Underbites can make it hard to pronounce certain words and sounds. These types of malocclusions can also result in other speech problems such as a lisp or slurring. Orthodontic treatment, sometimes combined with speech therapy, can correct these issues.

Can An Underbite Cause Speech Problems? What You Need To Know

Jaw alignment and speech are closely intertwined. Thus, underbites can be common causes of speech problems. Aside from aesthetics, speech difficulties are some of the primary reasons many children and adults seek orthodontic treatment. In some cases, orthodontic treatment alone can successfully correct a speech impediment. In other cases, speech therapy may be recommended as a complementary therapy.

While common, speech issues aren’t the only problems caused by underbites. Other complications of untreated malocclusions can include bad breath, jaw pain, and breathing difficulties. [1] Indirectly, an underbite could also lead to social and interpersonal issues related to low self-esteem, especially in children.

Your orthodontist may take a unique approach to your orthodontic treatment plan, depending on your specific case. Some of the popular options for treating an underbite include retainers, braces, and jaw surgery. Without treatment, speech impediments may cause ongoing communication and self-esteem issues.

What is an Underbite?

An underbite is a common orthodontic condition that occurs when a person’s lower teeth and jaw protrude farther out compared to the upper teeth and jaw. Orthodontists refer to underbites as class III malocclusions. Underbites may be genetic or may be caused by prolonged pacifier use or thumb-sucking in early childhood.[2] Other causes might include mouth breathing or tongue thrusting.

Symptoms of an Underbite

Most people prefer the look of a proper bite, when the upper front teeth slightly overlap the bottom front teeth. However, cosmetic concerns aren’t the only negative consequences of an underbite. Other symptoms of an underbite may include: [3]

• Jaw pain and discomfort
• Repeatedly biting the inside of the mouth
• Problems completely closing or opening the mouth
• Breathing difficulties
• Bad breath
• Speech difficulties

If you or your child is experiencing symptoms of an underbite or similar issue, ask your doctor or dentist for a referral, or call the office directly. In some cases, your insurance plan may cover some or all of the costs associated with treatment when orthodontic issues impact speech.

Speech Difficulties Caused by Underbites

Speech difficulties may be some of the most troublesome consequences of underbites. It can result in communication issues as well as low self-esteem for those affected. Specifically, class III malocclusions like underbites are the most common culprits for speech problems, including:

• Trouble pronouncing the “s” and “t” sounds along with other consonants
• Slurring words
• Speaking with a lisp

Speech Therapy for Underbite

Speech therapy for underbite speech issues is not uncommon. If your child has a noticeable speech impediment, their pediatrician or school teacher may recommend speech therapy. Parents can also request a speech evaluation if they have concerns about their child’s communication or speech development.

Speech therapy can help with a variety of speech problems, including those caused by underbites and other malocclusions. Since speech impediments associated with underbites are caused by a misalignment of the teeth and jaw, orthodontic treatment is almost always recommended in conjunction with speech therapy.

Can You Correct an Underbite?

The majority of underbites can be corrected, but this often requires orthodontic intervention. An experienced orthodontist can evaluate your bite during an office visit and recommend a course of orthodontic treatment for speech problems caused by underbite. While every case is different, common treatment plans for underbites include: [5]

• Tooth extraction
• Palatal expanders
• Retainers
• Headgear
• Braces
• Clear aligners like Invisalign
• Jaw surgery

Contact Your Orthodontist

If you or your child have a visible underbite or symptoms of an underbite, reach out to your dentist or orthodontist as soon as possible. Early identification and treatment of this type of underbite can result in less invasive options and quicker outcomes. A brighter smile and clearer speech could be just a call away.

It may not seem like a big deal at first, but that sharp, persistent ache on the side of your tongue can seriously interfere with your daily life when left unchecked. When the side of your tongue hurts from teeth contact or another issue, it’s your body signaling that something needs attention.

Tongue pain is more common than you may think. The discomfort can range from mild irritation to severe pain that disrupts eating and other daily activities. Understanding the root causes and how to address them can help you move forward with your life more quickly.

Exploring the Potential Causes of Tongue Pain

Tooth-Related Trauma

Teeth with rough edges nearby can cause minor but painful injuries to the tongue. Misalignment of nearby teeth can also harm the tongue by applying constant friction against its delicate tissue.

By the exact mechanism, dental work like braces, retainers, or rough fillings can also irritate the tongue. Finally, we all know what it feels like to accidentally bite down on the tongue while chewing food or gum. It’s a very unpleasant sensation that can cause a painful sore on the tongue.

Infections and Inflammatory Conditions

Oral infections can affect multiple areas of the tongue, including the sides. Whether bacterial or viral, infections may cause localized swelling, burning sensations, and pain on one or both sides of the tongue.

Geographic tongue is a condition characterized by smooth, red patches on the tongue that replace its everyday bumps (papillae).[1] While this condition is non-cancerous and does not typically require treatment, it can still cause tongue pain in some cases.

Oral thrush is an infection caused by an overgrowth of yeast.[2] Like geographic tongue, it is considered harmless in a medical sense, but it can still cause pain while making eating less enjoyable. Oral thrush can be treated with antifungal medication.

Nutritional Deficiencies

Iron deficiency anemia can manifest as tongue pain and changes in texture.[3] Low iron levels often cause the tongue to become smooth, pale, and sore.

Deficiencies in other nutrients, such as vitamin B12 and folate, can also cause similar symptoms. In these cases, your tongue may become especially sensitive along the sides where it makes contact with the teeth.

Allergic Reactions and Food Sensitivities

Highly acidic foods, such as fruits, tomatoes, or spicy dishes, can sometimes trigger reactions on the sides of the tongue, causing temporary pain and irritation.

If your tongue hurts on one side from consistent tooth contact, it may also be due to an allergy to toothpaste, mouthwash, or any dental materials used in your mouth.

Food allergies and sensitivities are common causes of tongue swelling and pain. Even mild allergic reactions can create enough inflammation to make your tongue sensitive to regular tooth contact.

Canker Sores and Ulcerations

The sides of the tongue are a common site for canker sores. These small, painful lesions can make eating and even speaking highly uncomfortable.

Aphthous ulcers, characterized by inflammation of the mucous membrane lining the mouth (oral mucosa), can occur independently or as a result of other underlying health conditions.[4] Depending on the size and severity, they may take days to several weeks to heal.

Trauma-induced mouth ulcers can occur after the same area of the tongue is consistently irritated by teeth or dental appliances.

Hormonal Changes

Pregnancy hormones can increase tongue sensitivity and cause swelling.[5] This increased sensitivity makes regular tooth contact feel more painful than it usually does.

Menstrual cycle fluctuations also affect oral tissues. Many women experience increased tongue sensitivity during specific phases of their menstrual cycle.

Menopause brings significant hormonal shifts that can affect oral health. Decreased estrogen levels often lead to dry mouth and increased sensitivity of the tissues.

How to Address Tongue Pain

Tongue pain can be caused by numerous factors, and treatment methods also vary. Consulting with a dental care provider is the best way to accurately determine the source of the issue and formulate an effective treatment plan.

Immediate Relief Strategies

You may be advised to rinse your mouth with warm salt water several times a day, avoid irritating foods (such as spicy or acidic ones), or apply ice chips to temporarily numb the affected area.

Over-the-counter pain relievers can also help to manage discomfort. Follow package directions and consider anti-inflammatory options for better results.

Professional Dental Intervention

When teeth cause tongue irritation, professional smoothing or reshaping can provide immediate relief. Rough edges or sharp points need professional attention.

Orthodontic evaluation becomes necessary when misaligned teeth repeatedly injure your tongue. Proper alignment prevents future injuries and improves overall oral health.

Dental appliance adjustments can eliminate sources of irritation. Retainers, braces, or dentures often need minor modifications to prevent tongue contact.

Medical Treatment Options

Prescription medications, nutritional supplementation, and/or specialized treatments for conditions like geographic tongue may be the most effective course of action to resolve some cases of tongue pain. If the discomfort is caused by a chronic condition, you may need ongoing medical attention.

Ready to Find Relief?

Persistent tongue pain shouldn’t control your daily life. When the side of your tongue hurts due to tooth contact, a professional evaluation can identify the exact cause and provide targeted solutions.

Don’t wait for pain to worsen or complications to develop. Early intervention often means simpler treatments and faster recovery times.

Your oral health affects your overall quality of life. Taking action now prevents future problems and ensures your comfort during daily activities, such as eating and speaking.

The field of orthodontics is constantly changing, thanks to advancements in technology and the development of new and innovative orthodontic appliances. Orthodontists and researchers in the field continually ask new questions and devise innovative ideas to enhance orthodontic treatment, making it faster, more effective, and more comfortable for patients.

Types of Orthodontic Appliances

When you think of orthodontic appliances, you may think of braces and retainers. There are many other types of appliances, each designed for a specific orthodontic treatment and purpose. Along with orthodontic appliances come orthodontic accessories, which work in tandem with the appliances to improve your smile.

Palatal Expander

Sometimes called a rapid palatal expander, this type of orthodontic appliance widens the upper arch. It’s often recommended for crowded teeth or to correct crossbites. Palatal expanders are typically only effective for children, as they alter the growth pattern of the bone in the upper jaw. After age 16 for girls and 18 for boys, this appliance is typically no longer practical.

Forsus

Designed to correct overbites, the Forsus, or Forsus Fatigue Resistant Device, is a fixed appliance used for the correction of overbites. It’s made of two rods connected by a spring, and it works by moving the lower jar forward.

Herbst Appliance

The Herbst appliance may be recommended to treat Class II malocclusions, including severe overbites.[1]  It’s best for children ages 9 to 14 whose jawbones have yet to stop growing. The Herbst appliance consists of two metal arms that connect bands on the upper and lower teeth. It’s usually worn before or during braces treatment. This appliance works by moving the lower jaw forward while simultaneously moving the upper molars backward.

Lower Lingual Arch

Lower lingual arches can be used in cases of slight crowding or when a child has lost their baby teeth prematurely. The lower lingual arch works by maintaining space for permanent teeth by stopping the molars from moving forward.

Headgear

Headgear refers to an appliance used to treat Class II and Class III malocclusions that result in severe misalignment.[2] Headgear consists of many different parts, including a head cap that rests on the top of the head. There are several different types of headgear, including high pull, reverse pull, and cervical pull.

Retainers

Retainers are often used after braces or other orthodontic appliances are removed. [3] Once the teeth have moved into the correct position, orthodontists generally recommend retainers to “retain” the progress that’s been made. Without a retainer, your teeth may gradually shift back towards their original positions. There are two basic types of retainers: fixed retainers and removable retainers. Retainers are often made of metal, clear plastic, or both.

Nance

The Nance appliance is typically recommended after treatment involving headgear. Made from bands affixed to the molars with wires running across the roof of the mouth, this appliance keeps the molars in place after they’ve been moved backwards.

Clear Aligners (Invisalign)

Clear aligners like Invisalign are gaining popularity due to their aesthetic appeal and versatility. These appliances can be removed to brush and floss, potentially improving overall oral hygiene and, consequently, oral health. They’re also much more discreet than traditional metal braces. Thanks to advancements in aligner technology, these appliances are more accessible than ever and can treat more severe cases than initially thought. That means you’re more likely to be a candidate for clear aligners today than ever before.

Lingual Braces

A relative newcomer to the orthodontic appliance list, lingual braces are like traditional braces, but they’re attached to the backside of the teeth instead of the front of the teeth. This makes them less visible to others. Advancements in lingual braces have made them less bulky and more comfortable for patients. These appliances may be a good alternative if you’re not a candidate for clear aligners.

What Are the Newest Advancements in Orthodontics?

Digital Orthodontics and Intraoral Scanning

Thanks to intraoral scanning, the days of creating plaster molds may be in our rear-view mirrors. Thanks to 3D-imaging technology, your orthodontist can now scan your teeth to create digital impressions that can then be used for diagnosis and treatment. Not only does it eliminate the mess of a plaster mold, but the process of intraoral scanning is much quicker and often more accurate.

3-D Printing for Retainers and Aligners

Along with 3D imaging, 3D printing technology is paving the way for custom orthodontic appliances and accessories that can be designed and printed immediately, even on the same day in some cases. This not only allows for a more comfortable and precise fit, but it can also lower costs for patients.

Remote Monitoring Technology

One of the most transformative innovations in the field of orthodontics is the advent of remote monitoring technology. Using smart dental devices and apps, patients can now scan their teeth from home and upload the images, allowing the orthodontist to evaluate their progress without an in-office visit. Thanks to the development of AI in dentistry and orthodontics, any issues can be immediately flagged and reported, helping you stay on track to achieve a beautiful smile.

Accelerated Treatment Plans

In the future, we may see accelerated treatment plans for patients, meaning they’ll be in aligners or other orthodontic appliances for less time. This is thanks to research in the use of high-frequency vibrations to accelerate tooth movement. [4]

Self-Ligating Braces

A common problem in orthodontic treatment is patients forgetting to wear their elastic bands. Self-ligating braces effectively address this issue by utilizing a specialized clip instead of rubber bands to secure the archwire in place. These types of braces are often more comfortable and work faster with fewer trips to the orthodontist’s office.

Eco-Friendly Orthodontics

The field of orthodontics is getting an eco-friendly makeover. Orthodontic tools, appliances, and even packaging are set to undergo remodels using more sustainable materials. Some orthodontists’ offices are even thinking of making the move to solar technology for powering their facilities.

Facial Aesthetics in Orthodontics

Traditionally, orthodontists have focused solely on the teeth and jaw. Now, these dental specialists are starting to consider the whole face when designing treatment plans. They consider what the appliances they use will do to the cheekbones, for instance, and other facial features. In doing so, they can not only improve the appearance of your smile but also ensure your facial features are balanced.

The Future of Orthodontic Care is Bright

With new types of appliances, diagnostic tools, and of course, AI on the horizon, the future looks bright for the field of orthodontics. Exciting advancements in orthodontic care have made treatment faster, more precise, and even more comfortable in many cases. There’s never been a better time to take advantage of orthodontic treatment. Contact Kunik Orthodontics for a free consultation today.

Many people associate the orthodontist with braces and retainers, but there’s another common dental issue that brings people to these specialists: impacted teeth. The term “impacted teeth” means teeth that haven’t erupted through the gum line and grown into their proper position.

What Are Impacted Teeth?

Impacted teeth refer to teeth that are unable to erupt through the gum line and grow into their proper position along the dental arch.[1] This can happen partially, meaning a tooth has broken through the gum but doesn’t fully emerge, or fully, meaning the tooth remains completely embedded under the gum or bone.

The most commonly impacted teeth are the third molars, also known as “wisdom teeth,” and the canines, particularly the upper (maxillary) canines.[2] “Impacted teeth” means that a tooth is “trapped” by gum tissue, bone, or other teeth.

While impacted teeth are a common dental problem, they can lead to other dental problems when left untreated.

Why Do Teeth Become Impacted?

Dental impaction can occur for several reasons:

• Lack of space: As humans evolved, our jaws have gotten smaller, but we still have the same number of teeth. This leaves the wisdom teeth without the room to grow properly, causing impaction.[3] About 90% of people have at least one impacted wisdom tooth.[4]
• Abnormal tooth growth: Teeth can grow at an angle, such as sideways, backward, or tilted, preventing them from erupting normally. This often occurs with wisdom teeth, but it can happen with the upper canines.
• Overcrowding: When the jaw doesn’t have enough space for all of your teeth, some may erupt in the wrong spot or stay beneath the gum. Unerupted teeth are often discovered during orthodontic evaluations.
• Delayed eruption or retained baby teeth: In children and teens, the primary (baby) teeth don’t fall out as they should, preventing the permanent tooth from growing in.[5]
• Genetics: If one or both of your parents had impacted teeth, you’re more likely to have similar problems.[6]

Are Impacted Teeth Painful?

Impacted teeth can be painful, but they’re not always. Some people can live with impacted teeth for years without experiencing any symptoms, while others may have discomfort, swelling, or infection, especially with impacted wisdom teeth.

Here are some common symptoms of impacted teeth:[7]

• Pain or swelling in the gums or jaw
• Difficulty opening the mouth fully
• Bad breath or an unpleasant taste
• Headaches or earaches
• Red, swollen, or bleeding gums in the area

If an unerupted tooth becomes infected or starts to crowd the other teeth, it can cause complications like damage to the neighboring teeth or cyst formation. Early detection and intervention are important to prevent other dental problems, particularly in the teenage years when the wisdom teeth begin to erupt.

Types of Impacted Teeth

There are several types of impacted teeth:[8]

• Soft tissue impaction: This means the tooth has emerged through the bone but not the gum.
• Partial bony impaction: Part of the tooth is stuck in the jawbone.
• Complete bony impaction: The entire tooth is still encased in the jawbone, making extraction more difficult.

What Happens If You Ignore an Impacted Tooth?

Ignoring an impacted tooth can have serious consequences for your oral health, including:

• Tooth decay
• Gum disease and infection
• Cysts or tumors around the tooth
• Root resorption of adjacent teeth
• Misalignment and crowding of other teeth

Even if you don’t have symptoms like pain, that doesn’t mean an impacted tooth is harmless. Complications can occur over time and often become more complex to treat.

Why Early Detection Matters

Identifying impacted teeth early, ideally during adolescence, can make treatment easier and more successful. Dental exams often involve a panoramic X-ray to evaluate how the teeth are developing below the surface, showing a dentist or orthodontist any unerupted teeth.

If an unerupted tooth is found during an exam, it’s easier to plan orthodontic treatment more precisely and reduce the need for invasive procedures later. For example, an impacted canine may be able to be guided into position with orthodontic treatment instead of extraction. Early detection also prevents any risks to the neighboring teeth or structures.

Impacted Wisdom Teeth vs. Other Teeth

Though third molars are the most commonly impacted teeth, they’re different from other types of dental impaction.

The wisdom teeth usually erupt between the ages of 17 and 25.[9] They’re often removed as a preventative measure, since these teeth have a high risk of complications like impaction or infection, and they’re rarely needed for functional chewing.

Conversely, the other teeth are necessary for biting, chewing, and guiding your bite. Impaction in the other teeth is often treated with orthodontics instead of removal – whenever possible – but early diagnosis offers the best outcomes.

Do Impacted Teeth Always Require Removal?

No, impacted teeth don’t always need to be removed. The treatment for impacted teeth depends on the type, location, and severity of the impaction, as well as the patient’s age and overall health.

If the impacted tooth isn’t causing any problems and is unlikely to in the future, it may be monitored with regular X-rays and exams. This is more common for partially impacted wisdom teeth that aren’t affecting neighboring teeth.

If the tooth is at high risk for infection, crowding, or damaging nearby teeth, it may need to be surgically removed. This is common with wisdom teeth that are fully impacted in the jaw. A surgical extraction is performed by an oral surgeon or dentist under local or general anesthesia to remove the tooth before it causes complications.

In some cases, such as impacted canines, orthodontics can help guide the tooth into its proper position. Orthodontists may work with an oral surgeon to expose the impacted tooth surgically and use brackets and appliances to slowly shift it into place. This may be used for teens and young adults, since their jawbones are still developing and more responsive to treatment.

Protect Your Smile

An impacted tooth is basically a tooth that’s “stuck” under the gums or in the bone and unable to erupt correctly. Though they may seem harmless and may not have any symptoms, untreated dental impaction can cause infection, pain, misalignment, and other oral health problems. Taking a proactive approach with regular dental exams to identify impacted teeth early is the best way to protect your smile and oral health.

Orthodontist schooling requirements include an undergraduate degree in chemistry or biology, a graduate program at an accredited dental school, and two separate residency programs. Various tests and examinations may also be required. To receive an orthodontist education, several years of schooling are required.

Orthodontist Training

The career of an orthodontist can be an exciting and lucrative path. Earning the degrees and credentials necessary to become an orthodontist, however, can be a long and challenging process. Orthodontist training requires over a decade of seminars, coursework, tests, and a residency.

Planning Ahead: The High School Years

If you want to become an orthodontist, it’s never too early to start planning. High school students can opt for advanced coursework in math and the basic sciences to build a solid foundation. Taking AP courses in chemistry or biology may also prove beneficial as you begin your undergraduate degree program.

Undergraduate Degree in Biology or Chemistry

The first milestone on the path to becoming a successful orthodontist is to obtain a four-year degree, also known as an undergraduate degree. Although no specific undergraduate degree is required, dentistry schools often require a degree in biology or chemistry. [1] These majors typically involve extensive coursework in the broad academic disciplines of mathematics and science. You’ll need to graduate with a Bachelor of Science degree in one of these disciplines.

Dental Admission Test

After graduating from your chosen college or university, the next step is to get accepted into dental school. To do this, you’ll need to first take the Dental Admission Test, or DAT for short. All dental schools in the United States and some in Canada require a passing score on this important test as a prerequisite for admission. [2]

The DAT is a multiple-choice test that includes four sections:

• Survey of the Natural Sciences
• Perceptual Ability
• Reading Comprehension
• Quantitative Reasoning

Dental School

You might wonder why it’s necessary to attend dental school as opposed to orthodontist school. Well, orthodontists are technically dentists, just not in the traditional sense. To become an orthodontist, one must first learn dentistry.

You’ll want to apply to schools of dentistry that are accredited by the Commission on Dental Accreditation. [3]Getting into dental school can be challenging. The admissions process is often competitive. To be accepted into a good school of dentistry, you’ll need to have good grades and a high score on the DAT. You might also have to attend interviews, provide recommendations, and prepare essays as part of the admissions process.

Once you get into dental school, you can expect to study some fascinating subjects as you receive your dental education, including:

• Anatomy
• Periodontics
• Radiology
• Anesthesia
• Oral biology
• Oral health

Dental and Surgical Residencies

A dental residency is a type of apprenticeship that provides aspiring dentists with hands-on clinical practice in dental medicine. This clinical experience is necessary to prepare future orthodontists to provide patient care. During this experience, you’ll learn specific orthodontic techniques not taught in dental school.

For your dental residency, you’ll be able to choose a dental specialty, allowing you to start practicing orthodontic care in a real orthodontic clinic. Your fellow students may choose other specialty education areas, such as general dentistry or endodontics, for instance. Orthodontists must not only complete a dental residency but also participate in a surgical residency, which takes an additional four to six years to complete. [4] This is sometimes referred to as an orthodontic residency.

National Board Dental Examination

After completing your dental residency, you must then take the Integrated National Board Dental Examination to become a licensed dentist. [5] This examination, which takes two days to complete, determines whether you are qualified to safely begin practicing dentistry in a clinical setting.

Orthodontics License

The final step to becoming a practicing orthodontist is to obtain your license to practice orthodontics in the state where you plan to work. This may require you to take and pass an additional examination administered by the state’s dental board. Additional credentials may be required in some states and practices, including state and national board certification.

Should You Consider Orthodontist School?

Being an orthodontist can be a rewarding career, but it requires a special kind of person. In addition to the years of advanced education and training required to become an orthodontist, you may also need certain personality traits and soft skills, including patience, dexterity, effective communication, and organizational skills.

Kunik Orthodontics is a top rated orthodontics provider in Austin, TX. Reach out for a free consultation to see how our team can help you achieve the smile you’ve always wanted.

Education, training, and cost of treatment are among the most important considerations for selecting an orthodontic treatment provider. Choosing a dental specialist, such as an orthodontist, can be challenging. Taking the time to compare your options according to several key factors could be worthwhile. Read on to discover how to choose a good orthodontist.

How To Choose An Orthodontist: Why It Matters

Choosing a caring and qualified orthodontist to support your oral health is important. [1] This is a significant decision because it can impact both the appearance of your smile and the function of your teeth. You could be in treatment for up to two years or even longer, depending on your specific orthodontic needs, so it’s a fairly big commitment.

There are other reasons to choose an orthodontist wisely. A healthy smile can also affect your overall well-being, including your physical health and self-esteem. Instead of choosing the first provider that comes up on your Google search, you might be better off by doing some research to find the most suitable orthodontist for your unique situation.

Specialty Training and Education

The process of finding the right orthodontist often begins with checking for the appropriate training and credentials. Qualified orthodontists will have graduated from dental school and successfully completed an orthodontic specialist residency program. Do your research to find out when and where these credentials were received.

While it’s not mandatory, board certification from the American Board of Orthodontics may help you make the important decision of choosing the best orthodontist for your needs. [2] You could also consider membership in professional organizations such as the American Association of Orthodontists (AAO). In addition to proper training, you may also want to choose a provider with some experience in orthodontics.

Types of Treatment Available

When choosing an orthodontist, you’ll want to ensure your provider offers the most current orthodontic treatment options. Due to advancements in the field, these options are continuously changing. Typically, an orthodontist will offer treatments such as: [3]

• Digital X-rays
• Traditional metal braces
• Ceramic braces
• Clear aligners (i.e., Invisalign)
• Retainers (permanent and removable)
• Palatal expanders

Cost of Treatment and Payment Options

How will you pay for braces? This is a common question people have when searching for an orthodontist for themselves or a family member. The cost of treatment and payment options can play a significant role in your choice of orthodontist. Orthodontists charge different fees, and their prices can vary based on their credentials, experience, and whether they utilize the latest technology. A board-certified orthodontist may have higher fees than one who lacks this credential, for example.

If you have dental insurance that covers some of the cost of orthodontic care, then you’ll want to make sure your orthodontist accepts this insurance. Some orthodontists also offer payment plans, so you can make installments rather than paying the full amount out of pocket. Some orthodontists offer free consultations, so this may also affect your decision.

Office Location and Atmosphere

The location and atmosphere of the orthodontic office are also important considerations for most people. Please note that you may need to visit your orthodontist once a month or more frequently, depending on your individual treatment plan. You may occasionally need to make emergency visits for loose brackets or protruding wires, for example. It’s probably best to choose an orthodontist within a half-hour drive or less.

The office atmosphere can also be important, especially for young children or those with a fear of dentists. You may want to choose an office with a bright and friendly atmosphere. Some orthodontic offices offer specialty services, such as emotional support animals and rewards programs.

Connect With Others and Browse Testimonials

Testimonials and referrals can be a great way to get an idea of what your orthodontic experience will be with a specific orthodontist. Contact previous patients you may know, or research reviews online. An orthodontist who works hard to maintain their reputation will likely work hard to keep you satisfied as a client.

Keep in mind that not all online reviews are trustworthy. Don’t let one negative (or even positive) review sway your opinion one way or another. Instead, try to get a general picture of what you can expect when meeting with a particular orthodontist. Even better, schedule an initial consultation and see for yourself.

How To Choose An Orthodontist: Your Selection Matters

There’s more than one path to a beautiful smile. Choosing the right orthodontist could be an important first step. Contact Kunik Orthodontics for a free consultation.

What is AI in orthodontics? AI (or artificial intelligence) in orthodontics doesn’t mean a robot will affix your braces instead of a real-life orthodontist, at least not yet. What it does mean is that your orthodontist will be equipped with better tools that can diagnose orthodontic problems faster and more reliably.

AI in orthodontics also means treatment planning is based on an analysis of thousands of real-life cases, ensuring the best approach for your specific orthodontic issues. Finally, artificial intelligence allows for remote monitoring, helping your orthodontist track your progress in real-time and make treatment adjustments without the need for an office visit.

Perhaps the most exciting part about artificial intelligence in the field of orthodontics is that it’s constantly changing, becoming smarter, faster, and more capable every day. Providers like Kunik Orthodontics are excited to adapt and grow to meet the increasing possibilities. The future of AI in the field of orthodontic practice is bright, just like your future smile!

What is Artificial Intelligence in Orthodontic Treatment?

The field of orthodontics is currently undergoing a major transition. As orthodontists across the country begin to embrace concepts such as robotics and machine learning, artificial intelligence is shaping a new frontier for orthodontic care. Already, AI in orthodontics is improving diagnostic capabilities, informing treatment planning, and improving the patient experience.

AI in Orthodontic Treatment Planning

Many of the advancements in AI-driven orthodontic treatment can be found in the diagnostic and treatment planning stages. Using intraoral scans and AI algorithms, your orthodontist can quickly and accurately identify orthodontic issues such as malocclusions and crowding.

AI applications like these eliminate the guesswork in diagnosing common orthodontic issues, enabling standardization in orthodontic care. It can also aid in decision-making when it comes to recommending tooth extractions or orthognathic surgery. [1]

Predictive Analytics in Orthodontic Treatment Planning

Before the advent of AI, orthodontists could describe to you what your smile would look like after undergoing various treatments, such as braces or clear aligners. With predictive analytics, you can see a 3D image of what your smile will look like after treatment.

More importantly, your orthodontist can utilize predictive analytics to make more informed treatment decisions and even anticipate potential problems that may arise in the future. Overall, this can lead to better treatment outcomes.

Remote Monitoring

Another area where the use of AI is revolutionizing the field of orthodontics is in remote monitoring. [2] Orthodontic patients are provided with state-of-the-art AI scanning tools that can be used at home with their smartphones. They can then upload images of their teeth in real-time. The orthodontist then reviews the scans and evaluates the patient’s progress, analyzing factors like tooth movement and aligner fit. This eliminates the need for excessive visits to the orthodontist’s office, allowing clinicians to make treatment decisions remotely.

Greater Patient Confidence

Historically, visiting the orthodontist has been viewed as a frightening experience for children (and even some adults). Most of the fear associated with an orthodontist visit stemmed from the fear of the unknown. You never knew what might happen once you were in the chair. AI is changing all of that. By providing predictive tools and remote scanning, patients have more control over their orthodontic treatment, and they always know what to expect next. This gives them more confidence and helps them feel more comfortable with orthodontic treatment.

The Future of AI in Orthodontics

Orthodontists and their patients are excited about the future of orthodontic practice, thanks to the AI-led revolution in this field. Experts predict that in the near future, we may have “digital braces” or “smart aligners” that communicate with orthodontists in real time, informing treatment adjustments and flagging issues that could affect treatment outcomes. And about those robots programmed to affix brackets? It could become a reality sooner than you think.

Orthodontists correct misalignments of the teeth and jaw. These dental specialists work in hospitals and dental offices, where they help people improve their oral health and enhance the appearance of their smile.

Many people think of orthodontic treatment as a purely cosmetic procedure. Braces and other orthodontic appliances can improve the appearance of your smile, but there are also other benefits to consulting an orthodontist. Orthodontic care can help alleviate TMJ pain and prevent serious dental issues, including cavities and gum disease. For individuals with severe orthodontic issues, treatment can significantly improve their chewing and speech capabilities. [1]

What’s An Orthodontist?

According to the American Association of Orthodontists (AAO), orthodontists are experts in the field of dentofacial orthopedics. This expertise allows them to effectively guide the growth of the face and jaw.

Orthodontists are dental professionals who have received specialized training in the field of orthodontic care. They help people achieve better oral health while working towards a perfect smile through proper tooth alignment.

Orthodontic Training

To prepare for the orthodontist role, orthodontists receive extensive training before beginning their careers. They typically attend dental school for four years. After graduating from dental school, they then receive two to three additional years of training during an orthodontic residency program.

What Problems Do Orthodontists Fix?

There are various problems orthodontists can fix, but they usually come down to two basic issues: crooked teeth and bad bites, referred to as malocclusions. Orthodontists work to fix these problems so that patients can enjoy a beautiful, healthy smile. Specific issues that board-certified orthodontists can address include: [2]

• Misaligned teeth
• Overbite
• Crowded teeth
• Underbites
• Crossbites
• Impacted teeth
• Rotated teeth
• Overlapping teeth
• Crooked teeth

What Specific Tasks Are Orthodontists Responsible For?

Teeth don’t move overnight. Fixing orthodontic problems is a process. During this process, orthodontists and their staff may be responsible for various day-to-day tasks. Together, these duties support the overall goals of the patient and their treatment plan:

• Taking X-rays to evaluate a patient’s bite issues
• Developing treatment plans and discussing treatment options with patients and families
• Designing, fitting, and adjusting orthodontic appliances such as retainers, palatal expanders, or headgears
• Fitting a patient with traditional braces or Invisalign (i.e., clear aligners)
• Performing regular check-ups to evaluate a patient’s progress

What Orthodontists Don’t Do

There may be times during your orthodontic treatment when your orthodontist will issue you a referral to a dentist for certain dental problems. These dental issues and dental procedures may fall outside of the orthodontist’s specialty and are best performed by general dentists. Some examples include:

• Routine cleanings
• Tooth extractions
• Cavity fillings
• Gum disease
• Crowns
• Bridges

If you have dental issues, such as tooth decay or gum disease, you may need to address these issues with your regular dentist before consulting an orthodontist.

When To See An Orthodontist

The American Association of Orthodontists recommends that children begin to see an orthodontist around the age of seven. You may want to consult with your dentist first, though, so they can prepare the mouth for orthodontic treatment. [3] Not all children require orthodontic treatment, but many do.

If your child is older than seven, you can still see an orthodontist. Orthodontists see patients of all ages, including adults. In general, the earlier orthodontic treatment begins, the more efficient and effective it can be. Early intervention can also be more cost-efficient since it can prevent more serious orthodontic problems in the future.

Orthodontists Play An Important Role in Oral Health & Overall Dentistry

Orthodontists play a crucial role in maintaining overall oral health. They do more than just shape nice smiles. They also help prevent many potentially harmful dental problems caused by crowded teeth and bad bites. Their work in this dental specialty is important to ensure a healthy smile, not just a beautiful one.

An orthodontic emergency is a situation that requires immediate attention from your orthodontist. True orthodontic emergencies are rare. In many cases, there are things you can do at home to manage “orthodontic emergencies” until it’s convenient to see your orthodontist. There may also be some preventative techniques you can employ to stop an orthodontic emergency before it begins.

Common Orthodontic Problems

We use our mouths every day to eat, talk, breathe, and more. When you’re wearing braces or another orthodontic appliance, something is bound to go wrong sooner rather than later. Some of these orthodontic issues may be managed at home, at least until you can see your orthodontist. Others may require immediate attention.

Loose Teeth

When wearing braces or other orthodontic appliances, some individuals report feeling as though their teeth are coming loose. This is a common concern, especially among new patients, but it’s not usually an emergency. If the feeling persists, call your orthodontist for advice. Over time, you may become more accustomed to the feeling of your teeth shifting.

A Loose Bracket

A loose bracket may seem like an emergency, but don’t panic. If you feel like your bracket has become loose, use orthodontic wax to temporarily cover it. This can prevent irritation to your tooth or mouth in the meantime. If the bracket becomes dislodged or falls out, keep it and take it to your next orthodontic appointment. Call your orthodontist and let them know what’s happened. While it may not be a true orthodontic emergency, your orthodontist may still want to assess your situation before your next scheduled appointment.

A Poking Wire

With braces, it’s not uncommon to have a protruding wire that pokes into your cheek. If this happens, the pain and irritation that results might make it seem like an urgent situation. Let your orthodontist know about the situation, but a poking wire typically doesn’t require immediate attention. You can try using a clean cotton swab to gently push the wire back into place. If that doesn’t work, use orthodontic wax to cover the end of the wire until you can see your orthodontist.

Pain or Discomfort

Some discomfort is to be expected with orthodontic care. If your teeth are simply sore, you can use an over-the-counter pain reliever or rinse with warm water to relieve the pain. If the pain is severe or doesn’t respond to at-home treatment, you may require emergency care. Contact your orthodontist right away for the next steps.

Broken Archwire

An archwire is the wire that connects your brackets to one another.[1] If it breaks, it might not be a true orthodontic emergency, but since it impacts treatment progress, it’s a good idea to notify your orthodontist as soon as possible. In the meantime, you can try using a Q-tip or clean and sterilized tweezers to push the wire back into place. Don’t clip the wire, as this can pose a choking hazard.

Mouth Sores

Sometimes, orthodontic appliances cause cuts and sores inside the mouth. These oral injuries may require immediate care to prevent infection. Please call your orthodontist to schedule an appointment as soon as possible. In the meantime, you can gargle with warm salt water and use a topical anesthetic available at your local drugstore.

Mouth or Face Injury

Accidents can happen and are more common among children and adolescents. If you fall or get hit in the face while wearing braces or orthodontic appliances, it could cause damage to your orthodontic equipment. It might also exacerbate any other injuries you’ve experienced from the incident. If you’re seriously injured, call 911 and seek emergency medical care. Once you’re stable, you can notify your orthodontist about any damage to the appliance or other orthodontic issues.

Trouble Breathing or Swallowing

If your appliance breaks or becomes dislodged, it could block your throat, causing problems with breathing or swallowing. If this happens, don’t call your orthodontist right away. Instead, call 911 and seek emergency medical attention. Once you’re able to breathe and swallow normally again, you can notify your orthodontist about the problem.

Preventing Orthodontic Emergencies

Not all orthodontic emergencies are preventable, but many can be. When you’re receiving orthodontic treatment, there are some precautions you can take to avoid painful or irritating problems before they occur:

• Follow your orthodontist’s instructions carefully. This includes instructions on how to clean and care for your braces or other orthodontic appliances. If you’re asked to wear rubber bands, remember to do so on a regular basis.
• Attend appointments regularly. Your orthodontist may need to make adjustments or repairs to prevent any damage to orthodontic appliances. Missed appointments can cause issues with your appliances and delay the progress of your treatment.
• Stick to soft foods, and avoid sticky foods and hard foods. These types of food can cause damage to your braces, retainers, or other orthodontic equipment.
• Wear protective mouthguards or other protective equipment while playing sports. Injuries to the mouth or face are common causes of orthodontic emergencies.
• Maintain oral hygiene. Oral health and hygiene are particularly important while receiving orthodontic treatment. Brush and floss regularly to prevent any issues that could disrupt your treatment plan.

These and other preventative measures can help ensure your orthodontic treatment goes smoothly. Some occasional issues with braces or appliances are to be expected. By using preventive methods, you can save yourself time and discomfort and facilitate a smoother path to a healthy smile.

When to Seek Emergency Care

Many so-called orthodontic emergencies aren’t true emergencies. Occasionally, you may have a situation that really does require immediate orthodontic care, such as:

• Severe pain
• Trouble breathing or swallowing
• Redness, swelling, or other signs of infection
• Oral injuries
• Protruding wires that cause severe discomfort or pain

If you experience any of the symptoms above, call your orthodontist right away and explain the situation clearly. Your orthodontist may want you to come in that same day. They may also have specific instructions you’ll need to follow to prevent any further damage and relieve discomfort or swelling.

Orthodontic Emergency or Non-Emergency?

Knowing when to seek emergency care and when to handle “orthodontic emergencies” at home. While problems with orthodontic equipment almost always warrant a call to the orthodontist, you can usually schedule an appointment that’s convenient rather than dropping everything to rush over to the orthodontist’s office.

When should a child see an orthodontist? Experts agree that all kids should see an orthodontist before their seventh birthday. Some children may need orthodontic care before the age of seven. An initial orthodontic evaluation before the age of seven can help determine any urgent oral health issues and allow the orthodontist to begin developing a treatment plan for future care.

What Does Early Treatment Mean?

According to the American Association of Orthodontists, a child should see an orthodontist for an initial evaluation no later than age seven. [1] If orthodontic issues are suspected or observed, the child should see an orthodontist right away. The longer you wait to address oral health issues, the more complicated, invasive, and expensive the treatment may be. The sooner these issues are addressed, the better the potential outcomes.

Why Is Early Evaluation Important?

You may have heard that the best time for orthodontic intervention is after all of the child’s permanent teeth have come in. This may be true in most cases. Still, early treatment could be important if the child has a condition that is likely to progress and become worse if not treated immediately. Since this situation occurs in some children, it’s important to get an early evaluation.

Orthodontic Conditions that Require Early Treatment

During an initial visit, sometimes referred to as a consultation, your orthodontist will look for any conditions that require early treatment (i.e., when a child still has baby teeth). Some of these conditions include:

• Underbite
• Crossbites
• Thumb-sucking that is impacting jaw growth
• Open bite (i.e., when front teeth don’t meet)
• Excessively crowded teeth
• Missing teeth
• Too many teeth
• Large spaces between teeth

What Does Early Orthodontic Treatment Entail?

The initial orthodontic evaluation will include a comprehensive assessment of your child’s oral health. This will require an intraoral exam as well as panoramic X-rays that allow the orthodontist to look below the surface of the teeth. An X-ray will show any missing teeth, extra teeth, or impacted teeth. [2]

After the initial screening, the orthodontist may review the results with parents and present treatment options. Sometimes, the orthodontist may conclude that the child doesn’t require treatment at the time of the consultation. In this case, they may recommend periodic check-ups to look for any emerging issues and to monitor how permanent teeth are coming in.

If any orthodontic problems are identified during the initial assessment, your orthodontist may discuss treatment options with you. Sometimes, these problems need to be addressed right away, while other times, you might be able to wait until your child is a bit older. Every child’s situation is different.

Early Orthodontic Treatment Plans

No one’s orthodontic plan is exactly the same. An early orthodontic treatment plan can include various treatments. Treatment may depend on the results of an orthodontic evaluation and the preferences of the orthodontist. Some common types of early orthodontic intervention include:

• Tooth extraction
• Orthodontic appliance (e.g., retainer, headgear)
• Palatal expander
• Early interceptive braces

Benefits of Early Orthodontic Treatment

There could be many benefits of early treatment, and these could depend on your child’s specific situation. Examples of potential benefits include:

• Better orthodontic outcomes
• Shorter treatment time
• Avoidance of more expensive treatments in the future
• Possibly avoiding braces or other orthodontic appliances during the teen years

Talking to Your Child About Early Orthodontic Care

Young children might be scared or nervous about seeing an orthodontist. These are normal feelings. Parents can help their children feel more comfortable by communicating with them about what to expect. Here are some strategies you can use to prepare your child for their first orthodontic appointment:

• Talk to your child about the need for orthodontic care.
• Remind them that getting braces doesn’t hurt and that the orthodontist will do everything they can to ensure their comfort during orthodontic treatment.
• Listen patiently to your child’s concerns and validate their feelings. Even grown-ups sometimes experience anxiety when going to the dentist or orthodontist.
• Answer any questions your child may have about the appointment. The more they know, the less anxious they are likely to be.

Seeking Early Orthodontic Care

Early orthodontic treatment can be important, not just for your child’s oral health, but also to ensure their orthodontic plan is as efficient and cost-effective as possible. If your child is seven years old or older, or if you’ve noticed signs that they might need orthodontic care, consider early intervention. Kunik Orthodontics offers all ages orthodontic care. A brighter smile is right around the corner.

When you think of ancient history, orthodontic devices like braces and modern aligners might not be present in your mental picture. However, the field of orthodontics has a surprisingly long history that dates back to ancient civilizations. This particular subfield of dentistry has undergone many changes and technological advancements, from the primitive wire bands of Cleopatra to aesthetically pleasing modern orthodontic devices like Invisalign.

From the Barber’s Chair to the Orthodontist’s Office

Did you know that you used to have to visit a doctor or even a barber for orthodontic treatment? The field of orthodontics has come a very long way. Learning about the milestones and turning points in orthodontic history may give you a true appreciation for the treatments and devices we enjoy today when we visit our orthodontist’s office.

Reading about the evolution of orthodontics might also spark a curiosity for what’s to come in this fascinating field. Throughout the historical orthodontic timeline, people enjoyed the most modern treatments available at that time. It makes one wonder how far the field can go and where the boundaries are, if they exist at all.

Orthodontics Is Indeed Ancient History

The earliest interest in straightening teeth can be traced back to ancient civilizations. Archaeologists have discovered Egyptian mummies with metal bands and catgut tied around their teeth. [1] These early orthodontic appliances appeared to be put on the teeth after death so the person would look better in the afterlife. There is no evidence that ancient people used orthodontic devices prior to death or burial.

The Etruscans and Golden Mouth Guards

The Etruscans (ancestors to the Romans) used golden mouth guards for similar purposes and to keep women’s faces from collapsing due to decomposition. The well-known Greek doctor Hippocrates advised parents to push newly emerged teeth into place in their children’s mouths as they were forming to create a nicer smile.

Although this was a fascinating time in the history of orthodontics, there was still much work to be done to bring the field to anything close to what it looks like today.

17th & 18th Century Orthodontia

There was almost no other progress in orthodontia until the 17th and 18th centuries, when the evolution of orthodontics really began to pick up steam. Perhaps the most important contribution to orthodontia during the 17th century was the use of wax dental impressions. Although this procedure is no longer used today, many historians consider this the birth of modern orthodontics.

Meet the Father of Dentistry, Pierre Fauchard

Not long after dental impressions took the stage, another dentist and innovator, Pierre Fauchard, stepped into the spotlight. Fauchard famously created the bandeau—a U-shaped device designed to realign crooked teeth by widening the arch. Thanks to his remarkable invention, Fauchard became known as the Father of Dentistry. Fauchard also published a groundbreaking book entitled “The Surgeon-Dentist.”

The contributions of Etiene Bourder, Dentist to the King

Another significant contribution to the evolution of orthodontics was made during this time by Étienne Bourdet, who served as the personal dentist to the King of France at the time. Bourdet is credited with the concept of removing teeth to prevent crowding. [2] This technique is still routinely used in orthodontic treatment today and is an important piece of the history of orthodontics.

19th Century Orthodontic Advancements

A significant stride toward modern orthodontics occurred in 1819 with the invention of the wire crib by Christophe-Francois Delabarre. In the mid-1800s, Norman Kingsley published a book titled “Oral Deformities,” considered the first effort to document orthodontic problems and their solutions. Then, toward the end of the 19th century, Edward Hartley Angle began to develop orthodontic appliances based on the properties of malocclusion. For his work, he was named the Father of Modern Orthodontics. [3]

20th Century: The Development of Braces

Edward H. Angle continued to play a key role in the development of orthodontic devices and procedures well into the 20th century. Notably, he developed a revolutionary classification system for malocclusion and founded the first orthodontic school known as the Angle School of Orthodontia. Before then, orthodontic procedures were usually performed by doctors or barbers.

More about Edward H. Angle

Angle went on to open three other schools throughout the United States. He also founded the first scientific journal centered on the field of orthodontics, entitled The American Journal of Orthodontics. The publication of this journal began the practice of setting and following standardized treatment methods in the field of orthodontics based on research.

Beginnings of Modern-Day Braces

During the 1950s, X-rays were used to diagnose orthodontic issues. The beginnings of modern braces didn’t begin until the 1970s, though. Braces during this time were rudimentary, not like they are today. Wires were wrapped around each tooth to create brackets. This development was soon improved upon by the invention of dental adhesives, eliminating the need for wires. This marked another high point in the evolution of orthodontics, but more was yet to come.

Modern Day Orthodontics: Invisalign

In modern society, a greater range of treatment options is available for orthodontic care. Braces are still widely used today, but another device has also become quite popular—Invisalign. Invisalign uses clear trays and brackets. As the name implies, these orthodontic appliances are meant to be invisible, reducing the stigma of wearing braces.

There’s No Better Time to Improve Your Smile

If you’re concerned about the appearance of your teeth, you’re lucky to live in the era of modern orthodontics. You can now deal with the issue of straightening your teeth before you die, unlike the ancient Egyptians.

Plus, it wasn’t so long ago that braces were a lot more complicated to put on and care for. Today, a wide range of treatment options is available for individuals seeking to enhance their smile. We have the pioneers who made their mark on the history of orthodontics to thank for that.

When people need more specific care than what a general dentist can provide, they are frequently referred to either an orthodontist or an endodontist. If you’re asking, “What’s the difference between an orthodontist and an endodontist?” The answer is in their area of expertise. While they’re both considered a specialist, they have different areas of focus, different training to practice, and their treatments are often significantly different.

An orthodontist dedicates their practice to tooth and jaw alignment, often using things like braces or clear aligners to correct bite misalignments or improve general smile aesthetics. In contrast, an endodontist is a specialist in the tissues contained within the tooth, the dental pulp, and typically performs surgery to remove infections.

Obtaining a referral to the right specialist offers effective and targeted treatment, resulting in faster relief with less discomfort or delays. To help you make the right choice for your needs, we’ll dig into their roles, their education, and what they can typically do to solve dental and oral health issues.

What Is an Orthodontist?

Orthodontists are dentists who have completed dental school, plus another 2 to 3 years of residency focused entirely on tooth movement and facial growth. Orthodontists specialize in the diagnosis and treatment of jaw and tooth misalignments. These misalignments, sometimes called malocclusions, are generally corrected with special appliances like metal or ceramic braces or clear aligning trays.

Orthodontists will usually begin by taking diagnostic records, including panoramic and cephalometric x-rays, digital scans of the teeth and mouth, and conventional photographs. These are crucial records that are then used to help guide a tailored treatment with a goal of moving teeth into proper alignment and achieving a stable, functional bite.

Once the plan has been created and implemented, the orthodontist bonds small brackets to each tooth, which are then wired together, or has a series of custom-fitted aligners created. After this initial fitting, regular adjustments or periodic progress assessments are made, usually every 4 to 8 weeks. These periodic appointments let the orthodontist make small adjustments or wire changes to braces, or issue new aligner trays so that teeth make consistent, gradual movement over time.

Having properly aligned teeth not only improves the overall look of your smile, but it also helps improve oral hygiene in general by making it easier to clean plaque buildup from the tooth surfaces. Effective bite correction can reduce abnormal tooth wear and prevent long-term jaw joint problems. Most orthodontists treat children and adults, covering a wide spectrum of interceptive treatment to comprehensive adult orthodontics, so that everyone has the potential to achieve optimal tooth alignment and oral health.

What Is an Endodontist?

An endodontist is a specialist dentist who focuses exclusively on diagnosing and treating problems that affect the dental pulp and root tissues that are contained within the structure of the tooth. After going through conventional dental school, an endodontist needs to complete an additional 2 to 3 years of residency that emphasizes the biology of the inside of the tooth, root canal anatomy, and surgical techniques that will be used.

Education & Training

Both orthodontists and endodontists begin their careers by earning a doctorate in dental surgery (DDS) or dental medicine (DMD) from an accredited dental school.[1] This comprehensive foundational program covers all the essential elements of general dentistry, including radiology, pharmacology, dental materials, and clinical knowledge and skills. After dental school, dentists choose a specialty and complete 2 or 3 more years of specialized residency training pertinent to their chosen field.

Orthodontist

Orthodontic residents focus on facial growth and development, the biomechanics of physical tooth movement, and the biology of bone remodeling. They learn how to effectively diagnose issues using cephalometric and panoramic X-rays and to create treatment plans for misaligned teeth, bite issues, and jawbone misalignments, such as underbites.

Specialized training that future orthodontists get at this stage includes hands-on experience with the installation of braces, creating retainers, adjusting archwires, and prescribing clear aligners to correct mild to moderate crooked teeth. Residents also closely study growth modification methods, like appliances in children, to help guide jaw development early on.

Endodontist

Endodontic residents devote extensive study to pulp biology, pain management methodology, and oral surgeon techniques. Endodontics training includes advanced study of tooth root canal treatment, irrigation protocols, diagnosis of gum disease and infected teeth, and negotiation of complex root canal systems.

Practical experience residents get additional training in performing endodontic surgery, including apicoectomies, root resection, and the management of traumatic dental injuries. They can also test for optional American Board of Endodontics certification through additional written and oral examinations that show measurable proficiency in diagnostics and treatment.[2]

Similarities Between Orthodontists and Endodontists

Both orthodontists and endodontists typically begin their careers as general dentists, completing a four-year dental school program before earning their chosen DDS or DMD degree. After that, each one also takes an additional 2 to 3 years of residency training, which includes heavy training in diagnostic imaging.[3]

They also both use local anesthesia, and when needed, conscious sedation techniques that ensure patient comfort. Both orthodontists and endodontists collaborate closely with general dentists, as well as other dental specialists.

Common Procedures for Orthodontists and Endodontists

Orthodontic Procedures

1. Diagnostic Workup: The process typically begins with an examination and imaging of the teeth and surrounding areas. This helps the orthodontist analyze important jaw and tooth relationships.
2. Treatment Planning: The orthodontist then creates a step-by-step plan for moving teeth into their ideal positions, typically with specialized software.
3. Appliance Placement: For bracket-and-wire braces, brackets are glued to the teeth, and a wire is bound to them, needing adjustments every few weeks or months. For clear aligners, patients get a set that is often worn for specific durations.
4. Monitoring Progress: Throughout the treatment, progress is monitored, and the orthodontist checks movement and makes adjustments as needed.
5. Retention Phase: Once alignment is achieved, the brackets are removed, and a retainer is used to help maintain the teeth in their new positions until they are set.

Endodontic Procedures

1. Assessment & Diagnosis: Following complaints of pain, the endodontist conducts their exam to assess pulp and nerve health.
2. Access & Debridement: Following anesthesia, high-speed and low-speed tools are used to create access to the pulp chamber. The diseased pulp, debris, etc., are all removed with irrigants and disinfectants.
3. Canal Shaping & Obturation: Once the canals are cleaned, the endodontist then seals the canal opening.
4. Coronal Restoration: Even with a seal on the canal, root therapy typically requires a full-coverage restoration, such as a crown, to protect it long-term.

When to See an Orthodontist vs an Endodontist

If you’re still unsure of whether you may need help from an orthodontist or endodontist, here are some helpful lists of signs that indicate you need one or the other.

Signs You Need an Orthodontist

• Crooked, crowded, or gapped teeth that interfere with chewing or oral hygiene
• Visible bite issues, or bite issues that are causing jaw pain or tooth wear
• Difficulties talking or chewing due to tooth misalignment
• Children losing baby teeth early or late
• The desire to improve smile aesthetics as an adult, or in preparation for other treatments

Signs You Need an Endodontist

• Persistent, severe toothache that feels deep in the tooth, or that throbs
• Intense sensitivity to hot or cold that lingers long after the item is removed or swallowed
• Swelling or excess tenderness in the gums near a specific tooth
• Discoloration or darkening of a tooth with decay or following trauma
• Any bumps on the gums or jaw near a painful tooth indicate an abscess

Leading Orthodontics in Austin

Orthodontists focus on straightening teeth and correcting the bite of your jaw, relying on adjustments from braces or clear aligners to improve both function and aesthetics. Endodontists diagnose and treat infections and diseases of the tooth pulp through root canal therapy and related procedures to preserve your natural teeth as much as possible.

While both specialists complete years of additional advanced training beyond standard dental school and work closely with general dentists to deliver care, they focus on vastly different areas of practice. Speak to your local dental team about a referral to Kunik Orthodontics, or reach out online, to get targeted treatment for your tooth and jaw alignment challenges.

It is possible that you would need the services of both an oral surgeon and an orthodontist. Their services are related but not identical, and both roles support the other when it comes to patient care. Understanding exactly what oral care is needed is the only way to know which is best for you or if you need both.

Orthodontist vs Oral Surgeon: Differences and Similarities

Orthodontics and oral surgery are distinct, specialized areas of dental care that offer different services. They possess different skills and education to support patients in unique ways. However, their services are closely related, and one patient may find they need the services of both doctors for comprehensive treatment.

The Orthodontist’s Role

An orthodontist is a dental professional with specialized and advanced training to treat teeth and jaw deformities. One of the primary services they provide is braces and clear aligners to straighten teeth. However, their expertise also includes correcting bite patterns, improving oral health, preventing future dental issues, adjusting misaligned jaws, and more.[1]

Orthodontist Education and Training

Orthodontists complete dental school, just like a general dentist, but they must also complete an additional program accredited by the Commission on Dental Accreditation.[2] Here, they will receive more in-depth training on facial bones, how teeth move, jaw health, and more. Some dentists may be able to prescribe clear aligners or even braces, but they do not have the same expertise or skill as an orthodontist.

Conditions where you may need an orthodontist’s specialized skills:

• Crowded, crooked teeth
• Misaligned jaw
• Overbite/underbite
• TMJ pain

The Oral Surgeon’s Role

An oral surgeon (also known as an Oral and Maxillofacial Surgeon or OMS) can diagnose and treat injuries and diseases on the face, mouth, neck, and jaw across both hard and soft tissue. Some of the primary services an OMS may perform include dental implants, reconstructive surgery, corrective jaw surgery, facial trauma repair, cosmetic enhancements for the face, and cleft lip or palate surgery.[3]

Oral Surgeon and Training

An oral surgeon also attends dental school, obtaining either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD).[4] This degree is followed by a surgical residency for six years to receive additional training in anesthesia and oral pathology. After the proper licensing and certifications are obtained, they will rotate with staff surgeons in the operating room to increase their knowledge and skills. While most dentists can perform tooth extractions or other procedures, they do not have the same expertise or skill as an oral surgeon.

Conditions where you may need an oral surgeon’s specialized skills:

• Corrective jaw surgery
• TMJ disorders that may need surgery,
• Jaw cysts and facial tumors
• For facial or jaw birth defects
• Facial injuries due to trauma

Orthodontist and Oral Surgeon: When You Need Both

Oral surgeons and orthodontists often work together to complete patient care, especially for more complex cases. Some patients with misaligned upper and lower jaw bones that affect how they chew, bite, or speak may require surgical orthodontics.
This is a type of corrective jaw surgery that improves structural issues to ensure a lasting fix. Both the orthodontist and oral surgeon will work closely together to ensure a beautiful smile is the outcome.

Orthodontist vs. Oral Surgeon: Who should I see first?

For most patients, orthodontic treatment will begin first.[5] It’s best for the teeth to be in perfect alignment before surgically altering the upper jaw or lower jaw. Braces, retainers, or aligners may still be applied post-surgery to prevent teeth from gravitating back to their original positions.

Do you need an oral surgeon or an orthodontist for jaw issues?

It depends on the type of jaw issue. If you have TMJ pain but don’t need surgery, an orthodontist may be able to help. If you need to repair a jaw injury after a car accident, an oral surgeon may be the best fit.

How can oral surgery help orthodontic treatment?

Patients who have severe teeth misalignment may also have deeper, more complex jaw issues. These conditions need to be treated in order to prevent additional misalignment from happening again after orthodontic treatment. In many cases, oral surgery is the solution for underlying orthodontic issues. Oral surgeons and orthodontists can work closely together to ensure patients receive comprehensive treatment.

Understanding The Different Types of Dental Care Providers

The dental field is more extensive than most patients realize. There are a number of dental specialties and skilled providers that offer vastly different care for oral and dental health.

• General Dentist: A general dentist is someone who primarily provides preventative care with checkups and cleanings as well as fillings and other basic procedures.
• Orthodontist: An orthodontist is a teeth alignment specialist creating perfect and healthy smiles that patients love.
• Oral and Maxillofacial Surgeon: Oral surgeons specialize in surgical procedures for the mouth, the jaw, the face, and even other parts of the head.
• Pedodontist or Pediatric Dentist: A dentist who specializes in pediatric care is known as a Pedodontist and serves patients from infancy through the teenage years.
• Endodontist: An endodontist focuses primarily on treating the inside of the tooth, including roots, pulp, and nerves. They will perform root canals and other procedures to repair soft tissue and treat tooth pain or infection.
• Periodontist: A periodontist specializes in gum health and treating conditions that exist in the soft tissue, like gum disease and periodontitis.
• Prosthodontist: A prosthodontist designs and fits dental prosthetics to treat dental defects and rehabilitate oral structures. This includes dental implants, crowns, bridges, dentures, and more.
• Oral Pathologist: An oral pathologist specializes in identifying and treating diseases like cancer in the mouth, jaw, and oral tissue.

Talk To Your Orthodontist or Primary Dentist

Don’t guess about the orthodontic or dental care you need. Talk to your primary dentist or orthodontist about your needs. Together, we can come up with a dental treatment plan that leads to a smile you love for the rest of your life.
Schedule a free consultation and learn what type of treatment is best for your needs. We’ll break down the cost of treatment, discuss what your insurance provider covers (if relevant), and help you set up flexible payment options to ensure treatment is as affordable as possible.

Pricing for orthodontic care varies, depending on the type of treatment needed, the complexity of the treatment plan, and other oral health considerations. The best way to determine actual costs for a specific patient is to schedule a free consultation. At Kunik Orthodontics, we ensure every treatment path is made as affordable as possible with flexible payment plans and a positive, stress-free experience.

Orthodontist Prices: How Much Does Treatment Cost?

Misunderstanding the cost of orthodontic care often keeps people from designing a smile they love. Flexible payment plans and affordable solutions greatly reduce the cost and keep orthodontist prices as low as possible, but let’s break down the average cost of treatments such as braces based on several factors, including:

• Type of braces: Patients can choose ceramic braces, clear braces, clear aligners,  or traditional metal braces based on their treatment needs. Each type of braces treatment will vary in total cost. Clear aligners are often less expensive but are not appropriate for every patient.

• Treatment timeline: Some treatment options are completed as quickly as 3-6 months, while others are 1-2 years or more. The timeline will also drive orthodontic treatment costs, with longer timelines requiring more visits and materials.

• Complexity of treatment plan: The aspect of treatment that drives treatment time is how complex the orthodontic issues are. To ensure every patient gets a beautiful smile they love, treatment duration needs to match individual needs.

• Dental insurance plans: Many dental insurance plans don’t cover orthodontic care, but some do. Others offer reimbursement options to help cover some of the costs.

• HSA/FSA funds: These are pre-tax funds set aside for specific purposes, like orthodontic treatment, health care, and dental work.

• Oral health considerations: If there is gum disease, tooth decay, or other oral health issues, patients may require additional dental work before beginning braces treatment. This will add to overall costs and extend the treatment time.

• Retainers: Some braces treatment plans require patients to wear retainers during treatment or after braces are removed. Retainers add some cost to treatment plans, and, in some cases, patients may want to purchase a backup retainer as well.

Orthodontic Prices Breakdown

Based on all the factors and treatment needs listed above, getting braces could cost anywhere from $3,000 – $10,000.[1] The only way to know what it will cost you is with a free initial consultation. At Kunik Orthodontics, we strive to decrease patient costs and offer flexible monthly payment options to ensure everyone gets the healthy, beautiful smile they deserve.

All of our treatment plans are based on a timeline, the shorter the treatment, the lower the cost. For more complex orthodontic issues, timelines are extended, and costs go up.

Understanding Each Type of Treatment Based On Cost

Cost of Clear Aligners / Invisalign

Invisalign braces are clear aligners that fit like a tray and require no brackets. This is an unobtrusive system that’s barely visible to most people and is appropriate for mild to moderate orthodontic issues.

Clear aligner treatment often works quickly, with treatment plans starting at 3 to 6 months, sometimes longer. Invisalign fees are more affordable, starting at roughly $3,000 and ranging to $7,500, depending on timeline. However, this path may not work for all patients.

Cost of Traditional Metal Braces

Traditional metal braces are the most common type of orthodontic treatment. They’re highly effective, durable, and offer a fully comprehensive solution. Metal brackets are attached to the front of every tooth and are connected by an archwire. Traditional braces aren’t particularly subtle and they gradually move teeth into their natural positions for a beautiful, straight smile.

This type of braces treatment runs in the middle in terms of cost, with the average cost starting at roughly $4,000 and ranging to $9,500, depending on timeline and additional costs. This treatment takes longer to complete than clear aligners, and costs will be higher than standard Invisalign fees.

Clear Braces / Ceramic Braces

Ceramic braces work similarly to traditional metal braces, but they’re more subtle in appearance. Ceramic brackets are white or clear and don’t stand out as much when you smile. These brackets are less durable but still highly effective. The cost for ceramic braces is slightly higher than conventional braces but falls within the same range.

Hybrid Treatment Plan (Invisalign and Braces)

Hybrid orthodontic treatment blends both traditional braces and Invisalign treatment together. At Kunik Orthodontics, our patients can start with one type of treatment and seamlessly transition into another based on individual needs, progress, and sustainability. The cost of hybrid treatment is customized and must be evaluated at an initial consultation.

Get a Free Consultation to Determine Prices For Your Treatment Plan

Don’t let a lack of clarity about the cost of orthodontic treatment keep you from the beautiful, straighter smile of your dreams. Schedule a free consultation and learn what type of treatment is best for your needs. We’ll break down the cost of treatment, discuss what your insurance provider covers (if relevant), and help you set up flexible payment options to ensure treatment is as affordable as possible.

All of us have unique facial features that make us who we are. This includes the color of our eyes, the position of our nose and mouth, and of course, our smiles.

While we might not think too much about it, the alignment of our upper jaw and the positioning of our teeth can also play a factor in how our face is structured. Because of this, it’s important to get regular dental checkups to make sure that our upper teeth and lower ones are in good condition and positioned correctly.

In some situations, a condition known as an overbite can happen – either at birth or later in life – that may need to be corrected by an orthodontist. Below, we’ll talk a bit more about what an overbite is, some common signs and symptoms you may have developed one, and what can be done to help treat it.

What is an Overbite?

An overbite occurs when there is a misalignment between your upper teeth and lower teeth. In most cases, most people’s upper teeth will slightly overhang the lower teeth when biting down. However, in some cases, the gap between the upper and lower teeth can be larger than 2-4 millimeters. This is when orthodontists will refer to this condition as an overbite, also known as an overjet.

How To Know If You Have One? Signs and Symptoms of an Overbite

At first, having an overbite may not seem to be a big deal – and in many cases, you may not be overly noticeable. However, over time, there may be certain signs that there is a misalignment in your upper jaw and point to needing a trip to an orthodontist sooner rather than later.

Some of the common signs and symptoms of an overbite include:

• Ongoing Jaw Pain – Normal jaw function and alignment puts even amounts of pressure on your top and bottom teeth. However, when there is an issue with the alignment, it can start to put more stress on certain jaw joints. This jaw pain will become more pronounced when opening your mouth to chew or when yawning and usually worsens over time, creating difficulty chewing.
• Signs of Tooth Decay – Most people develop eventually develop a cavity that needs filling. But when you have an overbite, there is a higher likelihood of experiencing rapid tooth decay due to grinding or added pressure to the surface of your teeth. This can eventually lead to severe overbite and could require tooth extraction or even corrective jaw surgery if not properly addressed.
• Gum Disease – When you have an overbite, it can make your upper teeth overlap or lead to crowded teeth along your jawline. This makes it more difficult to remove food particles during brushing or flossing, which can be the main contributor to developing gum diseases like gingivitis.
• Breathing Issues – Although not present in all cases of individuals with an overbite, more serious overbites can contribute to ongoing breathing issues. This is especially present when sleeping, as it can restrict nasal passages and make breathing through your nostrils more difficult.
• Speech Challenges – Depending on the gap between the top and bottom rows of teeth, overbites can cause certain speech problems in individuals. Because of the position of the teeth, saying certain letters or words clearly can be a challenge.

Differences Between Overbite and Underbite

Both overbites and underbites are different malocclusions that affect the alignment of your jaw. In the event of an overbite, your top teeth will extend more than usual past your bottom teeth. An underbite is the same condition but in reverse. Both conditions have similar signs and symptoms and should be evaluated by a dentist or orthodontist to discuss possible treatment solutions.

What Causes an Overbite?

An overbite may not exist at first and can develop over time. In other cases, the condition could be present at birth and will be easy to diagnose on your first dental checkup. Below are some of the common causes of developing an overbite:

Inherited Traits

Your genetics will have a good bearing on whether or not you’re born with or develop an overbite. Even minor misalignments in your jaw can worsen over time and become more pronounced the older you get.

Biting Your Nails

Excessive biting of your nails can put too much pressure on your top and bottom teeth and cause an overbite. This happens when constant pressure on your upper front teeth starts to gradually shift your jawline forward and increase the gap between teeth.

Teeth Grinding

Teeth grinding, also known as bruxism, is a common symptom of certain sleep conditions like apnea. In these situations, individuals unknowingly will grind their teeth excessively while they sleep. When untreated, these conditions can increase tooth decay while also adding too much pressure to the top and bottom jawline and leading to misaligned teeth.

Thumb Sucking

When children suck their thumbs for an extended period of time or are overly dependent on using a pacifier, it can lead to an overbite to developing. The thumb sucking puts increased pressure on the upper and bottom teeth and can eventually cause misalignments in the jaw from occurring.

How is an Overbite Treated?

Once an overbite is identified, the types of treatment recommended will depend on a variety of factors, including age, severity of the overbite, and any other pre-existing conditions. Below are some of the potential overbite treatment options and who they’re most intended for:

Palate Expanders

When children are diagnosed with having an overbite, palate expanders can be used to help gradually make improvements in jaw alignment. These appliances work by widening the upper jaw while creating more space for upper front teeth to grow in the correct position. Typically, a palate expander will be worn for several months and may require periodic adjustments from an orthodontist.

Braces

In many cases, braces may be the recommended treatment option for both children and adults for overbites. Braces will encourage gradual adjustments in both the vertical and horizontal alignment of upper teeth and lower teeth while lessening the gap between both. While traditional braces may be metal or ceramic, there are also transparent options to help provide the same treatment while being less noticeable.

Invisalign Aligners

Invisalign aligners are clear trays used to replace traditional braces to help support various dental imperfections. Each aligner is custom-molded to the individual and is usually a recommended option for mild and moderate overbites. Unlike braces, aligners are removable and typically have less discomfort. However, these solutions will require more user compliance to get the intended benefits.

Retainers

Retainers are alignment devices usually used after an Invisalign treatment or when wearing braces to help maintain the new jaw alignment. While most retainers won’t need to be worn indefinitely, the length of time they’ll be used will depend on each individual and the instructions of an orthodontist.

We had lots of questions for Dr. Kunik who has been perfecting the art of orthodontics for over 30 years. Patients commonly ask about pricing, retainers, Invisalign, and braces. We asked those questions but also the hard-hitting questions about why patients should come to his office and what does he do that differentiates his office from all the others.

Commonly Asked Questions from patients

Do you charge more for Invisalign than braces?

Dr Kunik: “I see Invisalign and braces as tools for orthodontics. At the initial exam we customize a plan for each patient and decide which tool will work best to achieve the goal. Occasionally both tools are needed. Treatment fees are based on difficultly of case, length of case, and required case management and not the tool needed to achieve the goal.”

Do you charge for broken brackets or emergency appointments?

Dr Kunik: “No. Broken brackets happen, and it could be a weak bond to the tooth or something the patient eats but no. It is best to add the bracket back on so we can move forward with treatment.”

What is included when I decide to go to Kunik Orthodontics for my treatment?

Dr. Kunik: “At the initial exam, Beth will review everything included in treatment. Typically, each case includes Dental Monitoring, Invisalign or braces, and 2 sets of retainers at the end. In some cases we require more in office appointments, in this case we prefer to see you in the rather than virtual appointments through Dental Monitoring.”

Do you do veneers or crowns in your office? Are they included in treatment?

Dr. Kunik: “We stick to what we know which is orthodontics. We do not do veneers, cleanings, crowns, fillings, or any general dental work in our office. We can refer you to a great cosmetic dentist if you do not currently have one.”

Why aren’t your prices listed on your website?

Dr Kunik: “There are many variables with fees, so we don’t list them on the website. It would be hard for people reviewing the website to diagnose their bite and figure out their fee. The fees vary depending on an individual’s goals, case management requirements, case complication, and treatment length.”

Why should people choose you for their orthodontist?

Dr Kunik: “My treatment plans and my staff. My job is to set up the proper treatment plan and customize it for each patient and to make sure the goals we set are achieved. It is also my job to train the best staff. My #1 goal in my office is to have employees that care. I hire and keep exceptional people that are caring and incredibly knowledgeable. I train mini-orthodontists. From day one my philosophy has always been that the patients pay their checks and not me.”

Why do you use Dental Monitoring?

Dr. Kunik: “Dental Monitoring is great for virtual appointments, and I am able to keep a close eye on all my patients. It’s biggest benefit is communication. My patients can message with any question and get an answer rather quickly, and I can use the scans to communicate with their dentist, periodontist, or surgeon. It is an incredible tool for evolving and looking forward to the future of orthodontics.”

What are the hidden costs (for patients) in your office?

Dr. Kunik: “The initial fee we give includes your treatment for the prescribed months, Dental Monitoring, in office visits or virtual appointments, and 2 sets of retainers.  There can be other fees due to missing several appointments, noncompliance, lost retainers, teeth shifting due to not wearing retainers. I do my best to be reasonable and fair when these things happen. I offer a discounted retreatment fee and I offer several options when noncompliance becomes an issue. We do have to charge for these occurrences since our office also incurs additional costs.”

How many kids do you have?

Dr. Kunik: “I have 6 kids. My oldest is 28, then I have triplets that are 26, and twins that are 13.”

What is your favorite food?

Dr. Kunik: “Spring rolls with peanut sauce”

What do you order at Starbucks?

Dr. Kunik “Simple and easy, just a soy latte.”

Do you have any pets? And can we see a photo?

Dr. Kunik “Yes I have 2 mini goldendoodles and they are my babies.”

Dr. Kunik is ready to meet you and answer any questions you have about orthodontics or his favorite color. Come meet Dr. Kunik and his staff