Although I prefer not to remove adult teeth, there are exceptions and situations where tooth removal is beneficial. The pendulum has swung from one extreme to another in regards to removal of teeth. In the very early days of orthodontics the approach was never to extract a tooth, later the pendulum swung in the other direction and tooth removal was the norm not the exception. Over the past 25 years the pendulum has headed back in the other direction. So permit me to take a clear eyed and reasoned scientific approach to the subject.
One of the more common concerns I hear during consultation appointments is the following…you don’t have to remove any permanent teeth do you? We strive for perfection in the smile, a healthy bite and teeth that will last for a lifetime. What if, removal of teeth can help achieve these lofty goals and failure to remove teeth may cause harm. Continue reading When Tooth Removal Is The Healthy Choice
What factors are important to consider when determining whether to remove the remaining primary teeth? If a patient’s overall development is delayed, the decision to remove the remaining baby teeth is determined by several factors.
1. I consider the patient’s age. If they are 14 or 15 years of age, I have no hesitation in recommending the remaining baby teeth be removed so that their orthodontic treatment is completed before they graduate from high school.
2. I examine the development of the roots of the unerupted adult teeth. If the root formation of these unerupted teeth is nearing completion but the associated baby teeth are not loose, extractions are advisable.
3. If the 12-year molars are partially or fully erupted but the baby teeth remain, I will usually recommend having the remaining primary teeth removed so that treatment can begin. Continue reading Part 2: Baby Teeth and Braces-What Every Parent Needs To Know
Don’t we have to wait for all the baby teeth to come out? When is the best time for my child to get braces?
These are very common questions that parents ask me. The short answer is no, one does not have to wait for all the baby teeth to come out.
While it is true that a full set of braces is only complete when all the permanent teeth(including 2nd molars) erupt into the mouth (not including 3rd molars/wisdom teeth) that is not necessarily a reason to delay beginning orthodontic treatment. There are certain types of orthodontic problems when early intervention is beneficial; this is referred to as Two Phase treatment.
Two-Phase treatment is recommended in young patients typically between the ages of 7-10 years. When this particular set of problems are not addressed at an early age than the resolution of these problems becomes more challenging and may necessitate more aggressive treatment. At times, a child’s sense of self-esteem is adversely affected by the appearance of their teeth and so they would benefit from early care. Certain bite problems may cause the child’s teeth to be more susceptible to injury, so early treatment is advisable. Continue reading Part 1: Baby Teeth and Braces-What Every Parent Needs To Know
Orthodontic care is all about the creation of beautiful smiles. So many people visit the orthodontist, both children and adults searching for the straight, pearly white smile of their dreams. One study revealed that nearly 3 out of 4 adults believe that a less than ideal smile could factor negatively on their career goals. It is uncertain whether this is actually true but certainly perception is reality. There are so many compelling reasons to visit your local orthodontist beyond the desire for a beautiful smile or facial esthetics. Orthodontics also provides important long-term health benefits as well
1. Healthier teeth. Not only will your smile be straighter, but it will also be healthier. Teeth that are not aligned properly make it so much more difficult to brush properly. Orthodontic treatment involves moving your teeth into their correct position thereby optimizing your ability to reach hard to reach tooth surfaces. With the help of a brush, dental floss or both you will be able to remove plaque that can build up along the gum line or on the surfaces of your teeth that could lead to cavities or gum disease. When teeth are improperly positioned they can also wear down prematurely and ultimately be lost. Continue reading 5 Ways Orthodontics Can Dramatically Change Your Life
There was a time, not so long ago when purchase decisions were based on quality. There was a good, better and best. Naturally, getting “the best” was more valuable and so commanded a higher price.
Today, we are bombarded with discount frenzy both online and in stores, where the lowest price drives purchasing decisions. Well, this “model” may make sense when it comes to a choice of buying two items that are pretty much the same, like toaster ovens or garden hoses. Buying the least expensive of the two is usually pretty reasonable. Such items that are interchangeable and have what appears to be equal value are called commodities. Continue reading Why Shopping for an Orthodontist is not like Buying a Toaster Oven