What is Orthodontics?
Orthodontic appliances can be made of metal, ceramic, or plastic. They may be
removable or they may be brackets bonded to the teeth. By placing a constant,
gentle force in a carefully controlled direction, braces slowly move teeth to a
corrected position. This is a great time to wear braces! Gone are the days when
a metal band with a bracket was placed around each tooth. You can choose
brackets that are clear or metallic color. You can choose the color of the ties
that hold the wire in brackets. Wires are also less noticeable than they used to
be and the latest materials move teeth faster with less discomfort to patients.
It is best for the orthodontist to see children
by age 7 to advise if orthodontic treatment is
required and when the best time would be for
treatment to begin. The first permanent molars and
incisors have usually come in by that time and
crossbites, crowding, and other problems can be
evaluated. When treatment is started early, the
orthodontist can guide the growth of the jaw and
guide incoming permanent teeth. Early treatment can
also regulate the width of the upper and lower
dental arches, gain space for permanent teeth, avoid
the need for permanent tooth extractions, reduce the
likelihood of impacted permanent teeth, correct
thumb-sucking, and eliminate abnormal swallowing or
speech problems. In other words, early treatment can
simplify later treatment.
If no early treatment is indicated, we would see
your child every six months or yearly to ensure that
the jaws continue to grow normally and teeth are
developing and erupting as they should. By
monitoring jaw growth and tooth eruption, we can
determine when you are ready to start with
Braces aren't just for kids anymore! A variety of
treatment options are available for different age
groups, even adults. We have found that adult
orthodontic treatment can dramatically improve your
self esteem. A bad bite or crooked teeth are factors
that can contribute to gum and bone loss, excessive
wear on the teeth, headaches, and jaw joint
As an adult, it is never too late
to improve your smile!
The office of Dr. Geldres is always excited to
meet new patients. In your initial Orthodontic
Evaluation we will discuss the different dental
problems present, addressing each of them. Also we
encourage you to ask questions that concern you or
the main reason why you are seeking help.
We will address the following questions that
cover the basics of orthodontic treatment:
- How long will orthodontic treatment take?
- How much will it cost?
- What are patient payment options and monthly
- We will discuss different financing options
that you have at our office and credit lines
offered to you so that you can make an informed
- What treatment procedures will need to
correct your dental problems. We will explain
how important your cooperation is in the success
of the orthodontic treatment.
- Is treatment needed soon or should treatment
will be delayed till appropriate growth, tooth
eruption or other factors that may interfere in
the treatment success?
At this visit it is imperative patient and
patient guardian are present. We also encourage you
to bring your dental insurance information to see if
your insurance has some type of Orthodontic
After you as a patient, or parent of a patient,
have decided to start the Orthodontic treatment with
Dr. Geldres (General Dentist with training in
Orthodontics), we will use the necessary diagnostic
records to develop the appropriate treatment plan.
The records include:
- Panoramic x-ray
- Cephalometric X-ray
- Study models (copies of your teeth)
Once we have these records, we will be able to
design your ortho treatment.
Patient or patient guardian will sign an
Orthodontic contract were states your monthly
payments, total cost of treatment, length of
treatment, what is included in the orthodontic
treatment cost, advantages and disadvantages of
Extractions iIf need them), surgeries for
exposing unerupted tooth, gingivoplasty , gum graft,
regular dental check ups, cleanings and any other
dental treatment linked to the orthodontic treatment
success are not included in the orthodontic fee.
Also at this appointment we will schedule a
future patient appointment for Orthodontic
aparatology to be placed Such appointment is 11/2
hour and need to be schedule most of the time during
school or work hours due to the length of time need
it. We provide school or work excuse letters.
If Patient or Patient Ďs guardian still have any
questions we encourage to ask us before signing the
orthodontic contract because we want our patients to
be fully inform.
Our goal at Dr. Geldres office is to provide you
with an affordable, high quality treatment that fits
We will try to be as informative as possible
regarding financing options, credit card payments
and bank draft.
Regarding Insurance Coverage with Orthodontic
Treatment, we will find out about your benefits or
Insurance policy regarding orthodontic treatment but
we can not discounted from our Orthodontic treatment
fee given until we had received payments from your
Insurance, Because Insurance policies varies from
time to time or Insurance benefit might change
during course of treatment, These variants are out
our hands can control.
Orthodontic Treatment Phases
Dental problems related to jaw growth get worse,
not better. For this reason we need to evaluate a
child as early as age 7 to identify problems like:
- Protruding incisors
- Bite related problems
- Severe crowding
- Jaw disharmony and discrepancy (anteroposterior
related and transverse related)
- Open bites
- Cross bites
- Habits, etc.
Any of these problems stated above are present we
Phase I Orthodontic Treatment:
This phase most of the time is advice for a kid
with mix dentition (permanent and baby teeth
To guide growth to proper parameter to allow
proper development of teeth relationship between
Upper and Lower jaws. This phase has a big advantage
in correcting dental problems, Which one is
directing patient growth, Treatment during this
phase avoid future extractions, surgeries,
correcting habits and training facial and
masticatory muscles to created the healthiest
environment possible for the eruption of permanent
teeth. This first phase of treatment may not prevent
the need of Phase II.
Phase II of Orthodontic Treatment:
This phase is an active treatment that begins at
the time the last baby teeth are lost or When all
permanent dentition is present.
Phase II corrects tooth position, space closure,
root paralleling , Which ones are important to
function and stability.
Most of the time Patient that had phase I and
later continue with phase II, orthodontic treatment
in phase II is reduce as well as less chances of
If Phase II is started in an Adult with out
having phase I at our office, treatment is directed
in correcting dental problems that is particular
present in each patient but extractions of teeth are
contemplate as well as surgery because we donít have
the advantage of growth that we have in a child and
many factor influence influence in tooth
transportation in bone like ankylosis of a tooth,
root canal teeth , bridge work present , root
shortening, medication intake (biophosphonates),
among other factors.
Common Orthodontic Problems
- Underbite: Lower jaw
extends out, causing the lower front teeth to
sit in front of upper front teeth.
- Spacing: Caused by missing
teeth or having large arches and small teeth.
- Upper Front Teeth Protrusion:
Characterize by the upper teeth extending too
far forward or the lower teeth not extending far
- Crowding: Happens when
teeth have insufficient room to erupt from the
- Cross Bite: Upper teeth sit
inside the lower teeth which may cause tooth
stratification or misaligned jaw growth.
- Over Bite: The upper front
teeth extended out over the lower front teeth
covering lower front teeth partially or
complete, sometimes causing lower front teeth to
bite into the roof of the mouth.
- Open Bite: Upper and Lower
front teeth donít overlap, most of the time this
is cause by habits like thumb sucking, tongue
Call our office as soon as possible if you break
or loosen any appliance, wire or bracket. Please
donít come directly to the office we encourage
patient to call us to create a time for you.
If the emergency happens at night or over the
weekend and we are not able to see you right away,
you can use fingernail clippers (previously washed
and sterilized in alcohol) to cut wire or cut wire
to slide a bracket out wire.
Sometimes small wire can be bent out and produce
gum or mucosa irritation, you will resolve the
problem moving (bending) out of the irritated area
with a cotton swab or eraser if wire bending can not
help you try covering wire with sticky wax given to
you when your braces were place for first time.
During the first week after your braces are in
place you will experience some pain ,soreness or
discomfort, You may take acetaminophen to help you
with the discomfort till you adjust to your new
CARE During Orthodontic treatment:
We encourage patients during ORTHO TREATMENT to
brush at least 3 times a day or after each food
consumption to avoid white spots (decalcification),
decay or any type of gum irritation. We have always
be monitoring oral hygiene and in contact
communication with patient or patientís guardian.
Every time you have your Ortho appointment expect
mild discomfort in the next days of your
Always avoid certain foods during the course of
your Orthodontic treatment for example:
|No hard foods:
||Non Sticky or
- Corn chips
- Whole nuts
- Hard candy
- Peanuts and M&Ms
- Jelly beans
- Snicker candy bars
||Cut food into
- Soft drinks
- Sugary cereals
- Soft candy
- Raw vegetables
- Pizza crust/Hard breads
Participating in certain contact sports
such as football, soccer, wrestling, karate,
basketball, etc, requires a special mouth guard to
be worn, provided by our office. If your teeth are
loosened or appliances damages due to any accidents,
please contact us immediately.
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