Gifted Smiles: Making a Difference One Smile at at Time

Gifted Smiles is a program of the 48ͼ�� Foundation (48ͼ��F) that provides necessary orthodontic treatments to children of families who lack access to care.

General Eligibility Requirements

• Your child is 18 years old or younger.
• Your total family income is 200% of the poverty level or less. (See chart below.)
• Your child receives regular dental care and has good oral hygiene.
• Your child is not currently in orthodontic treatment or in between phases of treatment.
• Your child has not received previous orthodontic treatment.

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X-rays and dental imaging are used during the initial consultation to go beneath the visible surface, revealing the intricate details of your oral anatomy. From diagnosing complex orthodontic issues to crafting precise, personalized treatment strategies, dental imaging provides insights into the underlying structure of your teeth and jaw for effective treatment planning.

In this article, we’ll explore the critical role of in-person consultations, including X-rays and dental imaging, in orthodontic treatment. We’ll discuss how these tools contribute to accurate diagnoses, effective treatment plans, and successful outcomes. Whether you’re considering braces, aligners, or any other orthodontic treatment, 48ͼ�� can help you understand the importance of the initial steps.

Why Do In-Person Consultations Matter?

Because each smile is unique, effective orthodontic treatment must be highly personalized. In-person consultations allow your orthodontist to thoroughly examine your oral health, going beyond what they may see at a glance, evaluating your teeth, jaws, bite, and overall facial structure. This hands-on evaluation allows them to identify orthodontic issues that could significantly influence your treatment plan.

In-person consultations also provide invaluable direct, two-way communication with your orthodontist. This is your opportunity to share your concerns, goals, and preferences directly with your doctor, and it allows your orthodontist to explain the potential treatment options, considerations, and expectations.

An in-person consultation also provides the chance for immediate feedback. Questions can be answered on the spot, and any concerns can be addressed directly, ensuring you receive clarity and peace of mind right from the start. Your orthodontist can also provide instant advice on what to expect during the treatment process, how to prepare for it, and how to manage any immediate oral health concerns.

The Role of X-Rays and Dental Imaging in Orthodontics

X-rays and dental imaging provide a window into the complex world beneath the surface of your smile. These diagnostic tools are essential for uncovering the hidden aspects of your oral anatomy, ensuring that your orthodontic treatment is effective and precisely tailored to your unique needs. Orthodontists use several types of X-rays and imaging techniques:

• Panoramic X-rays offer a broad view of the teeth, jaws, sinuses, and nasal area, helping to identify issues like impacted teeth, bone abnormalities, and wisdom teeth development.
• Cephalometric X-rays provide a side view of the face, showcasing the teeth in relation to the jaws. This imaging is invaluable for planning tooth movement and understanding the relationship between different parts of the face and skull.
• 3D Cone Beam CT (CBCT) scans offer a comprehensive, three-dimensional view of the teeth, soft tissues, nerve pathways, and bone in a single scan. This detailed image is used for complex diagnoses and treatment planning, including implant placement, jaw growth evaluation, and airway assessment.

X-rays allow orthodontists to see the positioning of the teeth’s roots, the health of the bone, and any issues that could impact treatment, such as compromised oral health, underlying dental conditions, or skeletal abnormalities. This detailed information is vital for designing a customized treatment plan that addresses the functionality and aesthetics of your smile and bite, while minimizing potential complications during treatment.

Beyond their role in initial diagnosis and planning, X-rays and dental imaging are helpful tools for monitoring treatment progress. They allow orthodontists to track changes in tooth position, bone health, and jaw alignment over time, ensuring that treatment is progressing as expected.

The Importance of In-Person Imaging for Successful Treatment

The precision and success of orthodontic treatment doesn’t only rely on the expertise of the orthodontist but also on the quality and clarity of the diagnostic tools they use. In-person imaging, including X-rays and dental scans, is pivotal in ensuring that each treatment plan is as effective and efficient as possible.

Accuracy and Precision

In-person imaging provides unparalleled accuracy and precision. The detailed views that panoramic X-rays, cephalometric analysis, and 3D CBCT scans provide allow orthodontists to assess tooth positioning, bone structure, and root alignment. This level of detail is essential for identifying the most effective treatment and for customizing the approach to your specific anatomy.

Hands-On Evaluation

While virtual visits can be convenient, in-person appointments allow your orthodontist to physically examine your mouth and facial structure, providing crucial information that cannot be captured through virtual consultations or photographs alone. This data helps orthodontists identify irregularities, asymmetries, or structural problems that may impact your treatment. This face-to-face time with the orthodontist also allows you to discuss your concerns, get answers to your questions, and learn about your treatment options, fostering trust and ensuring clear communication throughout your orthodontic care.

Customized Treatment Planning

Orthodontic treatment is not a one-size-fits-all solution. The detailed insights gained from in-person imaging enable orthodontists to tailor treatment plans to each patient’s unique needs. Imaging provides the data to customize every aspect of your treatment, whether it’s determining the optimal placement for braces or aligners, planning surgical interventions, or predicting how the teeth will move over time. Your orthodontist will use the information they gain from your in-person consultation to determine the best orthodontic appliances, treatment duration, and adjustments required to achieve optimal results.

Risk Assessment and Management

One of the most significant advantages of in-person imaging is detecting potential issues before they become more serious problems. X-rays and scans can reveal hidden decay, root resorption, bone loss, and other conditions that might not be visible during a standard examination. Dental imaging also enables orthodontists to assess potential risks associated with orthodontic treatment. By identifying these issues and potential risks early, orthodontists can adjust treatment plans to address them, preventing complications and ensuring a smoother, more predictable treatment process.

How Advanced Technology Enhances Orthodontic Imaging

The evolution of technology has significantly impacted every field of medicine, including orthodontics, particularly in the realm of diagnostic imaging. Today’s advanced imaging technologies offer unprecedented clarity and detail and improve the patient experience by making the process more efficient and less invasive.

Advanced imaging technologies can be integrated with digital treatment planning tools, allowing orthodontists to simulate treatment outcomes, adjust treatment plans in real time, and even customize orthodontic appliances. This collaboration between imaging technology and treatment planning enhances the effectiveness of orthodontic interventions, ensuring that patients receive the most accurate and personalized care possible.

Advances in imaging technology have also focused on enhancing patient safety and comfort. Reduced radiation exposure, non-invasive scanning methods, and faster imaging times contribute to a more patient-friendly diagnostic process.

Embrace the Power of Orthodontic X-Rays with an 48ͼ�� Orthodontist

As we’ve explored, orthodontic X-rays and dental imaging are essential components of the orthodontic treatment process, offering the accuracy, precision, and customization necessary for successful outcomes. It’s a step in the process and the cornerstone of effective, personalized orthodontic care.

48ͼ�� orthodontists utilize advanced imaging technology to achieve the best possible results for every patient. We encourage anyone considering orthodontic treatment to prioritize in-person consultations, as visiting with your orthodontist and completing dental imaging can revolutionize your treatment process. You deserve the most thorough and personalized approach to care, and if you’re thinking about starting orthodontic treatment, schedule an in-person consultation with an 48ͼ�� orthodontist today to take the first step toward the smile you’ve always dreamed of.

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In early 2017, (48ͼ��) collected data in an independent survey* that delivered a clear message: 99 percent of parents whose children play organized sports felt youth should be required to wear mouth guards in order to play. Yet 37 percent of parents said their child never wears a mouth guard while playing sports. This includes games, practices and recreational play.

“While most parents support the concept of their children wearing mouth guards to protect their smiles, the reality is that many teeth are knocked out each year due to sports-related injuries,” says Nahid Maleki, DDS, MS, president of the 48ͼ�� (48ͼ��).

“Particularly with a new school year beginning soon, we hope these survey results will educate parents and coaches, and inspire young players to get in the habit of wearing a mouth guard for the sake of protecting their healthy, beautiful smiles,” says Dr. Maleki.

Pain in the Mouth; Costs to Repair Lost Tooth Far Exceeds Parent Perceptions

A mouth guard is one of the most inexpensive pieces of protective gear available to young athletes, especially when compared to the high cost of restoring a knocked out or broken tooth. According to the study, parents estimate it would cost $1,142 to replace a damaged permanent tooth, but in reality, costs to treat one knocked-out tooth over a lifetime can range from $5,000 to $20,000**. Parents and patients may not realize that restorations may have to be repeated periodically, which amplifies repair or replacements costs

Which Sports Should Require Mouth Guards?

The study revealed misconceptions about which sports pose a significant risk to the mouth. It found that most parents want mouth guards required for football (83 percent) and hockey (76 percent), sports that have long been associated with injuries. However, less than half of parents want mouth guards required for basketball (49 percent). A 2007 study published in the Journal of the American Dental Association ranked basketball as the sport at the top of the list for the highest rate of dental injuries for both men’s and women’s intercollegiate athletes.

In fact, just 40 percent of parents believe injuries to children’s mouths are most likely to occur playing basketball, and 35 percent playing baseball. Lack of knowledge about mouth injuries could affect how organizations or schools approach mouth guard use by young athletes. In reality, and according to mouth guard manufacturer Shock Doctor, one in four injures on the basketball court occurs above the neck.

“What we learned from this survey is that that some parents forget, or are simply unaware, that sharp elbows or a baseball to the mouth can cause serious damage,” says Dr. Maleki. “The 48ͼ�� encourages all players to wear a mouth guard – no matter the sport.” Oral injuries can happen during high-risk contact and collision sports, as well as other activities such as gymnastics or skating.

And it’s not just negligence during games; the recommendation extends to sports practices. Forty percent of parents reported that their child’s sports practices are less structured than games, and generally have few or no medical personnel nearby. Parents also said that they believe players are more likely to “showboat” at practice than at a game, which increases the chance of injury.

No More Excuses

“Every parent knows there can be a lot of resistance coming from children who don’t want to wear a mouth guard,” says Dr. Maleki.

Yet, leaving mouth guard use up to a child isn’t always reliable. Among parents whose children do not always wear mouth guards, the vast majority reported in the survey that they “give in” frequently and allow their child to play a sport without one.

Nearly half of the parents surveyed think it is more difficult to get their child to wear a mouth guard than it is to eat all their vegetables without complaining.

“These data underscore how important it is for coaches, parents and young players to be on the same team when it comes to understanding the critical risks of playing sports without a mouth guard,” says Dr. Maleki. “New advances in mouth guard technology have made products affordable and easy to wear. Young athletes currently in orthodontic treatment should talk to their orthodontist about the type of mouth guard to wear during treatment.”

*The 48ͼ�� commissioned Wakefield Research to conduct the 2017 48ͼ�� Sports Survey among 1,000 U.S. parents whose children play organized sports. The survey was conducted in January 2017 using an email invitation and an online survey. The overall sampling error rate for this survey is +/- 3.1 percent at the 95 percent level of confidence.

**Sports Health, “Common Dental Injury Management in Athletes,” vol. 7, no. 3, May-June 2015, p. 250.

The 48ͼ�� (48ͼ��) is open exclusively to orthodontists – only orthodontists are admitted for membership. The only doctors who can call themselves “orthodontists” have graduated from dental school and then successfully completed the additional two-to-three years of education in an accredited orthodontic residency program.

When you choose an 48ͼ�� orthodontist for orthodontic treatment, you can be assured that you have selected a specialist orthodontist, an expert in orthodontics and dentofacial orthopedics who possesses the skills and experience to give you your best smile. Locate 48ͼ�� orthodontists through at aaoinfo.org.

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If your dentist focuses his/her practice on providing only orthodontic treatment (prevention, diagnosis and treatment of facial and dental irregularities), and is a member of the 48ͼ��, then he/she is an orthodontist. If your dentist provides general dental services such as cleanings, fillings, and overall management to maintain or restore oral health, then he/she is probably not an orthodontist. Use Find an Orthodontist to locate 48ͼ�� orthodontists. The 48ͼ�� only admits educationally qualified orthodontists as members.

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The type or brand of “appliance” (the formal name for devices like braces, aligners, etc.) used in orthodontic treatment is not as important as the skill in the hands person using the appliance.

Do be sure to seek out an orthodontist for orthodontic treatment. Orthodontists are dentistry’s specialists in moving teeth and aligning jaws to achieve a healthy bite. by graduating from dental school, and then successfully completing an additional 2-3 years of education in orthodontics at an accredited orthodontic residency program. Only people who have attained this level of formal education may call themselves “orthodontists,” and only orthodontists are accepted for membership in the 48ͼ��. By choosing an 48ͼ�� member, the public is assured that the doctor truly is an orthodontist.

Orthodontists have the training, experience and treatment options to make sure you get your best smile.

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Today’s standard metal braces are much smaller and sleeker than those of even a generation ago.

Please review your options with an orthodontist at an in-person consultation to determine what type of treatment will be best suited to your needs.

Orthodontists have the training, experience and treatment options to make sure you get your best smile.

Membership in the 48ͼ�� (48ͼ��) is your assurance that the doctor is an orthodontist because the 48ͼ�� accepts only orthodontists as members. To be an orthodontist means the individual must first graduate from dental school, and then successfully complete an additional 2-3 years of studying orthodontics at an accredited orthodontic residency program. Only those who have this level of formal education may call themselves “orthodontists.” And only orthodontists are eligible for admission into the 48ͼ��.

Use the  service to locate nearby members of the 48ͼ��.

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Patients should be aware that “do-it-yourself” treatment substantially increases the risk of irreparable damage.

For example, rubber bands can work their way under the gumline and, over time, if forgotten or not removed, can strangle the root of the tooth, and kill the tooth. That could lead to the need for an extraction.

If a tooth has rotated, something within the oral cavity caused it. Please consult an orthodontist to understand what has caused your tooth to turn, and how it can best be corrected.

Find members of the 48ͼ�� near you using .

Do be sure to consult with a member of the 48ͼ�� (48ͼ��). 48ͼ�� membership is your assurance that the doctor is an orthodontist because the 48ͼ�� accepts only orthodontists as members. To be an orthodontist means the individual must first graduate from dental school, and then successfully complete an additional 2-3 years of studying orthodontics at an accredited orthodontic residency program. Only those who have this level of formal education may call themselves “orthodontists.” And only orthodontists are eligible for admission into the 48ͼ��.

Orthodontists have the training, experience and treatment options to make sure you get your best smile.

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Decoding Orthodontic Jargon: A Comprehensive Glossary

A 

Active Treatment

The stage of orthodontic treatment is when teeth are being moved and/or jaws aligned.

Advanced periodontitis

The most severe form of gum (periodontal) disease. It is a chronic infection of the gums caused by accumulation of plaque under the gum line. The plaque contains bacteria that produce toxins that destroy the soft tissue and bone that hold teeth in place. Pockets (spaces between the gum and the teeth) appear and deepen. Gums recede, and bone dissolves. Teeth can become loose and may have to be removed.

Aligners

Clear, thin, removable trays that are formed to fit an individual’s teeth and are used to straighten teeth. Patients are responsible for insertion and removal.

48ͼ�� (48ͼ��)

The 48ͼ�� is a professional association of educationally qualified orthodontic specialists who create healthy, beautiful smiles for their patients. The 48ͼ�� only admits orthodontists as members. Orthodontists first graduate from dental school and then complete an additional two to three years of education in the orthodontic specialty at accredited orthodontic residency programs. Selecting an 48ͼ�� member for orthodontic care is your assurance that the doctor is an orthodontist.

Anterior

Front.

Appliances

Any device used by an orthodontist, attached to the teeth or removable, designed to move the teeth, change the position of the jaw, or hold the teeth.

Arch

Upper or lower jaw. The “dental arch.”

Archwire

The metal wire that is attached to the braces and used to move the teeth.

Attachments

The tooth-colored “bumps” are placed on teeth during clear aligner treatment.  They help move the teeth while a patient wears aligners. They are removed once treatment is complete.

B

Band

A metal ring, usually on a back tooth, that is cemented to a tooth for strength and anchorage.

Bite

How top and bottom teeth come together. Ideally, each tooth meets its opposite tooth in a way that promotes functions such as biting, chewing and speaking. A bad bite is called a malocclusion. The goal of orthodontic treatment is to create an individualized healthy bite (ability to bite, chew, speak). Additionally, when teeth and jaws are in proper positions, it creates a pleasing appearance.

Blue Grass Appliance

Used to help in the correction of a tongue thrust. Helps the patient retrain the tongue when swallowing, and can help correct an open bite.

Board-Certified Orthodontist

An orthodontist who has completed the American Board of Orthodontics Specialty Certification exams. A board-certified orthodontist is known as a Diplomate of the American Board of Orthodontics. The American Board of Orthodontics is the only orthodontic specialty certifying board that is recognized by the American Dental Association. Board certification is voluntary for orthodontists.

Braces

A word commonly used to describe a fixed orthodontic appliance, usually consisting of brackets, bands and wires.

Bracket

The small metal, ceramic, or plastic attachment is bonded to each tooth with a tooth-colored adhesive. The bracket has a slot that the orthodontic wire fits into.  Also known as a “brace.”

Bridge

A replacement for a missing natural tooth/teeth that fills the opening between adjacent teeth. Most often, the existing adjacent teeth receive crowns and a prosthetic (false) tooth is attached to the crowns. This restores function, provides a good appearance, and maintains the shape of the face. Bridges do not last forever, eventually this will require replacement.

Brushing

Brushing the teeth is part of an individual’s daily home dental care.  Patients with braces should follow the orthodontist’s instruction on how often to brush.

Bruxism

Grinding of the teeth, usually during sleep.  Bruxism can cause abnormal tooth wear and may lead to pain in the jaw joints, facial and/or neck muscles and difficulty opening and closing the mouth.

Buccal

A term orthodontists use to describe the cheek side of the back teeth in both jaws.

Buccal Tube

A small metal part of the bracket is welded to the cheek side of the molar band. The tube may hold an archwire, lip bumper, headgear, facebow or other type of appliance an orthodontist may use to move the teeth.

C

Cephalometric Radiograph

A side view x-ray of the head.

Chain

A stretchable series of elastic o-rings connected together and placed around each bracket to hold the archwire in place and close the spaces between teeth.  Also known as a “power chain.”

Class I Malocclusion

A malocclusion in which the back molars meet properly, but the front teeth may appear to be crowded together or spaced apart.  There may be an overbite, an openbite, a posterior (back) crossbite or an anterior (front) crossbite with a Class I Malocclusion.

Class II Malocclusion

A malocclusion the lower teeth and/or jaw is positioned back relative to the upper teeth and/or jaw.  This results the upper front teeth protruding forward.

Class III Malocclusion

A malocclusion where the lower teeth and/or jaw is positioned ahead relative to the upper teeth and/or jaw.

Closed Bite/Deep Bite

Also known as deep overbite, this occurs when the upper front teeth overlap the bottom front teeth an excessive amount.

Comprehensive Treatment

Complete orthodontic treatment is performed to correct a malocclusion.

Cone Beam CT/CBCT

A 3D x-ray.

Congenitally Missing Teeth

A genetic occurrence in which permanent teeth do not develop.

Crossbite

Upper back teeth are in crossbite if they erupt and contact inside or outside of the lower back teeth. Lower front teeth are in crossbite if they erupt in front of the upper front teeth. A crossbite can be a single tooth or groups of teeth.

Crown

The part of the tooth that is visible above the gums;  OR, A tooth restoration placed by a dentist. A crown restoration covers a tooth that may have had severe decay, was badly discolored, or was broken or otherwise misshapen. The crown covers the entire tooth and functions as a replacement for the natural tooth. Crowns placed by dentists can last for many years, but they are not permanent.

D

DDS or DMD

DDS (Doctor of Dental Surgery) and DMD (Doctor of Dental Medicine) are degrees awarded to dental school graduates. Some dental schools award DDS, and some dental schools award DMD. The American Dental Association considers them equivalent degrees. All orthodontists educated in the U.S. or Canada will have either a DDS or DMD after their names. Orthodontists, who are also known as “orthodontic specialists,” are required to follow their dental school education with the completion of two to three years of orthodontic specialty education in an accredited orthodontic residency program. This additional education makes orthodontists specialists in the field of orthodontics.

Decalcification

White marks on the teeth that can become cavities in the future. They are caused by poor brushing, and the consumption of sugary and acidic drinks.

Dentist

Practicing general dentists are healthcare professionals concerned with overall oral health. Dentists diagnose oral diseases, treat decayed teeth (fillings) and remove failed teeth (extractions). They usually provide services such as crowns, veneers or bonding to improve the appearance and function of teeth that have extensive decay, or are misshapen or broken. Dentists look for abnormalities in the mouth and teach patients how to prevent dental disease.

Diagnostic Records

The materials and information that the orthodontist needs to properly diagnose a malocclusion and plan a patient’s treatment. Diagnostic records may include a thorough patient health history, a visual examination of the teeth and supporting structures, an electronic scan or plaster models of the teeth, extraoral and intraoral photographs, as well as a panoramic and cephalometric x-rays.

E

Ectopic Eruption

Term used to describe a tooth or teeth that erupt in an abnormal position.

Elastics

Rubber bands.  During certain stages of treatment, small elastics or rubber bands are worn to provide individual tooth movement or jaw alignment.

Enamel

The hard, white outer layer of a tooth, and the hardest substance in the human body. Enamel makes it possible to bite and chew. If enamel breaks away from a tooth, or is worn away due to abnormal forces generated by a bad bite (or malocclusion), it is gone forever. Enamel does not regenerate.

Eruption

The process by which teeth enter into the mouth.

Essix Retainer

A removable retainer made of a clear, plastic-like material.

Expander

An orthodontic appliance that can widen the jaws.

Extraction

The removal of a tooth.

Extraoral Photographs

Photographs taken of the face from the front and side views.

F

Facebow

An orthodontic appliance worn with orthodontic headgear, used primarily to move the upper first molars back, creating room for crowded or protrusive front teeth. The facebow has an internal wire bow and an external wire bow.

Fiberotomy

A surgical procedure designed to cut part of the gum tissue around teeth, usually performed to reduce the chance of relapse or post-orthodontic tooth movement.

Fixed Appliances

An orthodontic appliance that is bonded or cemented to the teeth and cannot be or should not be removed by the patient.

Flossing

An important part of daily home dental care. Flossing removes plaque and food debris from between the teeth, brackets and wires. Flossing keeps teeth and gums clean and healthy during orthodontic treatment.

Forsus Spring

An orthodontic appliance made of a fixed spring mechanism that moves the lower jaw forward, usually to correct an overjet (protruding upper teeth). It can also be used as an anchor for other types of movements.

Frenum

The tissue attachment between the lip and the tongue or the lip and the upper jaw. A large frenum can cause spacing between the front teeth or cause the tongue to be “tied.” A large frenum can also cause the gum tissue on the lower front teeth to be pulled down.

Frenectomy

The surgical removal or repositioning of the frenum.

Function

Refers to biting, chewing and speaking. Teeth and jaws in their correct positions facilitate proper function.

Functional Appliances

A type of orthodontic appliance that uses jaw movement and muscle action to place selective force on the teeth and jaws. They are usually removable. They are also known as orthopedic appliances with names such as orthopedic corrector, activator, bionator, Frankel, Herbst or twin block appliances.

G

Gingiva

Soft tissue around the teeth, also known as the gums.

Gingivitis

The mildest type of gum (periodontal) disease, usually caused by poor dental hygiene that allows a build-up of plaque and subsequent inflammation in the gums . Symptoms include red and/or swollen gums, and bleeding when you brush or floss. Gingivitis can be reversed with professional treatment and good dental care at home. If left untreated it may progress to periodontitis.

Growth Modification

Placing braces or appliances to help modify and correct the growth of the jaws and teeth.

Gum disease

Another name for periodontitis. A chronic infection of the gums that stems from a build-up of plaque (link to glossary). Also called periodontal disease. Untreated gum disease can lead to tooth loss. Patients having orthodontic treatment need to remove plaque frequently by brushing their teeth after meals/snacks and before bed, and by flossing at least once a day. There are three stages of gum disease: gingivitis, periodontitis and advanced periodontitis. Many people are unaware that they have gum disease because there is little or no pain.

Gummy Smile

Showing an excessive amount of gingival (gum) tissue above the front teeth when smiling.

H

Hawley Retainer

A removable retainer made of wire and a hard plastic-like material.

Headgear

An appliance worn outside of the mouth to provide traction for growth modification and tooth movement.

Herbst Appliance

This appliance is used to move the lower jaw forward.  It can be fixed or removable. When it is fixed, it is cemented to teeth in one or both arches using stainless steel crowns. An expansion screw may be used to widen the upper jaw at the same time.

Holding/Lingual Arch

Bands on the upper or lower molars are connected using a bar behind teeth; used to maintain space.

I

Impaction

A tooth that does not erupt into the mouth or only erupts partially is considered impacted.

Implant

An artificial replacement for a missing tooth/teeth. The process involves placing a metal post in the jawbone. A crown is placed on the implant so that the patient is able to bite, chew and speak. Implants can be used to anchor a single tooth or multiple teeth. An orthodontist can create space or hold space open in the mouths of patients who may need implants to achieve good dental function. Dental implants cannot be moved by conventional orthodontic forces.

Interceptive Treatment

Orthodontic treatment is performed to intercept or correct a developing problem. Usually performed on younger patients that have a mixture of primary (baby) teeth and permanent teeth. Sometimes called Preventive or Phase I treatment.

Intraoral Photographs

Photographs taken of the inside of the mouth, usually showing the biting surfaces of the teeth and sides of the mouth while biting down.

Interproximal Brush

A tiny brush used to reach between teeth, and between teeth and braces, to remove plaque and food debris.

Interproximal Reduction

Removal of a small amount of enamel from between the teeth to reduce their width. Also known as reproximation, slenderizing, stripping, polishing, enamel reduction or selective reduction.

L

Labial

The surface of the teeth in both jaws that faces the lips.

Ligating Modules

A small elastic o-ring, shaped like a donut, used to hold the archwire in the bracket. Also called “o-rings” or “o-ties.”

Ligature

A tiny rubber band, or sometimes a very thin wire, that holds the orthodontic wire in the bracket slot/brace.

Lingual

The tongue side of the teeth in both jaws.

Lip Bumper

An orthodontic appliance used to move the lower molars back and the lower front teeth forward, creating room for crowded front teeth. The lower lip muscles apply pressure to the bumper creating a force that moves the molars back.

Lip Incompetence

The inability to close the lips together at rest, usually due to protrusive front teeth or an excessively long face.

M

Malocclusion

Latin for “bad bite.” The term used in orthodontics to describe teeth that do not fit together properly.

Mandible

The lower jaw.

MARA Appliance

A type of functional appliance used to bring the lower jaw forward to correct an overjet.

Maxilla

The upper jaw.

Mixed Dentition

The dental developmental stage in children (approximately ages 6-12) when they have a mix of primary (baby) and permanent teeth.

Mouthguard

A removable device used to protect the teeth and mouth from injury caused by sporting activities. The use of a mouthguard is especially important for orthodontic patients.

N

Nightguard

A removable appliance worn at night to help an individual minimize the damage or wear that occurs while clenching or grinding teeth during sleep.

O

Occlusion

Latin for “bite.” In orthodontics, occlusion describes how the upper and lower teeth meet.

Open Bite

A malocclusion in which teeth do not make contact with each other. With an anterior open bite, the front teeth do not touch when the back teeth are closed together. With a posterior open bite, the back teeth do not touch when the front teeth are closed together.

O-ring

A tiny, o-shaped rubber band that is used as a ligature and holds the archwire to bracket slots. O-rings come in a variety of colors, and are generally changed at each adjustment appointment.

Orthodontics

The specialty area of dentistry concerned with the diagnosis, supervision, guidance and correction of malocclusions. The formal name of the specialty is orthodontics and dentofacial orthopedics.

Orthodontist

A specialist in the diagnosis, prevention and treatment of dental and facial irregularities.  Orthodontists are required to complete college requirements, graduate from an accredited dental school and then successfully complete a minimum of two years of full-time study at an accredited orthodontic residency program. Only those who have completed this education may call themselves “orthodontists.” Orthodontists limit their scope of practice to orthodontic treatment. Only orthodontists may be members of the 48ͼ�� (48ͼ��).

Orthognathic surgery

Also called surgical orthodontics, orthognathic surgery is corrective jaw surgery performed to remedy skeletal problems that affect the ability to bite, chew and speak. Orthodontic treatment is done before and after surgery so that upper and lower teeth meet appropriately. 

Orthopedic Appliance

A removable functional appliance designed to guide the growth of the jaws and face.

Overbite

The upper front teeth excessively overlap the bottom front teeth when back teeth are closed. Also called a closed bite or deep bite.

Overjet

The upper front teeth protrude in front of the bottom front teeth when back teeth are closed.  Sometimes called buck teeth.

P

Panoramic Radiograph

An x-ray that shows all the teeth and both jaws at once.

Palatal Expander

A fixed or removable orthodontic appliance used to make the upper jaw wider.

Periodontal Disease

A chronic infection of the gums and jaw bones that stems from a build-up of plaque; many times there is little or no pain. Untreated  periodontal disease can lead to tooth loss. There are three stages of periodontal disease: gingivitis, periodontitis and advanced periodontitis.  

Periodontal Tissue

Refers to the hard and soft tissue, or supporting structures, around the teeth.

Periodontitis

A more serious form of gum (periodontal) disease as compared to gingivitis. It is a chronic infection caused by an accumulation of plaque under the gum line. The bacteria in plaque produce toxins that lead to destruction of the soft tissue and bone that hold teeth in place. Pockets (spaces between the gum and the teeth) form.  Unless treated professionally in conjunction with careful home care, the disease process will continue to break down tissues.

Phase One (Phase I) Treatment

Orthodontic treatment performed to intercept or correct a developing problem. Usually performed on younger patients that have a mixture of primary (baby) teeth and permanent teeth. Sometimes called Preventive or Interceptive treatment.

Plaque

Plaque is a colorless, sticky film which is a mixture of bacteria, food particles and saliva that constantly forms in the mouth.  Plaque combines with sugars to form an acid that endangers teeth and gums. Plaque causes cavities, white marks (decalcification) and gum disease. Plaque is removed by brushing and flossing.

Posterior

Back.

Power chain

Interconnected elastic ligatures that are stretched across multiple teeth, holding the archwire to bracket slots. Orthodontists use power chains for some patients during specific times during their treatment to apply additional forces to move teeth.

Preventive Treatment

Orthodontic treatment to prevent or reduce the severity of a developing malocclusion (bad bite). Also called Interceptive or Phase I treatment.

Primary Teeth

Baby teeth. Also called deciduous or milk teeth.

R

Radiograph

Also called an x-ray, a radiograph is a diagnostic tool that is used to see inside the body. Orthodontists take panoramic radiographs to see a complete horizontal image of a patient’s upper and lower teeth. A cephalometric radiograph is a side view of a patient’s head.

Removable Appliance

An orthodontic appliance that can be removed from the mouth by the patient. Removable appliances are used to move teeth, align jaws and/or to keep teeth in their new positions when the braces are removed (retainers).

Retainer

A fixed or removable appliance worn after braces are removed or aligner therapy is complete. A retainer is fitted to upper and/or lower teeth to hold them in their finished positions. When worn as prescribed, retainers are the best tool available to minimize unwanted tooth movement after active treatment ends.

Rubber Bands

During certain stages of treatment, small elastics (rubber bands) are worn to provide individual tooth movement or jaw alignment.

S

Separators

An elastic o-ring or small wire loop is placed between the teeth to create space for placement of orthodontic bands. Separators are usually placed between the teeth a week before bands are scheduled to be placed on the teeth.

Self-Ligating Brackets

Brackets that have a “door” on the front that holds the orthodontic wire to the bracket. With self-ligating brackets, an elastic ring is not needed to hold the orthodontic wire to the bracket.

Serial Extraction

Selective or guided removal of certain primary (baby) teeth and/or permanent teeth over a period of time to create room, reduce crowding and create a better environment for the permanent teeth to erupt.

Skeletal maturity

A time when an individual has stopped growing, and bones have reached their full development.

Spacers

Tiny elastics (rubber bands) that are inserted between molars. Spacers are placed one or two weeks before getting braces to create space between molars if molar bands will be used as part of the orthodontic appliance. Occasionally,  spacers fall out before braces are placed.

Space Maintainer

A fixed appliance used to hold space for an unerupted permanent tooth after a primary (baby) tooth has been lost prematurely, due to accident or decay.

Specialist

In dentistry, being a specialist usually requires:

General education –  Completing college requirements (usually four years)

Dental School Education: Four-year program  leading to a DDS or DMD in dentistry

Specialty education – Successful completion of two or more years (usually) of additional education in an accredited program in the chosen specialty area (such orthodontics in dentistry).

Thus the doctor’s experience is focused on the area of specialization

Orthodontists are the dental profession’s specialists in the field of orthodontics and dentofacial orthopedics. Nine dental specialties are recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards. After dental school, those who intend to be orthodontists must be accepted by, and successfully complete, an accredited orthodontic residency program lasting two years or longer (minimum of 3,700 hours). There are about 15 applications for each opening in an accredited orthodontic program. Those who attain this level of formal education may call himself/herself an orthodontist. Only orthodontists are admitted for membership in the 48ͼ��.

Supernumerary Teeth

An occurrence in which there are more teeth than the usual number. These teeth can be malformed or erupt abnormally. These teeth can also interfere with the normal pattern of tooth eruption and contribute to an orthodontic problem. Supernumerary teeth often need to be removed.

T

Temporary Anchorage Device (TAD)

A miniature surgical screw that resembles an earring stud when it is in place. Positioned in gum and bone tissue, a TAD is used as an anchor – a fixed point from which to apply the force needed to move teeth in a direction that braces alone cannot move them. The TAD is removed when it is no longer needed.

Tongue Crib

A fixed orthodontic appliance used to help a patient stop habits or undesirable tongue forces exerted on the teeth and bone that supports the teeth.

Tongue Thrust

A habit where an individual’s tongue pushes against the teeth when swallowing.  This type of force generated by the tongue can move the teeth and bone and may lead to an anterior or posterior open bite.

U

Underbite

The lower front teeth or jaw sit ahead of the upper front teeth or jaw. Also known as a Class III malocclusion.

V

Veneer

A thin, tooth-colored shell that is glued to the fronts of teeth to improve their appearance. A veneer can cover up a discolored or broken tooth. Veneers cannot correct malocclusions (misaligned teeth and/or jaws). However, veneers can be easier to place and last longer after an individual has had orthodontic treatment and teeth are properly positioned.

W

Wax

Orthodontic wax is placed on the brackets or archwires to prevent them from irritating the lips or cheeks.

Wires

Also known as archwires, they are held to brackets using small elastic o-rings (rubber bands), stainless steel wire ligatures, or by a door on a self-ligating bracket. Wires are used to move the teeth.

X

X-ray

Also called a radiograph, an x-ray is a diagnostic tool that is used to see inside the body. Orthodontists take panoramic x-rays to see a complete horizontal image of a patient’s upper and lower teeth. A cephalometric x-ray is a side view of a patient’s head.

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