Search found 150 matches

by Dr. Randall
Fri Jan 20, 2006 9:47 am
Forum: Archive: Ask the Doc
Topic: Irrevocable damage to enamel and face structure from braces?
Replies: 8
Views: 2278

Again, if done properly, orthodontics will not result in a negative vertical increase in facial height. Some people are genetically programmed to grow in a somewhat more vertical pattern and virtually nothing can be done to prevent that. So it is possible for people to change dramatically and grow m...
by Dr. Randall
Thu Jan 19, 2006 3:59 pm
Forum: Archive: Ask the Doc
Topic: Irrevocable damage to enamel and face structure from braces?
Replies: 8
Views: 2278

Yes it is permanent, but usually it is not measurable without sequential x-rays and is so small that it is inconsequential to the outcome. Any website that states that it does make a noticable negative difference is exagerating. Some people just have a tendency to grow in a vertical direction and th...
by Dr. Randall
Thu Jan 19, 2006 1:51 pm
Forum: Archive: Ask the Doc
Topic: Diastema
Replies: 9
Views: 2087

sorry, I can't. Ask around and see who others go to.

Randall
by Dr. Randall
Thu Jan 19, 2006 1:45 pm
Forum: Archive: Ask the Doc
Topic: Diastema
Replies: 9
Views: 2087

Yes because you can move the teeth to close the space and eliminate the cause of the fremitus (which is the bite at the front of the mouth).

Randall
by Dr. Randall
Thu Jan 19, 2006 11:42 am
Forum: Archive: Ask the Doc
Topic: Diastema
Replies: 9
Views: 2087

Thanks Lynn, I couldn't have said that better myself. It never hurts to have a specialist look at it to give an opinion. :)

Randall
by Dr. Randall
Thu Jan 19, 2006 11:34 am
Forum: Archive: Ask the Doc
Topic: Very upset patient
Replies: 19
Views: 4163

Communication is very important. Tell your orthodontist what you want and why. THere is probably a pretty good reason why he wants to continue with treatment, listen to him about that. I have patients who say that since their teeth are straight they want the braces off, and then I tell them what I h...
by Dr. Randall
Thu Jan 19, 2006 11:27 am
Forum: Archive: Ask the Doc
Topic: Irrevocable damage to enamel and face structure from braces?
Replies: 8
Views: 2278

It is NOT typical at all. Usually roughness is due to excess adhesive on the teeth. Go to your orthodontist and ask them to take a look. It could be that you have decalcifications on your teeth, but that has such a distinctive appearance, you would have mentioned that already. Any orthodontic treatm...
by Dr. Randall
Sat Jan 14, 2006 10:59 am
Forum: Archive: Ask the Doc
Topic: molar crown
Replies: 0
Views: 691

The cement used should be fine almost right away. I would probably wait a week or two just to make sure there are no other issues with the crown (mainly the occlusion) before proceeding with treatment though.

Randall
by Dr. Randall
Sat Jan 14, 2006 10:43 am
Forum: Archive: Ask the Doc
Topic: Including 2nd Molars in my treatment
Replies: 9
Views: 1778

Sometimes it isn't essential that they are banded. If they line up correctly then there may not be a reason to band them.

Randall
by Dr. Randall
Sat Jan 14, 2006 8:18 am
Forum: Archive: Ask the Doc
Topic: Root Resorption issues Damons vs. Ceramics
Replies: 5
Views: 1545

Yeah, you have to go with your gut sometimes. It can be hard to tell apart great from good. Things that I like to tell prospective patients (and that they should ask) are that I place all appliances (braces), bend all wires, adjust all retainers, basically I do all the major things in the treatment ...
by Dr. Randall
Fri Jan 13, 2006 4:44 pm
Forum: Archive: Ask the Doc
Topic: Root Resorption issues Damons vs. Ceramics
Replies: 5
Views: 1545

If your root resorption was really severe, they wouldn't recommend treatment due to the risk. But a patient can lose several mm of root and still have decent root support. Also, it should be pointed out that anytime that teeth are moved, the roots will shorten. Most of the time it is not measurable....
by Dr. Randall
Fri Jan 13, 2006 2:08 pm
Forum: Archive: Ask the Doc
Topic: Root Resorption issues Damons vs. Ceramics
Replies: 5
Views: 1545

Bracket type should make little or no difference in root resorption (or overall outcome for that matter). Root resorption is most likely due to the length of treatment, the amount of force on the teeth during treatment (most modern treatments rely on lower forces) and the susceptibility of the patie...
by Dr. Randall
Fri Jan 13, 2006 2:04 pm
Forum: Archive: Ask the Doc
Topic: Essix retainer and/or Hawley retainer? Help, please!
Replies: 2
Views: 3648

In patients that have a difficult time adjusting to Hawley retainers, an essix (or tru-tain or many other trade names for them) work well. I usually do not use them as the initial retainer unless there is a specific reason because they are not adjustable. Most patients get used to their Hawleys with...
by Dr. Randall
Fri Nov 04, 2005 7:47 pm
Forum: Archive: Ask the Doc
Topic: Invisalign Question
Replies: 7
Views: 1521

Re: whoa

Marketing of orthodontic products and systems, just like Rx drugs, have skipped the docs and gone straight to the public. Not all of the info is presented in the light the doctors would suggest. I could go on forever on this but there is a place for Invisalign but not as big as the one it currently...
by Dr. Randall
Fri Nov 04, 2005 7:42 pm
Forum: Archive: Ask the Doc
Topic: Mouth-breathers' teeth move faster???
Replies: 5
Views: 1659

Even if their teeth do move faster, the issues that can be brought on by mouth breathing (open bite tendency) can make it harder to correct some orthodontic issues.

The more correct thing to say it that clencher/bruxer's teeth move more slowly because their habit inhibits tooth movement.

Randall