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FAQ's

What Can You Expect ........

Is There Any Discomfort?

Orthodontic therapy uses appliances (braces) to move teeth with gentle pressure. There is usually no discomfort in applying the braces however the teeth may be sore for 24-48 hours after placement or adjustment of appliances.

What is Headgear?

Headgear is an appliance, usually worn just at night, that goes around your  neck or over your head and uses these areas as an anchor to move teeth.  Your treatment may include headgear or elastics. Follow instructions carefully to achieve good results and avoid injury. Not following instructions regarding the wearing of these appliances could result in increased treatment time and/or a less than ideal end result.

What About Removal of Teeth?


TOOTH SIZE ARCH LENGTH incompatibility, where the total tooth mass is larger than the jaw length, is a common problem we see every day. Our philosophy is to preserve healthy teeth whenever possible, however as a last resort in such cases, extraction of permanent teeth may be considered.

At what age is the best time to begin treatment?

Orthodontic treatment can begin in the primary dentition (when baby teeth remain) or the permanent dentition (with no baby teeth left), or anywhere in between. Some problems can and should be treated while baby teeth remain and the child is actively growing. Some problems can and should wait until all the baby teeth have been replaced. Individual timing is the key to the fastest and best result. We recommend a child be seen by about age 8 for a clinical exam to determine the best time to begin treatment  (of course there is no charge for this service)..

What is Orthognathic Surgery?

Orthodontics is aimed at aligning your teeth. In instances of open bite or jaw size discrepancy, surgery may be required to align the jaws so the bite is corrected. Only about 1-2% of all bite corrections require orthognathic surgery, as well as orthodontics to repair the problem.  In cases of combined orthodontic - orthognathic surgery, an orthodontist and oral surgeon are needed to evaluate and work together on realistic goals and a treatment plan.

What Are Retainers?

When your braces are removed, you will wear a retaining appliance to "hold" your teeth in position. Retainers are just as important as braces in the treatment plan. There are different types. Your orthodontist will choose the right one for you. You will wear your retainer for as long as it takes your teeth to settle into better bite, and for your bones and muscles to adapt to your new dental agreement. Your orthodontist may evaluate your wisdom teeth during this phase of treatment.

What Will Be Expected of You During Orthodontic Treatment?

Generally speaking, excellent orthodontic treatment results can only be obtained with cooperative and informed patients and parents. Successful treatment is a team effort: patients, parents, staff and the orthodontist working together. The rewards? Your pleasing smile, your healthy teeth, and your glow of new self confidence.

For best results in the shortest time and at the lowest cost, you must:

1. Keep regularly scheduled appointments.
2. Practice good oral hygiene.
3. Wear rubber bands, headgear and retainers as instructed.
4. Call the office immediately should you experience loose or broken appliances.
5. Eat a well-balanced diet.
6. Care for the braces to reduce broken appliances.

Your failure to follow these rules could force your orthodontist to change the procedures and goals of your treatment. As a last resort, treatment might have to be suspended. Premature suspension of treatment may lead to problems involving teeth, gums, jaw joints or severe relapse of tooth positions. The consequences of early suspension may be worse than no treatment at all. Cooperation throughout treatment is your best guarantee of achieving a pleasing smile and a good bite.

Please remember that following directions and recommendations are your responsibility. Your orthodontist will encourage you, but cannot assume responsibility for making sure directions are followed.

What Problems Can Occur as a Result of Orthodontics?

1. Cavities and Decalcification

Braces do not cause cavities, but they do trap food particles and increase the likelihood of you developing cavities or decalcification (white) marks.
Most patients are able to prevent these problems with a combination of proper diet, good tooth brushing habits and regular checkups with the family dentist.
You should brush your teeth immediately after eating, using the proper techniques for brushing with braces. If brushing right away is not possible, vigorously rinsing with several mouthfuls of water is helpful. Excellent oral hygiene and plaque removal are musts. Remember to avoid sugar, carbonated beverages and between meal snacks.

Check for loose bands or brackets daily. If any part of your orthodontic appliances become loose, call the office immediately to schedule an appointment. A loose band or bracket greatly increases your chance of getting cavities. When you miss appointments and are not seen regularly by your orthodontist, loose bands can go undetected and may result in tooth damage.

FAQ's Continued...


Astoria Family Orthodontics
23-09 31st Street
Astoria, New York 11105
718.278.0358


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