Although each of the offices in the COFO group is an independent practice, and certain procedures will vary, there are underlying similarities in all the offices. Proper planning can yield shortened treatment times, better results and greater post-treatment stability.
A thorough examination will be done. If the patient is ready for orthodontic treatment records will be ordered. This would include models of the teeth which are positioned on an instrument called an articulator (jaw movement simulator). Facial and dental photographs are be taken. X-rays are taken to view skeletal structures including the jaw joints. Between the first and second appointments, the doctor will take the necessary time to carefully study and evaluate all the diagnogtic data. What is the best treatment plan? What are the treatment options? What are the pros and cons of treatment? Are there any special considerations? Etc.
The records are evaluated and a comprehensive treatment plan is presented. This plan should include a sequential description of the type of treatment recommended and an approximate time the treatment should take. Each treatment plan is customized to the individual patient. If the patient has a history of TMJ disorders, the COFO orthodontist may ask the patient to wear an acrylic bite splint (jaw orthotic) prior to beginning treatment, to stabilize the jaw and allow a more accurate diagnosis of the problem. The COFO orthodontist also will work closely with other dental specialists, oral surgeons, periodontists, and restorative dentists if orthodontics alone will not address all the patient concerns and problems.
Placement of the braces. Since there are many different types of orthodontic treatment plans, this appointment will vary greatly. Subsequent appointments would proceed according to the treatment plan. Periodic progress reports are given to the patient and/or parents. Removal of orthodontic braces and retention is done in accordance with the treatment plan. In many cases, orthodontic positioners are used to continue detailing the optimum dental and jaw positioning results. In some cases a splint or night guard is used to support the joints and protect the teeth.
Additional restorative treatments such as crowns and restorative bonding might be recommended after the orthodontic case has been stabilized. All additional procedures, if needed, would be discussed at the time the treatment plan was presented. The goal is simple: We want our patients to have a healthy, attractive smile that lasts a lifetime.