Eight Common Myths About Orthodontic Treatment

Some individuals have misaligned teeth.

Others experience crowding of their teeth.

There are those with protruding canines.

Some have gaps and sparse teeth.

And there are cases where the lower teeth overlap the upper teeth, commonly referred to as a "deep bite."

All these instances are classic examples that often necessitate orthodontic correction, known medically as orthodontics. Post-orthodontic treatment, not only will teeth appear orderly and aesthetically pleasing, but this can also help prevent the onset of periodontal diseases. Despite the coveted benefits of orthodontic procedures, many misconceptions still exist. This article aims to guide you through eight common fallacies about teeth correction.

01 Correction Is Solely for Aesthetics

Many young individuals undergo orthodontic treatment to enhance the aesthetics of their teeth or even their facial appearance, but the benefits of correction extend beyond this. The majority of middle-aged and older individuals seek orthodontic correction for health and functionality. Aligned teeth are easier to clean, fostering dental and periodontal health, and an ideal occlusion post-correction can improve chewing function. Moreover, misaligned teeth can have hereditary risks.

02 Orthodontic Treatment Is Not for the Elderly

Tooth movement is a bone remodeling process that occurs throughout life, thus, orthodontic correction is suitable for all ages. The misconception that correction is exclusive to adolescents stems from the fact that the ideal period for orthodontic treatment is typically around the age of 12. During this phase of growth and development, treatment tends to be more effective and takes less time. Hence, most orthodontic treatments are concentrated during this period.

Overall, as long as the condition of the teeth permits, age is not an obstacle.

03 Braces Always Require Tooth Extraction

Many are deterred from orthodontic correction due to the fear of tooth extractions. While extractions are a common method to create space and effectively resolve overcrowding and protruding teeth, other techniques such as lateral expansion of the dental arch, interproximal reduction (moderately narrowing the teeth), and several others are also available, depending on the condition.

04 Gaps Will Remain Post-Extraction Correction

Orthodontic treatment is akin to relocating teeth, moving them from their original position to a new one. The use of space created by an extraction is to align teeth or retract protruding teeth. Standard orthodontic treatment generally ensures that teeth are closely aligned and maintain normal proximity to each other, leaving no gaps.

05 More Pain Implies More Effective Treatment

Some believe that greater orthodontic force quickens tooth movement, while lesser, painless force means slower movement or none at all.

In reality, tooth movement is a slow physiological process involving bone cell remodeling, unlike macroscopic physical mechanics where greater force equals higher speed. In fact, minimal force is sufficient to initiate tooth movement; excessive force can halt movement or cause a plethora of side effects. Extremes are counterproductive, and orthodontic treatment should not exceed physiological limits.

06 Orthodontic Treatment Can Alter Facial Structure

The primary goal of orthodontic treatment is to align teeth neatly. Any changes to facial structure are typically incidental to correction and vary from person to person. Predicting such changes is not always possible; hence, any estimates regarding post-treatment facial alterations are just that—estimates.

Adult orthodontic treatment itself will not relapse. However, if the patient does not heed the dentist’s advice, continues to consume hard foods like nuts, and fails to attend regular check-ups, post-correction teeth are prone to revert.

08 Corrective Braces Will Cause Teeth to Loosen or Fall Out

Some sensitive patients may experience pain or discomfort at the beginning of the orthodontic force application, which typically dissipates after a few days. As long as the force applied is appropriate, there should be no adverse effects on the teeth or periodontium. Once the teeth have moved to their normal position and exhibit a good biting relationship, they will stabilize and grow firmly in their new position without any traumatic force.