Malocclusion, sometimes called having crooked teeth or a poor
bite,
is the improper fit and alignment of the teeth and jaws.
A common cause of malocclusion is teeth that have too much or too
little room in the jaw. Inherited traits, such as tooth and jaw
size, mostly determine how well your teeth fit together. The most
obvious sign of malocclusion is crooked or protruding teeth.
During the childhood and early teen years, orthodontists use early growth modification techniques to reform the jaw, may remove (extract) selected teeth, and may use fixed or removable appliances to straighten the teeth.
In adults, treatment with braces can straighten the teeth to camouflage a jaw problem, but any restructuring of the jawbone must be done with surgery, sometimes in combination with orthodontic treatment.
For tooth pain due to newly installed or adjusted braces for malocclusion, take regular doses of nonprescription pain medication, such as ibuprofen or acetaminophen, for 3 to 5 days. Do not give aspirin to anyone under the age of 20 without a prescription because of the risk of Reye's syndrome.
Orthodontic surgery to create better alignment between an adult's upper and lower jaw is sometimes combined with orthodontic treatment for malocclusion.
Orthodontic surgery
Surgery may be the only viable treatment for severe jaw-related problems. Orthodontic surgery is performed only on adults, after the jaw has stopped growing.
Before deciding on orthodontic surgery, consider getting a second opinion from another surgeon or orthodontist.
Some adults with malocclusion may prefer to replace all or part of a tooth by having restorative dentistry, which is less costly and less time-consuming than orthodontic treatment.
A crown (restorative dentistry) can improve the appearance of front permanent teeth (incisors) that are properly spaced but crooked.
The timing of treatment is ultimately up to you. If you are given different treatment options to choose from, interview your orthodontist or dentist about the pros and cons of each option.
The success of orthodontic treatment depends on your and / or your child's cooperation and self-care. If it is not possible to keep appointments, practice careful dental hygiene, and wear appliances as directed, consider starting treatment at a later time or not at all.
Orthodontic treatment is not an exact science and can be unpredictable, sometimes taking longer than planned. Orthodontists sometimes have to sacrifice stability for improved appearance, or vice versa. If treated teeth are not stable, a retainer may be necessary for an indefinite period of years.
Orthodontics Online
American Association of Orthodontists
Web Address: www.braces.org.
This site offers answers frequently asked questions about orthodontics,
information about financing dental care, a glossary of orthodontic
terms, and links to other orthodontic web sites.
Organizations American Academy of Pediatric Dentistry
211 East Chicago Avenue
Contents:
Most orthodontists are caring professionals, who do their very best to help a patient. Still it is amazing how many times I have been contacted by patients who complain about the quality of care. Sometimes the patent is just complaining. Sometimes he/she has not followed the orthodontist's instructions. Still, often the patient has received inferior care. With 13,000 practicing orthodontists in the US, some of them are bound to be less able than others. The object of this FAQ is to give you, the patient, some of the information you need to judge whether you are going to get quality care from a given orthodontic professional.
I want to say up front that there are no guarantees. Orthodontics is an inexact science, so occasionally a case will not turn out as nicely as you hope. Also if the orthodontic patient does not follow the orthodontist's directions the case will not turn out as nice as it could have. Still, as a patient or a parent you can to things to help the case be successful.
Avoid Orthodontists
who have not been formally trained in
orthodontics.
One key piece of advice I give to patients is to ovoid Orthodontists
who have not been formally trained in orthodontics. Most patients
are surprised to learn that legally, any dentist can call himself
an orthodontist, even if the dentist has had no formal training
in orthodontics. All board certified orthodontists have had at least
2 years of formal training in orthodontics, the equivalent of a
residency, and meet continuing education requirements. However,
about 40% of the orthodontists
are not board certified and
have not had formal training in orthodontics; instead they learned
orthodontics by taking a weekend course in the subject.
I recommend that you only consider a board certified orthodontist, someone who has national certification by being accepted for membership by the American association of orthodontists or someone with equivalent training and experience.
Orthodontists are certified by the American Board of Orthodontics. In order to be board certified the orthodontist must:
The orthodontist then applies for certification. After all of his credentials and skills are checked, he receives certification. He then needs to continue to take courses to maintain board certification.
The way to check if your orthodontist
has been formally
trained in orthodontics is to ask if the orthodontist if he is board
certified. If the orthodontist says that he is board certified by
the American Board
of Orthodontics, he is board certified. The orthodontist will
have certificates to prove it. The orthodontist will also be quite
qualified if he has been accepted for membership by the American
Association of Orthodontists. There are other organizations who
give orthodontists beautiful plaques after the orthodontist
takes a weekend course. Look for certification by the American Board
of Orthodontics or the American Association Of Orthodontists to
insure that your orthodontist has been trained and tested in orthodontics.
Other things that you can check include 'where did the orthodontist receive his formal training'. The orthodontist should have taken a two year course in orthodontics and a major university.
Finally, you should check whether an orthodontist is affiliated with a major orthodontic association. In the US, most board certified orthodontists are also members of the American Association of Orthodontists You can call the American Association Of Orthodontists, 1-800-STRAIGHT (1-800-787-2444) or write to AAO, 401 N. Lindbergh Blvd., St. Louis, MO 63141-7816. to find a list of board certified orthodontists in your area. The American Board of Orthodontics maintains an online directory of Diplomats of the AAO. Diplomats are orthodontists with years of experience and extra training in orthodontics. Generally the Diplomats are the very best in the profession, although there are many excellent orthodontists who have not applied for diplomat status.
C R Hoopingarner DDS - Providing services in cosmetic dentistry, orthodontics and sedation dentistry to the area Houston, Texas.
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