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San Jose Orthodontist Answers Your Questions
Orthodontist Sima Rafati provided the answers to these popular questions of orthodontic patients and their parents:
I am getting some teeth pulled. Should I be concerned about possible jaw problems or even a change to my face?
Behind this query is the assumption that our looks are based on our smile and our unique profile appearance. The good news is that there is no solid evidence that our smiles are less attractive after treatments involving extractions. Multiple studies have shown that there is no noticeable difference between the basic look of a person before and after treatment, even when that treatment involved the extraction of multiple teeth. In fact, some studies actually utilized unlabelled before and after pictures of patients, and it was impossible for the reviewers to choose with any assurance which pictures were from before the treatment and which were from after the treatment.And, to be clear, extractions of teeth do not cause any kind of jaw problems when done by a professional..
Invisalign Orthodontists San Jose
How does orthodontic treatment affect Jaw Joint Disorder- Tempromandibular Disorder (TMD)?
The answer is a mixed blessing: Treatment does not cause TMD, nor does it prevent this problem. A very large study in fact examined this very issue, and came up with some very clear and decisive conclusions regarding orthodontics and jaw joint disorder, as follows:
No significant association between a bad bite and persistent TMD
There is likewise absolutely no definitive relationship between the presence of TMD and orthodontic treatments the patient may or may not have had
TMD prevalence is higher in females than males
Being a female was found to be a predictor for both incidence and persistence of TMD
The most common ages for TMD are when a person is nineteen to twenty years old
Should I have my wisdom teeth taken out as a preventative of possible problems?
The common concern behind this question is a fear that when the wisdom teeth come in they will create problems that could even nullify past treatments from your orthodontist. This concern is generally unfounded. There are a couple of instances when the wisdom teeth should be removed: If doing so will improve the overall health and condition of the adjoining second molars- the wisdom teeth can contribute to cavities for them- or if the wisdom teeth are only partially erupted. When wisdom teeth are completley concealed and inside the jaw bone, there is an amplified incidence of jaw fracture (two to five times!) in the event of a trauma to the jaw or facial area. So in this sense, extraction can be preventative.
Can a really bad bite be fixed using headgear, or are there other options?
The best age to check with an orthodontist for an under bite is age 7 to 8. If a skeletal underbite- which occurs when thye lower jaw is smaller than the upper- is going to be treated, then it needs to happen during the growth period of the upper jaw. However, on the average, upper jaw growth diminishes significantly by age 11, so the best time to treat these cases is from age 7-10. The actual treatment would never be considered “fun.” It consists of the use of a head apparatus that pulls the upper jaw further forward. The headgear must be worn at least forteen hours each day, including at night while sleeping. The upper jaw is then slowly and steadily drawn forward until such a time as the lower jaw stops growing- the sooner the better for the patient! This treatment is successful more than seventy-five percent of the time. By “success” we mean long term success. In cases where the treatment was started late (after age 11) and in cases where either the patient (and/or parents!) are not disciplined enough to wear the headgear for the required hours during the treatment run, surgey may be needed. This is also the case when the growth of the lower jaw is greater than usual.
About the Author
<a href=”http://www.rafatiorthodontics.com”>San Jose Orthodontist</a>
Downtown San Jose
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