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Frequently Asked Questions About Orthodontics, Answered by Dr. Diehl

April 21st, 2010

There are so many questions about orthodontics that we never ask, so Dr. Diehl & the team took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give our Redlands, CA orthodontic office a call. We'd love to hear from you.

Ask Dr. Diehl: Why is it so important to have straight teeth?

April 9th, 2010

Some people wonder why Dr. Diehl and our team work tirelessly to give our patients straight teeth. Of course it’s nice to have a smile full of evenly aligned teeth, but did you know that straightening your teeth can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime!

Straight teeth are less prone to decay, because they collect less plaque—the sticky colorless substance that forms on our teeth and leads to tooth decay; and they are easier to keep clean!

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give us a call to set up a consultation. Dr. Diehl can help you decide whether or not you will benefit from orthodontic treatment.

The importance of retainers, from Dr. Diehl

March 25th, 2010

If you recently completed your orthodontic treatment, we’d like to congratulate you! Now that your braces have been removed, we will provide—or have provided you—with retainers. After braces are removed, teeth can shift out of position if they are not stabilized. Retainers provide that stabilization. They are designed to hold teeth in their corrected, ideal positions until the bones and gums adapt to the treatment changes. Wearing retainers exactly as instructed by our office is the best insurance that the treatment improvements last for a lifetime. Here are some things to remember when you receive your retainers:

* Wear your retainers full time, until the doctor instructs otherwise. Wearing your retainers at night ensures that your pearly whites won’t relapse.
* Take your retainers out when eating...and always put retainers in their case! (Most appliances are lost in school lunch rooms or restaurants.)
* Clean retainers thoroughly once a day with a toothbrush and only a small amount of toothpaste. Use warm but not hot water.
* When retainers are not in your mouth they should ALWAYS be in a retainer case.
* Retainers are breakable, so treat them with care. If retainers are lost or broken, give us a call immediately.
* Remove retainers when swimming or during any sporting activity in which the retainers could fall out and get broken or lost (cheerleading, basketball, etc.) or when you should be wearing a mouth guard (football, soccer, etc.).

We hope this helps! You can always contact our team if you have any questions!

Age 7 is the magic number for an orthodontic check-up

March 18th, 2010

Many parents assume they must wait until their child has all of his or her permanent teeth to see Dr. Diehl, only to discover treatment would have been much easier if started earlier. Did you know the American Association of Orthodontists recommends that every child have an orthodontic check-up no later than age seven?

That’s right—seven.

Ok, so what’s so great about age seven, you ask? Enough permanent teeth have arrived for us to make a determination about whether any problems are present. The first molars have come in, providing an opportunity to check for malocclusion, or “bad bite.” Also, the incisors have begun to come in, and problems such as crowding, deep bites and open bites can be detected.

Orthodontic evaluation at an early age provides one of two positive outcomes: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future. For others, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene. So, if your child is nearing his or her seventh birthday, give us a call at 909-748-5477 to schedule an appointment.