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Risks and Limitations of Orthodontic Treatment

Benefits of Orthodontic Treatment:  Orthodontics plays an important role in improving overall oral health, and in achieving balance and harmony of the jaws and teeth for a beautiful, healthy smile.  An attractive smile enhances self-esteem.  Properly aligned teeth are easier to keep clean thus reducing the risk of dental decay and periodontal disease.  A proper bite distributes the chewing forces more evenly on the teeth and the supporting structures for better chewing efficiency.

Limitations:  There may be limits to the amount of corrections possible in individual cases.  Orthodontic treatment usually proceeds as planned with excellent results, however, like all healing arts, results cannot be guaranteed.

Relapse: Teeth and the supporting bone and gums undergo biological changes and adaption throughout life.  Your teeth may sometimes change their positions after active treatment is completed, rebounding towards their original position.  The most common area in the mouth for relapse is the lower and upper front teeth.   A permanent lingual wire will be bonded behind lower 6 teeth and upper 4 teeth.  You will also be provided with a removable retainer which is to be worn night time for life time.

Decalcification:  Tooth decay and permanent markings (decalcification) on the teeth can occur if you’re consuming a diet high in sugar or carbohydrates, not brushing teeth properly or frequently, and leaving plaque behind along the gum line.  While these problems can occur without orthodontic treatment, the risk of tooth decay and decalcification is greater in individuals wearing braces.

Periodontal Disease:  Poor oral hygiene can also lead to periodontal gum and bone disease.  Since food and plaque adhere more easily to teeth with braces, periodontal problems can develop more readily in orthodontic patients with poor oral hygiene.  Gum swelling and bleeding is an early sign of gum disease.

Root Resorption:  In some patients, the tips of the roots of the teeth may be blunted or shortened during treatment.  This is called root resorption.  While some patients are prone to this happening, most are not.  Shortened roots are generally of no clinical disadvantage.  However if gum disease develops in later life, root resorption could reduce the longevity of the affected teeth.  A panorex x-ray will be taken half way through your treatment to assess root positions.

TMJ Symptoms:  The jaw joints or TMJ symptoms include joint noises, muscle soreness and a limitation of jaw movement.   Improving the bite with orthodontic treatment may help alleviate some of these symptoms.  Scientific research has demonstrated that orthodontic treatment cannot cure TMJ dysfunction and has also shown that orthodontic treatment is not a cause of TMJ problem.  Any change in the function of your joints should be reported to Dr.Najirad  as soon as possible

Headgear Injuries:  A headgear that is pulled outward while the elastic is attached can snap back and cause injury to the face or eyes. You will be shown how to properly place headgear.  Patients are advised not to participate in competitive activity or “horseplay”.

Unfavourable Growth:  Occasionally disproportionate jaw growth may change a patient’s jaw relationship.  This may mean additional orthodontic treatment or in some cases, oral or jaw surgery may be required before treatment objectives can be fully achieved. Latent growth changes that occur after active orthodontic treatment may also alter the quality of treatment results.  These are often no predictable at the start of treatment.

Oral Surgery:  Occasionally teeth may need to be extracted for orthodontic treatment.  Also, certain teeth may need to be surgically exposed or uncovered to facilitate bracket placement.  In some cases, surgical alignment of the jaws is necessary to correct sever jaw imbalances.  These risks will be discussed at with your dentist or oral surgeon prior to your procedure.

We will be happy to arrange a Free Consultation for you in order to get all the information you need to know

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