You’re not alone. Whether you’re considering treatment or you’re the parent of a child with developing dental issues, it’s only natural to wonder what is involved in orthodontic treatment. Please review the questions and answers below, and if you still have questions, give us a call.
An orthodontist is a dental specialist in the diagnosis, prevention and treatment of dental and facial irregularities. Orthodontists must first attend college, followed by a four-year graduate dental program at a university level dental school accredited by the American Dental Association (ADA). They must then successfully complete an additional two to three-year residency program of advanced dental education in orthodontics accredited by the ADA. Only dentists who have successfully completed this advanced specialty education may become an orthodontist.
An orthodontist is a dental specialist who has completed two to three years of additional training and experience. An orthodontist is a dentist who only performs treatment related to straightening teeth, correcting misaligned jaw structure, and improving the function of your smile.
Your dentist typically provides services related to the hygiene and restoration of teeth that have decay or are broken. They will sometimes perform some orthodontic treatment, but rarely with the experience of treatment of thousands of orthodontic procedures.
Most malocclusions are inherited, and some are acquired. Inherited problems include crowding of teeth, too much space between teeth, extra teeth, congenitally missing teeth and a wide range of discrepancies of the jaws, teeth and face. Acquired problems can be caused by trauma, thumb or finger sucking, airway obstruction by tonsils and adenoids, dental diseases and premature loss of baby or adult teeth. Many of these problems affect not only alignment of the teeth, but also facial development and appearance as well.
It is usually difficult for you to determine if treatment is necessary, because there are many problems that can occur even though the front teeth look straight. Also, there are some problems that look intimidating and complex which will resolve on their own.
Asking your general dentist is a good reference, but we are your best resource since orthodontics is all we do. If you have any concerns, we are happy to see your child and make any recommendations necessary. Our initial comprehensive and informative exam is free.
Although determining if treatment is necessary is difficult for you to assess, the following signs may help in prompting you to seek orthodontic advice: crowded or overlapping teeth, gaps between the teeth, front top teeth not lining up with the bottom teeth, top front teeth not meeting with bottom teeth and top front teeth covering more than 50% of the bottom teeth. If you see any misalignment or shifting of the jaw, your child may have a skeletal problem, which may require early orthodontic treatment. These are only some of the obvious symptoms of orthodontic problems.
The American Association of Orthodontics recommends that your child be evaluated by age seven. An orthodontic screening no later than age seven enables the orthodontist to detect and evaluate problems that exist, advise if treatment will be necessary, and determine the best time for the treatment. Early detection of any orthodontic problems is important in order to take early corrective action and avoid more difficult treatment later.
Age is not a factor in considering orthodontic treatment for adults. Any adult in good general health with healthy gums and good bone support for the teeth is a good candidate for orthodontic treatment. About 25% of our orthodontic patients are adults, and that number is still growing!
Orthodontic treatment has improved dramatically. As a rule, braces make your teeth tender and sore for a few days, but it is not painful. This annoyance can be relieved with an over-the-counter analgesic.
Today's braces are more comfortable and use technology that reduces the discomfort. We use the latest in biocompatible braces, the advanced technique with light force and the highest quality of orthodontic materials in order to reduce discomfort and treatment time.
Phase I or Interceptive Treatment usually starts while your child has most of their baby teeth and a few of their permanent front incisors. This stage in development is usually about the age of seven to nine. The goal of Phase I treatment is to intercept a moderate or severe orthodontic problem early in order to reduce or eliminate it. These problems include skeletal discrepancies, cross-bites, and severe crowding. Phase I treatment takes advantage of the early growth spurt and turns a difficult orthodontic problem into a more manageable one. This often helps reduce the need for extraction or surgery later. Most Phase I patients require a second phase of treatment in order to achieve an ideal final bite.
Phase II treatment usually occurs a number of years later. Usually we are waiting for the remaining permanent teeth to erupt, including second molars before Phase II begins. This most commonly occurs at the age of 12 or 13. The goal of Phase II treatment is to achieve an ideal bite with all of the permanent teeth.
Not every child needs a Phase I treatment. Only some children with certain bites require early intervention. All others can wait until most if not all their permanent teeth erupt. However, it is important that every child be evaluated by age seven.
Braces may be on between 6 months to 30 months, or in rare instances longer. This depends on the development of the dentition, the severity of the problem, the patient's cooperation and the degree of tooth movement required.
Each treatment is a way to address crowding of the teeth. Extraction therapy is a technique where one or more teeth are removed to make room for the other teeth in the mouth. This is in contrast to non-extraction therapy where one expands a patient's jaw and/or adjusts the size and shape of some teeth to make them fit within the jaw. Our office's treatment philosophy is very conservative and we do make every effort to avoid extraction. However, for severe crowding and severe jaw discrepancy the extraction approach may be required.
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. Orthodontic fees have not increased as fast as many other consumer products. Financing is usually available and our office offers many payment programs that will meet your needs. In addition, many insurance plans include orthodontic treatment.
Both braces and Invisalign are designed to straighten teeth while improving your smile and oral health.
Braces consist of irremovable metal brackets being glued to your teeth, and tied together by wires and tiny rubber bands.
Invisalign uses removable aligner trays made of smooth, comfortable, BPA-free clear plastic worn over your teeth to subtly and gently move your teeth. Invisalign was designed to be “invisible” and has been available to patients since 2000, so this treatment does not yet have the same history as braces.
Do you have additional questions? Feel free to call us at 843-293-3522