Maybe you had braces as a child, or you are thinking of having your own (it's never too late) or your child's teeth straightened through orthodontia. But how much do you really know about this branch of dentistry? Here are six questions people often ask about orthodontia.

Q. How did the word “orthodontia” originate?
A. From Latin roots meaning “straight” and “teeth”

Q. Teeth are anchored in bone. How is it possible to move them?
A. Living bone is not unchanging. The bone, ligament, and the outer layer of a tooth's root (called cementum) react to the stresses of biting and chewing. Due to this stimulation the bone is constantly being resorbed (broken down) and rebuilt as it is pushed from one side of a tooth and pulled from the other. Under normal conditions, there is a balance resulting in a steady state. Orthodontia takes advantage of this process to slowly change the teeth's position in the desired way.

Q. My dentist talks about the periodontal ligament. What does this mean?
A. The ligament is a fibrous tissue that connects the teeth to their bone and takes part in the dynamic process of resorption and rebuilding of the bone.

Q. What kinds of conditions can orthodontia correct?
A. Treatment can improve the teeth's position and relations to each other (being too crowded or badly spaced) and the way the upper and lower jaws relate. It can enhance the appearance of a person's teeth and face, and can also improve the teeth's function in biting and chewing.

Q. What is the best first step to orthodontic treatment?
A. Talk to your general dentist about your concerns. If you are referred to an orthodontist, the next step is to assess your situation using molds of your teeth that show the way the upper and lower teeth meet (your bite). Special x-rays will be taken to show the locations of your teeth and relation of your upper and lower jaw. Your dental team may also use photographs of your smile and computer imaging to get a clear view of how your teeth are now and how they may be moved.

Q. What are some of the methods of treatment?
A. In the traditional method, small metal brackets are attached to the crowns of the teeth. Thin wires, called arch wires, are strung through attachments on the brackets. These wires are used to apply controlled force to direct the teeth in the desired direction. Another method is to use removable clear plastic aligners. A series of aligners is designed by a computer, to be changed from one to the next as the positions of the teeth slowly change.

Contact us today to schedule an appointment to discuss your questions about braces and orthodontia. You can also learn more by reading the Dear Doctor magazine articles “Moving Teeth with Orthodontics” and “The Magic of Orthodontics.”

For adults with a reasonably well fitting bite, but mild to moderate crowding or spaces between your teeth, clear orthodontic aligners can be an ideal solution for straightening your teeth. This is why we offer this treatment option to our patients experiencing these issues. However, for those of you who are unfamiliar with what they are or how they work, this will give you a brief understanding.

Clear orthodontic aligners consist of a series of clear “trays” that fit snuggly over all teeth to slowly shift them into alignment. Patients are typically required to wear them 20 hours per day for about 2 weeks before progressing to the next tray. With each new tray, you are one step closer to achieving your goal of perfectly aligned teeth. The entire process usually lasts 6-18 months depending on how much movement is required to achieve the goals.

Each aligner is individually made from very precise molds of the patient's teeth to ensure proper fit. And we map out the entire alignment process using computer generation from each patient's initial molds so that we can identify the number of trays required. But best of all, clear orthodontic aligners are perfectly smooth with no rough edges like traditional braces, and you can remove them for eating, brushing, and flossing teeth as well as for brief social events.

To learn more about this topic, read the article “Clear Orthodontic Aligners.” Or you can contact us today to discuss your questions or to schedule an appointment.

As the Baby Boomer generation moves into its 60s, more and more of us are concerned with looking younger. We do it with vitamins, diet, exercise, makeup, cosmetic surgery, and yes, even with cosmetic dentistry.

In recent years we have learned a lot about how aging affects the soft tissues and bones of your face. This has led to an approach to orthodontics that considers not only the teeth and jaws, but also the continuing growth of the bones and soft tissues of the face.

We used to think that growth stopped when people reached their late teens or early 20s. However, recent studies have shown that some kinds of growth continue throughout a person's lifetime. Your bones and facial structures change as much between the ages of 25 and 42 as they do between 18 and 25.

As you age your facial profile flattens, your nose becomes more prominent, the lower part of your face becomes shorter, and your lips become thinner. By studying these changes we have learned to consider them when planning orthodontic treatment. Modern orthodontics treats the entire face, not just the teeth.

The science of orthodontics is dedicated to slowly moving the teeth within the jaws to better functional and aesthetic positions, using standard braces or clear aligners. Sometimes the upper and lower jaws are so far out of alignment that more extreme treatment is needed. In such cases orthognathic (from ortho, meaning straight and gnathos, meaning jaw) surgery may be required to achieve the best results. Orthognathic surgery was once considered a drastic procedure, but it has become easier to manage during and following surgery and is now considered a more normal treatment option, like a facelift. Since the nose becomes more prominent as part of the aging process, the surgery is sometimes combined with rhinoplasty, or reshaping of the nose.

This new approach to orthodontics and cosmetic dentistry — taking into consideration the normal changes that occur as a person's face ages throughout life — requires teamwork among a general dentist, an orthodontist, and an oral surgeon. The results are a long-lasting change that holds back the clock on aging.

Contact us today to schedule an appointment to discuss your questions about cosmetic dentistry. You can also learn more by reading the Dear Doctor magazine article “Understanding Aging Makes Beauty Timeless.”

You didn't have your teeth straightened as a child. Is it too late, or should you have orthodontic treatment now as an adult?

Orthodontics is a sub-specialty of dentistry devoted to the study and treatment of improper bites, or malocclusions. Orthodontic treatment has the goal of slowly applying pressure to teeth in a way that moves them into proper alignment in your mouth.

Recommendations are for children to have their teeth assessed for orthodontic treatment before the age of seven. The whole process can be done more easily while their teeth are coming in and their jaws are still growing.

However, if your teeth are overcrowded, you have an overbite or an underbite, or your teeth are misaligned in other ways, it is never too late. If you “missed the boat” on orthodontic treatment before, here are seven reasons to consider doing it now.

1. Orthodontic treatment brings teeth, lips and face into proportion, resulting in a beautiful smile.
2. An attractive smile contributes to self-esteem, self-confidence and better self-image.
3. Because of improved self-esteem, you may see improved social and career success.
4. Teeth that are in proper alignment will function and wear better over the years as you age.
5. Properly aligned teeth are easier to keep clean, making you less prone to periodontal (gum) disease.
6. If you have any missing teeth that need to be replaced, this can be done more effectively if your remaining teeth are put into their correct spacing and position first.
7. Current options for treatment include fixed appliances (traditional braces) in which bands and brackets are bonded to the teeth and wires are threaded through them — or as an adult you may be able to use removable clear aligners. These consist of a series of nearly invisible computer-generated clear plastic trays that progressively move the teeth into better alignment.

Take the first step: call our office for an orthodontic evaluation. Having orthodontic treatment as an adult may be just the thing to give you an attitude boost as you move forward in your life.

Contact us today to schedule an appointment to discuss your questions about teeth straightening. You can also learn more by reading the Dear Doctor magazine article “Why Straighten Teeth?”

If you are insecure about your misaligned crooked teeth, then you may be a perfect candidate for clear orthodontic aligners. This system is an alternative to traditional braces that uses a sequence of individual, clear, removable “trays” that fit over your teeth to gradually straighten them. Each tray is completely clear and covers all the teeth thus making it virtually invisible. Each tray is designed to slightly move the teeth until the teeth are in proper alignment. Typically, each tray must be worn for 20 hours a day for 2 weeks before progressing to the next tray in the sequence with each tray moving you closer towards your goal — perfectly aligned teeth.

However, clear orthodontic aligners are not for everyone. If you are interested and wonder if they can benefit you, contact us so that we can schedule an appointment for a thorough evaluation to assess your specific situation. Below, we have briefly outlined some situations when they will and will not work.

Contact us today to discuss your questions or to schedule an appointment. You can also learn more about this topic by reading the article “Clear Orthodontic Aligners.”