Dentists serving Derry, Londonderry, Windham, Hampstead and all of NH

4 Manchester Ave, Derry, NH, 03038

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FAQ - Orthodontics

These are the most frequently asked Orthodontics questions. If you'd like more information than is covered here, please contact us.

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  • What is Orthodontics?
    Orthodontics is the branch of dentistry that is officially known as Orthodontics and Dentofacial Orthopedics. The purpose of orthodontics is to treat any type of malocclusion. When you have a malocclusion, that means your teeth, lips and/or jaws don't line up the way they should. As a result, your teeth may be crooked, your bite may not work correctly and your jaws may look unbalanced.
  • What Causes Orthodontic Problems?
    Most Orthodontic problems are inherited. Example problems are crowding, spacing, protrusion, extra teeth and some jaw growth problems.

    Other malocclusions are acquired. In other words, they develop over time. They can be caused by thumb or finger sucking, mouth breathing, dental disease, abnormal swallowing, poor hygiene, the early loss of baby teeth, permanent teeth, accidents, poor nutrition, or some medical problems.
  • Why is Treatment So Important?
    Orthodontic problems can affect dental and general health. If teeth are out of position, they are more difficult to clean. This increases the risk of tooth decay, gum disease and tooth loss. A bad bite can also cause stress on the chewing muscles, and in some cases causes malfunction of the jaw joints. If left untreated, many orthodontic problems worsen over time. Early diagnosis can help guide facial growth and tooth eruption, preserve space for the permanent teeth. Additionally, if treated at an early age it may reduce and prevent more serious problems from developing.
  • When Should A Child Have An Orthodontic Evaluation?
    It is actually recommended that every child have an orthodontic evaluation by age 7. This does not mean that every child will need orthodontic treatment, but rather it is to assess any problems that may be developing. In many cases, early detection and treatment can reduce or eliminate what could become a more complex orthodontic problem if left untreated. Many children are monitored periodically every 3-6 months in order to watch growth and development, and some may actually end up needing no orthodontic treatment. It is always better to have your child assessed at an early age so that you are fully aware of their needs, whether now or in the future. We would be happy to speak with you today in order to schedule your child's complimentary orthodontic evaluation, or to answer any questions you may have.
  • What Signs Indicate My Child Is Ready For An Orthodontic Evaluation?
    • Thumb or finger sucking, pacifier
    • Overlapping or crowding of erupting permanent teeth
    • Broken or missing teeth
    • Difficulty in chewing
    • Open mouth breathing, large tonsils
    • Jaws that tend to click or pop
    • Frequent Headaches
    • Ear Problems
    • A developing under bite or crossbite
    • Malocclusion
    • Tongue thrust
  • What Are The First Steps To Orthodontic Treatment?
    We are always excited about meeting new patients during their first visit to our office. Your initial appointment will consist of a thorough examination and a discussion of potential treatment options. This 30 minute visit will give us insights into your orthodontic needs. We may need to schedule a second exam for diagnostic records (Orthodontic records).

    Orthodontic records are various studies that are made to help to diagnose the problem and to arrive at the best treatment options. These studies will include growth evaluations, facial measurements, photographs, impressions of your teeth for study models, and x-rays of head, jaws and teeth. The orthodontic records appointment lasts approximately one hour and is crucial in order to properly plan an orthodontic treatment. Dr. Hrinda studies and reviews the data gathered from the orthodontic records in order to develop a personalized treatment plan.

    Orthodontic Consult: Approximately 2 weeks following the records appointment, you will return for your private consultation with Dr. Hrinda. He will present the results of the records, his recommendations for treatment, and the estimated length of treatment. He will explain the risks and benefits involved with treating or not treating with orthodontics. Dr. Hrinda will also answer all of your questions regarding treatment. We insist that our patients leave with a clear understanding of their specific needs, what the treatment will consist of and how long it will take. We encourage you to ask questions and we are always available to speak with you and address any concerns that you may have.
  • How Are Teeth Moved Into Correct Position?
    Dr Hrinda can use a variety of appliances to move the teeth. Some are removable and others are fixed onto the teeth. The choice of the appliances depends on the problem that must be corrected and on the patient's individual needs. All appliances, whether fixed or removable, put gradual, gentle pressure on the teeth and jaws, causing them to move or stabilize in a particular position.

Orthodontic Do's & Don'ts

Although orthodontic treatment is a team effort between the doctor, patient, and orthodontic staff, the "Captain" of the team is the patient. The patient is ultimately the person who will determine how their treatment will progress and whether it will finish within the estimated time. When patients are having orthodontic treatment, it is very important that they follow the directions of the doctor and our orthodontic staff. Wearing and caring for braces requires great cooperation on the part of the patient.

Here is a list of "Do's and Don'ts" for orthodontic patients:

DO:

  • Brush and floss as directed by the doctor
  • Continue to see the dentist for cleanings while wearing your braces
  • Keep your appointments as scheduled to stay on track
  • Call us immediately if something is broken, poking or hurting you
  • Wear your appliances as much as the doctor wants you to
  • Change your elastics as often as the doctor tells you to
  • Wear your mouthguard when playing sports
  • Wear your retainer faithfully after your braces come off

 

DON'T:

  • Chew gum or eat sticky or hard candies, or sticky foods like Fruit Roll-Ups
  • Bite into hard or very crusty foods like apples, pizza crusts, bagels, etc.
  • Drink soda or other sugary drinks (plain water is the very best thing you can drink)
  • Bite on pens, Legos, or anything that is not food
  • Miss your appointments-it just adds time onto your treatment
  • Forget to brush and floss as often as you can
  • Ignore something that is broken or loose in your mouth—let us know asap!!
  • Play sports without wearing a mouthguard! Just ask us for one anytime
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4 Manchester Avenue • Derry, NH 03038 • (603) 434-1586
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