Common Orthodontic Questions
What Is Orthodontics?
Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities. The technical term for these problems is “malocclusion,” which means bad bite. The practice of orthodontics requires professional skill in the design, application, and control of corrective appliances, such as braces, to bring teeth, lips and jaws into proper alignment to achieve facial balance.
What Is An Orthodontist?
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.
What Causes Orthodontic Problems?
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 the alignment of teeth but also facial development and appearance as well.
How Do I Know If My Child Needs Orthodontic Treatment?
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 can be easily corrected, especially if addressed early. Asking your general dentist is a good reference, but we are your best resource since orthodontics is all we do. Our initial exam is comprehensive, complimentary, and informative. We would be more than happy to see your child and make any recommendations necessary. Remember to have your child evaluated by the age of 7 to address problems that may need early intervention.
What Are The Early Signs Of Orthodontic Problems
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, teeth that don’t erupt on time, 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. This list includes only some of the obvious symptoms of orthodontic problems, and thus it is always best to have a comprehensive evaluation at our office.
At What Age Should My Child See An Orthodontist?
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 at a later date.
Can Adults Have Braces?
Any adult in good general health with healthy gums and good bone support for the teeth is a candidate for orthodontic treatment. About 25% of our orthodontic patients are adults, and that number is still growing! We also have many different esthetic options for patients.
Is Orthodontic Treatment Painful?
As a rule, braces make your teeth tender and sore for a few days at the beginning of treatment, but it is not painful. This annoyance can be relieved with an over-the-counter analgesic. The technology of today’s braces allows for increased comfort. We use the latest in biocompatible braces, an advanced technique with light force and the highest quality of orthodontic materials, all in effort to reduce discomfort and treatment time.
What Is Phase I (Interceptive) And Phase II Treatment?
Phase I, or Interceptive Treatment, usually starts while the child has most of his or her baby teeth and a few of his or her permanent front incisors. This stage in development is usually between the ages of seven and 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. There are specific concerns that are most effectively addressed at an earlier age; such as developing class III skeletal patterns, crossbites, and uncomfortable bites that cause the child to shift their jaw.
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 and delivers better long-term stability. 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.
Does Everyone Need A Phase I Treatment
Most children do not require Phase I treatment. Only some children with certain bites require early intervention. All others can wait until most, if not all, of their permanent teeth erupt. However, it is still important that every child be evaluated by age seven.
What Is The Duration Of Orthodontic Treatment?
Orthodontic treatment may last as short as 2 months or may last as long as 36 months. The average treatment time for full treatment is approximately 22 months. This depends on the development of the dentition, the severity of the problem, patient cooperation, and the degree of tooth movement required.
What Is The Difference Between Extraction And Non-Extraction Therapies?
Each treatment therapy is a way to address crowding of the teeth. Extraction therapy is a technique where one or more permanent 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.
Is Orthodontic Care Expensive?
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 now include orthodontics.
Padraig Dennehy D.M.D. is a fourth generation Montanan, having been born and raised in Butte, MT...
Dr. Dennehy and the American Association of Orthodontists recommend that every child see...
What is Orthodontics?
Orthodontics is the branch of dentistry that specializes in the...
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