Questions
from the patient |
| 1. |
Q: |
How
do I know if my child is in need of orthodontic treatment? |
|
A: |
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 good reference, but we are your
best resource since orthodontics is all we do.
Our initial exam is complimentary and we would be more
than happy to see your child and make any recommendations
necessary. |
| 2. |
Q: |
What
are the early symptoms of orthodontic problems? |
|
A: |
Although determining if treatment
is necessary is difficult for you to assess, the following
symptoms may help in prompting you to seek our orthodontic
advice.Ask your child to open their mouth, and let you
look at their teeth.
If you see any signs of crooked teeth, gaps between
your child's teeth or overlapping teeth, your child
may need orthodontic treatment. Ask your child to bite
all the way down, but keeping their lips open so you
can see their teeth.
- Do the front top teeth line up with the bottom?
- Do the top teeth protrude out away from the bottom
teeth?
- Do the top front teeth cover more than 50% of the
bottom teeth?
- Are the top teeth behind the bottom teeth?
All these are indicators for potential orthodontic
treatment. Look at the alignment of your child's jaw.
- Does the jaw shift off center when your child bites
down?
If you see any misalignment or shifting of the jaw,
your child may have a skeletal problem which requires
early orthodontic intervention. These are only some
of the obvious symptoms of orthodontic problems. |
| 3. |
Q: |
What
age should my child be seen by an orthodontist? |
|
A: |
The American Association of Orthodontists
recommends children to be seen by an orthodontist at
7 years of age.
Not all children require treatment at that time, but
often there are conditions which if corrected, will
either eliminate the need for treatment or make it easier
when the child is ready at a later age. At age 7, the
orthodontist is looking to see if the patient has any
skeletal problems like cross bite or finger habits,
that are interfering with the proper development of
the jaws and teeth.
The Doctor will also see if the child has all of their
permanent teeth and whether they are forming correctly,
and erupting in their proper sequence. After examining
the patient, the Doctor will explain to the parent whether
the child needs any early treatment, or if the child
needs any treatment at all. It is also a good time for
the parents to ask any questions, or voice any concerns.
Dr. Quinn & Mariotti are happy to examine any child
without a fee, to help educate patients, and to let
them know what to expect in the future. |
| 4. |
Q: |
Can
you be too old for braces? |
|
A: |
No, age is not a factor, only the
health of your gums and bone which support your teeth.
About 25% of our orthodontic patients are adults and
that number is still growing! |
| 5. |
Q: |
Will
it hurt? |
|
A: |
Orthodontic treatment has improved
dramatically. As a rule, braces make your teeth sore
for a few days, but it is not painful. This annoyance
can be relieved with an over-the-counter pain reliever.
Today's braces are smaller, more comfortable and use
technology that reduces the discomfort. We use the latest
in miniature braces and the highest quality of orthodontic
materials in order to reduce discomfort and treatment
time. |
| 6. |
Q: |
Can
I still have braces if I have missing teeth? |
|
A: |
Yes. When teeth are missing, adjacent
teeth will drift into the empty space. This will cause
a functional, esthetic or periodontal problem.
Orthodontic treatment will correct and prevent these
problems from happening and will also provide proper
alignment for your dentist to replace the missing teeth.
|
| 7. |
Q: |
What
are some possible benefits of orthodontics? |
|
A: |
- A more attractive smile.
- Reduced appearance-consciousness during critical
development years.
- Better function of the teeth.
- Possible increase in self-confidence.
- Increased ability to clean the teeth.
- Improved force distribution and wear patterns of
the teeth.
- Better long term health of teeth and gums.
- Guide permanent teeth into more favorable positions.
- Reduce the risk of injury to protruded front teeth.
- Aid in optimizing other dental treatment.
|
|
|
|
| Questions
about the treatment |
| 1. |
Q: |
What
is Phase I (Interceptive Treatment) and Phase II treatment?
|
|
A: |
Phase I or Interceptive Treatment
usually starts while the 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.
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 dysplasias,
cross bites and crowding.
Phase I treatment takes advantage of the early growth
spurt and turns a difficult orthodontic problem into
a more manageable one. This helps reduce the need for
extractions or surgery and delivers better long term
results and treatment options.
Most Phase I patients require a Phase II treatment
in order to achieve an ideal bite.Phase II treatment
usually occurs a number of years later. Usually we are
waiting for 12-16 more permanent teeth to erupt 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 occlusion
with all of the permanent teeth. |
| 2. |
Q: |
What
is Full or Comprehensive Orthodontic Treatment? |
|
A: |
This is another name for orthodontic
treatment in the permanent dentition at any age. It
is more commonly used when a Phase I treatment was not
performed. |
| 3. |
Q: |
Does
everyone need a Phase I treatment? |
|
A: |
Absolutely not! Only certain bites
require early intervention. All others can wait until
most if not all their permanent teeth erupt. |
| 4. |
Q: |
Can
I wait on Phase I/Interceptive Orthodontic Treatment until
my child is older? |
|
A: |
This is not recommended. If your
child needs Phase I treatment this usually means that
he has a difficult problem that requires attention now.
If no orthodontic action is taken, treatment options
become limited, more difficult, and the long term stability
may be compromised. In addition, it may lead to extractions,
oral surgery and increase costs. |
| 5. |
Q: |
What
is the length or duration of orthodontic treatment? |
|
A: |
Braces may be on between 6 months
to 30 months, or longer depending on the age of the patient,
the severity of the problem, the patients cooperation,
and the degree of movement possible. |
| 6. |
Q: |
What
are extraction and non-extraction therapy, and what are
the advantages and disadvantages of each? |
|
A: |
Extraction therapy is a technique
where some teeth are removed to make room for the other
teeth in your child's mouth. This is in contrast to
non-extraction therapy where one expands a patient's
jaw and shave down some teeth to make everything fit.
|
|
|
|
| Other
frequently asked questions |
| 1. |
Q: |
What
are lingual braces? |
|
A: |
Lingual braces are mounted behind
a patients teeth. They were used many years ago,
before the advent of orthocosmetic TM braces.
Lingual braces are rarely used anymore. Generally,
lingual braces are more uncomfortable than standard
braces. Orthodontic treatment takes twice as long and
is more costly. In addition, some people have trouble
talking with lingual braces.
Presently, Lingual braces are only used in special
clinical cases. We now utilize the Invisalign System,
which is a series of clear aligners, (invisible), in
place of lingual braces.
|
| 2. |
Q: |
Should
I pay extra for designer braces, colored ligatures and
brackets or flavored rubber bands? |
|
A: |
No,
but your stress levels will drop when your child looks
forward to their visit at our office! In addition, the
cost for these braces is a minor fraction of the cost
of orthodontic treatment.
Considering the time spent, orthodontics is regarded
as dentistry's best value. |
| 3. |
Q: |
Is
orthodontic care expensive? |
|
A: |
Not in comparison with the cost
of dealing with untreated problems. Orthodontic treatment
may bring long-term health benefits and may contribute
to the avoidance of costly, serious problems later in
life.
Historically, the average cost of all health services
has risen faster than the average cost of orthodontic
treatment. In addition, the cost of orthodontic treatment
has increased significantly less than the rate of inflation,
meaning the publics buying power has gone up faster
than orthodontic fees.
Orthodontic insurance is not available on an individual
basis, but millions of people are covered by group dental
plans including orthodontic coverage which are offered
through their employers.
Typically, these plans limit the amount any one family
member can collect in a lifetime, ranging between $750
and $2,000. The AAO offers its assistance at no charge
to companies interested in offering employees a dental
plan that includes-orthodontic coverage.
The AAO provides Concept DR, a self-funded, direct
reimbursement dental/orthodontic benefits program that
is generally less expensive and offers better benefits
than traditional dental insurance plans. Orthodontic
fees vary widely, depending on the severity of the problem,
complexity of treatment and length of treatment time.
Orthodontists routinely discuss fee arrangements after
individual examinations. Generally, fees may be paid
over an extended period of time during the course of
treatment. |
| 4. |
Q: |
Is
it true that orthodontics can contribute to mental as
well as physical health? |
|
A: |
First impressions often are based
on the appearance of a persons face, mouth and
teeth.
A person with a facial deformity or crooked teeth often
is judged negatively not only on appearance but also
on many other characteristics such as intelligence and
personality. Independent research studies also have
shown that children and adults who believe their teeth
or jaws are unattractive may suffer from a lack of self-esteem
and confidence.
In some cases, the psychological impact of crooked
teeth has been found to hamper a persons social or vocational
growth. Although dental health concerns are frequently
the primary impetus for orthodontic treatment, it is
not unusual for treatment to be initiated for the patients
emotional well-being.
In many cases, orthodontics provides both physical
and psychological benefits. |
| 5. |
Q: |
What
can happen if orthodontic problems go untreated? |
|
A: |
Untreated orthodontic problems
might contribute to tooth decay, diseased gums, bone
destruction, temporomandibular joint problems and loss
of teeth. (More adults over the age of 30 lose their
teeth because of periodontal problems than because of
decay.)
Protruding teeth are more susceptible to accidental
chipping and other forms of dental injury. Sometimes,
the increased cost of dental care resulting from an
untreated malocclusion (bad bite) may far exceed the
cost of orthodontic care.
In addition, if left untreated, malocclusion may have
a negative effect on the psychological well-being of
the patient. Naturally, one feels better when one looks
better, and a pleasing appearance is a vital asset to
ones self-confidence and self-esteem.
A persons self-consciousness often disappears
as orthodontic treatment brings teeth, lips and face
into their proper positions. |
| 6. |
Q: |
Do
orthodontists treat temporomandibular disorders (TMD)? |
|
A: |
Disorders of the temporomandibular
joints, which connect the lower jaw to the skull, may
be one of the reasons millions of people suffer from
chronic headache, earache and facial pain.
No other joints are subject to such precise functioning
as those involved in the meeting and biting of teeth.
Symptoms frequently associated with this problem include
popping, clicking or grinding noises of the jaw joints
when eating or opening the mouth; soreness and limitation
of opening the mouth; headaches; stiffness of the neck
and shoulders; and ringing of the ears.
The bizarre and seemingly unrelated combination of
symptoms, however, makes diagnosis difficult for both
medical and dental practitioners because many other
diseases can cause similar symptoms.
Temporomandibular disorders can arise from a variety
of causes. For this reason, treatment of TMD may include
a variety of procedures performed by orthodontists and/or
other health professionals.
Although the diagnosis may be initiated by a dentist
in general practice or by a specialist in orthodontics,
if the symptoms are not solely related to jaw function,
other conditions may need to be identified by a physician
or psychologist.
|