Orthodontic Treatment in Denville, NJ

Treatment Philosophy

The treatment philosophy of our office is the preservation of tooth structure and the development of the natural arch form which is harmonious with the individual’s facial proportions.

Postnatal development of facial and dental structures spans a range from 18-25 years resulting in a full complement of 32 permanent teeth. A great deal of individual variation occurs during skeletal and dental development with any given population. These long formative periods make it possible for many environmental and genetic influences to affect the dental bite and facial features.

The essence of early treatment is timing. Why allow abnormal functions and habits to continue and develop into severe bite problems and jaw discrepancies in a growing child? Why allow developing crowding problems during the transitional dentition? Two phases or, at times, even three phases of treatment is more logical and sensible.

Early intervention with crowding can eliminate the need for future permanent tooth extractions. The quality of treatment is improved by eliminating the causes, restoring normal growth, and reducing the severity of abnormal skeletal growth to allow for precise tooth positioning in the adolescent patient. When the majority of facial growth has stopped, the treatment options become limited. Proper diagnosis and treatment planning of each individual patient is required in early intervention. A visual treatment objective needs to be established in each phase of orthodontic care to finalize the establishment of the occlusion. Dramatic front to back, side to side, and vertical dimension corrections may be achieved routinely in early treatment if properly approached.

The best allies of the orthodontist in early treatment are time and the growth that is allowed to express itself with proper care.

In our adolescent patients, as well as our adult patients, we consider the total available procedures to provide our patients with optimal care.

With the rapid advances in dental materials and technology, the demands and expectations for esthetic dentistry are increasingly high. As providers of dental care in our various specialties, it is our obligation to present our patients with total treatment approaches to maximize dental health and esthetics.

The team approach of surgical-orthodontic treatment of skeletal deformities in severe skeletal malocclusions is well documented in the orthodontic and surgical specialties, in our literature, and in our national and regional meetings.

It is of vital interest to our patients to integrate and coordinate treatment and not to limit the treatment to an isolated specialty. Severe skeletal and dental malocclusions are multifactorial and include consideration of facial esthetics, function, and ideal dental occlusion. In many of our routine dental malocclusions, orthodontic treatment alone may be limiting in obtaining ideal facial and esthetic dental occlusions. The initial correction of a class II malocclusion to an ideal class I occlusion does not terminate our obligation to the patient. We must inform our patients of their total dental needs, not just our limited specialty. We must evaluate the face, smile, lip line, buccal corridor of the smile, black triangles, and spacing, providing esthetic anterior tooth shape and correct mesial-distal space in agenesis cases (missing teeth) for implant treatment. One-sided approaches to multifaceted problems often produce compromised results.

Quantifying facial esthetics using anthropometrics in art, dentistry, and plastic surgery to determine the esthetics of the face has a long history. The establishment of rigid measurements and proportion values as characteristics of the ideal face is unnatural because it negates the natural variations that are always present in a general population. Quantitative analysis of various facial qualities enables the clinician to refer to the most typical signs of the attractive face. The clinician, just like the artist, must possess artistic talent and good clinical judgment to achieve an esthetic result fitted to the needs of a particular face.

Michael Arvystas‚ DMD
CONTACT
New York City Location

24 Washington Square North
New York‚ NY 10011
212-777-9977

New Jersey Location

10 Broadway
Denville‚ NJ 07834
973-625-1234

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