Ask The Doctors

Dr. Dustin and Dr. Henry answer your questions regarding modern orthodontic technologies. Here are a few of the responses. If you have a question, please fill out the form below. Please leave your e-mail address, so that we can respond to you directly, and, if appropriate, privately as well.

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My son, David, (age 21) has been out of braces for 5 years. Although he wore a retainer for several years following removal (has not worn one for 3 years) a small gap has developed between his front teeth. Would a retainer or Invisalign be best to close this gap and once closed how do we keep it from returning without wearing a retainer forever? I would like to switch to an orthodontist in Austin since he goes to UT and it would be difficult for him to come back to Houston for adjustments with his previous orthodontist. Thanks for your suggestions and he will most likely set an appointment with you soon.

It is hard to say what the best retention option might be once we get the space closed.  Sometimes it is possible to bond the teeth together, although this depends on the bite.   We have a variety of options for space closure.  PLease give the office a call and we can evaluate the situation.

 

 

What does it mean to be an Invisalign Premier Provider Elite?

This is the highest level of Invisalign provider. Less than 1% of doctors that offer Invisalign have completed enough continuing education hours and treated enough patients successfully to have received this honor.  These Doctors have the highest level of training to manage the most difficult of Invisalign treatments.

Do clear braces discolor over time?

Modern aesthetic braces are an option for patients that are not candidates for Invisalign therapy.  Many patients have heard that clear brackets tend to discolor and are concerned the braces will “yellow” with time.  Some first generation clear braces were made of materials that tended to discolor much like the tupperware bowl that was used to store the spaghetti sauce.  Modern clear brackets are made of materials that are non-porous and DO NOT discolor when a patient enjoys their favorite foods.

How old does my child have to be to qualify for Invisalign Teen?

While there is no set age for Invisalign Teen, we do require that all of the primay (baby) teeth be gone before a patient is a candidate.  We also require that most (but not all) of the adult teeth be erupted.  It is important to remember that even if your child has all of these requirements fulfilled is does not mean that he or she is an Invisalign Teen candidate.

What are Invisalign attachments used for?

Attachements are used to increase the surface are of the teeth.  While not all teeth need to have attachment during invisalign treatment, some that are undergoing far movements or are shaped very round need to have them so as to increase the area to which  the aligner can apply force.  Attachments allow the orthodontist to achieve more predictable movement with fewer Invisalign aligners during treatment.

Do Damon or any other type of braces make treatment progress faster or with less discomfort?

No.  Braces are handles that are glued to teeth to provide a platform with which various directional forces can be applied.  There are many manufactures that claim that their particular type of braces move teeth faster, but all of these claims are grossly unsubstantiated by research.  Some also claim that their type of braces can reduce the number of extractions or other appliances needed during treatment – these are also marketing ploys directed towards the public to help sell a product.  The art and science of tooth movement has changed greatly over the last few years; however, most of these advances are a result in the new types of wires and how they apply force to the teeth.

Do I need to be referred by a dentist for orthodontic treatment?

It is not necessary for your general dentist to refer you to the Orthodontist.  However, we do require that you be under the care of a general dentist before we begin any treatment.  Our office will call and check with your dentist to make sure that the teeth, bone and gums are in good health prior to starting your Austin orthodontic treatment.   Often times we also need to consult with your dentist about the goals of treatment so that we are sure to accommodate any and all crowns or other restorations that may need to be done before or after treatment.