Oral Hygiene: Bone and gum tissue that support the teeth may be affected by the movement of teeth during orthodontic treatment. Generally this is only an issue if the tissue was unhealthy prior to treatment, but in rare cases it can occur in apparently healthy tissue. In most cases, orthodontic treatment makes gum disease and tooth loss less likely. Gum and bone tissue may become inflamed if plaque is not removed daily.
Post-Treatment Movement: Teeth may change position after treatment. Wearing a retainer as directed can prevent some of this movement. Many other factors can affect your bite, such as the eruption of wisdom teeth, growth, playing musical instruments, and other oral habits which are beyond the control of the orthodontist. It is possible that the tooth and jaw position shifts to the degree that additional treatment is required, which may include the replacement of braces.
Temporomandibular (Jaw) Joints: Occasionally, problems may occur in the jaw joints, causing pain, headaches and ear problems. While these issues may arise with or without orthodontic treatment, if you experience these issues over the course of your orthodontic treatment, please let your orthodontist know immediately.
UnusualDevelopmentandGrowth:Developmentanderuptionofteethisacomplexprocess. In some cases, primary teeth become fused to the bone and will not move. This is know as ankylosis. This is more commonly seen when there is not a permanent tooth underneath the primary. The fused primary tooth will remain lower than the normally developed teeth. This can alsohappenwithpermanentteeth,thoughitisamoreunusualoccurrence. Atypicalformation of teeth, or unusual changes in the growth of the jaw may limit our ability to achieve the desired results. At times, developmental changes after treatment require additional treatment or surgery. The development of the jaw and teeth is a biological process, and therefore beyond our control. Growth or changes that occur after treatment may adversely affect treatment results.
Minor Injuries and Hazards: Orthodontic appliances are made of many small parts. These can come loose and be accidentally swallowed, aspirated, or irritate the mouth. Cheeks and lips may be scratched or irritated by broken appliances or blows to the mouth. Patients may inadvertently get scratched, poked, or receive an injury to a tooth, potentially resulting in damage to or soreness of oral structures. Abnormal wear of the teeth is possible if the patient grinds his/her teeth excessively.
Post-Adjustment Soreness: After receiving an adjustment to your orthodontic appliance, some tenderness or pain should be expected. Generally, this goes away between 24 and 48 hours after the appointment, though this will vary depending on the patient and the procedure that was performed. If you have any unusual symptoms, broken or loose appliances, you should notify your orthodontist immediately.
Headgear: If handled improperly, headgear can cause injury to the face and eyes, and in some rare cases, blindness. There have been a few reports of injury to the eyes of the patients from wearing