans now include orthodontics.
How often will I need office
visits?
Once appliances are in place,
routine office visits are at four-to-eight week
intervals. Periodically, we may need to see you
sooner or in case of any emergency we will probably
need to see you that day.
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