Main Objective: I understand that the main objective of my orthodontic treatment is to align my teeth for cosmetic reasons. My bite and the relationship of my back teeth are not the focus of this treatment. 3-6 months may be required after treatment for the bite to settle and be completely comfortable . Significant changes in lip profile necessitate jaw surgery, which I am not seeking. I am aware of these objectives and limitations of short-term treatment. I fully understand that my course of treatment may not result in complete orthodontic correction. This is not mainstream orthodontic treatment philosophy and many orthodontists will disagree with this type of orthodontic treatment that does not aim to completely correct/change the bite relationship.
A Cephalometric X -ray will not be taken: A cephalometric x-ray is usually taken in association with traditional comprehensive orthodontics. This type of x-ray shows the relationship of the skull, skeleton and teeth . This type of x-ray does not provide us wi th essential information for performing cosmetic tooth alignment. Therefore, a cephalometric x-ray is not typically taken in association with cosmetic tooth alignment. By signing this consent form, you ore communicating that you understand that this type of x-ray will not be part of your pre-treatment records. If you desire more information about this topic, please ask the doctor.
Technique: Space will be made by enamel reproximotion (minor tooth reduction) . This allows limited tooth movement in the area of the crowding. Rarely sensitivity is possible from this, but is transient and not common. Alternative treatment options to enamel reproximotion for making space include tooth extrac tion, which we only perform in extreme cases of crowding, and expanding the dental arch is proven to be unstable in adult patients. Upper and lower dental midlines will not be made to coincide for most cases as midline changes often require years of treatment. Misshaped and abnormally long teeth will be reshaped as part of treatment. On occasion, bonding may be needed to provide an even appearance of the edges of front teeth whether because of stubborn tooth movement or misshaped teeth. Charges for bonding will be determined on a case-by-case basis.
Standard of Straightness: We seek to straighten teeth to a very high level with cosmetically focused orthodontic treatment. If , however, numerous custom requests arise which the doctor feels will take an inordinate amount of extra time or in fact may not even be possible to achieve, we reserve the right to refer you to an orthodontic specialist for conventional comprehensive, 2 year, bite-changing orthodontic treatment, without a refund of monies paid up until that point in treatment.
Retention: Teeth have a tendency to rebound to their original positions after orthodontic treatment. Very severe problems have a higher tendency to relapse, and the most common type of relapse occurs with twisted teeth. Retainers will be placed immediately to minimize relapse. Full cooperation in wearing these appliances ( full time for 6 months, at night for 6 months, and every other night indefinitely) is essential and part time wear is required for years. There is a fee to replace lost retainers. There are both fixed and removable options for orthodontic retainers.
Disputes: Should any dispute arise regarding fees, treatment , its outcome, or other matters associated with treatment, I agree to seek resolution through arbitration (peer review process) in lieu of court in order to seek a speedy and fair resolution of such issues. By signing this consent form I am agreeing to handle any dispute that might arise as a result of treatment through a dental peer review process (arbitration).