ND Orthodontics

ND Orthodontics

Things You Should Know Before Getting Orthodontic Treatment

  1. What is an orthodontist? An orthodontist is a dentist who, after graduating from dental school, completes an additional 2-3 years of full-time training specializing in orthodontics. They are the most well qualified experts in dentistry for straightening teeth and correcting bites.Orthodontists limit their practices to orthodontics and dentofacial orthopedics. This means that orthodontic treatment is all they do. Selecting an orthodontist who is a member of the American Association of Orthodontists (AAO) (www.braces.org) is your assurance that you have chosen an orthodontist.
  2. What are some signs that I may benefit from orthodontic treatment? Here are a few signs that would indicate that you could benefit from orthodontic treatment:
    • Upper front teeth protrude excessively over the lower teeth, or are bucked
    • Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
    • Upper front teeth are behind or inside the lower front teeth (underbite)
    • The upper and lower front teeth do not touch when biting together (open bite)
    • Crowded or overlapped teeth The center of the upper and lower teeth do not line up
    • Finger or thumb sucking habits which continue after six or seven years old
    • Difficulty chewing
    • Teeth wearing unevenly or excessively
    • The lower jaw shifts to one side or the other when biting together
    • Spaces between the teeth
  3. Why is orthodontic treatment important? Besides enjoying the increased confidence that comes with a beautiful new smile, straighter teeth are easier to keep clean and healthy.  Crooked and crowded teeth may contribute to conditions that not only cause tooth decay, but also eventual gum disease and tooth loss. Other orthodontic problems can contribute to abnormal wear on tooth surfaces, inefficient chewing function, excessive stress on gum tissue, or misalignment of jaw joints. Obtaining orthodontic treatment to address these problems can not only help avoid unnecessary pain and discomfort, but it can also be much less costly than treating the various problems that can result down the road.
  4. What is Phase I and Phase II treatment? Phase I is limited orthodontic treatment before all of the permanent teeth have erupted. For those patients who have clear indications for early orthodontic intervention, Phase I treatment presents an opportunity to:
    • Guide the growth of the jaw, especially for underbites and crossbites
    • Guide incoming permanent teeth into desirable positions,
    • Correct harmful oral habits such as thumb- or finger-sucking,
    • Improve personal appearance and self-esteem,
    • Potentially simplify and/or shorten treatment time for later corrective orthodontics,
    • Reduce likelihood of impacted permanent teeth (teeth that should have come in, but have not),
    • Preserve or gain space for permanent teeth that are coming in.

    Phase II treatment is also called comprehensive treatment.  Phase II treatment involves full braces and usually occurs when all of the permanent teeth have erupted.

  5. Is there a “right time” for treatment? Although orthodontic treatment is possible at any age, there is an ideal time when the most conservative techniques will produce the best results. Dr. Darvish is specifically trained to determine this ideal time. Skeletal (jaw size) discrepancy treatment must be initiated while there is enough growth remaining. Otherwise, compromises and compensations will be needed. For example, patients with narrow upper jaws should seek early treatment to undergo orthopedic expansion to create more room for tooth alignment and a broader smile. Expansion has to happen at the right time and will not be successful if initiated too late. This is one of the reasons why Dr. Darvish recommends early evaluation.
  6. Can adults benefit from orthodontic treatment? Absolutely! Orthodontics is not just for children any more. Adults have many treatment options available from Invisalign® to full comprehensive treatment. In fact, about 20% of Dr. Darvish’s patients are adults. Many adult patients are finding out that it’s not too late to obtain a healthy and attractive smile.
  7. What is Invisalign®? Invisalign® is a clear alternative to metal braces that is a popular treatment option among Dr. Darvish’s adult patients. Invisalign® straightens your teeth with a series of clear, virtually invisible custom-molded aligners. They are comfortable to wear and remove easily when you eat, brush, and floss.
  8. Does Invisalign® work as well as traditional braces? Invisalign® works well for certain cases. If your bite is correct and you have minor crowding or spacing, then Invisalign® works very well. Since Invisalign® is a relatively new technology, there’s a wide variance in the treatment outcome depending on the practitioner’s experience with Invisalign®. So if you are interested in getting Invisalign®, be sure to go with someone who has lots of experience treating patients with Invisalign®. Dr. Darvish has had the privilege of treating hundreds of patients with Invisalign®.
  9. How long does treatment take? Due to the many technological advances available today in the orthodontic field, such as Invisalign® and Speed brackets, many patients are enjoying significantly shorter treatment times. While treatment times vary from case to case, many of Dr. Darvish’s patients’ cases are completed in just 12-18 months.
  10. How much does it cost to get an evaluation? Dr. Darvish offers complimentary examinations for new patients. Children should be evaluated by age 7 to find out if they would benefit from early treatment or if treatment is needed at a later time. Dr. Darvish has a complimentary observation program, where the eruption of teeth in young patients is monitored until the ideal start time is determined.
  11. Can my child play sports while wearing braces? Yes, though extra care should be given when partaking in any contact sport or physical activity during orthodontic treatment. Any hit or trauma to the face while wearing orthodontic appliances could result in additional injury and could damage the appliances. Wearing a protective mouth guard is strongly recommended.
  12. Will braces interfere with playing musical instruments? No. Playing wind or brass instruments, such as the trumpet, will clearly require some adaptation to braces. With practice and a period of adjustment, braces typically do not interfere with the playing of musical instruments.
  13. How much does treatment cost? ND Orthodontics makes orthodontic care affordable for your family. In addition to our complimentary examinations, we offer flexible, interest-free payment plans, and we accept most major insurance plans. We are experts at helping our patients maximize their available insurance benefits. We also pride ourselves in assisting our patients plan in advance to maximize the benefits of their Flex Spending Accounts. We also gladly accept all major credit cards-Visa, Mastercard, and American Express.

Call us today to schedule your complimentary examination!

Smiling Family

ND Orthodontics

Suite 102 • 16708 Bothell-Everett Hwy. Mill Creek, WA 98012