Dr. Paul Major's
Answers to Our Survey
VI. WHAT IS IT LIKE TO BE AN ORTHODONTIST?
a. How long have you been an orthodontist?
b. Do you have to be strong to be an orthodontist?
c. Do you get tired of working on people's mouths?
e. Have you ever seen someone have an allergic
reaction to their braces? NO
f. Is it difficult to explain to kids what's
wrong with their bite and what needs to be done?
VERBALLY YES, BUT WITH COMPUTER
PROGRAMS, IMAGING AND MODELS IT APPEARS TO BE A LOT EASIER
g. Are kids easier to work with than teenagers?
THIS DEPENDS ON THE KID
h. If there is a problem with braces, can kids
explain the problem to you?
MOSTLY YES, THEY HAVE A GOOD IDEA
OF WHAT A BAND IS AND WHAT A BRACKET IS AND HOW THE VARIOUS COMPONENTS
FIT TOGETHER SINCE WE EDUCATE PRIOR TO PLACEMENT OF THE BRACES
i. Do you put the braces on all at once or do
you put them on a little at a time?
IT DEPENDS VERY MUCH ON THE NEEDS
OF EACH CASE
j. How do you help kids get used to braces?
WE TRY TO TEACH THEM AS MUCH AS
POSSIBLE ABOUT BRACES BEFORE WE GET STARTED AND THEN WE PLACE THE BRACES
AND DO A COMPLETE SHOW AND TELL. WE ALSO USE VERY SOFT WIRES INITIALLY
TO MAKE THE PROCESS AS COMFORTABLE AS POSSIBLE.
k. Do you recommend any books to them to help
them with braces? Do you know of any books with characters with braces
that kids would like?
WE HAVE BOOKLETS PROVIDED BY SOME
OF THE DENTAL SUPPLY COMPANIES AS WELL AS BOOKLETS FROM THE AMERICAN ASSOCIATION
OF ORTHODONTICS. WE ARE CURRENTLY WORKING ON A CARTOON STRIP, THANKS TO
l. Do you take pictures of them during their
m. How often do you take x-rays?
|OFTEN IT IS INTERESTING TO PLOT
THE CHANGES OR WATCH WHAT HAPPENS IN MORE COMPLEX CASES SO THAT WE CAN
SHARE THIS INFORMATION WITH OUR COLLEAGUES.
AT THE BEGINNING OF TREATMENT,
AGAIN WHEN WE WISH TO DETERMINE THE POSITION OF THE TOOTH ROOTS AND AGAIN
AT THE END OF TREATMENT PRIOR TO REMOVAL OF BRACES TO DETERMINE THAT OUR
RESULTS ARE STABLE AND THAT WE HAVE NOT PRODUCED ANY ROOT DAMAGE.
n. What happens when kids loose a tooth when
their braces are on?
GENERALLY THIS IS NOT A PROBLEM
AS THE BABY TEETH DO NOT HAVE BRACES ON THEM. IF THEY DO WE CAN SIMPLY
WAIT FOR THE PERMANENT TEETH TO COME THROUGH BEFORE WE CARRY ON WITH THE
o. Do people call you for emergencies a lot?
p. What are some of the emergencies people have
with their braces?
WIRES POKING INTO THE CHEEKS, A
BAND THAT HAS COME LOOSE, A BRACKET THAT HAS COME OFF OR A WIRE THAT HAS
q. Do you get to know the patients pretty well?
Do they e-mail you?
VERY WELL, I LIKE TO KNOW ALL THE
COOL THINGS THAT THE KIDS ARE GETTING UP TO. I LIKE TO KEEP UP WITH THEIR
PROGRESS AT SCHOOL, THEIR INTERESTS AS WELL AS THEIR SPORTING EVENTS.
s. What can kids do if their lips get hurt by
WE SUPPLY LITTLE ENVELOPES OF WAX
THAT KIDS CAN ROLL INTO SMALL BALLS AND PLACE OVER THE WIRE OR BRACE THAT
IS CAUSING DISCOMFORT
t. Do you recommend any special machines for
cleaning teeth and braces?
YES WE DO, BUT ADEQUATE INSTRUCTION
IN THE USE OF A REGULAR DENTAL TOOTH BRUSH, INTERPROXIMAL CLEANERS AND
FLOSSING IS USUALLY ADEQUATE FOR MOST KIDS TO MAINTAIN THE TISSUES IN THE
u. I heard that soda is bad for braces.
Is that true?
TOO MUCH SODA CAN HAVE AN EFFECT
ON THE TEETH DUE TO BUILD UP OF PLAQUE RESULTING IN DECALCIFICATION AND
DAMAGE TO THE ENAMEL OF THE TEETH
v. What are some of the things kids tell you
they are afraid of with their braces?
THEY ARE AFRAID OF THE DAY THE
BRACES ARE REMOVED. THEY DO NOT KNOW HOW THEY WILL COME OFF OR WHETHER
IT WILL BE SORE.
w. I heard that there are guards to put on if
you play a wind instrument or play sports. Are these guards a good
idea? Are they hard to use? Are they expensive?
THEY ARE A GOOD IDEA TO PREVENT
LACERATION OF THE LIPS AND TONGUE
y. What do you think of computer imaging?
Is it the same technology as when the police show what a missing kid would
look like when they are older? Does it help kids work harder to take
care of their braces?
THE LATEST TECHNOLOGY CAN DO EXACTLY
WHAT THE POLICE DO FOR MISSING KIDS. THIS IS HOWEVER BASED ON GROWTH ESTIMATES
AND CANNOT BE ACCURATE FOR EACH INDIVIDUAL. SOME PEOPLE MAY PUT ON WEIGHT
OR CHANGE UNEXPECTANTLY AND THIS CANNOT BE FORECASTED BY THE IMAGING MODALITIES
z. Which part of getting braces do kids like
FITTING THE BANDS