A 20. There is absolutely no pain when the braces (brackets) are bonded on. However, you will experience some pain/discomfort 2-4 days after the doctor fastens the wire to your teeth. As for removing the braces (de-bonding) here is what Dr. Rothstein has observed after removing the braces of almost 3000 patients: If zero (0) represents no pain/discomfort and ten (10) represents the maximum pain you could feel, most patients report that the average pain they experience when the braces are remove (which takes about between a minute and two minutes to remove 24 brackets from the upper and lower teeth) is between one (1) and three (3).
At one time they really were ugly and no respectable adult would be caught dead wearing those big silver band that encircled the entire tooth. Dr. Rothstein and all modern orthodontists utilize, or have access to, braces that are clear-transparent. Dr. Rothstein uses the ones that are made of especially durable plastic that are bonded (glued) on to the front surfaces of all the teeth. These are called “bonded fixed” braces. He also uses wire that is tooth-colored because he himself wore braces and he realizes that every little cosmetic benefit is greatly appreciated by his patients. His goal is to create a “look” that the most sensitive adolescent or adult would be proud of. And if that is not good enough Dr. Rothstein can provide you with Lingual braces which are fixed braces (the best kind) that are totally invisible because they are bonded to the back of or inside of the teeth where they cannot be seen at all unless you want to show them to your friends. See question 7 .
Their is no age limit for wearing braces. But their are some important factors that determine whether you are a good candidate for orthodontic treatment. You are not a good candidate for orthodontic treatment if: you have many missing and/or loosened teeth with advanced gum-bone disease (“periodontitis”) and deep “pockets” around the sockets of the teeth. Other factors which lessen your candidacy for orthodontic treatment are such factors as whether you wear partial dentures or have many connected bridges. Still other factors might include whether you have the discipline to adhere to a diet of soft foods and if you are capable of keeping your newly braced teeth very clean, lest they harm your teeth or gums. Some people with certain diseases of the bone are also not good candidates. Otherwise you are never too old for braces. Healthy teeth and jaw bones in a person who is 50-60 years young can be moved just as quickly as healthy teeth in healthy bones in a person who is 15 -25 years young.
Yes it is true, but only when you neglect to wear the retainers the orthodontist provides you with. Retainers are simple removable devices that hold the teeth in their straightened after the fixed braces that the orthodontist corrected your teeth with, are removed. Dr. Rothstein has observed from treating almost 3000 patients that is necessary to wear retainers at nights only, 6 nights a week for 3 years. It takes that long for the bone to correctly reform around the newly positioned tooth (like newly-poured cement sets around a sign post). After that period of time Dr. Rothstein recommends wearing the retainer for as long as you want the teeth to remain as straight as they were the day the braces were removed. When and if you decide you are going to permanently stop wearing your retainers, genetic forces and forces from the lips and tongue, and natural tooth wear, and the loss of bone that sometimes comes with increasing age begins to dictate how the teeth will move, and in most cases teeth will shift slightly over the years. Dr. Rothstein uses “Invisible” retainers which are made of a durable, clear-transparent plastic material which covers the teeth like a protective shell. They are all but totally invisible even when worn in broad day-light. They are really user-friendly.
That depends. Out of almost 3000 patients that Dr. Rothstein has treated only 16 patients have had to have surgery on their jaws. Dr. Rothstein always begins his consultation-examination by asking you: “What is your chief complaint”? Then he asks: “What do you want me to correct? Your response to those two questions is what dictates the treatment plan and how the treatment will be carried out. In some cases the problem is not with teeth although it may appear that way. The problem lies with jaws that are under-sized or over-sized. The problem is often that lower jaw size does not match the size of the upper jaw. The jaw may appear to be either jutting forward overgrown or insufficiently developed (under grown). Dr. Rothstein will advise you of the extent to which he can improve your appearance (camouflage the skeletal problem) without surgical assistance. Dr. Rothstein is associated with two major city hospitals and has associations with Oral Surgeons who he has worked with over the years. Dr. Rothstein has expertise over and above the average orthodontist as a result of his studies in Physical Anthropology which earned him a Ph.D. at the University of Pennsylvania in the area of growth and development of the face and jaws. As a result he has a keen appreciation of when surgery can be truly beneficial or necessary.
Not if the removal is done by a competent practitioner. During 1the 1-3 days following the removals some patients report mild discomfort.
The letters TMJ are an acronym that stand for the words Temporal-Mandibular Joint. This is the joint that operates the opening and closing of your mouth. The joint is composed of a part of the skull called the Temporal bone, the lower jaw bone called the Mandible which is connected to the Temporal bone. Lying between the Temporal bone and the Mandible is a disc of cushioning material controlled by the muscles that help to open the mouth. . You can feel the joint by putting your index fingers just in front of your ears and opening and closing the jaw (mandible). The right and left side together comprise the TMJ. However, doctors often call the pain you feel around the joint when you are under tension and stress “TMJ”. They will tell you that “you have TMJ”. There are two basic kinds of TMJ problems: The first kind is related to pain that comes from some disorder of the parts inside the joint. This kind of disorder is much less common than the pain that originates in the muscles just surrounding the joint that help to open and keep the jaw closed. A common example of this kind of pain/disorder occurs when you are under a great deal of stress and you begin to clench and grind (brux) your teeth , not only during the day but at night in your sleep. This extra ordinary (para-functional ) chewing puts a great deal of stress on your TMJ. The muscles that hold the mouth closed go into a kind of painful spasm which can be very painful. The treatment is very simple: allow the jaw to rest, among many methods that are useful. Orthodontists can often diagnose the problem easily because patients report that upon waking their jaws hurt. A simple removable device called a bite plate is usually very helpful to alleviate the pain.
Not even if you tried with all your might. Those of you who have heard such a story will be heard pressed to prove it with documented information. If you can obtain such a document Send it to Dr. Rothstein at this E-mail address DRTED35@aol.com
Yes. There is nothing to prevent you from being able to floss your teeth. However, it does take about 5 minutes longer to do a thorough job because you must first pass the floss under the wire that is attached to the brackets, then floss, then remove the floss and pass the floss back under the wire to floss the next area, etc., etc.