In virtually every field, a combination of integrity, skill and experience are essential to ensuring competence and ultimately successful outcomes. We’ll visit the medical profession to illustrate the importance of experience in providing optimal care. We will assume a level playing field for all the other qualities previously described. In our dramatic example, you are suffering from cardiac blockage and require heart bypass surgery. All things being equal re: cardiologist’s integrity and skill… you have a choice of docs. The first doc just completed his/her fellowship training and the second has already successfully performed 100’s of bypass surgeries. Would you choose the 1st doc or the 2nd doc? If I were making the decision, it would be the 2nd doc in a “heartbeat”!
Orthodontic Specialty Programs
In orthodontic specialty programs, skill is measured and is a prerequisite to graduating and being awarded a specialty certification. Experience however is another thing altogether. Continue reading THE X FACTOR
In the 2nd series on tooth removal, let’s take a look at the main reasons when tooth removal is the best and wisest option to achieve an optimal treatment outcome.
Reason #1 Crowding.
Imagine a situation where teeth are crowded and poorly aligned. In this situation, the amount of space required is not sufficient to accommodate the teeth. Either the size of the arches must be increased or the number (or size) of teeth reduced. Or perhaps space preservation with a space maintainer could be utilized.
Up until the age of about 15, if there is mild to moderate crowding, it can be addressed with expanders and braces alone. After the age of 15, the bone structure is well formed and less plastic and expansion may not be possible or healthy to the surrounding supportive tissues.
When there is moderate to severe crowding and limited gum or bone support, permanent teeth will need to be removed to provide the space required. Failure to maintain the teeth with healthy surrounding bone will lead to periodontal problems down the road.
Continue reading Part 2: When Tooth Removal Is The Healthy Choice
Although I prefer not to remove adult teeth, there are exceptions and situations where tooth removal is beneficial. The pendulum has swung from one extreme to another in regards to removal of teeth. In the very early days of orthodontics the approach was never to extract a tooth, later the pendulum swung in the other direction and tooth removal was the norm not the exception. Over the past 25 years the pendulum has headed back in the other direction. So permit me to take a clear eyed and reasoned scientific approach to the subject.
One of the more common concerns I hear during consultation appointments is the following…you don’t have to remove any permanent teeth do you? We strive for perfection in the smile, a healthy bite and teeth that will last for a lifetime. What if, removal of teeth can help achieve these lofty goals and failure to remove teeth may cause harm. Continue reading Part 1: When Tooth Removal Is The Healthy Choice