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Orthodontic Dentistry Frequently Asked Questions

Q. What is orthodontic dentistry?

A. Orthodontic Dentistry or Orthodontics is described by the American Association of Orthodontics as the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

Q. What is an orthodontist?

A. An orthodontist is a dentist who has undergone specialized orthodontic training to diagnose, prevent, and treat dental and facial irregularities in patients.

Within the U.S., orthodontists are required to complete a two- to three-year advanced residency program in orthodontics following the completion of their four-year graduate dental program. Each of these programs must be accredited by the American Dental Association's Commission on Dental Accreditation.

Q. What causes orthodontic problems?

A. Most problems are inherited, including tooth size and jaw size. These orthodontic problems may lead to crowding of teeth or spacing of teeth.

Overbites, underbites, extra or missing teeth, and irregularities of the jaws, teeth and face also are inherited.

Other orthodontic problems can be caused by accidents, pacifier or thumb sucking, dental disease, or the premature loss of either the primary or permanent teeth.

Q. What habits contribute to "bad bites"?

A. A number of childhood habits can lead to orthodontic problems, such as thumb or finger sucking, sucking on a pacifier, sucking on a lip, mouth breathing (often caused by enlarged tonsils and adenoids), fingernail biting, and "tongue thrust."

Q. When should a child's screening with an orthodontic dentist be scheduled?

A. The orthodontic dentist will advise the parent as to when to schedule an evaluation. It generally will be when the child is between the ages of seven and ten.

An early consultation is advised to identify any potential problems that require treatment. Delaying treatment can multiply some orthodontic problems.

Between the ages of 8 and 12, jaws are still growing; after that, the jawbones begin to harden and it may be more difficult to correct certain conditions.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

How Do I Take Care of My Dental Braces?

When your mouth is loaded with extras like bands, brackets, and wires, from your orthodontic braces, brushing your teeth gets tougher and extra important. Plus, dental braces interfere with the chewing process that normally bathes and exercises gums, and helps clean teeth. General dental care like caring for your teeth and keeping them cavity-free, is a top priority during orthodontics treatment.

While proper-fitting bands or brackets usually protect the covered portion of your teeth, the brackets and wires on the outside of teeth make it harder for proper dental care.

Trapped food particles and plaque are a breeding ground for cavity-causing bacteria in your dental braces. Gum disease also can develop, causing swelling and making cleaning even more challenging and painful. Improper dental care can also stain tooth enamel.

How Often Do I Need to Brush With Dental Braces?

It's best to brush within five minutes after eating anything, even if you're just snacking, and especially after a meal. Brushing away cavity-causing bacteria helps keep your teeth cavity-free. Carry a travel toothbrush in a backpack, purse or briefcase to always have on hand for brushing away from home.

How Do I Brush With Dental Braces On My Teeth?

• Brush between wires and gums to loosen any food particles that may have lodged in your dental braces. There are special toothbrushes for this, check with your orthodontist or dental care provider for recommendations.
• Start on the outside of your upper teeth, positioning the bristles at a 45 degree angle, toward the gum. Brush two to three teeth at a time using a circular motion, about ten strokes.
• Next, brush the inner surfaces in the same manner.
• Brush the chewing surfaces.
• Repeat the same process for the lower teeth as for the upper ones.
• Rinse your mouth as well as your toothbrush. Check your teeth in a mirror to make sure you've brushed all tooth surfaces.
• Floss daily between dental braces using a floss threader.
• Toothpicks, stimudents and other interdental devices work well under brackets.

You may also want to use a water oral hygiene device that helps to remove food particles from your dental braces that the toothbrush may not reach. It should be used in addition to brushing and flossing, not as a substitute for brushing.

While wearing dental braces for teeth, be sure to schedule regular dental care exams every three to six months for cleanings to keep your teeth and gums healthy. Ask your dentist and orthodontist how often they wish to see you.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.