In contrast to the popular belief that braces can correct all kinds of dental misalignment and the notion that braces automatically produces beautiful smiles, the practice of orthodontics involves serious challenges and limitations. Orthodontists are faced with numerous biological and technical limitations, which can inadvertently affect the outcome and stability of their finished products.

The age and health of the patient, hereditary factors, environmental influences such as habits, obstruction of the nasal airway and resultant mouth breathing, as well as allergies, diet, stress, the presence or absence of teeth, etc., can modify the growth of jaw bones and surrounding musculature, which are the main determinants for final position of the teeth.

Success of orthodontic treatment, therefore, hinges on the ability of the orthodontist to sort out the relevance of different biological and environmental influences in each patient (ethiology and diagnosis). The orthodontist will then design a plan that either modifies or accommodates these factors (treatment plan). Additionally, each patient has his/her specific notion of facial attractiveness that may or may not be harmonious with the diagnostic/ethilogic list. Effective communication between doctor and patient is essential in order to reach a mental picture of the end result.

In our office, we promote an atmosphere of listening. Also, to encourage open communication we provide seats next to the dental chairs for the parents.