Top,Orthodontic,Braces,Myths,T health Top 10 Orthodontic Braces Myths

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There is so much information out there about braces and orthodonticsthat it is sometimes difficult to separate fact from fiction. As newpatients come through my office, some have misconceptions about bracesthat may have been true 30 years ago, but are no longer true. Oftentimes, these misconceptions were never true in the first place. Below Ihighlight the top 10 myths about orthodontics and braces.1. Thetighter the better—A common comment I get from patients is, “Make ittighter, doc. I want to get my braces off faster!” You may think thattighter adjustments and heavier forces will move your teeth faster.While a certain level of force is necessary to move teeth, a forcelevel that is too high may start to damage the bone and surroundingtissues. Orthodontics is a delicate balance of forces. Too much forcemay cause some teeth to move the wrong way and increase overall timeyou need braces.2. Braces have to hurt or feel tight towork—No pain no gain right? Well, not exactly. In the old days, onlystiff wires were available. When tied to the dental braces, these stiffwires exerted heavy forces leading to more pain and discomfort for thepatient. Now, with new technologies and flexible wires, there issignificantly less discomfort associated with tooth movement. Thesedays, you can have straight teeth with minimal discomfort. However,there are always some patients that complain about not having any painbecause they think that without pain, their teeth are not moving.Remember, “It does not have to hurt to work!” 3. Wires needto be changed every visit—Super-elastic wires of the present day can bebent into all different shapes and still spring back into their niceU-shaped form. If you have crooked teeth, the super-elastic wire can beconnected to your crooked teeth and provide a steady light force tostraighten them without needing to change the wire very often. With thelimited wires of the old orthodontia days, if a wire was used that puttoo much pressure on a tooth, the bracket would either pop off thetooth or the wire would be permanently deformed and not move your teethat all! That is why in the old days, orthodontic patients got manywires with incrementally higher stiffness, and these wires were changedmore frequently. 4. My wisdom teeth are making my teethcrooked—You may think that wisdom teeth cause crowding. However, thereis very little evidence to support the fact that wisdom teeth causecrowding. If this was true, then your teeth would never get crowdedafter your wisdom teeth were extracted. In fact, people who neverdeveloped wisdom teeth or who had their wisdom teeth removed may stillsee their teeth get crooked over time. Teeth just tend to drift forwardover time regardless of whether or not you have wisdom teeth. 5.Only braces can straighten my teeth—Not necessarily. With newtechnology, it is now possible to have straight teeth without everhaving to wear braces! Invisalign Braces (which are actually are clear aligners and not braces at all) are the most popularway to straighten teeth without braces. However, before you get tooexcited, know that Invisalign does have its limitations. For example,Invisalign may not be the best orthodontic option for fixing some biteproblems or severely crooked teeth. The best way to see if Invisaligncan straighten your teeth is to find an Invisalign orthodontist andschedule a consultation. 6. My spaces will close as soon asI get braces—Many people who get braces to close gaps between theirteeth have the unrealistic expectation that the gaps will start closingas soon as they get braces. Often times, these patients aredisappointed after a few months when their spaces have not closed (orhave even gotten bigger. The issue with closing spaces is that is takesa controlled system of orthodontic braces and wires to close spaces.Often, the teeth need to be totally aligned before the spaces can beginto close. If spaces open up after getting braces, you may want tokindly ask your orthodontist about the new spaces, but rest assuredthat many patients get spaces early in braces which are closed laterwhen the teeth are straighter. 7. Once I get my braces off,my teeth will stay straight forever—Getting your teeth straight andyour bite right is just half the battle. Keeping your teeth straightafter getting your braces off is the rest of the battle. Teeth areconnected to the bone by elastic fibers. As the teeth are moved intotheir new straightened positions, some elastic fibers are stretched andothers are compressed. After your braces are removed, these elasticfibers will tend to push and pull your teeth back towards theiroriginal position. That is why retainers are required when braces areremoved to keep your teeth straight. 8. Any overbite isbad—If I had a dollar for every time a new patient complained of havingan overbite, only to be told that their overbite is normal, if couldprobably have bought a car by now. The point is that many patientsthink that having a mild overbite is a bad thing and this is wrong.People with zero overbite (whose teeth bite together in the front)actually start wearing down their front teeth over time. So a smalloverbite actually protects the front teeth from wearing down. Ofcourse, a large overbite can be problematic so a small overbite of onlytwo to three millimeters is ideal.9. The date that I amsupposed to get my braces off is set in stone—When patients are toldbefore treatment that they will be in dental braces for a certainnumber of years, it is very easy to focus on that date. Usually, anorthodontist can judge from his or her experience what the typical timeframe is to finish treatment. However this depends on many factors.Some factors that would slow down treatment include: broken braces, notbrushing well, not coming in for regular appointments, and having densebone. If you want to get your braces off on time, make sure youco-operate by brushing and flossing well, wearing your elastics, andshowing up for your regular appointments.10. Since only mybottom teeth are crooked, I just need braces on my bottom teeth—Whileit may seem like an easy fix to just put on braces on the lower teethto straighten them, sometimes having only lower braces can causeproblems. For example, straightening out your crowded lower teethwithout upper braces could make your bite uneven so that you get upperspaces or crowding. Another problem that can happen is that if you havea deep bite, your front teeth may overlap too much and you may end upbiting off your lower braces. Therefore, upper braces would be neededto change up your bite. If you are really against wearing upper braces,you can ask your orthodontist if your teeth can be straightened withInvisalign.