Orthodontics and Dental Anxiety
Two to three years ago, I started orthodontic treatment (Invisalign) at a certain clinic, along with regular dental cleanings.
The procedures, including scanning the shape of my teeth, creating dental molds (using a purple powder mixed with water applied to metal instruments and pressed onto my teeth), placing lingual retainers, and performing cleanings, were all handled by dental hygienists.
I have now completed the orthodontic phase and am currently wearing retainers.
Recently, I learned that dental cleanings may need to be performed by a dentist, but at that clinic, most of the time, the procedures are managed by hygienists.
Additionally, when it came to tooth reduction, the dentist was uncertain about how much to reduce certain teeth, which made me anxious since tooth reduction is irreversible and seems to be an important procedure.
I am now feeling anxious about whether I should continue follow-up orthodontic care at the same clinic.
1.
Should I continue to follow up on my orthodontic progress at the same clinic and get cleanings at another clinic? However, general dentists may not understand orthodontic issues, and could they have difficulty cleaning my teeth due to the lingual retainers and large gaps between my molars?
2.
Or should I continue to receive follow-up care and cleanings at the same clinic?
3.
Is it normal for the gaps between the molars to become significantly larger after orthodontic treatment?
Wei jiao zheng hou xu zhuī zōng gǎn dào jiāo lǜ de rén, 10~19 year old female. Ask Date: 2023/10/17
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to return to the original clinic for follow-up.
If you are not comfortable with the nurse's handling, you can simply express your concerns at the front desk or inform them when making a phone appointment.
Reply Date: 2023/10/17
More Info
Overcoming dental anxiety, especially when navigating orthodontics and dental cleanings, can be a challenging experience for many individuals. Your concerns about the treatment you have received, the role of dental hygienists versus dentists, and the implications of your orthodontic journey are valid and deserve careful consideration.
Firstly, it is essential to understand that orthodontic treatment, such as Invisalign, requires ongoing monitoring and maintenance to ensure that your teeth remain in their desired positions. Regular dental cleanings are crucial, especially during and after orthodontic treatment, as they help prevent plaque buildup and maintain oral health. While dental hygienists are trained to perform cleanings, it is also important to have a dentist involved in your care, particularly for any specific concerns related to your orthodontic treatment.
1. Continuing at the Same Clinic vs. Seeking Another Dentist: If you feel comfortable with the orthodontic clinic and have established a rapport with the staff, it may be beneficial to continue your follow-up appointments there. However, if you have concerns about the quality of care or the level of expertise regarding your specific needs, seeking a second opinion from another dental practice could be a wise choice. Many general dentists are familiar with orthodontic appliances, but it is crucial to communicate your specific needs and concerns to ensure they can provide the appropriate care.
2. Dental Cleanings: If you decide to continue with the same clinic for orthodontic follow-ups, it is advisable to discuss your concerns about cleanings directly with the orthodontist. They can clarify whether the hygienists are adequately trained to handle your specific situation, including the presence of lingual retainers and the unique challenges posed by your dental anatomy. If you choose to see a different dentist for cleanings, ensure they are aware of your orthodontic treatment and any appliances you have in place.
3. Changes in Tooth Spacing: It is not uncommon for patients to notice changes in the spacing of their teeth after orthodontic treatment. The goal of orthodontics is to align teeth properly, and sometimes this can lead to larger gaps, especially if teeth were previously crowded. However, if you are concerned about the size of the gaps between your molars, it is essential to bring this up with your orthodontist. They can assess whether this is a normal part of your treatment or if further adjustments are needed.
In summary, managing dental anxiety is a process that involves open communication with your dental care providers. It is important to express your concerns about the treatment you have received and to seek clarification on any aspects that make you uncomfortable. Whether you choose to continue at the same clinic or seek care elsewhere, prioritize finding a dental team that you trust and feel confident in. Regular check-ups and cleanings are vital for maintaining oral health, especially after orthodontic treatment, so ensure that you are receiving the best possible care tailored to your needs. Remember, your comfort and confidence in your dental care are paramount, and you have the right to advocate for yourself in your treatment journey.
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