Does my general dentist have to refer me to an orthodontist?
What is Orthodontics?
Orthodontics is a dental specialty. You might say it relates to general
dentistry as heart surgery does to general medicine. The specialty
concerns itself not only with the proper alignment of teeth, but with
the total facial structure focused in the area of the jaws and mouth.
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Is
there a maximum age for orthodontics?
In general, tooth positions can be improved at practically any age.
While most people tend to associate orthodontic treatment with children
and adolescents, age is not a limiting factor because the tissues
involved in the movement of teeth are the same in both children and
adults. Today, more and more adults are seeking orthodontic treatment.
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What
is an Orthodontist?
An orthodontist is a dentist who has completed the American Dental
Association's required number of years of specialty training. Only
after the satisfactory completion of this specialty training can dentists
call themselves orthodontists or specialists in orthodontics.
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Can
any dentist call him or herself an orthodontist or specialist in orthodontics?
No. Only a dentist who has completed the required, minimum two years
of postdoctoral training in orthodontics.
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Why
should an orthodontic evaluation be sought?
The opinion of an orthodontist should be sought when you have a concern,
question, or doubt about a tooth eruption pattern or about jaw/facial
growth and development.
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Why
is it so important to see an orthodontist for orthodontic care especially
for children?
Some problems must be properly corrected the first time they appear.
Orthodontic treatment will permanently change your child's teeth and
possibly even his or her face. So you will want a well-qualified professional
to treat your child. Orthodontic specialists limit their practices
to orthodontic treatment only. By completing the extensive advance
training program after dental school, they have learned the special
skills required to manage tooth movement and to guide facial development.
A specialist will treat your child using the most advanced techniques
available. When you choose a specialist, you'll know your child is
receiving quality care.
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What
if my general dentist isn't aware of whether a bad bite exists or
if there is a growth problem?
If you feel that your general dentist is not aware of, or cannot handle,
a growth problem that may exist, you should not hesitate to request
the advice of an orthodontist. The caring, sophisticated general dentist
will understand your needs and be more than willing to assist you
in making the first appointment with an orthodontist. However, if
you do not receive the desired assistance, you should feel free to
contact an orthodontist on your own for he will welcome the opportunity
to assist you and give you an orthodontic evaluation.
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What
if my general dentist does his own orthodontics?
Many general dentists are doing advanced orthodontic treatment without
benefit of years of specialty training as required by the American
Dental Association. Some general dentists do some limited aspects
of orthodontic treatment in conjunction with an orthodontist. If you
have any doubt that your case may require the expertise of a specialist,
you should not hesitate to request an orthodontic evaluation.
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Does
the American Dental Association offer testing criteria to establish
the ability of general dentists to perform orthodontics?
No. The American Dental Association establishes the requirements which
are necessary to be an orthodontist, but there are no standards established
to govern, qualify, or test general dentists' orthodontic abilities.
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How
can I avoid my confusion concerning a second opinion regarding my
orthodontic treatment?
You should request an orthodontic evaluation from an orthodontic
specialist.
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If
I want a second opinion , can my records be obtained from another
office?
The orthodontist from which you wish to to have a second opinion
given will request the records from the first dentist's office and
avoid any resistance or hostility from the first doctor's office.
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If
I seek an orthodontic evaluation after my general dentist wanted to
perform my orthodontic treatment, will this upset my general dentist?
The health care professionals exist to serve you. The truly concerned,
conscientious general dentist will welcome this opportunity for you
to fulfill your needs to have more advice and information regarding
your health. Anything less than that should not be viewed as acceptable
since that would interfere with you gaining the total understanding
an orthodontic specialist can offer you of your orthodontic treatment
needs.
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Are
there any benefits to early diagnosis and treatment?
Orthodontists can improve smiles at any age, but there is usually
an optimum age for treatment to begin. An early examination allows
the orthodontic specialist to determine how and when a child's particular
problem should be treated for maximum improvement with the least time
of treatment. Early orthopedic and orthodontic correction of certain
growth problems can eliminate later orthognathic jaw surgery and/or
the extraction of teeth.
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Why
should crooked teeth be straightened?
Straight teeth will certainly give you a nicer smile and greater
self-esteem-but, just as important, evenly arranged teeth make it
easier for you to properly chew all kinds of food. Crooked teeth are
also harder to clean because they allow food, saliva, and bacteria
(better known as Plaque) to build up in hidden areas. Since recent
studies have shown plaque to be the main cause of dental decay and
gum disease, it is imperative that teeth be straight for easier cleaning.
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Can
materials other than the metals be used for braces?
Clear braces can be used to reduce the amount of metal on the
front teeth and enhance the appearance of the patient while he or
she is wearing orthodontic appliances. The decision to use metal,
plastic, ceramic, glass, etc. is a decision to be made by the patient
in consultation with the orthodontist, and is discussed at the time
of treatment
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Do
removable appliances take the place of braces?
No. Removable appliances are used primarily as functional appliances
or retention appliances. The reason is simple: with removable appliances
you can only push or pull a tooth; therefore you can only tip a tooth.
Only braces can make bodily movements of the teeth.
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What
is a crossbite?
A crossbite occurs when you have improper occlusion of the upper
and lower teeth. In other words, the upper teeth normally overlap
the lower teeth. With a crossbite, the lower teeth are outside the
upper teeth.
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What
is crowding?
Crooked teeth are often the result of an arch length discrepancy.
What this means is that if the arch is crowded, there is too much
tooth structure for jaw size. There are two causes for this problem:
one is that the tooth size is too large for the jaw size; the other
is that the jaw size is too small for the tooth size.
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Can
anything be done about crowding?
At an early age if the upper or lower arches are too small, they
can be expanded to allow more room. In some situations, tooth extraction
may be necessary to eliminate crowding. In some cases, the patient
may wear a special appliance such as a headgear to move teeth back
in the arches to create more space.
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Why
is it important to maintain baby teeth in their normal position?
Baby teeth maintain the normal arch form and arch length. If the
baby teeth are lost early due to decay or extraction's, you should
check with your general dentist or orthodontist about a space maintainer.
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Is
spacing between baby teeth a problem?
As a general rule, spacing between baby teeth is not a problem
since the permanent teeth that replace them are much larger than the
original baby teeth. However, if there isn't space, this will usually
indicate a crowding situation exists in the permanent dentition that
will be erupting.
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What
are impacted teeth?
Impacted teeth are teeth that have not erupted into the mouth
for one of three reasons: first, because of severe crowding; secondly,
because of a bony or hard tissue impaction or thirdly, because of
a soft tissue impaction. Sometimes it is necessary to surgically uncover
and actively pull the tooth into place. If this is necessary, the
tooth is uncovered and a small button is cemented to the tooth; then
the orthodontist guides the tooth to its proper position.
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What
is frenectomy?
Frenum attachments are the ligamentous attachment of a muscle
that surrounds the mouth. Sometimes the ligaments or tendons are large
and go in between the upper front teeth. This large frenum attachment
does not allow the upper front teeth to close together Depending on
the age and development of the patient, a frenectomy may need to be
performed. A frenectomy is accomplished when the ligamentous attachment
is removed so the orthodontist can close the space.
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Are
strong and weak lower jaws inherited?
The growth pattern of a child's jaw is definitely related to the genetic
make-up of the parents. If either parent has a strong or weak lower
jaw, the child should be observed by an orthodontist for growth guidance
to redirect the growth pattern as much into a normal pattern as possible.
However, if the patient is seen later in life, orthognathic surgical
corrections may need to be considered to correct the supporting bone
discrepancy.
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Does
my general dentist have to refer me to an orthodontist?
No. Your orthodontist is very aware of how often a patient desires
to have an orthodontic opinion for a problem that may have been noticed
by the patient. Therefore, referrals from our patients are becoming
more and more common. The orthodontist is your specialist in growth
and development as well as tooth positioning, and any time you have
a question or a friend has a question, feel free to contact an orthodontist
for an evaluation by this caring specialist.
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