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New Jersey Orthodontist Thomas M. Burns of Westfield Braces Dr. Thomas M. Burns, D.M.D., P.A., of Westfield N.J. Orthodontic Specialty Permit #3299

Frequently Asked Questions
 

What is orthodontics?
Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities.

What is an orthodontist?
An orthodontist is a specialist who has completed an advanced education program following dental school to learn the special skills required to manage tooth movement and guide facial development.

What are some possible benefits of orthodontics?

  • A more attractive smile
  • Better function of the teeth
  • Increase in self-confidence
  • Increased ability to clean teeth
  • Improved force distribution and wear patterns of the teeth
  • Better long-term health of teeth and gums
  • Guide permanent teeth into more favorable positions
  • Reduce the risk of injury to protruded front teeth
  • Aid in optimizing other dental treatment

What are some signs that braces may be needed?

  • Upper-front teeth protrude excessively over the lower teeth, or are bucked
  • Upper-front teeth cover the majority of the lower teeth when biting together; this is known as a deep bite
  • Upper-front teeth are behind or inside the lower-front teeth; this is known as an underbite
  • The upper and lower front teeth do not touch when biting together; this is known as an open bite
  • Crowded or overlapped teeth
  • The midline of the upper and lower teeth do not line up
  • Finger- or thumb-sucking habits which continue after six or seven years old
  • Difficulty chewing
  • Teeth wearing unevenly or excessively
  • The lower jaw shifts to one side or the other when biting together
  • Spaces between the teeth

At what age should orthodontic treatment occur?
Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child visit an orthodontist by age 7. Some children may visit the orthodontist earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?
Phase I, or early interceptive treatment, is limited orthodontic treatment before all of the permanent teeth have erupted. Partial braces and expansion appliance are a part of a Phase I treatment. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites or harmful oral habits. Phase II treatment, also called comprehensive treatment, involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?
Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Twenty to twenty-five percent of orthodontic patients today are adults.

How does orthodontic treatment work?
Braces use steady, gentle pressure to gradually move teeth into their proper positions. The main components are brackets and wires. The archwire is placed into the brackets. It tries to return to its original shape, as it applies pressure to move your teeth.

How long does orthodontic treatment take?
Treatment times vary case-by-case, but the average time is about twenty-four months. Actual treatment time can be affected by rate of growth and severity of the correction. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment time on schedule.

Do braces hurt?
The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the archwires, you may feel some soreness of your teeth for a few days. Your lips and cheeks may need one to two weeks to get used to your new braces.

Will braces interfere with playing sports?
No. It is recommended, however, that patients protect their smiles by wearing a mouthguard when participating in any sporting activity. We provide orthodontic mouthguards for our patients.

Will braces interfere with playing musical instruments?
No. However, there may be an initial period of adjustment. Brace covers can be purchased to prevent discomfort.

Should I see my general dentist while I have braces?
Yes, you should continue to see your general dentist every six months for cleanings and dental checkups.

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