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Common orthodontic Treatments-- Crowding of the Teeth

Treatments Common Treatments Surgical Orthodontics Dentofacial Orthopedics You may have noticed that our doctor specializes in "orthodontics and dentofacial orthopedics." While most people have heard of orthodontics, many are confused by the "dentofacial orthopedics" part of the title. We can explain! Every orthodontist starts out in dental school. Upon completion of dental school, some graduates immediately go into practice as dentists. Others choose to pursue a dental specialty, which requires additional schooling during a two- to three-year residency program. There are nine specialties sanctioned by the American Dental Association. Some you are likely familiar with are pediatric dentistry (dentistry for children), periodontics (dentistry focusing on the gums), and oral surgery. One of the nine specialties is "orthodontics and dentofacial orthopedics." You probably know that an orthodontist straightens teeth, and indeed: "ortho" comes from the Greek for "straight" or "correct," and "dontic" from the Greek for "teeth." But what about dentofacial orthopedics? "Dentofacial" is "teeth" plus "face" while "ortho" again means "straight" and "pedic" is from the Greek for "child." Essentially, while orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and development, which occurs largely during childhood. In both cases, appliances are frequently used — the more familiar braces for orthodontics, and other specialized appliances like headgear and expanders depending on what facial abnormalities are present. Sometimes orthopedic treatment may precede conventional braces, but often the two are accomplished at the same time. So if your child gets braces and headgear, he's undergoing orthodontics and dentofacial orthopedics! With skills in both areas, the doctor can diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments. Common Treatments Crowding of the Teeth Patient started treatment at age 11 and wore braces for 26 months. He loves his new smile. Open bite.... Front teeth don’t touch. Patient sucked her thumb as a young child. She started treatment at age 13. She had braces and a special appliance — called a crib — to retrain the tongue for 28 months. Now she can bite the lettuce out of a sandwich. Deep Overview.... Lower front teeth bite into palate. This adult patient, age 25, required braces and jaw surgery to correct his severe overbite, with treatment taking two years. His problem could have been corrected without surgery if he had been treated before he was a teenager. Missing Lateral Incisors.... This patient’s lateral incisors were congenitally missing. She had braces for 20 months to move the teeth into the correct position, then the missing teeth were replaced with bonded "Maryland" bridges. Underline.... Lower front teeth in front of upper teeth Patient’s underbite was causing her jaw joint discomfort and excessive wear patterns on her teeth. After 30 months of treatment starting at age 32, she now finds smiling and chewing much easier. Spacing of Teeth.... Patient was bothered by the spaces between his teeth. Braces closed the spaces and gave him an ideal bite in 24 months. Special glued-in retainers help keep the spaces closed. Overview.... Protruding front teeth At age 10, patient had a big overbite with the top teeth protruding beyond the bottom. She had two phases of treatment. The first helped her jaws to grow more harmoniously and the second aligned her teeth and bite. At age 13, she was proudly displaying her new smile. Non-braces Treatment... Sometimes braces are not needed to get noticeable improvements in tooth alignment. This patient was first seen at age seven for crowding of the lower permanent teeth. A procedure was performed to reduce the width of the adjacent baby teeth and the permanent incisors aligned on their own in nine months. Phase 1 BEFORE AFTER Patient's parents were concerned about both aesthetics and the health of the erupting permanent teeth when they brought him to the orthodontist at age eight. The lower front teeth were crowded and they touched the palate, and the upper front teeth were extremely displaced from their normal positions. After 20 months of Phase I treatment with an expander and partial braces, patient's appearance and dental function were vastly improved.
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