About the Orthodontic Treatment
Types of Treatment;
Common Questions About it...
How do you know if a person needs orthodontic treatment?
It is usually difficult to know if treatment is necessary because orthodontic
problems can occur even if the front teeth look straight.
general dentist is a good reference, but we are the best resource since
orthodontics is WHAT WE ARE WELL KNOWN FOR.
Our initial exam
is complimentary, so it only makes sense
to get a free orthodontic consultation with us. We will be happy to give
necessary recommendations, and Dra. Rodrigues, y DraFany are happy to give expert
What are the signs or symptoms of
Although determining if treatment is necessary is difficult for you to assess,
the following may help prompt you to seek our orthodontic advice.
Look at the teeth at any age. If you see any signs of
crooked teeth, gaps between your child's
teeth or overlapping teeth,
orthodontic treatment is recommended.
Have your child bite down all the way, but
keep their lips open so you can see the 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 the jaw. Does the jaw shift off center when biting
down? If you see any misalignment or shifting of the jaw, it could be a skeletal or jaw bone problem,
which requires early orthodontic intervention.
These are only some of the obvious
symptoms of orthodontic problems.
At what age should an orthodontist see my child? Do all baby teeth have to fall
before initiating orthodontic treatment?
The American Association of Orthodontists recommends that your child be
evaluated by age seven.
All baby teeth do
not need to be gone before initiating orthodontic treatment. In fact, early
detection of some orthodontic problems is important in order to take early
preventive/interceptive treatment and avoid more difficulty later.
treatment also potentially prevents extraction of teeth, which is needed in some
cases if the teeth get overcrowded.
Again, since our
initial consultation is complimentary, it helps to get an orthodontic
consultation as soon as possible.
Can you be too old for braces?
No, age is not a factor. So long as the gums and bone which support your teeth
are healthy, any age is suitable for braces or orthodontic treatment.
About 30% of our orthodontic patients are adults, and that number is still
growing! Our oldest patient
treated was 72 years old.
Will orthodontic treatment hurt?
Orthodontic treatment mechanics have advanced technologically during the last
few years. Introduction of new
high-tech wires, smaller braces, innovative accessories and stress of
preventive/interceptive treatments make today’s orthodontic treatment fairly
We do not use any
anesthetic injections for any of the procedures. As a rule, braces can cause a
little discomfort initially until one gets used to them. Teeth can get a little
sore the day after every adjustment appointment, but they are not painful.
This annoyance can
be relieved easily with over-the-counter pain relievers, if needed. Most of our
patients do not need to take any pain relievers. Our staff is always on hand to
answer any braces questions.
Can I still have braces if I have missing
Yes. When teeth are missing, adjacent teeth will drift into the empty space.
This will cause a functional, esthetic or periodontal problems. Orthodontic
treatment will correct and prevent these problems from happening and will also provide proper alignment for your dentist to
replace the missing teeth.
What is Phase I (Early Interceptive
Treatment) and Phase II treatment?
Phase I or Early Interceptive Treatment usually starts while the child has
most of their baby teeth with few of their permanent teeth.
The goal of Phase
I treatment is to intercept moderate or severe orthodontic problems early in
order to reduce or eliminate them.
include jaw bone problems, cross bites and developing crowding.
This phase does
not use full braces as braces
are never put on baby teeth.
Generally we use expanders, removable appliances, headgear and retainers during
Most Phase I
patients require a Phase II treatment in order to achieve an ideal bite.
If our doctor. feels like early treatment is necessary, it can be beneficial to
the long term health of your smile.
What is Full or Comprehensive Orthodontic
Braces are on the upper and lower permanent teeth, taking care of all the
Does everyone need a Phase I treatment?
Absolutely not! But in many cases early intervention helps a lot. We will offer
Phase I treatment only if it makes a difference in the future.
Otherwise, we keep
patients for a complimentary recall consultation every six months.
What is the length or duration of orthodontic treatment?
In our office, Phase I treatment
usually lasts 12-14 months. Phase II or full braces treatment may last from 18
to 36 months. In both situations,
we generally see patients every 6 to 8 weeks for their adjustment appointment.
Treatment time and success depends on
multiple factors such as,
the age of the
of the problem,
the speed of
natural response of teeth movement.
What is extraction
and non-extraction therapy, and what are the advantages and disadvantages of
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
expands patients' jaws
some teeth to reduce their width to make everything fit.
We will make a
thorough evaluation at the consultation and discuss options to determine which
procedure best suits the patient.
will always try to save all the teeth, if possible.
The Case of the Missing Tooth
In Panama Express Dental center..
Many times in life, we do not have
what we desire. And, when it comes
to having an attractive smile, there
can be some limitations and
setbacks. However, thanks to
Panama city; residents like the
following patient can look forward
to a beautiful smile for time to
Recently, a patient was
referred to the Clinic; seeking an
extreme makeover. Veneers; was
his choice to find a cosmetic
dentist with a reputation for smile
The patient is a young successful
business man working as a
commodities broker. As with most
professionals, personal appearance
is important. Unfortunately, as a
child the issue of the missing right
lateral incisor was never addressed
adequately. The space was allowed to
close up unnaturally resulting in a
gross misalignment of the midline
and an unsightly visual asymmetry.
This case carries a moderate
degree of complexity because of the
loss of the incisor and the
disappearance of space available for
the placement of a new incisor.
Whether you are a cosmetic
dentist, implant dentist, or a
doctor who practices TMJ dysfunction
disorders globally, this case is
challenging! This is why an accurate
diagnosis is so vital. These types
of cases must be evaluated and
studied at length long before any
treatment is rendered. Diagnostic
instrumentation may be used for
planning purposes as well as x-rays
and other imaging. Following the
proper diagnosis, treatment plan
options were presented to the
decided to follow our specialist's
technique; accepting Orthodontics as
the means to open the space.
Porcelain veneers .. would
During orthodontic treatment, a
temporary plastic incisor tooth is
attached to the orthodontic arch
wire for continual monitoring and
assessment of the proper space.
Once the space was achieved, the
patient was ready to start his
extreme smile makeover.
Since the patient preferred
not to have an implant in the
incisor position, a 2 unit
cantilever was designed by
clinic express; for the
successful restoration of this case.
Attached to the right canine tooth,
the cantilever's zirconium
reinforced substructure provided the
strength required for long term
Porcelain veneers were placed on the
other front teeth to achieve maximum
esthetics. This patient was very
¿Por que el implante no se oseointegra al hueso?
debido a varias causas:
- Enfermedades, tratamiento o
hábitos del paciente. Ejem: Diabetes no compensada, tratamientos por cancer, pacientes fumadores, etc.
- No seguir las indicaciones del odontólogo.
planeamiento por parte del profesional.
- Incorrecta técnica y colocación del implante.
MIS PLACED TEETH
EXCESSIVE OVER JET,
CLASS 2 MAL OCCLUSION.