You have a question? We have an answer!

In this section, we attempt to answer some questions that we get asked frequently.
You would like to know more about an orthodontic topic? Tell us what you would like to find on this website. If possible, new information will be added to answer your requests.
You can’t find the answer to your question? Use the comment section at the bottom of this page to ask us your question.

Table of content

General orthodontic information

What is orthodontics?
What is an orthodontist?
What are the potential benefits of orthodontics?
What is the right age for a first orthodontic consultation?
Who can benefit from orthodontics?
Am I too old for orthodontic treatment?
What is an occlusion and a malocclusion?
What are the causes of malocclusions?
Can crooked teeth correct themselves over time?
Can remaining growth correct my orthodontic problem?

Orthodontic appliances: some answers

Do you use recycled orthodontic brackets?
Are there “invisible” braces?
Can I have braces if I have missing teeth or crowns and bridges?
Does having braces hurt?
What is a “headgear” and will I need one?

Before treatment

Must I be referred by my dentist for an orthodontic consultation?
How can I schedule an orthodontic evaluation visit (consultation)?
What is the purpose of the first orthodontic consultation?
Can I have all my appointments after school?
How often will I need to be seen during orthodontic treatment?
Do you replace missing teeth if there are remaining spaces after treatment?
Some of my teeth need to be repaired, must that be done before orthodontics?
I would like to have my teeth whitened, when is the best time for toth whitening?

Do you extract teeth (primary or permanent) if it is necessary as part of the orthodontic treatment plan?
What are serial extractions?
Will I need to have permanent teeth removed?
Do you give shots (injections)?
Does getting braces hurt?
I would like to start treatment as son as possible. When can I have my braces?
Will I need jaw surgery?
What is a compromised treatment?
Am I a candidate for compromised treatment?

During treatment

How will having braces affect my every day activities?
Can I go back to school or work after getting my braces?
Do I need to continue my dental check-ups during the orthodontic treatment?
Can I have dental cleanings I wear braces?
How long will my orthodontic treatment last?
In case of emergency or problems, shat should I do?
Do I need to protect my teeth during contact sports?
What is the best type of sports mouth guard?
Can I play a wind instrument with braces?

After treatment

Wisdom teeth: must they be extracted; when and why?
What is orthodontic retention?

Miscellaneous

How much will treatment cost? Do you offer payment plans?
Does my dental insurance plan cover orthodontics?

General orthodontic information

What is orthodontics?

From the Greek “ortho” meaning straight and “odontos” for teeth, orthodontics is a specialty of dentistry aimed at the diagnostic, prevention and treatment of dento-facial anomalies and dental malpositions.
The technical term to describe these problems is “malocclusion”.
Practicing orthodontics requires professional aptitudes in diagnostics, treatment planning, insertion, use and control of different corrective appliances used to align teeth, lips and jaws, all contributing to dento-facial harmony.

Practically anyone with occlusal problems can benefit from orthodontics. If the tooth supporting tissues (gingiva and bone) are healthy, there are usually no contra-indications to undertake orthodontic correction.

Am I too old for orthodontic treatment?

There is no age limit to consider orthodontics.
Even if the majority of orthodontic patients are children or adolescents, more than 25% of Canadians under orthodontic care are adults. In our practice, this proportion is even greater.
We regularly and successfully treat patients between 40 and 70+ years of age. The oldest patient we saw was 81!
The basic biological process allowing the teeth to move is the same for all healthy individuals, regardless of their age.
In adults, the absence of growth may make it necessary to use different treatment modalities or to have different treatment objectives than with a growing population.
The recent technologies that we introduced in our practice in the past few years are particularly suited for adults by making treatment more efficient, accessible and comfortable than ever before for the adult population.
It is never too late to improve your dental condition with orthodontics.

What is a Malocclusion?

It may be a new word to you. “Malocclusion” is a technical term for crooked, crowded, malaligned or protruding teeth which do not fit together properly. Literally, the word means “bad bite.”
The term “occlusion” refers to the relationship of the teeth with one another when the jaws are closed. For a “bite” to be functional and esthetic, not only must there be a precise arrangement between the teeth but there must be a harmonious relationship between the jaws as well.

Any deviation from this “ideal” relationship is considered a “malocclusion”. It refers to any inadequate relationship between the teeth and/or jaws.

The most common malocclusions have crooked, crowded, rotated teeth, excessive overbite, teeth that are “sticking out”, teeth that do not touch one another when biting, “scissor bites”, etc.
You can find more details about malocclusions in the section Treated cases – Before & After

What are the causes of malocclusions (etiology)?

Most malocclusions are inherited. These include crowding of teeth, too much space between teeth, extra or missing teeth, cleft palate and a variety of irregularities of the jaws and face. Some malocclusions are acquired.
They can be caused by thumb-sucking, tongue thrusting, dental disease, premature loss of primary or permanent teeth, accidents or some medical problems.
Left untreated, these orthodontic problems can become worse. Crooked and crowded teeth are hard to clean and maintain. This may contribute to conditions that may cause tooth decay, eventual gum disease and tooth loss.
A bad bite can also cause abnormal wear of tooth surfaces, difficulty in chewing and excess stress of the supporting bone and gum tissue.

Can crooked teeth correct themselves over time?

NO, this is very unlikely.

In most people, once the first permanent molars have erupted (at around age 6-7), the available space for the anterior teeth will not increase, even in the presence of growth. In fact, this space will decrease over the years and the situation will worsen.
Studies have demonstrated that most occlusal and dental problems have a tendency to deteriorate with time if they are not treated.

Can remaining growth correct my orthodontic problem?

NO, this is very unlikely.

Although growth helps the orthodontist in treating skeletal imbalances (jaw size discrepancies), growth alone will not solve the problem.
Using orthodontic appliances during treatment allows us to optimally utilize the growth potential to try to obtain better jaw relationships.
In certain cases where the growth pattern is realy unfavorable or abnormal (such as when the lower jaw bites in front of the upper jaw), any supplemental growth may in fact worsen the problem. It is therefore important that such problems be evaluated early by an orthodontist.

Orthodontic appliances: some answers

Do you use recycled orthodontic brackets?

NO. In order to obtain the best possible results in a predictable manner, we only use new brackets of superior quality. Even if it is possible to recycle brackets by having them reconditioned, we believe that the recycling process may deform or damage some components of the DAMON® brackets that we use. This could affect bracket performance, treatment duration and the quality of the results.

Are there “invisible” braces?

YES! The iBraces TM system uses braces which are completely customized for each patient. They are placed on the back side (tongue side) of your teeth and are completely hidden from view. Unless you tell them, no one will notice that you are wearing braces.

What is a “headgear” and will I need one?

A headgear is an orthodontic appliance worn outside the mouth and attached to the upper teeth. It is used to produce a force aimed at pushing back the upper teeth.
It consists of an elastic strap going around the back of the head and a metal bow anchored to the upper teeth.
Even if headgears are commonly used in orthodontics, you will not need to wear one in our practice. The technics that we use allow us to obtain the desired tooth movements and corrections without ever using headgears.

Before treatment

Must I be referred by my dentist for an orthodontic consultation?

NO, it is not necessary. Many of our patients are referred by their general dentist but many people decide to consult on their own to have their occlusion assessed and find out how they can benefit from orthodontics.

How can I schedule an orthodontic evaluation visit (consultation)?

If you would like to know how you or your child can benefit from orthodontics, you can communicate directly with us by:
• Phone: (819) 822-4434 Toll free: 888.922.4434
• Email: info@ortholemay.plogg.in
• Using the online Consultation request form
This would provide us with the basic information required to plan your first visit.

What is the purpose of the first orthodontic consultation?

The goal of this first visit is to evaluate your dental condition or that of your child and to make recommendations about preventing problems from appearing, intercepting problems already developing and correcting conditions already present.
We will try to answer all your questions and tell you if treatment is indicated and if so, what are the treatment options their duration and cost.

Can I have all my appointments after school?

Most of our clients are students going to school and, unfortunately we cannot wee all of them after school hours.
However, since we only need to see patients every 6 to 10+ weeks, students should not need to miss too much school because of their orthodontic treatment.
We will try to accommodate you as much as possible by offering you appointment periods suiting your needs.

How often will I need to be seen during orthodontic treatment?

The frequency of visits is dictated by the specific needs of each case and the progression of the corrections. Most of our patients with braces will be seen every 6 to 10+ weeks. However, if a particular situation justifies closer monitoring, visits will be scheduled accordingly. Younger patients kept under observation (without corrective appliances in their mouth), are seen every 9 to 18+ months depending on their dental development.

Can I have braces if I have missing teeth or crowns and bridges?

YES. A tooth with a crown or any type of restoration can be moved just like any other tooth, as long as its root(s) and surrounding tissues are healthy.
When there are missing teeth, orthodontics can improve the alignment of the remaining teeth and may make possible better tooth replacement options for your dentist.
In certain cases where one or many teeth are missing, orthodontics can partially or completely close the spaces left by these teeth. This can reduce or eliminate tooth replacement costs for the patient after orthodontics.

Do you replace missing teeth if there are remaining spaces after treatment?

No. If indicated, the replacement of any missing teeth will have to be done by your general dentist who is better equipped and qualified to do this kind of work.

However, if the missing teeth are located in the anterior area, where esthetics can be problematic, a prosthetic tooth will be included in our retention appliance(s) as a temporary solution until you can plan a more “permanent” alternative with your dentist.

Some of my teeth need to be repaired, must that be done before orthodontics?

In such cases, we will consult your dentist to evaluate if it is essential to have the restaurations made before the orthodontic treatment.
If the main indication to repair a tooth or replace a restauration is esthetics, it may be indicated to wait after the orthodontic corrections.
If, however, defective restaurations, caries or important tooth defects (fractures) are present, dental restaurations must be made before orthodontics.
If crowns or facettes are needed, they can be made temporarily and replaced at the end of the orthodontic treatment with final “permanent” restaurations. This will insure that the final restaurations are in ideal harmony with the surrounding teeth in their new corrected position.

I would like to have my teeth whitened, when is the best time for tooth whitening?

Tooth whitening is an elective esthetic procedure aimed at improving the “whiteness” of your teeth.
If you consider orthodontics, it is preferable to wait after treatment to do a whitening treatment.
Orthodontic corrections modify tooth position. Tooth surfaces that may not have been whitened because they were overlapping or rotated may become visible and show a color variation compared to the rest of the dentition.
It is important to realize that the long term effects of whitening are unknown and that whitening is not permanent and must redone occasionally.
We do not do tooth whitening treatments. You must consult your general dentist for that procedure.

To learn more about tooth whitening techniques, indications, contra-indications and potential risks associated with this procedure, visit the Ordre des dentistes du Québec and the Canadian Dental Association websites.

Do you extract teeth (primary or permanent) if it is necessary as part of the orthodontic treatment plan?

No. If the treatment plan calls for extractions, this procedure will be done by your general dentist.

What are serial extractions?

Serial extractions are preventive and interceptive measures consisting in extracting certain deciduous teeth in cases where there is a severe space deficiency in the dental arches. This procedure transfers space to the permanent teeth that are attempting to erupt but, because of lack of space, have a blocked or abnormal eruption path. These extractions do not eliminate the need for further corrections with braces to correct tooth malopositions once they have erupted.

Will I need to have permanent teeth removed?

The need to extract permanent teeth for orthodontic treatment depends on many factors. The most common reason to extract sound teeth is a severe space deficiency in the dental arches that can be corrected by using the space created by these extractions. The techniques and protocols we now use in our practice make the need to extract for that reason less frequent than ever before.

There are additional indications to extract one or many permanent teeth such as if:
-the teeth are too damaged to be restored
-the teeth are damaged but their extraction will avoid costly restaurations to the patient
-other permanent teeth are missing and some symmetry needs to be restored in a dental arch
-the supporting tissues (gingiva and bone) are too weakened to support the tooth/teeth
-their crown or root(s) are malformed, too small or excessive in size
-the treatment plan includes a surgical approach to the jaws
-etc.

Will I need jaw surgery?

Surgical interventions to the jaws are indicated in cases presenting a severe jaw size discrepancy. In some cases, a surgical approach may be the ideal option to obtain an acceptable relationship between jaws that are too disproportionate to one another. In other cases, it may be possible to compensate for a moderate discrepancy between the jaws by moving the teeth orthodontically and thus avoiding a surgery. Only an orthodontic consultation and a thorough evaluation of your case can determine which treatment options are available and what are the benefits of each alternative.

Do you give shots (injections)?

NO. We do not extract teeth, do surgeries or procedures requiring anesthesia with needles or shots.
If such interventions are necessary, we will refer you to your dentist or the proper dental specialist familiar with these procedures.
The only exception could be the insertion of mini-screws (link) used for temporary anchorage.

Does getting braces hurt?

In general, having braces doesn’t “hurt”. It is possible however that after certain visits, such as when braces are first put on the teeth or when major adjustments are made, that some teeth become sensitive for a few days. In that case, a light analgesic such as Tylenol, Advil or what you usually take for headaches may help.

The DAMON® technology and protocols we use require forces to move the teeth that are lighter than conventional orthodontic techniques. Consequently, patients should feel minimal discomfort following adjustment visits.

I would like to start treatment as son as possible. When can I have my braces?

Once your questions have been answered during the first consultation visit, treatment can be started soon after if you so desire.
The diagnostic records required to complete the case study and elaborate a treatment plan can often be taken at that first visit if you like. Braces can then be put on the teeth one or two weeks later depending on your availability

During treatment

Can I go back to school or work after getting my braces?

Absolutely. The initial discomfort after having the braces put on is minimal and should not prevent you from doing your regular activities.

Will having braces affect my every day activities?

After an initial adaptation period during which the teeth may be more sensitive, you should be able to do all your regular activities.

Do I need to continue my dental check-ups during orthodontic treatment?

YES, it is very important that you continue seeing your dentist regularly throughout your orthodontic treatment as per his/her recommendation.
Braces and most orthodontic appliances will not prevent your dentist from doing dental examinations and cleanings. If necessary, we can remove parts of the appliances if your dentist needs access to some teeth for specific interventions.

Can I have dental cleanings if I have braces?

Yes, it is very important that you continue seeing your general dentist regularly according to his/her recommendations throughout your orthodontic treatment.
Wearing braces or other orthodontic appliances will not prevent your dentist from doing regular check-ups and cleanings.
If necessary, we can remove part of your appliances to allow your dentist to do dental work on specific teeth during orthodontic treatment.

Do I need to protect my teeth during contact sports?

Yes.
Wearing braces or most orthodontic appliances will not prevent you from doing sports.
Did you know that 10% of hockey players and 20% of football players in high school as well as 5% of soccer players suffer from head injuries (concussion) while practicing their sport?
If you practice a contact sport where there are risks of injuries (hockey, football, rugby, lacrosse, soccer, basketball, etc.) it is highly recommended that you wear a mouth guard.
A mouthguard should be part of the regular sports equipment of any serious athlete.
In addition to protecting the dentition, mouthguards can minimize the chances of having head injuries (concussions) and jaw joint problems following heavy sport contacts.
We can supply you with a mouthguard that can be adapted to your braces during treatment.
At the end of treatment, it is possible to have a custom made mouthguard made to fit your new bite.
Ask us for more information or visit Maxxgard.

What is the best type mouthguard?

There are many types of sports mouthguards available to protect your dentition.
Simpler models are a simple plastic shell more or less adapted to the dentition.
Superior quality mouth guards such as those used by elite and professional athletes are custom made from dental models (molds) made by your orthodontist or dentist.
These high quality appliances are now more affordable than ever as they can now be made locally (in Montreal).
Ask us for more information or visit Maxxgard.

Can I play a wind instrument with braces?

YES. Although this may require some adaptation at first, braces shouldn’t prevent you from playing your favorite wind instrument.

How long will my orthodontic treatment last?

Treatment duration depends on may factors such as:

- Patient’s age
- Remaining growth
- Case complexity
- Patient cooperation during treatment.

In general, treatments can last between 12 and 30 months with an average of 20 to 22 months.
The newer technologies that we use allow us to treat a majority of the cases 4 to 6 months faster than with conventional approaches and we frequently complete corrections in 15 to 18 months or even less.
A clinical evaluation by the orthodontist will give you an approximation of the duration of your proposed treatment.

In case of emergency, what do I do?

“Emergencies” or problems requiring immediate attention are not frequent in orthodontics. Upon insertion of any orthodontic appliance, we will review with you what to do if problems arise so that you will be able to temporarily solve most of these inconveniences You will also receive written information summarizing these instructions
If your appliances (braces or other) are causing severe pain or discomfort or are broken, communicate with us
We can frequently temporarily solve problems by phone but if necessary, we will schedule an “emergency” appointment. You will find other ideas on how to solve common problems in the section “Emergencies”.

What is a “compromised” or “limited” treatment?

A “compromised” treatment is a treatment in which the objectives or goals or the orthodontic corrections are different than the ones that could be reached in a “global” or comprehensive treatment. In fact, it is a “compromise” in which the patient and the orthodontist have agreed that certain corrections will not be made even if they are possible. The main reasons motivating a patient to consider a limited treatment are:

reducing the duration and complexity of treatment;

reducing treatment cost;

avoiding certain treatment procedures such as a surgery, extractions, replacement of missing teeth, etc.;

lack of cooperation or refusal to wear certain types of appliances.

Certain corrections may be an acceptable”compromise” for the patient and the orthodontist but others are not worth undertaking.
To be acceptable, a “limited” treatment must bring significant benefits to the patient.
Frequently, the main benefit is the improvement of the esthetics (which is often the patient’s motivation) but the functional inadequacies will remain unchanged. Such treatments may seem attractive for patients but they also have many shortcomings.

Am I a candidate for a “compromised” or “limited” treatment?

It is difficult to evaluate a case or malocclusion without first evaluating the patient clinicallly. What may seem like a simple inesthetic irregularity in the eyes of patients (or dentists) may in fact constitute a complex orthodontic challenge to correct that condition. On the other hand, other occlusal and dental problems that seem like a “big case” may in fact be fairly simple to manage orthodontically and can be corrected simply and rapidly.

Only a clinical evaluation by the orthodontist and discussing the treatment objectives with the patient or parents will determine if “limited” corrections are realistic for you or your child. At the first consultation visit, you will be presented with different treatment options as well as the advantages and disadvantages of each treatment so that you can make an informed decision.

After treatment

What is orthodontic retention?

The retention phase is the period immediately following the removal of the corrective appliances (braces or other appliances) during which special measures are taken to stabilize the results obtained during the orthodontic treatment. This period may vary between one to many years. Fixed or removable appliances, called retainers, may be utilized to maintain the teeth in their new corrected position.

Miscellaneous

How much will treatment cost? Do you offer payment plans?

It is difficult to accurately determine treatment cost without clinically examining the patient and elaborating a precise treatment plan.
During your consultation visit, we will evaluate the cost of treatment and will offer you different payment plans and financing options.
We can also help you determine if your insurance coverage includes orthodontics.

Does my dental insurance plan cover orthodontics?

Insurance for orthodontic care is frequently treated as a separate benefit in dental insurance plans.
Benefits paid for orthodontic treatment are usually around 50% of the total treatment cost and usually have a maximum coverage.
If your plan has orthodontic coverage, we will be pleased to assist you to in submitting your claim to your insurance company.

Poser une question ou laisser un commentaire (219)

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carina says:

2013/06/16 at 15 h 07 min

Root parallelism is adequate to place dental implants
Hi, I wondered if you could help me? when i was 12 i had braces to open up a space. This space had to be opened up in order to compensate for my missing lateral incisors which had to be replaced with dental implants. Now i am 18 and have been told there is not enough space in the roots to place the actual dental implant and I have been advised to have even more orthodontic treatment, i am just wondering if the braces can be placed over the maryland bridge i currently have and also how long it would take to open up roughly 4mm of space for dental implants to be placed?

Dr Jules says:

2013/06/16 at 21 h 06 min

The situation you are describing is such a classic one that we recently wrote a blog about the topic of re-treating anterior teeth to provide optimal space for dental implants. You can refer to this page which will show you examples similar to your conditions where we needed to move the roots of either the central incisors or the canines to provide enough space for the insertion of a dental implant.
One of the illustrations of this blog is reproduced below but refer to the above link to see other examples and more explanations (in French).

Your Maryland bridge can probably be kept during the orthodontic corrections but part of it will need to be cut or sectioned off in order to allow the teeth to be moved. It is difficult to predict the duration of your treatment without having all the diagnostic information but opening up 4 mm of space and positioning the roots properly may take 10-12 months, maybe more.

Reply
1. Tish says:
  
  2017/07/25 at 15 h 10 min
  
  Braces and tongue crib
  When getting braces do you have the option to get the suggested appliance along with them? I want my braces but I no longer want the tomgue crib, can I have braces without it?
  
  Reply
  1. Dr Jules says:
    
    2017/07/26 at 9 h 23 min
    
    You’ll have to discuss this with your orthodontist. Usually, a tongue crib is not worn with braces but there may be exceptions…
    
    Reply
Jaliyah says:

2015/11/13 at 19 h 54 min

do you necessarily need your wisdom tooth in order to get braces ?

Reply
1. Dr Jules says:
  
  2015/11/27 at 16 h 26 min
  
  NO, most patients don’t have erupted wisdom teeth when they undergo orthodontic treatment.
  
  Reply
  1. Jaliyah says:
    
    2015/12/07 at 21 h 38 min
    
    Ok thanks,one more question if you have an deep bite and you dont like it when your smile cam you get braces or not ?
    
    Reply
    1. Dr Jules says:
      
      2015/12/12 at 11 h 36 min
      
      Yes you can , you can see examples of malocclusions with deep bites that were corrected orthodontically on this page.
      
      Reply
2. Megan Moore says:
  
  2017/07/23 at 11 h 18 min
  
  No you do not need your wisdom teeth. Lots of adults and teens without their wisdom teeth get braces.
  
  Reply
  1. Dr Jules says:
    
    2017/07/24 at 16 h 25 min
    
    Wisdom teeth are not essential for an orthodontic treatment unless they need to replace another missing molar and even in that situation, an orthodontic treatment soule probably be undertaken.
    
    Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).
    
    Reply
K-Ci Vautour says:

2017/01/13 at 13 h 03 min

How to close a gap between the front teeth?
Hello so I have a gap in the front of my teeth that I’m very very insucure about so it’s possible for me too get braces to fix my gap and get it filled but I also have 2 teeth in the front on both sides missing, now with they just fill that missing tooth that’s missing to form straighter teeth or?

Reply
1. Dr Jules says:
  
  2017/01/13 at 14 h 06 min
  
  There are many different ways to get rid of a dental gap; teeth can be enlarged if they are too narrow, they can be moved with orthodontic braces if they are well proportioned but not positioned correctly, etc.
  
  You can see example of dental space closure in this section about dental diastema and exemple of teeth that were built up or enlarged in this section about general dentistry.
  
  Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).
  
  Reply

Maria says:

2013/10/30 at 6 h 00 min

How much time needed to open up sapce for a dental implant?
Hi there, i currently have braces over my maryland bridge to open up space for dental implants to be placed with, i have 2.3 mm of space and need 5 mm of space how long approximately would this take to open up the remaining required space?

Regards
Maria.

Dr Jules says:

2013/10/30 at 21 h 39 min

Most dental implants require 1 mm of bone space on either side or 6-7 mm of total space depending on the type of implant used.
The rate at which space will be created depends mainly if your orthodontist is actively trying to create that space. He may be making other corrections elsewhere before trying to open the implant space. With proper mechanics, space can be opened up at a rate of 0.5 to 1.0 mm per month so if you need to create only ± 3 mm of space, this could take 3-5 months at the most.

You can see examples of the amount of space needed to place dental implants by following this link. It is also important to understand that not only the amount of space is important but also the root alignment of the teeth adjacent to the place where a dental implant will be inserted (root parallelism).

Reply
Kaitlin says:

2016/05/24 at 15 h 16 min

I have gaps in most of my teeth at the top and I went to the orthodontist and they said I didn’t need braces but I don’t like the gaps so is they anything else I could do about it please ??

Reply
1. Dr Jules says:
  
  2016/05/24 at 19 h 09 min
  
  If a certified specialist in orthodontics (orthodontist) confirmed that the solution to closing your gaps is not by moving your teeth, that probably means that you have small teeth which may benefit (some of them) from being enlarged with composite build-ups or other similar dental procedure (to see examples)
  
  I am however surprised that you were told that orthodontics cannot improve your situation at all when many gaps a present. You may want to get a second orthodontic opinion (from a certified specialist) just to double check on that and make sure that there is no orthodontic solution (the ideal solution may involve orthodontics AND build-ups however).
  
  Reply

mimi says:

2013/12/05 at 21 h 23 min

Midline elastics
My midline is half a tooth off. I have elastic running from the upper front teeth to the lower back teeth on both side. And about the midline i must wear elastic running from the lower front teeth on one side to the upper front teeth on the opposite side, but because it doesn’t stay on my orthodontist said to get it on my upper 4-th teeth, but the elastic gets behind my teeth, is that normal?

Dr Jules says:

2013/12/06 at 2 h 09 min

The elastic gets behind the teeth probably because it jumps over the teeth instead of following the curve of the dental arch as it rounds off the corner of the arch. Although that is not ideal from a comfort point of view for the patient, it doesn’t really affect the effectiveness of the elastic. Ask you orthodontist if he can modify the elastic’s anchor points to make it more comfortable for you.

Reply

Folstad says:

2014/06/19 at 15 h 38 min

Can orthodontic treatment be started if baby teeth are still present in the mouth?
Is it typical or recommended to start braces treatment prior to permanent teeth being emerged and follow up with boney tooth extractions at the end of treatment?

Dr Jules says:

2014/06/19 at 16 h 55 min

Orthodontic treatment is often started before all the permanent teeth are in. This is not a problem if only a few temporary or deciduous teeth remain in the mouth. These will often fall out soon after the beginning of treatment or the orthodontist may decide to have them extracted.

There may also be indications to do preliminary or partial corrections with braces as a first phase treatment in which case there may be many temporary teeth present in the mouth. Braces are removed when this first phase is completed and a second phase of treatment may indicated later when all the permanent teeth are in.

Reply
1. Josh M. says:
  
  2016/02/17 at 3 h 05 min
  
  Hey I have a question, if you missed one day of doing thr expansor screw, is it bad? I am stressing about it..
  
  Reply
  1. Dr Jules says:
    
    2016/02/17 at 7 h 30 min
    
    Not a problem. The important thing is the total amount of turns you do but don’t do more than prescribed (1 or 2 per day depending on what you were told).
    
    Reply

jayden says:

2014/07/20 at 20 h 47 min

If a dentist recommends an orthodontist does that mean that you probably need braces? HELP

Dr Jules says:

2014/07/28 at 6 h 50 min

Well… I would think that if you are referred to an orthodontist it is because your dentist concluded that you have a malocclusion or other occlusion problems that warrant at least an evaluation by an orthodontist. It doesn’t necessarily need that you need braces but if corrections are indicated, that would require some form or orthodontic appliance.

Consult a certified orthodontist and you’ll have all the answers to your questions.

Reply

jasmine says:

2014/07/22 at 14 h 09 min

how long would i need to have braces for? if i just have tiny gaps between my teeth but they are all straight, none of them are squish and i have a tiny bit of an over bite

Dr Jules says:

2014/07/28 at 6 h 53 min

Closing a simple anterior gap can probably be done in a few weeks or months… if that is the only correction that needs to be done but, very often, other aspects may need to be corrected also. Consutl a certified orthodontic specialist to find our more about what can be done in your case.

To see examples of simple anterior space closure.

Reply
Mini says:

2015/08/24 at 4 h 02 min

Maximum how many teeth can be extracted while putting braces

Reply
1. Dr Jules says:
  
  2015/08/28 at 9 h 50 min
  
  THer is really no maximum, it all depends on the requirement of the case. Usually most cases don’t require extractions but some cases may need 1, 2, 3, 4 teeth (extraction of 4 premolar is the most common possibility). Occasionally there may be indications to extract other teeth the wisdom teeth which add more extractions.
  
  Reply

Alex says:

2014/08/21 at 14 h 04 min

Hey, I wonder if you could help me because I have a dental fluorosis and I want to wear braces to align my teeth. But Im afraid, because other people says that my teeth is weak and putting braces can damaged my teeth. I dont mind going to the dentist again and ask. Thankyou.

Dr Jules says:

2014/08/22 at 22 h 53 min

Fluorosis doesn’t mean that your teeth are necessarily weaker ans it is not a contra indication to orthodontics. Instead of listening to what “other poeple” are saying about this condition, consult a certified orthodontist who will be able to evaluate your condition and give you an educated opinion about what can be done to correct your malocclusion.

Reply

hamza says:

2014/09/13 at 17 h 04 min

i ask you 1 question plz must reply me. i asked you that my doctors said you have no any spaces in your teeth. we put out your 4 teeth 2 upper jaw and 2 lower jaw then we apply braces on your teeth . i want to ask you there is no way to secure my orignal / geniun teeth . i sending you my pics if you reply on my email because there is no option to send you a picture plz reply plz reply plz plzzzzzzzzzzzzzz 16 september my next appoitment from my doctor

Dr Jules says:

2014/09/14 at 13 h 09 min

If I understand your question correctly, you want to know if it is possible to treat your malocclusion without extractions when your orthodontists has recommend to extract 4 teeth to do the treatment, it may possible to do so but you have to discuss it with your orthodontist.

Reply
1. hamza says:
  
  2014/09/15 at 19 h 23 min
  
  these are my pics and what do you think about making gap yes or no ? i don’t want to extract my 4 teeth because you know natural teeth are natural 🙂 thank you very much for reply
  
  Reply
  1. Dr Jules says:
    
    2014/09/15 at 19 h 26 min
    
    It may possible to treat your dentition and malocclusion without extractions depending on what your treatment objectives are but, regardless of what I think, since I am not your treating orthodontist, you will have to discuss this issue with the orthodontist you will chose to treat you.
    
    Reply

Ann says:

2014/11/10 at 11 h 22 min

Hello Dr, I’m 32, I went to see a dentist for a crown but she told me I would benefit from having orthodontics done since I have a malocclusion. Do I have to keep a gap in my teeth during all the treatment? Is there a chance that the missing teeth’s gum deteriorates during treatment making it then impossible to have an implant? I’m so scared, I know it’s for the better since my bite is out of place, I’m afraid they might tell me there’s nothing they can do!
Thank you for helping understand what’s this all about, I haven’t seen the orthodontist yet, my dentist will refer me :/

Dr Jules says:

2014/11/14 at 23 h 52 min

I can’t comment on your gum condition but if you gums are healthy, there shouldn’t be any problem in undertaking an orthodontic treatment. I am sure the orthodontist will be able to do something for you. Things will become much clearer after your orthodontic consultation. Prepare your questions and make sure to get some answers when you see the orthodontist, that’s what consultations are for!

Reply

Small gap after brace was removed says:

2014/11/21 at 15 h 33 min

What can I do about a small gap that is opening up after my orthodontic treatment?
Hello,
I have my brace removed today and I was fitted with bonded retainers. I will also have to wear removable ones at night when they have been made by the lab. I am very happy with treatment as my teeth are now straight but I am also concerned as I have a tiny gap between my two middle teeth (upper arch) which I hadn’t noticed was there. It certainly wasn’t there prior to the treatment. Is there anyting that can be done to rectify the problem? Will the retainers stop the gap from closing up or will it be the opposite? Should I raise the issue with my orthodontist? Please help

Thanks

Karine

Dr Jules says:

2014/11/29 at 19 h 36 min

Don’t hesitate to discuss this with your orthodontist. Small gaps can often be closed very easily. Adding a fixed retainer (bonded wire) on the inside surface of the teeth that were separated and had a gap may help in retaining them (hold them together) after the space is closed. A removable retainer may help keep a gap closed as long as you wear it but once you stop, nothing will keep these teeth together and the gap may open again.
Sometimes, a small “build-up” with composite material (white filling) may close a small gap if it is caused by teeth that are too narrow. To see an example.

You can see examples of such retainers in our retention section (not translated yet)

Reply

riwaj chhetri says:

2014/11/29 at 13 h 43 min

I am wearing braces since 10 days and my dentish hav placed only six bracket in upper portion…but usually i hav seen 8 brackets…why only six bracket on my teeth

Dr Jules says:

2014/11/29 at 18 h 17 min

I have no idea…
It all depends what are the treatment goals of that intervention. Usually we put 20 to 28 brackets on all the teeth in a full orthodontic treatment. You will have to ask that question to your dentist in charge of your treatment.

Reply

Cara says:

2014/12/03 at 4 h 45 min

How long do dental spacers need to stay in to be effective?
Hello, I had spacers put on today and I’m getting my braces the day after tomorrow. Everything I’ve read about spacers it seems like I should have had them in for at least a week. Do you think a day and a half is enough time? Thanks.

Dr Jules says:

2014/12/06 at 11 h 09 min

One week is not essential. In fact, a lot or orthodontists don’t use spacers anymore and will use instead a small disk to polish in between the teeeth to create a bit of space

Reply

Gian says:

2014/12/08 at 3 h 38 min

My teeth is not that bad but I need braces . I will get them on this christmas vacation.. I am 13 years old and worried about the pain.. How long will the pain last ? I am so scared but I need braces ..

Dr Jules says:

2014/12/10 at 23 h 34 min

“Pain” is a big word to describe the discomfort that you will feel. Most patients report some discomfort, to varying degrees, between a few days to ± one week after the braces are put on.

Reply

Jennifer says:

2014/12/24 at 11 h 39 min

Missing upper laterals replaced with bridges; my teeth are now moving
Hi,
I really need a second opinion regarding my teeth. I was born without both lateral incisors (the teeth that are on each side of the front two teeth…not sure if thats the correct name). I had braces as a teen and had to do the whole fake teeth thing in place while I had braces. When my braces were taken off I eventually had to have two bridges. This was 14 years ago because I am now 32. Im not sure but i dont think we had any other options other than the old school bridges. Anyway, about 7 years ago my teeth started to space and have gradually gotten worse. My front two teeth have a space and I have gradually pushed them out by grinding them in my sleep. Almost buck in my opinion. My bridges are also uneven now. My teeth use to be even all the way across but now it’s up and down.

Awful!! I have told my dentist several times over the years that I want braces again. He consistently keeps telling me no that he wants to replace my bridges and put lumineers on my front two teeth. I absolutely refuse to do that because I already had to drill away two healthy teeth for those bridges and I do not want to drill away my front two teeth. Absolutely not! I even told him I was concerned about the lumineers coming off when I get older and potentially not having money to fix them. I’ll just have a bunch of drilled down teeth. Thats why I’m scared to get them. Im a school teacher and smiling is an important part of interacting with my students… However, I’m really self concious about my teeth and do not smile. I wonder if there is any way I can correct my teeth with braces ( would actually prefer this) or another method without having to drill away more of my healthy and strong teeth. Desperately need help!!!

Thanks for your time and Happy Holidays!
Jennifer

Dr Jules says:

2014/12/26 at 0 h 31 min

If spacing and dental movement is affecting your upper anterior teeth, the first thing to do before orthodontics and especially before having other bridges, implants, facettes, etc. made is to try to determine what is the cause of this movement otherwise, just replacing the teeth will not eliminate the cause and the same problem may happen again later. If your teeth move, it is because a force is acting on them. If you have had changes in your bite, such as posterior teeth tipping forward, this may have caused what is called a “posterior bite collapse” which is a condition making the lower anterior teeth bite more on the upper ones and causing them to move forward, flare and become spaced. There is a description of this condition in the French section of this website but unfortunately, we have not translated it yet.

If such a change in your bite occurred, it would be important co correct your malocclusion with orthodontics before considering more prosthetic replacement if you want to maximize the chances of that treatment being successful. Once the corrections are made (orthodontics, prosthodontics), wearing an occlusal guard or plate at night may protect your teeth from further breakdown.

Orthodontics should not involve more drilling of your teeth but it will certainly require that your current bridges be cut so that the supporting teeth be moved and new bridges or dental implants will be needed after the orthodontic treatment.

To see different treatment options in cases where upper laterals are missing (French).

Reply
1. Jennifer says:
  
  2014/12/26 at 1 h 55 min
  
  Just to make sure I understand correctly…I need to have my bite fixed first and that can be done with some kind of orthodontics correct? Also I looked up the posterior bite collapse and my question is…I would be able to notice if they are tipping forward right? Because mine are not slanted in any way. And my bottom teeth are visible when I bite down. It’s just my brides have shifted and my front two teeth have a space and pushed out. I don’t know if this helps but I have caught myself or woken up during sleep and I was clenching down and grinding my bottom teeth up against my top. I’m wondering if it’s a subconcious stress thing….so I’m hoping a mouth guard will suffice. Also and to make sure I understand you correctly on this too….once I fix the bite or whatever that problem is… I will be able to get braces? And my bridges will have to be taken off during braces? How will they keep the space for the new bridge or implant while trying to close the gap up front? And would it even be possible to put a bracket on the remaining two teeth that were drilled down for the bridge support? I’m assuming those drilled teeth will be crowned if implants are put in for those missing lateral incisors or would it be best to have new bridges put on again after braces are removed? Thanks again, sorry I have so many questions…just want to have additional info to fix the problem. It makes me feel better knowing that this can be fixed.
  
  Reply
  1. Dr Jules says:
    
    2014/12/26 at 16 h 11 min
    
    I was not implying that a posterior bite collapse was necessarily what caused your problems but is it a common cause of what you described. If there is a strong contact between your lower incisors ant the upper ones, it may push out (flare) the upper incisors and spacing will appear between the teeth.
    
    Clenching or bruxism may not be enough to explain the tooth displacements that you describe, unless you have a jeopardized periodontium (bone and gingiva surrounding and supporting the teeth). In such a case a ± normal force may become abnormal and cause tooth movement so a stronger force such as what is applied on the teeth during bruxism or clenching of the teeth may also contribute to tooth movement. This is all theoretical in your case but consulting a certified orthodontist should answer all your questions.
    
    If you are healthy (general health, teeth, gums, bone, etc.) you should be able to get braces to fix your bite. It is indeed possible to have an artificial tooth fill a gap during braces where your bridge will be cut. It may even be possible to use part of your bridge for that purpose. You can see example numerous examples of such situations by following this link.
    
    The crowns on your canines and centrals will indeed need a new crown after the orthodontic treatment. Discuss all these issues with your orthodontist and general dentist before starting your treatment.
    
    Reply

Monique says:

2014/12/26 at 18 h 07 min

Hi Dr. I had braces a few years ago (got them off if I remember correctly at 2007) and had to wear retainers to keep my teeth from having spaces in between them, but after a while, i did not wear my retainers and as a result I have some gaps in my upper teeth. My question is, what are the usual treatment for this type of case and how long does it usually take to fix the gaps? Are there other options to closing the gaps without braces? Any reply would be great. Thank you!

Dr Jules says:

2014/12/27 at 9 h 01 min

If you want to close gaps by bringing the teeth together, you will need orthodontics. This doesn’t mean that full braces are again required. Simple inter-dental space closure can sometimes bi done with a few brackets and an elastic, Invisalign, lingual braces or even little clear “buttons” placed on the teeth for a few days or weeks (depending on the size and location of a gap). To see different ways of closing dental gaps. (Please note that some of the previous links lead to pages in French that have not been translated yet… we are working on this.)

Duration of treatment will depend on what needs to be done and what appliances / mechanics are used.

Consult a certified orthodontist to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options.

Reply
1. Monique says:
  
  2014/12/27 at 20 h 16 min
  
  Okay thank you. I already have àn appointment with my orthodontist in less than 2 weeks.
  
  Reply

sonal sardesai says:

2014/12/27 at 20 h 01 min

My son is 13 year old he has 2nd premolar on the right upper jaw missing is it possible to get the gap filled by bringing tha back tooth in the front by braces.

Dr Jules says:

2014/12/27 at 22 h 42 min

The upper second molar is one of the most commonly missing teeth. It is usually possible to close a gap the size of a premolar but you would need to consult a certified orthodontist so that he/she can confirm that this would be possible in your son’s case.

Reply

sonal sardesai says:

2014/12/28 at 8 h 48 min

Thanks for your reply….

I have consulted orthodentist and she is going to fill the gap of missing tooth by bringing forward the 1st molar but she says if the alignment of upper and lower jaw is not correct than she will have to extract the lower premolars also. I don’t understand, what should I do. … really tensed

Dr Jules says:

2014/12/28 at 15 h 37 min

It may be that, if after the initial alignment of the lower teeth, she realizes that the lower incisors are too flared forward, it is necessary to bring them back some and to do this lower extractions maybe necessary. This is only a theory since I don’t know the specifics of your case but ask your orthodontist to explain to you what she has in mind.

Reply

sonal sardesai says:

2014/12/29 at 0 h 35 min

Can I send the photos of my son’s teeth. And how ?

Dr Jules says:

2014/12/29 at 16 h 08 min

Even if we had all the necessary diagnostic material (study models, radiographs, photographs, clinical examination results, etc.), we can not or do not want to establish diagnosis and develop a treatment plan because it is not the purpose of this blog. It will be the role of the practitioner who will take the case to ultimately be responsible for determining the nature of the problem (diagnosis) and treatment options (treatment plan).

This requires a consultation with a certified orthodontist and, if necessary, with other practitioners that would support your case (general dentist, maxillofacial surgeon, periodontist, prosthodontist, physician, etc.). Our assessment and vision of a case and the therapeutic approach we would suggest may vary from those of other clinicians and we can not impose our views on those who will treat you .

The answers in this blog and the information we publish it must remain , as far as possible, public interest and can not replace a consultation with an orthodontist certified for a particular case.

Reply

sandra says:

2015/01/15 at 12 h 00 min

hello .. i have my second tooth to the left is growing inside of the rest of my teeth , i have 28 years old .. what do you think my braces will cost? and how long it would stay in my mouth? and can i do some fillings during the orthodontist treatment ? thank you

Dr Jules says:

2015/01/15 at 18 h 31 min

These questions can’t be answered without a thorough clinical evaluation. You’ll need to consult a certified orthodontist to find out the specifics of your case. To learn more about the cost of an orthodontic treatment.

Reply

Katya Evans says:

2015/02/01 at 23 h 15 min

Orthodontic brackets will not stick to porcelain veneers
Hi,
I started orthodontic treatment 5 months ago, with ceramic brackets. But I have 3 front porcelain veneers and the brackets keep falling off. The doctor made scratches on the veneers to make the brackets stick but they keep falling off. Now she is telling me that I have to change the porcelain veneers to plastic ones for the duration of the treatment. Is there a less drastic way? For example, why can’t the dentist cover the veneers with plastic and stick the bracket to the plastic surface? Or perhaps there is another way? I know I will have to change the veneers after the treatment because they have already been damaged but changing them DURING the treatment is a bit too much for me. I am sorry if my question sounds silly. I would appreciate any suggestions.

Dr Jules says:

2015/02/17 at 21 h 26 min

It is always a challenge to glue something to porcelain!
If the glue comes off the bracket base but stays on the tooth (porcelain) surface, another type of bracket with a different base could be tried. If the glue stays on the bracket base and not on the tooth, the retention problem is with the porcelain surface and not much can be done about that. There is a special “glue” or bonding agent that exists for that purpose but even that material is not full proof. If bonding will not stick to your porcelain, “plastic” will not stick any better!

Here’s what 2 studies concluded on the topic of porcelain bonding:

The most reliable bonding procedure to porcelain surfaces is through microetching with the use of hydrofluoric acid and a silane coupler before bonding, but this also produces the greatest damage to the porcelain surface.

World J Orthod. 2005 Spring;6(1):17-24.
Bonding orthodontic brackets to porcelain using different adhesives/enamel conditioners: a comparative study.
Bishara SE1, Ajlouni R, Oonsombat C, Laffoon J.

———————————-
The best protocol described in this review is the etching of 9.6% hydrofluoric acid for 1 minute, rinsed for 30 seconds, and then air-dried. The etching of hydrofluoric acid should be followed by an application of silane. Considering the harmful effects of etching with hydrofluoric
acid, another appropriate suggestion is mechanical roughening with sandblasting followed by an application of silane.

(Angle Orthod. 2014;84:555–560.)
Review Article; Orthodontic bonding to porcelain – A systematic review

Reply

Denise says:

2015/02/06 at 16 h 36 min

Why don’t orthodontists do rapid palatal expansion in adult if it works?

Hello Doctor, question for you. I’ve been reading up a lot lately on the controversial topic of non-surgically reversing extraction orthodontics using palate expanders. It seems more and more orthodontists are having great success with this procedure in the US however there is still considerable debate as to wether or not an adult can achieve significant expansion of the palate due to the fusion of the skeletal suture. There seems to be some medical journal documentation as well as actual patients who are proving that this procedure can in fact be done where it was otherwise believed not to be in the past. Why if there are actual documented cases of adults expanding their palates (not dental expansion but actual palatal expansion), why are orthodontists here adamant that it can’t be done? There are actual adults on youtube going through this procedure and achieving expansion.

The reason for my question is because in my mid 20’s, I had 4 bicuspids removed solely for aesthetic purposes because I merely thought my smile was too “toothy”, and this was the only option given to me at the time by my orthodontist. Biggest mistake of my life. I have completely ruined my smile and caused myself other issues in the process. I now have a very narrow smile with dark triangles in the corners and a mouth that looks pushed back. After all the money and time spent, I smile with my mouth closed. Sad. It has also negatively affected my facial aesthetics- flattened appearance to lower cheeks where teeth were extracted, reduced cheek bones, narrow face, nose seems larger etc. which I’m afraid will only get worst as I age. I also feel that I don’t have enough space in my mouth for my tongue. I actually had to see another orthodontist to re-close the extraction spaces because they keep opening. Even now after my last attempt at closing my spaces ( I got braces off this past summer) i feel like my spaces are trying to re-open again even with nightly wear of my retainer. I feel like my tongue is trying to create more mouth space. I don’t know what to do I’m frustrated and surgery is not an option for me. I am now 38 years old.

My apologies for the long inquiry and I thank you in advance for your time.

Dr Jules says:

2015/02/17 at 21 h 39 min

I have never seen a study proving that sutural palatal expansion can be done in an adult without a surgical adjunctive procedure. That is why orthodontists are so adamant about doing it! If there is the odd documented case (which I would like to see), this procedure would be very unreliable at best in adults.

Arch form and widening and smile modification can be obtained without surgery in many cases.
TO see examples of expansion and smiles changed through orthodontics.

Reply

Rosie angelakis says:

2015/02/26 at 4 h 49 min

What is the difference between a dentist and an orthodontist?
Many people are a little confused about the difference between a dentist and orthodontist and who does what. Orthodontics is a branch of dentistry that specializes in treating patients with improper positioning of teeth when the mouth is closed (malocclusion), which results in an improper bite.

Orthodontics also includes treating and controlling various aspects of facial growth and the shape and development of the jaw. An orthodontics specialist is called an orthodontist.

lisa says:

2015/03/16 at 15 h 48 min

What is the ideal time to have a dental crown made during orthodontic treatment?
I had my braces put on 2 weeks ago and now I need a crown on my tooth next to the canine, can I go through the process of getting the tooth prepped for the temp or new crown?

Dr Jules says:

2015/03/20 at 7 h 38 min

It may be a good idea to have the temporary crown made during your orthodontic treatment as this will allow the orthodontist to position this tooth ideally and facilitate the dentist’s work in obtaining a better final result. However, it is usually not indicated to have a final crown made until the orthodontic corrections are completed. Discuss this with your dentist and orthodontist so that they can work together to give you the best possible result.

Reply

Mackenzie says:

2015/03/16 at 18 h 11 min

Hi, I got my braces on a year and a half ago, I was supposed to get them off last month but now they are delaying it until May/ June. I was reading their computer and my bite numbers were 0-0-0-2 and I was wondering what that meant. Thank you

Dr Jules says:

2015/03/19 at 22 h 51 min

I have no idea what that means, it is certainly not a universal numbering system.
It may refer to the spaces remaining in each quadrant of your mouth (in millimeters)???
Ask your orthodontist and you will have the real answer!

Reply
1. lacy says:
  
  2015/06/09 at 0 h 25 min
  
  Is it necessary to enlarge peg lateral teeth for an orthodontic treatment?
  Hi so i was wondering if i could get my question answered here. So i am getting braces this week i was told by my orthodontist that i had to get my two peg lateral teeth filled and that she would.make spaces so that i.can get them filled . so is it really necessary for them to get filled ? Or can braces make them straight even if they will look smaller then the rest.
  
  Aslo she told me that i would have to get my two wisdom teeth removed is that necessary ?
  And my last question would be can braces be put on the.two peg lateral teeth or are they going to skip those ?
  
  Reply
  1. Dr Jules says:
    
    2015/06/09 at 5 h 10 min
    
    It is not always “necessary” on mandatory to enlarge laterals or other teeth that are too narrow to restore them to their “ideal” proportionate size but the advantage of doing so are :
    – it will improve esthetics by providing teeth that have better balanced proportions,
    – it will provide a better occlusion by allowing the teeth to fit better together (relation between both dental arches),
    – it will prevent having to bring the upper canine teeth too much forward to close a space between that tooth and the narrow lateral.
    
    An alternative to closing all the available anterior space if the laterals are significantly narrower than normal is to leave a gap between the canine ant the small lateral and, if necessary if the tooth is really narrow (true peg tooth) between the lateral and the central incisor.
    
    It is possible to put a bracket on a narrow tooth and move it orthodontically as long as it has a normal root. It the tooth is really narrow, it can be enlarger prior to the orthodontic treatment in order to allow the placement of a bracket on the tooth. The peg laterals may need to be moved as part of the orthodontic treatment and skipping them (no brackets on them) will not look too esthetic. 🙂
    
    You can see different examples of narrow laterals that were enlarge (and one example where they were enlarged before the orthodontic treatment) by following this link (this page has not been translated into English yet).
    
    The question about wisdom teeth is a totally unrelated issue and these teeth must be evaluated as such in a proper context. Have a panoramic radiograph taken by a dentist or orthodontist to obtain a better opinion.
    
    To learn more about wisdom teeth.
    
    Reply

Juoyu says:

2015/04/02 at 10 h 04 min

what will happen if my top teeth is 13 and bottom is 12 . Will it be weird after my braces is done because of not equal?

Dr Jules says:

2015/04/03 at 8 h 51 min

Asymmetrical extractions or missing teeth (anodontia) are common. This simply means that you will end up with an asymmetry in your dental arches but that is not really a problem from o functional and esthetic point of view (depending however on which tooth is missing). You can see different extraction patterns in this section (not translated yet). There are example of cases with a missing (extracted) lower incisor.

Reply
1. Juoyu says:
  
  2015/04/04 at 8 h 50 min
  
  Will it be ugly or i should asked my dentist to pluck another one to make ot balance?
  
  Reply
  1. Dr Jules says:
    
    2015/04/06 at 0 h 00 min
    
    Just removing a tooth ill balance the number of teeth in both arches but ill not change their alignment. Consultation a certified orthodontist before extracting a tooth just for esthetics.
    
    Reply

pawan pundir says:

2015/04/13 at 8 h 19 min

If I remove 4 teeth for orthodentic treatment then I am medicaly fit for army or not?

Dr Jules says:

2015/04/22 at 21 h 29 min

Dental extractions will not affect your ability to perform in any line of work

Reply

Micole says:

2015/04/14 at 8 h 33 min

my dentist just took off two of my permanent tooth. There’s a lot of space in it and she haven’t put anything on it to close the space. What do you think should I say to my dentist about that?

Dr Jules says:

2015/05/01 at 7 h 28 min

Well… it depends what you want to do with these spaces!
If you want your spaces closed, there are two may ways to do this; prosthodontics (replacing the tooth with a dental implant, bridge, partial denture, etc.) or orthodontics to move the teeth into the extraction space. You can see examples of orthodontic cases treated with extractions in this section (note translated yet). Discuss these options with your dentist.

Reply

Isreal says:

2015/04/14 at 20 h 48 min

Missing a permanent canine?
My orthodontist says i need braces. But I lost a canine tooth a couple of months ago and there is still no signs of growing does that mean its missing. Also does it mean the other one is missing? And finally if the other one is missing do I have to get it pulled?

Dr Jules says:

2015/04/17 at 8 h 23 min

Not necessarily. A simple panoramic radiograph will confirm the absence or absence of these teeth, their position and their direction of eruption if they are present. It is very rare to have a congenitally missing canine but if that is the case the canine on the opposing side doesn’t have to be extracted. It all depends on the overall orthodontic treatment plan.

Reply
1. Isreal says:
  
  2015/06/01 at 17 h 26 min
  
  It is now month six since I have lost my canine tooth and there are no signs of it coming back! Does it mean that its missing now? And how will my orthodontist fill the gaps when I get braces?
  
  Reply
  1. Dr Jules says:
    
    2015/06/05 at 15 h 40 min
    
    This is probably an indication that there is not enough space for the permanent canine to come in so it will very likely require some orthodontics to create the necessary space. A simple radiograph will confirm that the permanent tooth is present and will show its exact position. You will need to ask your orthodontist what he plans for that space.
    
    Reply
    1. Isreal says:
      
      2015/06/28 at 17 h 54 min
      
      That is really wired because the two spaces I have now are giant so really I have no idea what’s going on with my teeth. And each time I push down on these spaces there soft so I’m really confused. Mabey idi an get an X-ray from my dentist I can show it to you.
      
      Reply
      1. Dr Jules says:
        
        2015/06/28 at 18 h 41 min
        
        You realy need to consult a dentist. If he thinks that a radiograph is indicated, he will be able to tell you what is going on or refer your to someone who can.
        
        Reply

Kate says:

2015/04/20 at 6 h 28 min

hi my daughter needs to get braces but as none of her baby teeth have fallen out naturally they had been extracted by the school dentist over the last few years. She is now 13 and needs 5 more teeth extracted in the hope that the adult teeth will come down in the next 12 months and then braces can be put on. My question is she is a 13 year old girl who dances in lots of competitions and her smile is really important to her. We understand the need for the teeth to come out but can she have a temporary plate made in the mean time until the teeth come though?

Dr Jules says:

2015/04/22 at 21 h 21 min

It is possible to have such an appliance made but, unless the teeth to be extracted are anterior teeth, esthetics will not be really affected. At her age, if there are remaining temporary teeth to extract, they are probably second deciduous molars. If these teeth are extracted, it may indeed accelerate the eruption of the second premolars that will replace them but to avoid loosing space after these extractions, it may be indicated to use a space maintainer in one or both arches. Discuss that with your orthodontist.

Reply

Lizamae says:

2015/05/27 at 13 h 36 min

meron po akong pasta sa ngipin ko, bali sa unahang bahagi po siya nakapwesto (center I mean) kaso di siya pantay sa katabing ngipin ko, okay lang po ba magpabrace kahit may pasta kung nasa unahang ngipin ko?

Dr Jules says:

2015/05/27 at 15 h 41 min

My Filipino is a little rusty! You’ll have to write your question either in French, English or Spanish…

Reply

Gianna says:

2015/06/13 at 0 h 06 min

Can only a palatal expander provide space to enlarge my peg laterals?
I have peg laterals and unfortunately no gaps for veneers to correct the size of the small teeth. My orthodontist told me there is no way to create spaces for veneers without the use of a palatal expander. Is this true? If anything can the dentist shave some off my canines to make a bigger space?

Dr Jules says:

2015/06/18 at 1 h 02 min

I think that what your orthodontist is really saying is that he feels that you need some form of expansion to obtain additional space which will allow building up or enlarging your lateral incisors and the te best way to get that expansion is with an palatal expander.

This is a matter of opinion and technique because, as you can see in this section about cases treated with braces to obtain some dental arch expansion and “reshaping”, a palatal expander is not always necessary. All the cases shown in this section were treated with “braces” only (the page not translated into English yet).

Reply

vidya says:

2015/06/20 at 8 h 07 min

19yrs female… I had braces 4 yrs bck… Aftr 2 yrs my lower mandibular incisors slowly became crooked… And this made my maxillary incisors to get inclined… I consulted a dentist… He suggested me to get crown on my upper anteriors so that teeth can be straightened and it won’t move further… I got crowns… Nw I feel still my teeth are inclined… Not at all happy with the esthetics… I’m ready to have braces again… But will it work? I already had got four teeth extracted for ortho treatment… Nw is there a treatment for this? Please help

Dr Jules says:

2015/06/28 at 10 h 07 min

Nothing can “guarantee” that absolutely mo movement will occur on your teeth for the rest of your life. It is the nature of the teeth to move a bit throughout life, it is part of normal aging. Adding retention wires and using other forms or retention appliances after an orthodontic treatment will certainly help in maintaining the results obtained during an orthodontic treatment. I don’t see why an orthodontic treatment couldn’t work in your case (although I don’t have all the elements to evaluate your case).

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, appliances, duration, cost, etc.).

Reply

vidya says:

2015/06/20 at 8 h 18 min

Will there be a problem if more than 4 teeth are extracted for the treatment and will the incisors with cap gets straightened with ortho treatment? Being a teenager I am really concerned about esthetics… I really feel low and do not hav confidence to smile also… Please let me knw if I can do something about this

Dr Jules says:

2015/06/28 at 10 h 08 min

Incisors that have been capped can be moved orthodontically it the preridontium (bone, ligament and gingiva around the teeth) is sound and healthy. The fact that extractions are necessary or not will not change anything to that fact. You can see cases treated orthodontically with dental extractions on this page (not translated into English yet).
There probably can be something done about your malocclusion but consult a certified orthodontist to find out more about what is possible in your case.

Reply

jay says:

2015/07/08 at 19 h 59 min

I’ve had braces for a week now. N they seem to be making my teeth worser. Im missing four lower molars so my top teeth are slightly falling. I ask my orthodontics did I need to get an implant while I have the braces before my teeth get any worser and he said no,the braces will pull up the teeth some. Any advice about my situation,….thanks.

Dr Jules says:

2015/07/10 at 23 h 38 min

The only advice I could give you is to discuss your concerns with your orthodontist as he is the person who knows your case and he is best qualified to explain what the treatment plan is.

Reply

Viji says:

2015/07/09 at 6 h 48 min

I had wear braces in 2010 but now I found that there is a gap in my front teeth.I am comfort with using a removable braces.suggest me if removable braces is enough or not to minimize the gap. And also suggest how long it can be used

Dr Jules says:

2015/07/10 at 23 h 36 min

A small gap can be closed with any type of appliance. Sometimes it could be closed instantly with pliers as shown in this example.

Reply

Gabby says:

2015/07/12 at 17 h 03 min

My orthodontists shaved down my teeth and I now have a gap
Hi I am almost done with my braces as all of them are straight. But the orthodonist shaved down my teeth and made a pretty big gap in between my upper front teeth and its been two months and the gap is still there. I do not underatand why the gap was made in the first place but I worry that it will not go away and my thousands of dollars are going to go down the drain. I keep woreying about the gap and ive asked the orthodontist but she sucks at communicating with me. So all I want to know is if the gap will close and that my money wont go down the drain because the gap will eventually close. I had butterfly front teeth and supposedly thats why the gap was made but I worry that the gap will not close and Ill be stuck with something i did not pay for. Please help me

Dr Jules says:

2015/07/12 at 21 h 28 min

Your orthodontist may not be a good communicator but you should insist on obtaining explanations concerning what is going on in your mouth and what are the treatment objectives from this point on until the end. It is certainly feasible to close your gap but ask her when it will be closed, why that space was created, etc. You are entitled to have some answers about your treatment!

Reply

Joy says:

2015/07/28 at 14 h 25 min

Why put braces on a 10 year old?
My daughter is 10 years old and they want to put braces on her now to fix spacing and her underbite. They will take them off and put them back on later after all her adult teeth have come in. Is this something done often now? I had to have an appliance and braces but not til I was a teenager. This doctor does not use expanders at all.

Dr Jules says:

2015/07/28 at 16 h 13 min

The first question that comes to mind is WHY is it indicated to intervene at this stage.

If it is only for esthetics purposes and the esthetics of your daughter’s smile do not bother you or her, orthodontic corrections can certainly be postponed.
If, however, there is a functional advantage in making early corrections such as to eliminate an anterior cross bite that may cause a lower jaw shift, tooth wear, gum recession, etc. it is well indicated and preferable to make these corrections now as it mqy take years before she is ready to have “global” corrections made and some damage can occur during that period of time. These procedures are called preventive and interceptive” orthodontic procedures and they are frequently done in orthodontics… when there are indications to do it. I can’t tell if that applies to your daughter but do not hesitate to ask the practitioner WHY he/she thinks it would be indicated or necessary to make this early intervention now.

Here’s an example of an early correction in a 7 year old girl. Treatment lasts a few months only then the braces are removed and the eruption of the other permanent teeth is monitored until the permanent dentition will be completed and a second orthodontic corrective phase will be done if necessary (it is usually necessary in most cases). Not having made such corrections at that age could have lead to damage to the teeth and gum tissues over the following years. Most patients will not need braces until they are teenagers, as in your case, but there are indications to make corrections before the permanent dentition is completed.

Reply

Ericca says:

2015/08/22 at 5 h 10 min

Can I still have braces if I am missing some molars?
Why do I only have two molar on my upper and lower teeth? Can I still have braces if my wisdom tooth on both sides on my upper teeth are damaged(i think its not complete and it is only half now)? And I loss two molar tooth on both sides on my lower teeth. Can I still have braces? How? Ive watched how the braces were inserted, and they are putting some full metal on the last two teeth. Now that I only have one tooth on back of my teeth on my lower teeth, and the last tooth on both sides of my upper teeth are not the same with the usual molar teeth, how will the metal(from what Ive watched) can be inserted? Please answer my question. My mom wants me to have braces because my teeth arent aligned properly. Thank you.

Dr Jules says:

2015/09/07 at 20 h 26 min

You cans still have braces if some teeth are missing. Today, metal bands are rarely needed on molars ant brackets or tubes that are glued on the teeth are used.

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.) ans you should get the answers to all your questions.

Reply

brittany says:

2015/09/09 at 21 h 52 min

My son got a space maintaner and he has blue glue on his tooth will this go away and how long should it take before its gone

Dr Jules says:

2015/09/16 at 21 h 43 min

If the blue glue is excess glue, it will probably wear out and go away with time. The glue holding the bands of the space maintainer and which is probably also visible should however remain on the tooth as it is holding the appliance.

Reply

Thinzar says:

2015/09/22 at 1 h 10 min

Is this a normal orthodontic technique?
I’m 22 years old and I’ve been seeing the orthodontist since February 2015. I have my 4 teeth removed in March. As far as I know, I’m supposed to have braces by now. But my orthodontist only uses two brackets on each tooth next to my removed teeth. Then he connects two brackets with a plastic cord. Since my 4 teeth are pulled out, he uses 8 brackets and 4 plastic strings in total.
That is to close the gap I guess and now all four gaps are nearly close.
But I was wondering is it normal? I made a little research on the internet and found that everyone have braces on soon after they have their teeth pulled out. But in my case, the doc still don’t do anything to my front teeth.

Dr Jules says:

2015/09/23 at 8 h 03 min

Using only 4 brackets and some elastic thread (and no orthodontic wire?) seems like an unusual orthodontic technique indeed? You’ll have to question your orthodontist about his method and treatment objectives…

Are you being treated by certified specialist in orthodontics (orthodontist)?

Reply

gemmaturner says:

2015/09/22 at 15 h 31 min

I have a tiny tiny wee gap in my bottom teeth how do I get it fixed

Dr Jules says:

2015/09/23 at 7 h 55 min

Either through orthodontic space closure or restorative composite build-ups by your dentist.

Reply

Wendy says:

2015/11/30 at 18 h 18 min

I am 38 and just got braces for the 2nd time. My dentist actually recommended that I see an orthodontist because I grind my teeth so badly, I have moved them around quite a bit. After having the braces put on, the orthodontist put a “bump” on my top back molar to prevent me from grinding. It has only been one week since I had my braces put on and I have already ground the “bump” down to almost nothing. Is there an appliance I could ask the orthodontist to put on that would keep me from grinding. I was thinking of a bite plane but wasn’t sure it that would be what I needed. Thanks in advance for you help!

Dr Jules says:

2015/12/12 at 11 h 41 min

The “bump” or any other appliance will not “prevent” you from grinding but will try to minimize the effect of the grinding on the teeth.
There are indeed many types of appliances that can be used to “open a bite” and prevent opposing teeth from touching during orthodontic corrections. You can see examples of these appliances on this page.

Reply

Ada says:

2015/12/02 at 2 h 49 min

I am wearing braces on my lower teeth, on my upper, i only have 4 remaining permanent teeth, 2 canine and 1 molar on both sides, and d rest are dentures. THe problem is, i have an overbite, and this causes the brackets to loosen every now and then because my upper canine keeps hitting it.. what would be the best remedy..tnx..

Dr Jules says:

2015/12/12 at 11 h 38 min

Well… ùI don’t know who is treating you (a certified orthodontist or a general dentist) but there are ways to “open a bite” during orthodontic corrections to prevent the upper teeth from biting on the opposing lower teeth. Most orthodontists know these tricks. You can see examples of the appliances that can be used on this page.

Reply

Mac says:

2015/12/03 at 4 h 00 min

Is it possible to have a denture fitted while braces are attached?

Dr Jules says:

2015/12/20 at 19 h 41 min

In certain cases yes but you would have to check with an orthodontist for your specific case.

Reply

Sareen says:

2015/12/06 at 16 h 09 min

Hi,
i have bridge for four teeth done four years back
Its very uncomfortable and my teeth are protuded
Can i wear braces
Can i remove bridge again and wear braces?

Dr Jules says:

2015/12/20 at 19 h 44 min

Yes.
You can see examples of cases treated orthodontically that had bridges removed or partially cut for the orthodontic treatment on this page. (page not translated yet, the text is in French)

Reply

Sareen says:

2015/12/06 at 16 h 11 min

Hii i have bridge for four teeth thats is done before four years
I have protuded teeth
Can i remove bridge and wear braces

Dr Jules says:

2015/12/07 at 21 h 31 min

It can probably be done but you’ll need to have good bone support around the teeth to consider orthodontics.
Consult certified orthodontist to find out what is possible in your case.

Reply

Judy says:

2015/12/08 at 19 h 15 min

Should I replace a broken removable retainer after 4 years?
I had wire braces as an adult, and they were on for almost 4 years. I have been diligent with the usage of my retainers, and 10 years later my teeth remain perfectly straight.
I have a fixed interior wire inside my four incisors.
My question, I broke my bottom retainer . Both my general dentist and my periodontist think it IS NOT NECESSARY TO WEAR THE BOTTOM RETAINER because I have the fixed wire. This makes me nervous.
I would like another opinion. Thank you very much.

Dr Jules says:

2015/12/20 at 19 h 40 min

Well… there is no absolute truth in dentistry, orthodontics and especially when it comes to long term retention of treated cases.
I would say that, after a few years (as in your case), the fixed retainers provide most of the necessary retention. If you still had the removable retainer and it would fit properly, you could certainly continue to wear it if you wanted. When patienst loose or break their retainers after a few years, I usually don’t recommend that they don’t have another one made. There are a few exceptions however depending on the treated malocclusion; severe open bites or deep bites, transverse problems (arch width discrepancies), and a few others.

Reply

+639363283078 says:

2015/12/13 at 15 h 27 min

Hi! i had braces for 5mos and upon searching about parts of braces i found out that mine was not standard of having braces . I was just curious. Id been reseaching and i also watch youtube video about braces of how does it put up and then this… im so frustrated at upset thinking about it. Does mine is correctly done with my ortho.my case is an overbite.my ortho didnt conduct an x-ray as if he just put the metal on my teeth and then thats it.. I hope you can help me.ty.

Dr Jules says:

2015/12/17 at 19 h 16 min

I can’t really help you, you will have to discuss these issues with your practitioner. It is unusual and not standard of care” not to take diagnostic records before starting a major orthodontic treatment (models, photos, radiographs, etc.) so make sure that if you have doubts about your treatment that you are dealing with a certified and qualified specialist in orthodontics (orthodontist)

Reply

ukht says:

2015/12/23 at 3 h 43 min

Can I remove my own braces?
I want to know that if we can remove braces before completion of course…
It has been two days ,my treatment started now I don’t want brace sooo can I remove it?

Dr Jules says:

2015/12/30 at 21 h 38 min

Well… you can always ask the practitioner who put your braces on to remove them but DO NOT TRY to do that yourself, it could be dangerous and you could harm yourself and damage your teeth and gums.

Reply

J says:

2016/01/03 at 13 h 45 min

I’m missing my back upper teeth on the right, two on the bottom left in the back. Can I get braces and will my teeth look weird afterwards?

Dr Jules says:

2016/01/03 at 21 h 55 min

You can probalby get braces on the remaining teeth if you are in good dental health and your teeth will certainly look better after the orthodontic treatment than before.
Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

Star says:

2016/01/03 at 16 h 52 min

Can I get braces with 3 lower incisors?
Hi, I was told that I have 3 front teeths on the bottom and that I’m suppose to have 4 so does my sister and we get that from someone in my family , will this affect us from getting braces? Do we need to get implants or implants is something you can do if you want? Please answer me what needs to be done or is there nothing that could be done, could I still get them without implants?

Dr Jules says:

2016/01/04 at 23 h 09 min

Having only 3 lower incisors will cause some degree of asymmetry in the lower dental arch but this doesn’t prevent you from considering orthodontic corrections. Most of the time, you can stay with 3 incisors and avoir the need to create a space to place an dental implant that would replace the missing incisor. You can see a few examples of cases treated with 3 lower incisors by following this link (text in French).

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

anita says:

2016/01/23 at 3 h 04 min

hi, My upper canine teeth and incisor teeth is crowded. my doctor recommended me for four teeth extraction but sine my age is 27 yrs and i don’t want to loose four teeth.so i was ready for two teeth extraction. now he removed my one premolar teeth from upper and one lower insior teeth. i m worried now. i don’t know whether i have taken a right deciion. he is also saying my upper middle line will also shift towards right.

please suggest what should i do now. m really wooried now.

Dr Jules says:

2016/01/24 at 10 h 42 min

If the recommendation was to extract 4 teeth without this being followed by an orthodontic treatment, it is very unlikely that this will solve the problem as teeth may drift and move uncontrollably and not correct your occlusion problems (which you likely have which such crowding requiring extractions). You can see examples of cases where this was done; extraction of teeth without orthodontics in this section (text in French but the photos speak for themselves!).

To see more extraction cases followed by orthodontics.

My suggestion?

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

Asia says:

2016/02/08 at 14 h 50 min

Can orthodontics close my extraction spaces?
Hi. I have had 3 permanent teeth removed in the back, one on the right top two on the left top and bottom and two wisdom teeth removed from the left side, top and bottom. Now the spaces are trying to be filled with my one tooth left on the left side and the coming in of my wisdom teeth on the right top and bottom. Will braces be able to push my chewing teeth back into place and then be able to get fake teeth placed in to fill the gaps?

Dr Jules says:

2016/02/10 at 7 h 41 min

Depending on the width of the space and its exact location in the mouth and your occlusion, orthodontics may even allow to completely close that space.
To see some examples of extraction space closure (see also molar extractions and the mini-screw section. Mini-screws are often usen as an adjunct in closing large spaces) . Ask a certified specialist in orthodontics (orthodontist) about the feasibility of such a treatment plan.

Reply

Torria says:

2016/02/09 at 15 h 30 min

I have about two questions
I recently had my baby teeth removed my permanent teeth were under my baby had already came thru the gums an my 1st molar teeth pushed my baby molar teeth to the side they pulled that baby teeth to so in all I had 5 baby teeth removed one of my questions is that they pulled all my 2nd molar teeth top and bottom which are 4 teeth in all my dentist referred me to an orthodontist but my question is what is going to happen will they put the band on my 3rd molar teeth or do I had to wait until my 2nd molar teeth grow back and my second question is that will they put a bracket on my 1st molar permanent teeth it is thru my gums but it’s not fully threw yet it’s threw my gum enough to put a bracket on it but it will be on my gum a little will it hurt ?

Dr Jules says:

2016/02/10 at 21 h 39 min

Your description is a little hard to understand but consult a certified orthodontist and he/she will be able to answer all your questions concerning possible treatment plans and options.

Reply

neina says:

2016/02/14 at 16 h 20 min

MY front tooth got knocked down in.an accident 14years back. My root was placed back and did root canal.4 years later I got an infection in gum above tht tooth and cleared opening up. I wanted to align my teeth. Is it OK to use braces .please help.

Dr Jules says:

2016/02/14 at 17 h 40 min

Having a root canal is not a contra indication for orthodontics if your root is still intact. Consule an certified specialist in orthodontics (orthodontist) to find out the possibilities of orthodontics for your case.

Reply

Sana says:

2016/02/17 at 16 h 29 min

Hi, i have also applied braces for the last years. Noe my orthodontics want me to remove the braces as my teeth cannot be further treated but I am not satisfied my teeth are not properly aligned. I want you to show my teeth curent position ao you may be able to suggest if they can be treated further or not. If yes, then i will switch my orthodontics.
Regards

Dr Jules says:

2016/02/20 at 17 h 16 min

You’ll have to discuss this issue with your orthodontist. Even if I was to suggest something about your treatment, you would still have to be treated by your orthodontist.

Reply

Sharon U says:

2016/03/09 at 16 h 03 min

Missing lateral incisor; the orthodontist never told us that there would be an unesthetic space
We got my son braces two years ago (age 13). The orthodontist told us he has a missing tooth, which never grew in. I have the same condition for one tooth, and in both cases it was not noticeable, because the other teeth all filled in the area. The orthodontist said rather than fully close the “missing tooth area” in my son (which was tiny at the time), he wanted to expand it bigger with the 2-4 years of braces, for the purpose of an implant. I did express concern that the gap was being made bigger rather than smaller (which I thought was the purpose of the braces). However, not being given any other option, and not knowing anything about dental treatment, I of course relented, with who I thought was the expert.

The gap is now very big and extremely noticeable, and right in front of my son’s smile. My son is 15, so of course is insecure about it, and hates smiling for anyone now. I have repeatedly asked for an update on when my son will get the implant, because the hole is very big, certainly big enough for an implant by now. The orthodontist told my son recently (not in my presence) that he will not get an implant until he is at least 21 years old, which at this point is now 6 years away, and my son only needs 2 more years of braces.

Had we known at the time of getting braces, that he would not get the implant for 8 years, I would have absolutely taken him to another orthodontist. Naturally, my son is devastated, and I am furious. Is there any other option we have? My son does not want this gaping hole in the front of his smile until he is 21 years old, and unfortunately now it seems too late.

Dr Jules says:

2016/03/13 at 20 h 19 min

The tooth that your son is missing is probably an upper lateral incisor (second tooth from the center) and this is a fairly common problem (dental anodontia). The options in such a case are to close the space or open it for future prosthetic replacement, which is hat your orthodontist seems to be doing. This should have normally been explained to your even before the start of the orthodontic treatment. As the lateral space is opened during the orthodontic corrections, it is possible to add a prosthetic tooth on the braces to fill in the gap and provide a more esthetic smile.

When to place a dental implant?
It is usually indicated to wait until the end of facial growth to place a dental implant because any remaining vertical growth may make the implant become uneven with the other teeth. This is not necessarily at age 21 (end of growth), there are variations between individuals, but your son will certainly have to wait a few more years before an implant can be placed. In the meantime he can probably have some form of orthodontic retainer (after the removal of the braces) with a prosthetic tooth on it of have a temporary bridge such as a Maryland bridge (ask your dentist for details). To see examples of retainers with prosthetic incisors.

You can see examples of orthodontic space closure and opening for prosthetic replacement for upper laterals on this page and to see examples of dental implants (texts in French not translated yet)

There are examples of esthetic solutions for missing laterals during orthodontic treatment in this section and in the following illustrations:

Reply

Dennis says:

2016/03/17 at 3 h 36 min

Can I have a dental bridge made before orthodontics?
Hi, I wear braces last March 2015 lower only bec dentist told me to fix my bite before I wear the fixbridge in upper almost whole in upper. Around august 2015 I got my bridge then Dec. 2015 braces was removed. My question is I have 3 front missing teeth lower left. Is it possible to replace the missing teeth if I undergo braces again? Just curious bec it’s really hard to clean bridges and as much as possible I want my lower teeth save as real

Dr Jules says:

2016/03/23 at 22 h 38 min

Orthodontics is possible even if you have a dental bridge in your mouth. It will not be possible to move this bridge with braces however so before having the bridge made, you should consult your general dentist and certified specialist in orthodontics (orthodontist) to better plan the tooth movements that will optimize the future bridge. Sometimes, moving, uprighting tipped teeth, etc. can better position teeth to receive a dental bridge.

Reply

Dennis says:

2016/03/17 at 3 h 49 min

Is it possible to close a very wide gap using brace like for example 3 lower teeth in front 1premolar

Dr Jules says:

2016/03/23 at 22 h 30 min

Front gaps can be closed orthodontically. Consult a certified specialist in orthodontics (orthodontist) to see if it is oss for your case.

Reply

Barbara Sherrington says:

2016/03/17 at 9 h 56 min

Tough stains on teeth won’t go away
I have had braces on my bottom teeth for more than 9 months. (I am 70 years old and had one tooth removed before the braces were put on). The teeth have moved a lot and I’m hoping to have the braces removed in a few months (am now in the UK visiting my children so will not see my orthodontist until May, in the USA – Vermont). A couple of teeth at the front have become very dark yellow between the gum and the bottom of the braces despite the fact that I brush my teeth 3x a day, floss daily and use small interdental brushes. I have always had regular dental care (hygienist 3x a year, check-up 2x a year) and never eat the things which are prohibited with braces. Nevertheless, this colouration is there and it is upsetting. What can I do?
Barbara

Dr Jules says:

2016/03/23 at 22 h 33 min

If this coloration recently appeared, it is very likely surface staining caused by food, drinks, smoking, etc. Besides good oral hygiene, there is not much you can do yourself. Using an ultrasonic tooth brush like a Sonicare (Sonicare.com) has been shown to help such cases (depending on the cause of the stains).

Reply

Marj says:

2016/04/12 at 3 h 37 min

Can I wear brances eventhough I don’t have all my molar, the 1st, 2nd, and 3rd in up and down part ? Thanks.

Dr Jules says:

2016/04/12 at 18 h 15 min

You can probably have an orthodontic treatment even if you have missing teeth. Consult an certified specialist in orthodontics (orthodontist) to learn more about the possibilities of orthodontics in your case.

Reply

Sujee says:

2016/04/19 at 21 h 02 min

I have a tooth implant which is my front tooth. is it possible to still get braces? will my implant be affected or affect this procedure?

Dr Jules says:

2016/04/23 at 21 h 21 min

It is possible to have braces if you have a dental implant but the implant cannot be moved so this tooth will have to stay in that position. Depending on which tooth it is and its position (is it well placed in the dental arch), this may be a problem or not. Sometimes, it may even be beneficial to have a dental implant in the pack of the dental arch as it can serve as anchorage for the orthodontic appliances (“braces”).

The following example shows a patient with a dental implant replacing the upper right central incisor. Orthodontics can still be done but the implant will not move at all. In this case it was not much of a problem because the implant and the crown it replaces were in an acceptable position to start with.

Reply
Victoria says:

2016/11/29 at 23 h 06 min

Can I chew gum with braces

Reply
1. Dr Jules says:
  
  2016/12/02 at 16 h 36 min
  
  In theory, you can chew anything you want if you are very careful but you will be the one having to clean your teeth.
  
  ➡ To learn more about alimentation, diet and food during an orthodontic treatment.
  
  Reply

Jasmine says:

2016/04/20 at 22 h 59 min

I got majority of my baby teeth removed and there is no adult teeth growing to replace them. I am seeking implants but unfortunately I need braces first. I fear getting braces with so much teeth missing, plus I will not be able to chew food. I do not think my dentist will leave me unable to chew food. How will he provide me with braces and “temporary teeth” or whatever, so that I can chew? Is there other options for me? I know I need braces, but how is that possible with so much missing teeth?

Dr Jules says:

2016/04/23 at 17 h 21 min

Your case is too specific to answer with a general answer.
Your questions are excellent but you should ask them to your orthodontist as he is the one who will do the treatment plan and chose the appliances, etc.

Reply

JOSE says:

2016/05/01 at 21 h 00 min

Can I have a missing tooth added to my braces?
I currently have braces and I am missing one tooth and I have brackets on all my teeth. Can I go to a dentist to get a bridge with brackets on the teeth they might have to connect the bridge to or would I have to have my orthodontist remove the surrounding brackets first?

Dr Jules says:

2016/05/03 at 18 h 50 min

You can ask your orthodontist to add an artificial tooth to the bracket set-up as in these cases.

Having a fixed bridge is usually not a good idea because this would prevent orthodontic movement of the teeth that the bridge is attached to.

Reply

Kaci says:

2016/05/09 at 6 h 13 min

I have braces and I am worried about my teeth being whiter that underneath my brackets and do dentists clean and whiten your teeth after your braces have came off?

Dr Jules says:

2016/05/11 at 21 h 34 min

If you brush your teeth properly and maintain good oral hygiene during your treatment you will not have any problem with tooth decalcification or caries. If you don’t you certainly will have problems! To learn more about oral hygiene and stains on the teeth during an orthodontic treatment.

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Mayar says:

2016/05/13 at 10 h 24 min

I need a root canal but I cannot afford it therefore my dentist said that we would extract the tooth . It’s the Third bottom right molar. My question is I just got braces a week ago so how will getting a tooth extraction affect my braces in treatment time and will that be possible? My treatment is supposed to last 18 months. Thanks!

Dr Jules says:

2016/05/15 at 12 h 05 min

If the molar to be extracted is a third molar (wisdom tooth), it may noe have a big impact on your orhodontic treatment but your orthodontist is in a better position than me to answer such a question.

Reply

Lexi says:

2016/05/20 at 22 h 09 min

If I have straight top and Crooked bottom teeth do u think I would or would not need braces?

Dr Jules says:

2016/05/21 at 17 h 55 min

Maybe… Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply
Ali says:

2016/11/19 at 16 h 40 min

I’m not a real dentist but… I think u will need a brace on ur bottom tooth

Reply

Sam says:

2016/05/23 at 3 h 25 min

Problem with an artificial tooth in an Invisalign aligner
Hello, I just started the implant process (on Wednesday) for my front left top tooth (upper left central incisor I think?). The Invisalign I have now won’t fit over the surgical area because my orthodontist put a tooth in that spot. Could I cut out that fake in the Invisalign and at the retainer itself to make it fit without actually cutting it in two pieces? Would two pieces (without covering the implant part) work just as well? Should I just wait another week and a half without wearing the Invisalign to talk with my orthodontist? Lastly, with having the implant process done in October, would making another Invisalign be worth it?
Sorry for all the questions and thanks!

Dr Jules says:

2016/06/01 at 23 h 01 min

You should call your orthodontist asap and have him solve this problem which should have been anticipated to start with as it was very predictable. If the fake tooth exerts too much pressure on the surgical implant site, it will have to be reduced in height to eliminate all pressure on the soft tissues (gingiva) to allow it to heal better and faster. Don’t stop wearing the aligner if you can wear it but stop it the discomfort is too great. The fake tooth could probably be removed altogether (although it may cause an esthetic problem…). You have to wear “something” until the implant placement completed to prevent the space form closing and preventing adequate implant placement. Discuss the best ways to maintain that space with your orthodontist.

Reply

Bella says:

2016/05/28 at 23 h 49 min

I have my upper expander for about a week and a half. I have to turn it twice a week and after turning it 3 times it seems to be only pushing out the 4 teeth that it is attatched to. Is this normal?

Dr Jules says:

2016/06/01 at 22 h 46 min

the first teeth to move with a palatal expander are the teeth the appliance is anchored on. After that, the incisors will separate creating an anterior diastema (space). If you are not sure about what is happening in your mouth, do not hesitate to call your orthodontist.

Reply

07583099010 says:

2016/06/02 at 11 h 18 min

Will retention wires straighten my teeth?
I got my braces off around 2 years ago, I have worn my retainers and my teeth haven’t moved that much… However there are a few teeth that have and I want them to be perfectly straight without having to have braces again, my dentist mentioned a fixed wire at the back of my front teeth top and bottom, I was wondering if this wire puts them back into place or whether it just holds them in the position they are currently in so that therefore they don’t move anymore ?

Dr Jules says:

2016/06/03 at 15 h 58 min

The wires you are describing seem to be retention wires and their purpose is to try to maintain teeth in their actual position, not move them or correct their malposition. If you want to move teeth, you need active appliances and wires anr retention wires don’t do that.
To learn more about orthodontic retention and tooth stability.

By the way, forget about trying to achieve a perfect tooth alignment that will last a lifetime because your will be extremely disappointed in both cases.

Reply

Rajini says:

2016/06/06 at 3 h 11 min

hi sir
i had braces for front teeth gaps..after removing that i had temporary clip and i had laser treatment for gums swell..now it is healed but gaps in my front teeth was increasing again..but now one of my tooth needs rootcannal treatment..what should i do? as after root cannal treatment i will be not able to use my temporary braces so gaps will increase again and will come into same previous position..im afraiding about my situation sir..plz help me..

Dr Jules says:

2016/06/12 at 9 h 55 min

It may be necessary to remove the retention wire to have a root canal treatment done but it could be replaced after the root canal treatment is done. This can be done within a few days so there should not be any significant tooth movement occurring. Ask your dentist what he recommends.

Reply

derek says:

2016/06/20 at 17 h 01 min

It’s exam time and I was 5 days late for getting my braces tightened, will this cause any problems?

Dr Jules says:

2016/06/21 at 21 h 27 min

NO!

Reply

Sussy says:

2016/06/30 at 5 h 46 min

Hi,
I am 26 year old. 5 years back, I had braces for front teeth gaps.. I didn’t wear retainer properly.. now gaps in my front teeth is increasing again… And I would like to wear braces again… Can I put braces once more… one of my front teeth is misaligned

Dr Jules says:

2016/06/30 at 23 h 29 min

If your teeth and periodontium (gingiva and bone surrounding the teeth) are healthy, you can certainly consider having another orthodontic treatment.

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

Michaela says:

2016/07/03 at 2 h 04 min

How will I know if my expander was not fitted?

Dr Jules says:

2016/07/08 at 17 h 29 min

Ask the practionner who put it into your mouth if it is fitted properly!

Reply

Amanda says:

2016/07/12 at 23 h 44 min

I have braces right now and I don’t want them anymore. Will I have to pay back what my insurance already paid if I choose to stop treatment ?

Dr Jules says:

2016/07/17 at 21 h 20 min

This is a matter that you will have to check with your insurance.

Reply

Aneeca says:

2016/08/05 at 22 h 12 min

can i still get a gold tooth cap if i have a permanent retainer ??

Dr Jules says:

2016/08/05 at 22 h 44 min

Yes but it will not be possible to glue a retainer on the gold surface, only on the other teeth that have natural enamel.

Reply

Alex Cole says:

2016/08/18 at 15 h 03 min

hello i am 12 i have a baby tooth a first molar and is wobbly but not coming out
what should ido

Dr Jules says:

2016/08/18 at 18 h 28 min

Consult your dentist, he will know what to do. He may refer you to an orthodontist if necessary.

Reply

naeem says:

2016/08/25 at 12 h 41 min

My teeths were v front i recieved ortho treatment. treatment was okay finally retainer (not fixed one) was given after some days my teeths have again come front..and i am feeling v uncomfortable its difficult for me to opening mouth talking. Its about 3 years now..doctor did not tell about fixed retainer what can i dow now. i feel my the natural shape is mis adjusted now… so it has become v difficult for reading talking

Dr Jules says:

2016/08/26 at 16 h 35 min

Go back to see the doctor who treated you to see what solution he can offer you. This may require a “re-treatment”.

Reply

Amber Smith says:

2016/09/19 at 3 h 32 min

I got spacers in two days ago and one just fell out so I put it back in with floss… but I can’t even see it anymore, could I have put it too far into my gums? Will it loosen it’s way out so I can see it again?

Dr Jules says:

2016/09/20 at 19 h 33 min

I could indeed have been pushed down too far under the gum. If this happens, it will not necessarily come back up and may stay embedded in the gum tissue and cause damage. Staying like that a few days should not be a problem but make sure that your orthodontist looks and finds that spacer when you see him again. It may be necessary to take a radiograph to locate it if it is not found.
You can see examples of damage caused by embedded spacers and elastics in the “Do-it yourself” orthodontic section.

Reply

0503022443 says:

2016/11/13 at 3 h 49 min

Hello and good day, i went to orthodontist, my case is i have missing central front tooth upper, but also i have a overbite so i need to move backward my upper teeth, but the doctor said they need to extract two teeth in the upper teeth. my question is, it is ok to extract two more teeth? to move backward my upper teeth? and we can also put a brace? i planed it after braces i will put implant in the missing one.

hopefully u can help with my problems….
thank you and best regards…

Dr Jules says:

2016/11/13 at 18 h 28 min

Extractions are done regularly in orthodontics and there are many indications to extract teeth.
➡ To learn more about extractions in orthodontics.

Reply

Julie says:

2016/11/16 at 13 h 26 min

I have 3 missing tooth. Mostly under. Can i still have braces?

Dr Jules says:

2016/11/16 at 21 h 57 min

Certainly!

Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

Cynthia says:

2016/11/16 at 19 h 09 min

I had a dentist pull my front 2 teeth yrs ago and put in a bridge. The orthodontist is wanting to cut the bridge with only the braces/wire holding on plastic temporary teeth for the duration of the braces. I am terrified of so many things…will there be a space between my gums & the temporary teeth?, will there be whistling when I speak?, will they visibly move when I’m speaking?! Please lend me your advice!

Dr Jules says:

2016/11/16 at 22 h 02 min

If it is well planned and done, the prosthetic teeth placed on orthodontic wires can be very esthetic and be relatively functional, stable and will not affect your speech. Discuss your fears with your orthodontist.
To see examples of prosthetic teeth used during an orthodontic treatment.

Reply

Catherine says:

2016/11/17 at 2 h 57 min

I have to have an abscess tooth pulled. I believe it’s molar #3. Would I still be able to get braces even though I have to get that tooth extracted because of the infection and decay?

Dr Jules says:

2016/11/20 at 20 h 43 min

Missing a tooth is not a contraindication for orthodontics. Consult an orthodontist to see what can be done in your case.

Reply

Ali says:

2016/11/19 at 16 h 35 min

If you suck ur thumb and ur left with ur teeth stuck out then would u have a brace on only those two teeth and also if u do how to get full mouthed braces

Dr Jules says:

2016/11/20 at 20 h 41 min

It is very unlikely that only 2 teeth are problematic in a thumb sucker so he will very likely need braces to correct the global problem which will probably require full braces.
Consult a certified specialist in orthodontics (orthodontist) to find out more about your case (diagnosis, malocclusion, etc.) and what are the possible treatment options (ideal treatment, alternatives, prognosis, appliances, duration, cost, etc.).

Reply

Mohinabonu says:

2017/01/23 at 19 h 32 min

When can an expansion appliance be removed?
Hello! I have a temporary fake tooth that’s glued to my retainer and the retainer is glued to the back of my teeth. It’s going blackish yellow and its breaking from the back. It’s making my smile ugly. My dentist said all I needed to do was floss but the tooth is blackish yellow and my other teeth are superwhite. Please please please, help me out! What should I do?

Dr Jules says:

2017/01/27 at 15 h 51 min

An rapid maxillary expansion appliance is normally left in the mouth at least 3 months after the end of the active expansion phase (turning the expansion screw) but if there are problems, it can be removed at any time to be replaced by a different holding or retention appliance if necessary.

Reply

Austin says:

2017/02/15 at 20 h 01 min

I’m a teenager who needs implants how long will I be out of school for

Dr Jules says:

2017/02/17 at 14 h 14 min

Dental implants for a teenager?
First of all make sure that you are are good case for dental implants (your dentist should know that…) because there are a lot of contraindications to placing dental implants in teenagers before the completion of their jaw growth.

You can probably go back to school the next day depending on how many implants were put in and in which area of your mouth.

Reply

Lisa Tatum says:

2017/05/01 at 8 h 58 min

On the top half of my mouth I only have teeth 6-11 and 2, on lower half 20-29. I want implants on lower half but have severe occlusion with a pronounced over bite a result of years of thumb sucking when younger. . My endodontist wants me to wear braces before implants are placed on lower half and says that I have plenty of bone structure present now. I may or may not get implants on top portion of my mouth but definitely want them on bottom especially before any bone loss can occur. I also feel that in missing so many teeth that there is not much to anchor braces to. Is it possible to have them placed on top half only or should I get implants at least on 17 and 32 for an anchor?

Dr Jules says:

2017/05/21 at 22 h 33 min

Your case seems very complex! The best way to find out what is possible in your case is to consult a certified specialist in orthodontics (orthodontist) and have him or her communicate with your dentist so that they can elaborate a common treatment plan to better help you with an inter-disciplinary approach.

Reply

Vijay says:

2017/05/19 at 5 h 59 min

After bonding the teeth can the brace be installed

Dr Jules says:

2017/05/21 at 22 h 28 min

Yes braces can be put on teeth that have composite restorations (bonding).

Reply

Pratibha patil says:

2017/05/31 at 7 h 20 min

I have put on braces ..it had been 4 months now …i have braces for closing gaps between my front teeth but now i think i dont have enough space for my tongue and my lower teeth are pushed too inside i cant eat properly and some of my teeth are wrong hitting each other …i asked my dentist she said that its normal ….what should i do ?

Dr Jules says:

2017/06/08 at 21 h 50 min

Simply closing gaps between front teeth should not reduce the available space for the tongue to the point where it alters its function.
If you feel that your teeth don’t fit or hit properly, discuss it with your dentist and if she says that it is OK but you still feel it is not, consult a certified specialist in orthodontics (orthodontist) to have another opinion.

Reply

ROBERTA HUDSON says:

2017/06/04 at 8 h 58 min

Can we eliminate black triangular spaces between the teeth?
Getting braces removed next month. I now have slight gaps at the base of my bottom front teeth by the gums. Can this be fixed?

Dr Jules says:

2017/06/08 at 16 h 46 min

If your incisors are touching near the tip but there is a gap near the gingival area (gums) it is caused by a loss of gingival papilla. There are different ways of fixing this either orthodontically in certain cases or with restorative material used to fill these gaps. You can examples of these techniques in this section.

Reply

Kailyn says:

2017/06/13 at 11 h 32 min

I go to Westrock, and I’ve had braces on my top teeth before but I now have a retainer. Can I get my full set put on if I haven’t lost any side teeth yet?

Dr Jules says:

2017/06/13 at 18 h 34 min

Depending on what the problem needing correction, braces can sometimes be put on before the eruption af all the adult teeth. Ask your orthodontist.

Reply

Malcolm says:

2017/09/11 at 18 h 28 min

The row of my upper molars / wisdom teeth on one side swerves out by about 8mm by the end and they are beginning to point outwards causing potentially serious cheek problems. Can orthodontics move these teeth back into line (at age 58) if there is no correctly positioned tooth at the end of the row to anchor the tension wire from?

Dr Jules says:

2017/10/04 at 8 h 27 min

You would need to consult an orthodontist to see if that tooth movement is possible and indicated. If the wisdom tooth is so far out of alignment and is not functional, it may be indicated to simply extract it. An orthodontic evaluation will confirm what your options are.

Reply

rosy says:

2017/09/15 at 13 h 27 min

My upper jaw is over bited.I have braces on my teeths.Nearly 17 months are completed. But still i cant find any changes in my upper jaw. But my dentist told if its impossible to fully pushed your teeths back am totally cofused about that. Sowhat can i do for an next level

Dr Jules says:

2017/10/04 at 8 h 25 min

Well, if your “dentist” can’t figure out what’s going on in your mouth with the orthodontic treatment after 17 months, I would suggest that you obtain a second opinion with a certified specialist in orthodontics (orthodontist).

Reply

Roudayna says:

2017/10/17 at 12 h 20 min

Hi
My daughter 14. years old
Her wisdom tooth coming up and she needs braces, the question is “which I should treat FIRST” ?
Best
Roudayna

Dr Jules says:

2017/10/17 at 22 h 14 min

If the wisdom teeth are not symptomatic, consult an certified specialist in orthodontics (orthodontist) and he/she will evaluate if womething must be done about the wisdom teeth at this time.

Reply

FAQs – Frequently Asked Questions in orthodontics

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Table of content

General orthodontic information

Orthodontic appliances: some answers

Before treatment

During treatment

After treatment

Miscellaneous

General orthodontic information

What is orthodontics?

Am I too old for orthodontic treatment?

What is a Malocclusion?

What are the causes of malocclusions (etiology)?

Can crooked teeth correct themselves over time?

Can remaining growth correct my orthodontic problem?

Orthodontic appliances: some answers

Do you use recycled orthodontic brackets?

Are there “invisible” braces?

What is a “headgear” and will I need one?

Before treatment

Must I be referred by my dentist for an orthodontic consultation?

How can I schedule an orthodontic evaluation visit (consultation)?

What is the purpose of the first orthodontic consultation?

Can I have all my appointments after school?

How often will I need to be seen during orthodontic treatment?

Can I have braces if I have missing teeth or crowns and bridges?

Do you replace missing teeth if there are remaining spaces after treatment?

Some of my teeth need to be repaired, must that be done before orthodontics?

I would like to have my teeth whitened, when is the best time for tooth whitening?

Do you extract teeth (primary or permanent) if it is necessary as part of the orthodontic treatment plan?

What are serial extractions?

Will I need to have permanent teeth removed?

Will I need jaw surgery?

Do you give shots (injections)?

Does getting braces hurt?

I would like to start treatment as son as possible. When can I have my braces?

During treatment

Can I go back to school or work after getting my braces?

Will having braces affect my every day activities?

Do I need to continue my dental check-ups during orthodontic treatment?

Can I have dental cleanings if I have braces?

Do I need to protect my teeth during contact sports?

What is the best type mouthguard?

Can I play a wind instrument with braces?

How long will my orthodontic treatment last?

In case of emergency, what do I do?

What is a “compromised” or “limited” treatment?

Am I a candidate for a “compromised” or “limited” treatment?

After treatment

What is orthodontic retention?

Miscellaneous

How much will treatment cost? Do you offer payment plans?

Does my dental insurance plan cover orthodontics?

Want to know more about orthodontics?

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