Dental,Braces,Top,Frequently,A health Dental Braces—Top 10 Frequently Asked Questions

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1. Do braces hurt?For the most part, braces do not hurt. The procedure of getting bracessimply involves gluing the braces to your teeth. The day after you get braces, your teeth maystart feeling sore and may stay sore for a few days. The sorenessusually peaks during days 2-3, but should start getting better by days4-5. Future adjustments may or may not cause you discomfort dependingon what is being done to your teeth. To alleviate the discomfort, youcan take whatever pain medications you would normally use for aheadache. Because your lips, cheeks and tongue are not accustomedto rubbing against the braces, you may experience sores. The sores maylast for one to two weeks until your lips, cheeks, and tongue get usedcontacting your braces. If there is part of the braces that isirritating your mouth, you can place orthodontic wax to help smooth therough area of the braces. After your lips, cheeks and tongue get usedto the braces, you may even forget you have them on. 2. What causes crooked teeth? Ifyou have crooked teeth or a bad bite you probably inherited thesetraits. However, losing some baby teeth early or indulging in harmfulhabits such as thumb or fingersucking can also cause your teeth to becrooked.3. When is the best time to schedule a consultation with the orthodontist? TheAmerican Association of Orthodontists recommends that all children seean orthodontist for an evaluation no later than age seven. There are afew orthodontic problems that should be corrected at that age. If yourorthodontist determines that no treatment is necessary at that time, heor she will be able to offer you guidance on when to start treatment orwhen to bring your child back for re-evaluation. For adults, treatment can be started at almost any age as long as the gums and bone surrounding the teeth are healthy. 4. Can I get my braces off sooner?Unfortunately,orthodontic treatment time is limited in part to how quickly or slowlyyour bone can remodel, thus allowing your teeth to move. In youngerpatients with less-developed bone, teeth tend to move faster than inolder patients with more-developed bone. Some patients think that ifthe orthodontist “tightens” the braces more, the teeth will movefaster. Indeed, the teeth need force in order to move. However, thereis an optimal force that moves teeth, and increasing the force levelafter the optimal level has been reached may actually cause damage tothe bone and surrounding tissues, and may slow down tooth movement. Thebest way to ensure that your braces come off on time is to not breakanything, wear your elastics and prescribed, and keep your teeth andgums healthy. 5. Can I get braces just on my top or bottom teeth?Thatdepends. Besides straightening your teeth, orthodontists are alsoconcerned about correcting your bite if needed. Many times, if only onearch is treated, the bite will still be uncorrected. Over time, amalocclusion (bad bite) could cause damage to your teeth, tissues, andjaw joints. 6. Do I need a referral from my dentist to see the orthodontist? No.While dentists can refer patients to the orthodontist, many patientsactually are referred to the orthodontist by family and friends ofexisting patients. Exceptions to this rule may be if you are in an HMOplan that will only allow you to see certain orthodontists.7. Are there clear or less noticeable braces?Yes.Compared to 30 years ago, braces have gotten smaller and can bedirectly bonded (glued) to teeth. The bands or metal rings that used tobe placed on every tooth now only need to be placed on the back teeth,if they are placed at all. Besides smaller braces, there are alsoclear braces or even lingual braces that are bonded on the tongue-sideof the teeth. Another option to straighten teeth is not to use bracesat all, but a series of clear aligners such as Invisalign. Yourorthodontist can determine which option would be best for you.8. Can wisdom teeth (third molars) cause crooked teeth?Researchhas shown that wisdom teeth or third molars do not necessarily crowdteeth. In fact, some people who have had their wisdom teeth removedstill get crowding, while others that still have their third molarserupted or impacted do not have crooked teeth.9. What is an orthodontist?Anorthodontist is a dentist who has completed an additional two to threeyears of full-time training at an accredited residency program aftergraduating from dental school. During their residency program,orthodontists learn to diagnose and treat dental, facial, and jawproblems. Orthodontists typically limit their practices to the field oforthodontics to focus on correcting misaligned teeth and jaw problems. Whenchoosing an orthodontist, you are not only getting someone who hasundergone significant additional training, but someone who deals withorthodontic problems every day. How many years of schooling doesan orthodontist have to go through? If we start calculating at firstgrade, orthodontists must graduate high school (12 years), college (4years), dental school (4 years), and orthodontic residency (2-3 years).So by the time they finish their orthodontic training, mostorthodontists have been in school for 22-23 years!10. Do I need shots?Noshots are generally needed for orthodontic treatment. However, if yourorthodontist refers you out for other procedures such as extractions,surgical exposure of teeth, or miniscrews, you may need a localanesthetic.