Generally, excellent orthodontic results can be achieved with informed and cooperative patients. You should
be aware that orthodontic treatment, like treatment of any part of the body, has some risks and limitations.
These are seldom severe enough to offset the advantages of treatment, but should be considered in making the
decision to undergo orthodontics.
Decay, gum disease and permanent markings on teeth can occur if patients do not brush frequently and
properly or eat hard or sticky foods, or foods with excessive sugar.
A tooth that has been traumatized by a blow or large filling may require Endodontics (root canal) when it
is moved with orthodontic appliances. Sometimes a tooth may have a non-vital pulp (nerve) and orthodontic
movement may make the need for endodontic treatment apparent.
In some cases, the length of the roots of some teeth may be shortened during orthodontic treatment. Usually
this is of no consequence, but on rare occasions it is a serious threat to the longevity of the teeth
Teeth have a tendency to return toward their original position after treatment. Usually this is only minor.
Faithful wearing of retainers reduce this tendency. A common site for these changes is the lower front teeth
and some changes in this area should be expected.
Occasionally a person who has had normal growth of the jaws may not continue to do so. If growth becomes
disproportionate, the relationship of the upper jaw to the lower jaw may change, requiring additional
treatment, or, in some cases, surgery. Growth disharmony is a biological process beyond the orthodontist’s
There is a risk that problems may occur in the temporomandibular joints (TMJ) just in front of the ear.
Orthodontic treatment can improve dental cause of TMJ pain, but not in all cases. In moving the teeth to new
position, the jaws may be uncomfortable for a while.
The total time for treatment can be longer than our estimated time. Lack of bone growth, poor cooperation,
broken appliances and missed appointments are important factors which can lengthen treatment and affect the
quality of the result.
I have read, understand and of the above consent to treatment.*