Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

Orthodontist Shaved My Son’s Teeth

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I’m fuming after a visit to the orthodontist. I took my 12-year-old son in to get started with orthodontic treatment. The doctor said it would be a longer visit because they were getting everything set up, but didn’t really elaborate on everything they’d be doing. It may be on me, but I didn’t clarify. I just thought he was getting braces put on. Come to find out, AFTER the appointment no less, that the dentist shaved his teeth. I had to hear about the procedure from my son. I thought he was mistaken when he came out and told me what they’d done, so I corrected him, and the assistant then told me what my son was saying was accurate. She said it was normal for treatment and that they do it with all their patients. Now, on top of everything else, I’m worried about the long-term damage the orthodontist may have caused. Why did he do this and can it be fixed?

Signed,

Not Ok in OK

Dear Not Ok,

Smiling young woman with braces

Why Did the Orthodontist “Shave Teeth?”

This is done to make space. Once the dentist measures out how much space is there and how much space is necessary for all the teeth once they’re in alignment, it becomes apparent if more space needs to be made. There are several ways to make space, such as palatal expanders and tooth extractions, but reducing the width of teeth is common as well. In short, if the dentist removes just the tiniest amount of structure on the sides of each tooth, it adds up to a fair amount of space overall. This may have been the easiest and least invasive method for your son. It’s referred to as “interproximal reduction.”

Interproximal Reduction is Safe

Although each dentist has his own toolkit he draws upon for various cases, interproximal reduction often earns a place in the toolkit because it is a safe and fast choice. True, some of your son’s enamel is gone now. Nothing will bring it back. However, if the reduction was such that your son would be at an increased risk for decay now, the dentist would have protected the surface with dental bonding. You can confirm if this was necessary with the dentist.

The Dentist Should Have Spoken with You

Despite the fact that this is a safe and trusted procedure, the dentist should have explained it to you in advance. He’s required to get “informed consent” before procedures are carried out, and if he didn’t fully inform you, then you didn’t give consent. That’s not ok. It’s possible he glossed over it or the detail was lost amid all the new information you were being given at the time, but if you’re 100% certain he didn’t discuss it, or even think he should have been more direct about it, then you should mention it to him. Again, it doesn’t sound like his practice was off, but if he’s missing the mark in communication, he needs to address that.

This post was sponsored by Dr. Ryan Noah, a Tulsa orthodontic treatment provider.

A Tale of Two Emergency Dentists

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I’m a bit confused. My husband and I both developed toothaches at about the same time. We were in the process of moving and didn’t have time to deal with it. Once we got to our new place, the first thing I did was try to schedule emergency dental appointments because we were both ready to get out of pain. The first practice I called said they could see me but didn’t realize I wanted my husband seen too. It was a Friday morning, which is their half day. they said they could see one of us today and the other Monday. I scheduled my appointment and then called another practice who agreed to see my husband that day. I figured the upside was we’d get to check out two different dental offices to see what we thought before picking our new practice. When I went, they gave me a root canal treatment, but my husband only had to have a filling. Why the two different treatments for two toothaches? Was mine just overly aggressive or did my husband not get the care he needed?

Karen

Dear Karen,

All toothaches are different. They can be caused by a decay, infection, cracked teeth, etc. Plus, while all toothaches are different so is each person’s ability to deal with pain. Maybe you have a higher pain tolerance than your husband so your toothache had been there longer and turned into an infection, while his was just decaying and needed filling.

I can’t answer your question about overtreatment or negligence without examining you and seeing the x-rays. I’d just be taking a stab in the dark. However, the one thing that concerns me is neither of you seems to have been told why your dentists did the treatment they did.

Dental emergency or not, a dentist is supposed to explain the diagnosis along with your options and their recommendation. It’s up to the patient to say yes or no. So, you shouldn’t have been given a root canal treatment without knowing why.

Finding Your Permanent Dentist

When you start looking for your permanent dentist, be sure to check their reviews so you get some idea of what patient’s who’ve been there have experienced. Also, because the emergency dentist did x-rays (or at least should have), you can have your recent x-rays transferred so you don’t have to have those done again right away.

Though you had to have the root canal, I’m glad you got to the dentist before you ended up losing the tooth. The last thing you’d want to pay for right after a move is a tooth replacement.

This blog is brought to you by Dr. Ryan Noah.