Our Blog

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

• Thumb sucking and tongue thrusting
• Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
• Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Jones and our staff suggest that parents bring your child to Clark Jones, DDS, MSD around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

3D imaging, also known as CBCT (Cone Beam Computerized Tomography), can be an invaluable tool for Dr. Jones to help you to maintain or restore your oral health. Advances in the industry have allowed for more precise and detailed imaging than ever before.

CBCT machines work by rotating around a patient to capture both 3D and 2D images of the head and jaw all at the same time. This is then digitally reconstructed on the computer to allow for quicker and more accurate diagnosis. There are several benefits of 3D imaging over traditional imaging like X-rays and CT scans, for both doctor and patient.

The benefits of 3D imaging for the patient:

• Radiation exposure is reduced as compared to traditional X-rays or CT scans. A 3D scan will expose patients to less radiation than a full set of oral X-rays and up to 95% less radiation than a CT scan.
• 3D imaging allows the patient to view the results of the scan alongside the doctor, right on the computer. This way the patient can better understand what's going on if there is an issue.
• The procedure is extremely quick and easy to perform. It usually only takes about ten to twenty seconds for the entire 3D image to be taken.
• Cost savings are huge for patients when compared to traditional CT scans performed at a hospital.

The benefits of 3D imaging for the doctor:

• One of the biggest benefits for doctors is the amount of information gained from one scan. Doctors receive much more in-depth and actionable information as compared to 2D X-ray imaging alone. This makes for better treatment planning and diagnosis.
• The images are digital so they can be viewed on any computer or tablet instead of having just one physical printed image.
• Clearer images are captured with this technology, which allows the doctor to more accurately diagnose any disorder such as impacted teeth, pathologies which are difficult to see, TMJ, or any other issue relating to the bone and structures of the tooth below the gum line.
• 3D imaging allows for better communication between doctor and patient. The doctor can more easily show the patient what's going on and explain the course of treatment they suggest.

When called for, 3D imaging can be a very helpful diagnostic tool for both doctor and patient alike. This is why our Phoenix, AZ office is equipped with state-of-the-art imaging technologies so we can provide our patients with the most accurate and comfortable experience possible.

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

• Loss of teeth
• Infection
• Cavities or infections that are missed or undiagnosed
• Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let Dr. Jones know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

Dr. Jones want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient Phoenix, AZ office.

When the time comes for Dr. Jones to remove your braces, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow Clark Jones, DDS, MSD recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type. If you’re still not sure whether the choice you’ve made is truly right for you, get in touch with us at our Phoenix, AZ location right away!