Depending on a particular patients’ diagnosis and treatment plan, the length of treatment can vary widely from one patient to another. We’ve had some patients who have had to have treatment for as much as 2 ½ years, while others have only needed as few as three months.  Playing into that time span are a number of factors;  various airway issues or personal habits…the response of each patient to treatment…how much jaw (orthopedic) correction, or jaw growth is needed, or how much tooth movement is required.


Depending on what the expressed desires of a patient are, and what they want us to do for them, there can be various treatment times needed.  A specific treatment designed to achieve ideal cosmetic results, or the great function needed for an overall comprehensive result would take much more time than a simple tooth cross bite.


The collaboration of an excellent periodontist and cosmetic surgeon, as well as precise tooth measurements, would all be included in the first scenario.  The recognition, diagnosis, and intimate addressing of lip fullness and relation, gingival relation, incisal display, emergence profile, the size, shape and position of teeth are all covered.


Depending on how the individual patient responds, and the nature of the treatment, the frequency of office visits necessary will vary from patient to patient.  Office visits may vary greatly if orthopedic treatments on the jaw are being performed. 


In order to create sufficient space so that there is a greater chance of avoiding the extraction of adult teeth at a later time, there are cases where a person’s upper and lower jaws may need to be developed. Especially when talking about orthopedic (dentofacial) treatment.


In order to prevent more invasive treatments at a later date, treating children with dentofacial orthopedic work on their jaws, while they are young and still growing, is very important.


Using orthopedic movements, we can widen jaws and by placing the jaws in certain growth-stimulating positions, we are also able to maximize the jaws genetic potential for growth.  We now have access to special, custom-fabricated appliances that attach to the teeth, stimulating muscle and bone growth by advancing or expanding certain jaw positions.  
This is A BIG WIN, because it can prevent any orthopedic disharmony, and yield a tremendous profile with surgery!
By straightening a patient’s teeth, while also working on both the shape of the jaws and their position, the overall look of their face, and a patients’ appearance can be improved.  The alignment of their teeth can be accomplished, while at the same time improving the profile and overall facial appearance.


 Typically, once every eight to ten weeks is all we need to see patients who have had general orthopedic treatment with braces the development of more advanced wires, which keep teeth without adjustments over a longer period of time we don’t typically need to see patients with braces as often as we did in the past.


Since it means that patients don’t have to come in as often as they did in the past, missing school or work, that particular advancement is really important, and with the newer, futuristic wires, there is also MUCH less discomfort!


Some patients are understandably apprehensive about the discomfort or pain that might come from wearing braces, so we want to see them on a regular basis just in case they are having any of those these symptoms.  Using the analogy of having a bruise on your arm, we try to allay those fears and apprehensions.


 When you have that bruise, it doesn’t hurt all the time…only if you press on it, and then it would be a little tender and sore. You will experience some soreness immediately after having braces tightened, when you have been putting pressure on your teeth by eating.


However, it is just the expected healing and inflammatory response from having the teeth roots moved gradually through the jaw bone by the braces and wires, and not at all like walking around with a really bad toothache!

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