Frequently Asked Questions About Orthodontics

• What is orthodontics?

Orthodontics (also referred to as dentofacial orthopedics) is a specialized form of dentistry focusing on the diagnosis, prevention, and treatment of dental and facial abnormalities.

• What is an orthodontist?

An orthodontist is a dental specialist who has received two to three years of additional training and experience. Your orthodontist is able to straighten teeth, correct misaligned jaw structure, and improve the function of your smile.

• What causes orthodontic problems?

Most orthodontic problems (malocclusions) are inherited. Examples of these genetic problems are crowding, spacing, protrusion, extra or missing teeth, and some jaw growth problems. Other malocclusions are acquired as a result of thumb- or fingersucking, dental disease, accidents, the early or late loss of baby (primary) teeth, or other causes.

• Why is treatment so important?

Orthodontic treatment creates a better bite, making teeth fit better, and decreases the risk of future, and potentially costly dental problems. Crooked and crowded teeth are hard to clean and maintain. A malocclusion can cause tooth enamel to wear abnormally, difficulty in chewing and/or speaking, and excess stress on supporting bone and gum tissue. Without treatment, many problems simply become worse.

• Why select an orthodontist?

Orthodontists are dental specialists who diagnose, prevent and treat dental and facial irregularities. They receive an additional two to three years of specialized education beyond dental school to learn the proper way to align and straighten teeth. Only those who successfully complete this formal education may call themselves “orthodontists,” and only orthodontists may be members of the Bangladesh Orthodontic Society (BOS).

• When should children get a check-up
  with an orthodontist?

The American Association of Orthodontics (AAO) recommends that your child get a check-up with an orthodontist at the first recognition of an orthodontic problem, but no later than age 7. By then, your child has enough permanent teeth for an orthodontist to determine whether an orthodontic problem exists or is developing. Putting off a check-up with an orthodontist until a child has lost all baby teeth could be a disservice. Some orthodontic problems may be easier to correct if they are found early. A check-up no later than age 7 gives your orthodontist the opportunity to recommend the appropriate treatment at the appropriate time. If early treatment is in order, the orthodontist may be able to achieve results that may not be possible once the face and jaws have finished growing.

• Can adults benefit from orthodontic treatment?

Yes. Age is not a consideration when it comes to orthodontic treatment. Healthy teeth can be moved at any age. Today, adults account for one in every five orthodontic patients. Thanks to the variety of “appliances” used by orthodontists, adults may be able to inconspicuously achieve the great smile they want. Advances in today’s orthodontic materials mean patients see the orthodontist only about once every six weeks during active treatment.

• What are braces?

Braces are used by your orthodontist to help you improve the look and feel of your smile. There are several different types of braces to choose from, including:

• Clear braces (Invisalign)
• Ceramic braces
• Traditional metal braces

If I get braces, how long do I have to wear them?

The amount of time spent in braces will vary depending on the individual patient, because every smile responds differently to treatment. Treatment times can take anywhere between six and 36 months, but most standard treatments take about 24 months.

Do braces hurt?

Braces do not often hurt though you may feel a small amount of discomfort for a couple days as your teeth, gums, cheeks, and mouth get used to your new braces.

Do I need to brush my teeth more often if I have braces?

With braces, you should brush your teeth at least three times a day to keep your teeth, gums, and mouth healthy and clean. Brushing regularly will help remove any food that may be caught between the braces. You should also floss daily to get in between your braces where your brush isn’t able to reach. Your orthodontist can show you how to properly brush and floss once your braces are placed.

How can I take care of my teeth if I’m wearing braces or a retainer?

• ALWAYS remember to brush your teeth after every meal and floss at least once a day.
• If you take out your retainer to eat, make sure you brush your teeth, floss, and remember to keep it safe in its container so that it does not get lost or broken.
• Keep your retainer clean, too, by brushing it gently with a toothbrush and toothpaste. You may also soak it in denture cleaner as instructed by your orthodontist. Do not put your retainer in boiling water or in the dishwasher.
• During your treatment, try to avoid foods with a lot of sugar, which increases the amount of bacteria that grows in your mouth, causing more plaque and possibly cavities.
• Avoid sticky and chewy foods (caramel, chewing gum, gummy bears), hard foods (hard candy, nuts, ice cubes), or any foods that could possibly get stuck in your braces (corn on the cob, soft bagels, ribs, taffy, etc.).
• Be sure to schedule your routine checkups with your family dentist. It is recommended that you continue to visit the dentist every six months.

If I have braces, do I still need dental checkups every six months?

Yes! In fact, it’s even more important that patients receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that your toothbrush can’t reach. This causes bacteria to build up that can lead to cavities, gingivitis, and gum disease. Your dentist will work closely with your orthodontist to make sure that your teeth stay clean and healthy while wearing braces.

Will my braces interfere with my school activities like sports, playing an instrument, or singing?

Playing an instrument or a contact sport may require some adjustment when you first get your braces, but wearing braces will not stop you from participating in any of your school activities. If you play a contact sport, it is recommended that you wear a mouthguard to protect your braces or appliance.