RISK FACTORS ARISING FROM NORMAL BIOLOGICAL PROCESSES
The health of the bones and gums which support the teeth may be affect-ed by orthodontic tooth movement if a condition of gum disease already exists, and in some rare cases where the condition does not appear to exist. In general, orthodontic treatment lessens the possibility of tooth loss and gum infection by improving the bite.
In some patients, the roots of the teeth may be shortened during ortho-dontic treatment. This root resorption is usually not of significant conse-quence, but on occasion it may affect it may affect the longevity of the teeth involved.
PRE-EXISTING NON-VITAL OR TRAUMATIZED TEETH
Sometimes a tooth may have been traumatized by a blow or have large fillings that cause damage to the nerve. In these cases, orthodontic treat-ment may aggravate the need for root canal treatment.
TEMPORO-MANDIBULAR JOINT (TMJ)
The TMJ is the sliding hinge connecting the upper and lower jaws. If a TMJ disorder exists, orthodontic treatment may help remove the dental causes of the problem, but not non-dental causes. In some cases, TMJ problems first become evident during or after orthodontic treatment; symptoms include joint pain, headaches, or ear problems.
INDIVIDUAL GROWTH PATTERNS
Occasionally, unexpected or abnormal changes in the growth of the jaws or in the shape and size of the teeth may limit our ability to achieve the desired results. If growth becomes disproportionate, the bite may change and additional treatment may be needed. In some cases of growth dishar-mony, surgery may be advised to achieve optimal results.
Sometimes to achieve optimal results, oral surgery or tooth removal is necessary in conjunction with orthodontic treatment, especially to correct severe jaw imbalances. There are extremely rare life threatening risks and potential disabilities involved with oral surgery. You must discuss this with the oral surgeon before making a decision about surgery.
Allergies to medication and orthodontic materials may occur during treatment. If you are aware of these allergies, they can be avoided, but if they are unknown to you it is impossible to predict reactions.
APPLIANCES AND HEADGEAR
Appliances and headgear, if improperly handled, may cause injury to the face area. The possibility of mishap is rare if the patient carefully follows instructions for wear and care of appliances.
RISK FACTORS UNDER THE PATIENT’S CONTROL POOR DIET OR ORAL HYGIENE
Tooth decay, gum and permanent decalcification marks on the teeth can occur if patients do not brush and floss frequently and properly. The same problems can occur without braces, but the risk is greater with braces, particularly if foods with high sugar contents are eaten.
The total time required to complete treatment may exceed our estimate. This can be due to excessive or deficient bone growth, but is often attributed to the patient’s participation in treatment. Factors that can lengthen treatment and affect the quality of the results include: missed or rescheduled appointments, broken appliances, not following food guidelines, improper wear and care of appliances, and inadequate oral hygiene.
CHANGES IN THE BITE AFTER TREATMENT
When braces are removed, teeth may have a tendency to change their positions. Tooth movement is usually minor and faithful wearing of retainers as prescribed reduces this tendency. Oral habits, such as mouth breathing, tongue thrusting, grinding of the teeth and finger sucking, or the eruption of wisdom teeth, can also cause the bite to change after treatment.
- Cover all aspects of the proposed treatment done in our office except:
- Replacement of lost or broken, fixed or removable appliances
- Extended treatment beyond original time estimated due to non-cooperation
- Procedures associated with the treatment but done in other offices (cleaning, extractions, filings, surgery, cosmetic bonding, etc.)
- Include one year of retention supervision
- Should a patient transfer treatment prior to completion of treatment, a fee adjustment will be made reflecting work completed. Adjustments take into account appointments kept and on-time, cooperation, breakage, etc.
ACKNOWLEDGEMENT AND INFORMED CONSENT TO ORTHODONTIC TREATMENT
I have read, understood and have had all my questions answered with regard to the above described risk and limitations of orthodontic treatment.
I also acknowledge receipt of notice of privacy practices I have received a copy of this office’s Notice of Privacy Practices.