Why Dentist

by John Graham, DDS, MD

The orthodontic industry has evolved significantly over the last 5-10 years, with the introduction of sophisticated technologies that make braces both comfortable and convenient and deliver precise, predictable results. Contemporary diagnostic tools, innovative treatment solutions and improved appliances can make braces a much more attractive option for both adolescents and adults who want to improve their smile.

Of course, it’s vital for orthodontic specialists to stay up-to-date on the latest technology. But, it’s also important for general dentists to stay abreast of the most recent developments. When it comes time to refer a patient for orthodontic treatment, look to an orthodontic specialist who has adopted the latest technology to ensure high quality outcomes for patients.

Innovative Diagnostics

One of the most innovative new tools is the use of in-office CT scanning to aid in diagnosis (i-CAT, Imaging Sciences International, Hatfield, PA). By providing a complete, 3D picture of the entire skull and underlying bone structure of the teeth, the CT scan reveals much greater detail about the extent of the problem than conventional x-rays.

These detailed 3D images allow orthodontists to view the exact position of the full root system and other problems that may be hidden beneath the surface from virtually any angle. This complete picture provides for a much more accurate diagnosis and enables the orthodontists to devise a more thorough treatment plan to yield better results.

Custom Smile Design

Computer-designed braces that are customized specifically for each individual patient are also a major innovation—for both the patient and the provider. Using 3D virtual models of the patient’s entire mouth, the orthodontist can create a precise treatment plan that will ensure the most optimum end results often in shorter treatment time.

The provider can make adjustments down to the smallest detail, including the exact location for bracket placement on each tooth and the specific arch wire to be used, before treatment even begins.

Once the details of the plan are finalized, advanced systems like Insignia (Ormco Corp., Orange, CA) will take this data and actually cut customized brackets and wires specifically for each patient. Unlike typical cookie-cutter braces, these personalized appliances can very often be much more comfortable than off-the-shelf braces because they are made based on the patient’s unique oral structure.

Passive Self-Ligating Brackets

Traditional brackets use rubber bands and/or steel wire ties to fasten the arch wire to the bracket, which exerts pressure and friction to move the teeth into place. This approach can actually slow treatment and cause significant discomfort for the patient. Passive self-ligating brackets, like the Damon System (Ormco Corp.), employ a slide mechanism that does not use ties but rather allows the wire to glide more freely, eliminating the binding and friction. This can improve patient comfort and speed treatment compared to conventional ties. Perhaps even better, this approach can very often eliminate the need for extractions in the vast majority of cases.

With the advent of these and many other contemporary treatment options, patients of any age have the opportunity to achieve the smile of their dreams without the discomfort and inconvenience of more traditional, one-size-fits-all braces. To make the best recommendation to your patients, be sure to weigh all the options and choose an orthodontist who can provide the most advanced technology and expertise to meet their specific needs.

About the Author

Dr. John Graham is a practicing orthodontist in Litchfield Park, Ariz. and a renowned innovator and educator in the field, lecturing worldwide to both doctors and staff on the most advanced orthodontic treatment philosophies available. He is the only orthodontist in Arizona, and one of only a handful in the United States, who is also a physician. He is the co-author of several orthodontic textbook chapters, and has written many professional journal articles. He is a member of the American Dental Association, American Medical Association, American Association of Orthodontists, American Cleft Palate/Craniofacial Association, Arizona Dental Association, Pacific Coast Society of Orthodontists and the Progressive Orthodontic Study Club. Dr. Graham is a contributing editor for both the Journal of Clinical Orthodontics and Orthotown, and is a reviewer for the journal ORTHODONTICS: The art and practice of dentofacial enhancement.