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When William Turbyfill Jr. began his orthodontics practice in 1976 in his hometown of Asheville, bonding orthodontic brackets directly to the teeth was the latest advancement in treatment. And while that particular method is still in use today, he notes that many improvements in orthodontic treatment have come along in his 38 years of practice.

Timothy Scanlan, Adidas Boost Triple White 3.0 who holds both a DDS and MS in orthodontics and dentofacial orthopedics from the Mayo Clinic, has seen fewer changes in his eight years of practice, but the changes have been significant.

It can be a tough rite of passage for preteens and teenagers the teasing and even curiosity from friends when a kid shows up at Adidas D Rose 5 Boost White Red

school with a mouth full of hardware that is slowly creating the perfect smile.

"The health aspect deals with teeth being in the proper positions for stability of a good bite," he explains. "A healthy bite promotes normal, even wear of the teeth and a healthy TMJ throughout life."

even with new trends in treatment, orthodontics is based on two major principles that have not changed and likely never will: health and aesthetics.

"The biggest change would have to be 3 D imaging with CAD CAM imaging and X ray," Scanlan says. "When I graduated, 3 D imaging and the power of diagnosing and treating patients with 3 D information was the latest development."

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Invisalign is a relatively new treatment that uses clear, removable aligners to slowly move teeth into position. Many adults find this an attractive alternative as the device can be removed for eating and there is no metal to abrade the mouth during treatment. For patients where invisibility is desired but the clear aligners are not appropriate, lingual braces are another option.

"I also predict custom braces and wires for each individual patient," Turbyfill says, "and the possible use of magnetic or low electric force to move teeth faster."

Kids with braces have heard it all. Brace face. Metal mouth. Tinsel teeth.

"When I started, everything was done on paper," he says. "Now we use computers to schedule, communicate, and even send X rays by email, which is much more efficient."

Other milestones include the use of bonded brackets instead of steel bands that were placed around each individual tooth. Today, flexible wires reduce pressure and speed treatment while clear retainers are not only easy to wear but invite much less harassment from friends.

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"We also see more adults getting treatment now," Turbyfill notes, "as teeth can be moved at any age."

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Turbyfill, who received both his DDS and MS in orthodontics from the University of North Carolina at Chapel Hill, predicts there will come a day when computers will be used to scan a person's mouth to generate a model of the teeth without the impression material that most people dislike.

"One of the single most rewarding aspects of my job," Scanlan says, "is treating a child who is reluctant to smile because of crooked teeth and watching them come out of their shell and smile!"

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Scanlan notes that Adidas Questar Boost Black

"The most important, in my opinion, is the use of flexible nickel titanium wires rather than stainless steel," Turbyfill says. "There is much less pressure and discomfort and faster tooth movement."

Orthodontists like to see children as early as age 7 to record how their teeth are developing. While some problems can be corrected at an early age, a full set of braces is usually placed at 12 13 years of age when most permanent teeth have erupted. Only about 20 percent of children between the ages of 7 11 need intervention, which is usually for a skeletal discrepancy such as a narrow palate or excessive crowding.

"Lingual braces are a fantastic alternative to traditional lip side of the tooth braces," Scanlan says. Lingual braces are fitted behind the teeth and are completely invisible from the front. These new technologies shorten Adidas Climacool Fresh Shoes Black

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´╗┐All about orthodontia

Adidas Boost Triple White 3.0

Adidas Boost Triple White 3.0

Perhaps the biggest change he has seen in his years of practice is the switch to electronics.

Adidas Boost Triple White 3.0

Adidas Boost Triple White 3.0

The second principle concerns the beauty of a smile and the self esteem and confidence that comes with it.

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treatment times with innovative techniques and make orthodontic treatment much more patient oriented and comfortable.

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