What is an Orthodontist?

February 13th, 2025

This may seem like something silly to write about, but the truth is many people don't know the difference between a dentist and orthodontist and even more don't know what an orthodontist is at all.

An orthodontist is a dental specialist who focuses on diagnosing, preventing, and treating dental and facial irregularities, often referred to as malocclusions. Simply put, they are experts in making sure your teeth and jaw are in the right place. All Orthodontists are also dentists because they had to go to dental school before their advanced specialty training. However dentists are NOT orthodontists. While a general dentist handles routine dental care, like cleanings, fillings, and check-ups, an orthodontist is trained to address more complex issues, such as:

Braces and Clear Aligners: Orthodontists use braces, clear aligners (like Invisalign), and other appliances to correct misaligned teeth and bites.
Bite Problems: They treat overbites, underbites, crossbites, and open bites, which can affect not only your appearance but also your ability to chew, speak, and maintain oral hygiene.
Jaw Alignment Issues: Orthodontists address problems related to jaw alignment and growth, which can cause discomfort, speech difficulties, and aesthetic concerns.
Tooth Movement: They guide the movement of teeth for patients of all ages, ensuring that each tooth finds its ideal position within the mouth.

The Rigorous Training of an Orthodontist
Becoming an orthodontist requires years of specialized education beyond general dental school. Here’s a breakdown of what it takes:

Bachelor’s Degree: Orthodontists start with a four-year undergraduate degree, typically in a science-related field.

Dental School: After completing their bachelor’s degree, they attend dental school for four years to earn a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree. This training covers general dentistry practices, including oral health, tooth care, and basic dental procedures.

Orthodontic Residency: After dental school, aspiring orthodontists must complete an additional two to three years of full-time training in an orthodontic residency program. These programs are rigorous and very challenging to be accepted to. According to the American Association of Orthodontists, there is 1 residency spot open for every 15 applicants. Graduating in the top percentage of your dental school class is the best way to win a spot in an orthodontic residency. During orthodontic residency, they study advanced topics, such as:

Growth and Development: Understanding how the teeth, jaws, and facial structures grow and develop over time.
Biomechanics: Learning how to apply forces to move teeth efficiently and safely.
Diagnosis and Treatment Planning: Gaining expertise in diagnosing complex dental and skeletal problems and creating customized treatment plans.
Orthodontic Appliances: Studying the design, application, and management of various orthodontic devices, such as braces, aligners, and retainers.
Jaw and Bite Issues: Training in managing severe malocclusions and jaw discrepancies, often requiring interdisciplinary care or surgical intervention.

Dentists and Orthodontics: Common Myths and Misconceptions
Many people are unaware that general dentists do not receive specialized training in orthodontics during their dental education. This lack of training can lead to misconceptions, often perpetuated by marketing phrases like:

“Certified in Invisalign”
“Certified in Orthodontics”
“I work with Invisalign”
These phrases can be misleading. Here’s what they really mean:

“Certified in Invisalign” simply means that the dentist has completed a short, typically weekend-long course offered by Invisalign to familiarize themselves with the product and how to click submit on a case. In fact research has shown that 95% of Invisalign submissions by general dentists are approved without any specific requests or modifications to the case(no changes in tooth position, or how the teeth move). This does not equate to the extensive training and experience an orthodontist has in diagnosing and treating complex cases.

“Certified in Orthodontics” is a misleading term because there is no legitimate certification for general dentists to become "orthodontists." The only true certification in the field comes after completing a dedicated orthodontic residency program and, optionally, board certification.

“I work with Invisalign” often means that the dentist has taken a weekend course or virtual course to be able to pay Invisalign to use their product. This would be similar to but they may not have the expertise to handle more complicated malocclusions or underlying jaw issues.

The Importance of Seeing an Orthodontic Specialist
Orthodontic treatment is not just about straightening teeth—it’s about understanding the complex relationship between your teeth, jaw, and overall facial structure. Here’s why you should see an orthodontist for your orthodontic needs:

Specialized Expertise: Orthodontists have extensive training specifically in tooth movement and jaw alignment. They are equipped to handle complex cases that go beyond the scope of general dentistry.

Comprehensive Treatment Plans: Orthodontists can create personalized treatment plans that address the root cause of your dental issues, whether it’s a misaligned bite, overcrowded teeth, or jaw discrepancies.

Advanced Technology and Techniques: Orthodontists use state-of-the-art technology and techniques, such as 3D imaging and digital treatment planning, to ensure precise and effective care.

Long-term Health Benefits: Proper alignment of your teeth and jaws can prevent a range of issues, including tooth decay, gum disease, TMJ disorders, and even digestive problems caused by improper chewing.

Choosing the Right Orthodontist
If you’re considering orthodontic treatment, it’s crucial to choose the right specialist for your needs. Here are some tips:

Verify Credentials: Make sure your orthodontist has completed a certified orthodontic residency and is licensed by the American Association of Orthodontists (AAO).

Check Reviews and Testimonials: Look for feedback from previous patients to gauge their satisfaction and experience.

Consultation and Treatment Planning: A reputable orthodontist will offer a comprehensive consultation, including digital scans, X-rays, and a detailed treatment plan.

Transparency in Treatment Options: Your orthodontist should explain all available treatment options, the expected duration of treatment, and the associated costs.

At Strouse Orthodontics, we are committed to providing the highest level of care with a personalized approach to each patient. Our goal is to help you achieve a healthy, beautiful smile that lasts a lifetime.

Conclusion
Orthodontists are highly trained specialists who dedicate years to mastering the art and science of tooth movement and jaw alignment. While general dentists play an essential role in your oral health, complex orthodontic issues should be managed by an orthodontist. Don’t be misled by marketing jargon—always seek a consultation with a certified orthodontist to ensure you receive the best possible care for your smile.

If you have any questions or are considering orthodontic treatment, contact us at Strouse Orthodontics today. Let us guide you on the path to a healthier, more confident smile!

Orthodontics and Gum Disease: How Orthodontics Can Prevent Gum Disease

February 3rd, 2025

Gum disease, also known as periodontal disease, is a common oral health concern that affects millions of people. It can lead to gum inflammation, infection, and even tooth loss if left untreated. While many people associate orthodontic treatment with achieving a straighter smile, few realize its significant role in preventing gum disease. Properly aligned teeth are easier to clean, reducing the risk of plaque buildup and gum-related issues. In this blog, we will explore how orthodontic treatment can help protect your gums and improve your overall oral health.

Understanding Gum Disease

Gum disease develops when bacteria accumulate along the gumline, causing inflammation and infection. It typically progresses in two stages:

Gingivitis – The earliest stage of gum disease, characterized by red, swollen gums that may bleed when brushing or flossing. Gingivitis is reversible with proper oral care and professional cleanings.

Periodontitis – A more severe form of gum disease that affects the bone and tissues supporting the teeth. If left untreated, it can lead to tooth loss and systemic health issues.

Several factors contribute to gum disease, including poor oral hygiene, smoking, genetics, and underlying health conditions. However, misaligned teeth can also play a significant role in gum health problems.

How Misaligned Teeth Contribute to Gum Disease

Crooked, crowded, or improperly spaced teeth create hard-to-reach areas where plaque and bacteria can accumulate. These areas are difficult to clean effectively, increasing the risk of gum inflammation and infection. Common alignment issues that may contribute to gum disease include:

Crowded teeth – Overlapping or tightly spaced teeth create narrow spaces that are difficult to floss and brush properly.

Gaps between teeth – Large gaps can allow food and bacteria to settle along the gumline, leading to plaque buildup and gum irritation.

Bite misalignment – An improper bite can cause uneven pressure on the gums and teeth, increasing the risk of gum recession and periodontal problems.

How Orthodontic Treatment Helps Prevent Gum Disease

Orthodontic treatment, such as braces or clear aligners, can help correct these alignment issues, reducing the risk of gum disease. Here’s how:

Improved Oral Hygiene – Straightening your teeth eliminates hard-to-reach areas, making it easier to brush and floss effectively. When teeth are properly aligned, plaque and bacteria have fewer places to hide.

Even Pressure Distribution – A well-aligned bite prevents excessive pressure on certain teeth and gums, reducing the likelihood of gum recession and bone loss.

Reduced Risk of Plaque Buildup – With fewer tight spaces and overlapping areas, food particles and bacteria are less likely to get trapped, decreasing the risk of gingivitis and periodontitis.

Healthier Gum Tissue – Properly aligned teeth allow the gums to fit more securely around each tooth, reducing the risk of gum pockets where bacteria can accumulate.

Maintaining Gum Health During Orthodontic Treatment

While orthodontic treatment helps prevent gum disease in the long run, it’s essential to maintain good oral hygiene throughout the process. Here are some tips:

Brush and floss regularly – Use a soft-bristled toothbrush and floss daily to remove plaque and food debris.

Use an interdental brush or water flosser – These tools can help clean around brackets, wires, and aligners.

Attend regular dental cleanings – Professional cleanings and check-ups ensure that any early signs of gum disease are caught and treated promptly.

Follow your orthodontist’s care instructions – Whether you have braces or clear aligners, proper care is crucial to keeping your teeth and gums healthy.

Final Thoughts

Orthodontic treatment isn’t just about achieving a beautiful smile—it plays a crucial role in maintaining healthy gums and preventing periodontal disease. By correcting misalignments and making oral hygiene easier, braces or clear aligners can significantly reduce the risk of gum issues. If you’re concerned about gum disease or struggling with misaligned teeth, schedule a consultation with Strouse Orthodontics today for the best orthodontist in Hernando County FL and Citrus County FL. Let’s work together to create a healthier, straighter smile that lasts a lifetime!

Types of Orthodontic Treatments

January 30th, 2025

Orthodontic treatment has evolved significantly over the years, offering patients a variety of options to achieve a healthier, more aligned smile. Whether you're dealing with crowded teeth, gaps, or a misaligned bite, there's a treatment that can work for you. Two of the most common treatments today are traditional braces and clear aligners—are both designed to gradually move teeth into their ideal positions.

Traditional braces have been around for decades and remain a popular option for many patients. Braces consist of metal brackets attached to the teeth and connected by a wire that is periodically adjusted to apply pressure and guide the teeth into alignment. Within traditional braces, there are self-ligating brackets, which use a door to hold the wire, reducing friction and potentially shortening treatment time. Another common type is twin brackets, which use small rubber bands that patients love to change the colors, to hold the wire in place.

In recent years, clear aligners like Invisalign have gained popularity, especially among adults and teens looking for a more esthetic solution. These custom-made, removable trays are nearly invisible and work by gradually shifting teeth without the need for brackets or wires. Aligners are convenient, allowing for easy brushing and eating, making them an attractive alternative to traditional braces when planned by a specialist in orthodontics.

Beyond braces and aligners, there are other treatments available, such as palatal expanders, retainers, space maintainers, and various other appliances to address specific dental issues. The key to successful orthodontic treatment is finding the right solution tailored to your unique needs. This means having an appropriate diagnosis and treatment plan from a specialist in Orthodontics. At Strouse Orthodontics, we provide personalized care and guidance to help you choose the best option for achieving a confident, healthy smile.

Is it Necessary to Remove Orthodontic Wires for Dental Cleanings?

January 22nd, 2025

As an orthodontic patient, maintaining excellent oral hygiene is crucial. One question that sometimes arises is whether orthodontic wires need to be removed during routine dental cleanings. While some dental offices may recommend this, the truth is that in most cases, it is not necessary. Let’s explore why orthodontic wires can stay in place for cleanings and why it’s perfectly possible to achieve a thorough cleaning without removing them.

Why Some Offices Recommend Wire Removal

Orthodontic wires may occasionally be removed to make cleaning easier for the hygienist. Without wires, accessing areas around the brackets and between the teeth is simpler. This can save time and effort for the dental professional. However, this practice is not a requirement for effective cleaning, especially with modern techniques and tools available to dental hygienists. In some cases, a dentist or hygienist may believe that removing wires ensures a more comprehensive cleaning, but this belief often stems from outdated practices or a lack of familiarity with cleaning around orthodontic appliances.

The Truth: Wires Are Rarely an Obstacle

Specialized Tools Are Designed for Cleaning Around Braces: Dental hygienists are trained to use tools specifically designed to clean around brackets and wires. Ultrasonic scalers, small hand instruments, and polishing devices can effectively remove plaque and tartar without interfering with the orthodontic appliance.

Research Supports Cleaning With Wires in Place: Studies have shown that dental cleanings can be just as effective with wires in place, provided the hygienist is skilled and uses the proper tools. There is no significant evidence suggesting that wire removal improves cleaning outcomes or oral health during orthodontic treatment.

It Saves Time and Reduces Hassle for Patients: Removing and replacing wires involves an additional orthodontic visit, which can be inconvenient for patients. Leaving wires in place streamlines the process and ensures you don’t miss out on valuable time wearing your braces.

Modern Orthodontics Promotes Better Hygiene: Today’s orthodontic wires and brackets are designed with patient hygiene in mind. Many brackets are smaller and less intrusive than older models, allowing for easier cleaning. Additionally, orthodontists often recommend tools like water flossers and special orthodontic brushes to help patients maintain excellent oral health throughout their treatment.

When Might Wire Removal Be Necessary?

There are a few rare situations where removing wires might be recommended, such as:

Severe Tartar Buildup: If tartar has accumulated significantly in hard-to-reach areas, a temporary wire removal may be helpful to access and clean these spots.

Extensive Dental Work: For specific procedures, like deep periodontal treatments, removing wires might be required to ensure thorough care.

Certain Dental X-Rays: Certain dental x-rays, such as bitewings may indicate orthodontic wires to be removed to better visualize potential cavities in between the teeth.

However, these cases are exceptions, not the norm. For routine cleanings, leaving wires in place is sufficient and preferred.

Best Practices for Cleaning With Braces

Patients can play a vital role in keeping their teeth clean during orthodontic treatment. Here are a few tips to ensure your dental cleanings are as effective as possible:

Use Orthodontic-Friendly Tools: Water flossers, interdental brushes, and floss threaders can help remove debris and plaque from hard-to-reach areas.

Follow Your Hygienist’s Advice: Skilled hygienists know how to clean around braces effectively, so trust their expertise during your appointment.

Maintain Good Daily Hygiene: Brushing thoroughly with a fluoride toothpaste and using mouthwash can reduce the amount of buildup that needs to be addressed during professional cleanings.

The Bottom Line

In most cases, removing orthodontic wires for routine dental cleanings is unnecessary. Skilled dental hygienists can perform a thorough cleaning without removing your wires, and modern tools make this process both effective and efficient. If you’re ever in doubt, consult with your orthodontist to ensure you’re receiving the best care possible while maintaining the integrity of your orthodontic treatment.

By keeping your wires in place, you save time, reduce inconvenience, and still achieve excellent oral hygiene. Trust the process and your dental professionals to help you maintain a healthy, beautiful smile throughout your orthodontic journey.

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