Orthodontic treatment has limitations and potential risks. In some instances, it may be worthwhile to consider the option of limited orthodontic treatment or no orthodontic treatment at all by accepting your present oral condition. You are encouraged to discuss your expectations and treatment alternatives with your orthodontist prior to commencing treatment.

Relapse

Completed orthodontic treatment does not guarantee perfectly straight teeth for the rest of your life. Retainers will be required to maintain your teeth in their new positions following orthodontic treatment. You must wear the retainers as instructed or your teeth may shift.

Decalcification and Dental Caries

Excellent oral hygiene and regular visits to your general dentist are essential during orthodontic treatment. Poor oral hygiene could result in cavities, discoloured teeth, periodontal disease and/or decalcification. These problems may be aggravated with the frequent consumption of sweetened beverages or foods. Deep dental caries can also cause your tooth to die, requiring root canal treatment. The restoration of decayed teeth or root canal management can be costly, especially if it involves several teeth. Your orthodontist may advise you to discontinue treatment if you are unable to maintain good oral hygiene.

Periodontal Disease

Poor oral hygiene may also cause periodontal (gum) disease, which can result in gum loss and, in worse cases, shaky teeth and tooth loss. While periodontal therapy can improve the condition, a perfect result is seldom achievable in advanced cases with significant tissue loss.

Black triangles

Crowded teeth prevent gum tissue from forming between the teeth. When the teeth are aligned, a black triangle forms. The risk becomes higher if you have triangular-shaped teeth or if you already have gum recession present.

Root Resorption

The roots of your teeth may become shorter during orthodontic treatment. It is not known exactly what causes root resorption, nor is it possible to predict which patients will experience it. If root resorption is detected during orthodontic treatment, your orthodontist may recommend a pause in treatment or discontinuation of treatment. You may have to accept a less than perfect result in such instances. However, many patients have retained teeth with severely shortened roots throughout life.

Injury from Orthodontic Appliances

You must take care of your orthodontic appliance by avoiding hard and chewy food. Activities and habits which could damage, loosen and dislodge the orthodontic appliances need to be avoided. Loosened or damaged orthodontic appliances can be inhaled, swallowed or cause soft tissue injury to the surrounding areas. You should inform your orthodontist of any unusual symptoms, loose or broken appliances as soon as they are noticed. Damage to the enamel of a tooth or to an existing restoration (crown, veneers or fillings) is possible during the removal of orthodontic appliances.

Temporomandibular (Jaw) Joint Dysfunction

Some patients may experience problems with their jaw joints during orthodontic treatment. Most of these cases are coincidental in nature. Its presence could be related to past trauma (blows to the head or face), arthritis, hereditary predisposition, excessive teeth grinding or clenching, poor diet and many medical conditions. You should report any jaw symptoms (pain, difficulty in opening/closing and joint sounds) to your orthodontist promptly. Treatment by other dental or medical specialists may be necessary at additional cost.