Schroeder Orthodontics

ABOUT ORTHODONTICS

Is my child too young for treatment if they still have baby teeth?
Not necessarily; it is to your child’s advantage to have a screening by age 7. Children sometimes exhibit early signs of jaw problems as they grow and develop. An upper or lower jaw that is growing too much or not enough, or is too narrow to accommodate all the permanent teeth can be recognized at an early age. If children are found to have these jaw discrepancies, they may be candidates for early orthodontic treatment.

What is two phase treatment and what is the advantage?
There are two types of treatment. A single phase treatment (or full braces) is used when a patient has adequate space for all permanent teeth and requires only alignment. Two phase treatment is for those with jaw discrepancies such as significant overbite or underbite or narrow enough that they will not have room for all of their permanent teeth. This type of treatment will reduce the need for extraction of permanent teeth and the potential of injuring protrusive front teeth. These problems, left untreated, could lead to more invasive procedures later on in life that may not be correctable by braces alone.

If you have a first phase, will you always need a second?
Even when phase one is successful; the chance of a second phase is probable. Although, correction of growth related issues in the first phase does allow for a shorter less severe second phase. A patient with growth related issues would have a more esthetically pleasing result if they take advantage of two phase treatment rather than opting for a single phase.

What will I learn at the new patient consultation?
After a thorough examination with Dr. Schroeder, he will explain if orthodontic treatment is necessary and why. He will go over treatment step by step and ensure that all your questions are answered. You will learn both the treatment length and cost. Your insurance information, in advance, will allow us to determine your benefits, giving you a better idea of what will be covered.

If I had permanent teeth extracted before I had braces, does this mean my child will also? More than likely, if you had extractions when you were younger, you were probably in need of a two phase treatment. Advances in orthodontics have taught us that by starting children younger, in a preventative treatment (phase one), we can actually manipulate the growth and shapes of the jaws to help accommodate all permanent teeth. This can reduce or even eliminate the need for extractions and sometimes even jaw surgery.

Why should I see an orthodontic specialist if my general dentist does braces? Orthodontists not only have the same training as your dentist, but have also completed additional courses following dental school to acquire the skills necessary to manage tooth movement and guide facial development. Dr. Schroeder has had extensive training in these areas and has published many papers on Growth Status of Children and Craniofacial Growth and Development.

How long does orthodontic treatment take?
Treatment times can average anywhere between 12-24 months, depending on your treatment goals. Patient cooperation, degrees of complexity and facial growth are among the factors that are considered when making these determinations.

Do braces hurt?
Although there is some discomfort while getting used to your new appliances, most patients experience no pain while braces are being placed. If you experience some discomfort following your appointment, Advil or Tylenol will usually do the trick. We will also provide wax to help protect your cheeks from becoming irritated.

Will I need a shot during orthodontic treatment?
Absolutely not. Shots are not necessary for anything we do with braces. Again, there is usually no discomfort while placing braces or during adjustment appointments.

How often will I have appointments?
Depending on your individual treatment, your appointments can range anywhere from 6-12 weeks. Our wires and brackets are state of the art technology, which allows longer activation to reduce the need for more frequent appointments.

Do I need to see my dentist for regular check-ups, while under the care of my orthodontist? Although we discuss hygiene with our patients, it is still recommended that you see your dentist every 3 months for your regular dental care. Your dentist will determine whether or not you can go longer between check-ups. Oral hygiene and plaque removal is a must.

Will braces interfere with my extra-curricular activities?
With very little adjustment you will have no problem continuing your same lifestyle. We will have everything you need, from mouth guards to wax to help make the transition as easy as possible.

How long will I have to wear retainers after treatment?
Retainers should be worn for as long as you want straight teeth. You will start with full time wear for a recommended period which will gradually be reduced until it is at a minimum for your particular case.

Why should crooked teeth be straightened?
Studies by the American Association of Orthodontists have concluded that orthodontic problems left untreated can cause a variety of problems. Crowded teeth are more difficult to brush and floss properly which can contribute to tooth decay and gum disease. Protruding teeth are more susceptible to accidental chipping. Misaligned teeth can result in unfavorable tooth wear and possible jaw problems later on in life. Orthodontics not only creates a beautiful smile but a functional, healthy smile as well.

Is it too late to have my teeth straightened if I’m an adult?
Adult orthodontics is very popular today and the trend is growing! If you’ve gotten into the habit of hiding your teeth, or avoiding a smile you are definitely a candidate. No one is ever “too old” to improve their oral health and self-esteem.

Are braces still an option if I have crowns or missing teeth?
Teeth with crowns will move just like any other teeth. If you are missing a tooth, orthodontia is often recommended for aligning the remaining teeth to provide room for a replacement down the road.

ABOUT WISDOM TEETH

Do all wisdom teeth need to be taken out?
No, they only need to be removed if there is inadequate space for them to erupt. Unfortunately, most people do not have enough space to accommodate them and may develop problems if they are not removed.

What would be the harm of leaving them in?
Potential problems could develop that can affect the adjacent teeth and bone such as root resorption, cysts, or even bone loss. If only partially erupted, food and bacteria can travel under the gum tissue to create painful infections.

Is it urgent they are removed immediately?
Only if you have inflammation, pain or an infection is it truly urgent. Wisdom teeth can damage the adjacent teeth if left in too long. After an examination by the doctor, it will be determined how quickly they need to be removed.

When is it best to take them out?
Many different philosophies exist on this topic. In general, if it is determined that they need to come out, the smaller they are when removed, the easier. They do, however, need to reach a certain level of maturity. Dr. Schroeder will continue to monitor their development until a decision can be made.