Patient Knowledge

1- Who is an orthodontist?

An orthodontist is a dentist who specializes in orthodontics. Dentists who specialize in orthodontics must have 3 years of post-doctoral education at an accredited university following their dental training.

2- What is orthodontics?

Orthodontics is a branch of dentistry which specializes in the correction of malocclusion.

A malocclusion is simply a bad bite.

Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alternations of the surrounding structure.

The practice of orthodontics requires professional skills in the design, application, and control of corrective appliances. It consists of bringing teeth, lips and jaws into proper alignment, and correction of problems which lead to achieving facial balance.


3- When is the best time to begin orthodontics?

The American Association of Orthodontists recommends that the initial orthodontic evaluation should occur at the first sight of orthodontic problems or no later than age 7. At this early age, orthodontic treatment may not be necessary, but when indicated, early treatment may prevent more serious problems from developing and may make treatment at a later age, shorter and less complicated.

Therefore, we recommend that children come to our office for an evaluation at age of 7. During the evaluation we will determine the need of treatment. There are a few cases that may be started earlier upon the severity of problem.

4- What are the benefits of this early orthodontic evaluation?

The purpose of this early examination is to identify possible developing problems and to determine the best time to start the treatment.

Early evaluation provides both timely detection of problems and greater opportunity for more effective treatment. Early treatment can lessen the severity of problem. Reduce the need for future extractions and harmonize the growth of facial and jaw structures and therefore in some cases prevent surgery.

Through early orthodontic screening, you’ll be giving your child the best opportunity for a healthy, beautiful smile that is good for life.

5- What are braces and how do they work?

Braces are devices which gently correct irregularities in the arrangement of your teeth. The structure of this appliance has several different parts, including: Brackets, Metal Band, Bonding Material, and Arch Wire. As your treatment progresses, Dr Jamilian will tighten wires and adjust it during each appointment.

Removable appliance was seen in figure 1. and Fixed appliance was seen in figure 2.

Figure 1. Removable appliance

Figure 2. Fixed appliance

6- Is it already too late to have braces?

Braces aren’t just for kids anymore. People of all ages may be treated with orthodontics, providing that the teeth and gums are healthy. Healthy teeth, bones and gums respond well to orthodontic treatment. Adults make up approximately 30 percent of our practice. No patient is ,, too old ,, to wear braces . Children and adults of all ages can benefit from orthodontic treatment to improve their appearance. There is no age limit to orthodontic treatment.

7- How long will I be in braces?

It depends on each patient’s specific orthodontic problem. In our office after doing an analysis of all the relevant factors the doctor will give you an estimated treatment time. Cooperation from the patient is also very important in keeping your treatment schedule. In general , most orthodontic treatment take 2 years to complete with appointments every 4 – 6 weeks .

8- Are braces painful?

During your first week or so in braces, the patients will experience some soreness and discomfort if braces rub up against the lips. However, after a few days, you’ll become accustomed to it in your mouth and in about 10 days, you’ll hardly notice them at all, but we often make our patients aware of possible pain.

If your gums or cheeks become irritated from being rubbed against the brackets you will be supplied with dental wax by Dr Jamilian to cover areas of the braces that are bothersome.

9- How much will the treatment cost?

The overall cost of orthodontic treatment will depend on the complexity of your treatment needs, the length of treatment and the type of braces used. During the consultation visit we will also discuss our payment plans and the different ways that you can pay.

10- Will I need extractions?

Extractions are some times required to create space in with crowded teeth or to reduce protrusion of the teeth. Straight teeth and balanced facial profiles are the goal of orthodontics. Extractions are done following very careful analysis.

11- How often will I have appointments?

Appointments are scheduled according to each patient’s need. Most patients in braces will be seen every 4 to 6 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.

12- How often should I brush my teeth while in braces?

Food is easily trapped by your braces and this can cause cavities. Careful cleaning is an important part of wearing braces in order to avoid cavities. Patients should brush their teeth at least 3 times each day: after each meal and before going to bed.

Brush under, above, behind and around all surfaces of the braces. We will show each patient how to brush and floss their teeth with braces and may also provide a prescription for a special fluoride if necessary. Insert floss behind wire, gently clean sides of teeth and under gums with up and down motion. Floss between all teeth once a day.

13- Functions of an orthodontist in a private office V.S:

An orthodontist in a private orthodontic office usually stays in one location for many years and has a well-established reputation. The draw-back in a large clinic is that the orthodontists often change within a short period of time and the same orthodontist will most likely not finish your treatment. Each times the orthodontist changes, it takes the new orthodontist a few months to become acquainted with your treatment plan and this may extend your treatment time.

14- Can I still play sports?

Yes. We recommend a mouth guard for all sports.

15- What can I eat while wearing braces?

Once treatment begins, we will explain the complete instructions, but we recommend you to avoid foods that are chewy, hard, or crunchy because they can break wires and knock off brackets. Avoid chewing on pens, pencils and fingernails. If you eat a sugary food, brush your teeth right away.

Here are some foods we suggest you to avoid:

Sugary foods: Cakes, Sodas, Cookies.

Chewy or sticky foods: Bagels, Pizza crust (bite–sized pieces are ok), Dried fruits, Gum ,Caramel.

Hard or crunchy foods : Ice, Nuts , Whole carrot or apple (sliced is better) ,Popcorn , Crunchy peanut butter.

16- What is an emergency appointment?

If your braces are causing extreme pain or if they break, you should call our office to schedule an immediate session.

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