Posts for: September, 2013
We all know Madonna, Seal, David Letterman, Anna Paquin and Michael Strahan (of the talk show Kelly and Michael). What do all of these celebrities have in common? Each has a “signature gap” between their front teeth. Given that they have been in the public eye for quite some time, it's not likely that these famous faces will choose to change their well-known smile. In fact, Michael Strahan has publically stated that he will never close his gap.
However, it is not uncommon for people to desire to fix a small gap in their teeth, particularly in advance of important events, such as weddings. Often times, fixing this small gap requires relatively simple orthodontic movements or tooth straightening. Since the teeth don't have to be moved very far, we can usually use simple appliances to correct the issue within a few months.
In order for us to determine your course of treatment, you'll need to make an appointment with our office for a thorough examination. When we examine you, we'll be looking for a number of items that will affect our treatment recommendation:
- Is there enough room to close the space without creating other bite problems?
- Are the roots of the teeth in reasonably good position to allow for minor tooth movement to close the space? X-rays will be required to make a proper assessment.
- Is there an involuntary tongue habit that has pushed the teeth forward and created the gap? If so, this could be difficult to fix quickly.
- Are the surrounding gum tissues and bone healthy?
Based on our assessment and your individual needs, we may recommend one of the following options:
- Clear retainers, a computer-generated series of clear retainers customized for your bite to move the teeth
- Removable orthodontic retainers to which we will attach small springs or elastics to facilitate the minor tooth movement
- Traditional fixed orthodontic appliances (most commonly known as braces), small metal or clear brackets bonded to your teeth through which tiny wires are used to move the teeth
Regardless of the method we choose, once your teeth have moved into the new position, it is important for you to remember that they must be kept in this position until the bone stabilizes around the teeth. We may therefore advise you to wear a retainer for a few months to a few years, depending on your situation.
If you would like more information about orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Minor Tooth Movement.”
You may think the structures of your face and mouth stop growing when you reach adulthood. That's not true: your skeletal structure, facial features and soft tissues continue to change all through your life, even into old age. In fact, there's as much change from ages 25 to 42 as there is from ages 18 to 25. This fact of continuous growth and change affects the approaches we may take to satisfy your oral and dental needs.
We should especially consider facial changes due to aging as a factor when planning orthodontic treatment. For example, as we age the profile of our face will tend to flatten, which makes our nose become more prominent (and, yes, our noses continue to grow longer as we grow older). A good plan will take advantage of this, especially during expected growth spurts such as right before puberty. As the position of the patient's bite improves through treatment, the continuing growth of their facial profile will continue to bring the angle of the jaw into a more aesthetic position.
Likewise, where there are multiple issues with the mouth and face, orthodontics can be employed with other treatments such as rhinoplasty, the surgical improvement to the shape of the nose, or orthognathic surgery, procedures that correct problems associated with the position and structure of the lower jaw. As we employee these techniques, we keep in mind that the mouth and face are essentially a “moving target” — that is, they will continue to move in the direction of change due to aging. We coordinate the outcomes of treatment to eventually meet up with that eventual growth.
Armed with an understanding of how change occurs during aging, we can coordinate these procedures into a well-timed strategy that actually takes advantage of the aging process. The end result is a more favorable aesthetic appearance for the long-term.
If you would like more information on how aging can affect your dental health and treatment options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Understanding Aging Makes Beauty Timeless.”