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Do Orthodontists Fill Cavities?

by Nadia Jaouhari

Orthodontics is a specialized field of dentistry that focuses on diagnosing, preventing, and treating dental and facial irregularities. Orthodontists are known for their expertise in braces and aligners, which help straighten teeth and improve bite alignment. However, many people wonder whether orthodontists also perform other dental procedures, such as filling cavities. This article will explore the role of orthodontists, the difference between orthodontists and general dentists, and whether orthodontists fill cavities.

Understanding the Role of Orthodontists

What Is Orthodontics?

Orthodontics is a branch of dentistry that deals with the correction of misaligned teeth and jaws. The primary goal of orthodontics is to improve the function and aesthetics of a patient’s smile. Orthodontic treatment often involves the use of braces, clear aligners, and other appliances to move teeth into their proper positions.

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Education and Training

Orthodontists complete extensive education and training to become specialists. After earning a dental degree, they must complete a residency program in orthodontics, which typically lasts two to three years. During this time, they gain in-depth knowledge of tooth movement, facial growth, and the mechanics of orthodontic appliances.

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Common Orthodontic Treatments

Orthodontists provide various treatments to enhance dental alignment, including:

Braces: Metal or ceramic brackets and wires that gradually move teeth into the correct position.

Clear Aligners: Removable plastic trays that align teeth without the use of traditional braces.

Retainers: Appliances used after braces to maintain teeth in their new positions.

Palatal Expanders: Devices that widen the upper jaw to create more space for teeth.

Understanding the Role of General Dentists

What Is General Dentistry?

General dentistry is the primary care of oral health. General dentists provide a wide range of services, including preventive care, diagnosis, and treatment of dental issues. They are often the first point of contact for patients seeking dental care.

Education and Training

General dentists complete a dental degree, similar to orthodontists. However, they do not undergo the additional specialized training in orthodontics. This allows general dentists to perform various dental procedures, including fillings, cleanings, and extractions.

Common General Dental Services

General dentists offer a variety of services, such as:

Cavity Fillings: Treating tooth decay by removing the decayed portion and filling it with materials like amalgam or composite resin.

Root Canals: Treating infected tooth pulp to save the tooth.

Teeth Cleanings: Professional cleanings to remove plaque and tartar buildup.

Preventive Care: Services like fluoride treatments and sealants to prevent cavities.

The Difference Between Orthodontists and General Dentists

Scope of Practice

The primary difference between orthodontists and general dentists is their scope of practice. Orthodontists specialize in tooth alignment and jaw positioning, while general dentists provide comprehensive dental care, including restorative and preventive services.

Types of Procedures

Orthodontists: Focus on treatments related to tooth movement and alignment. They do not perform procedures like fillings, root canals, or extractions.

General Dentists: Perform a wide range of dental procedures, including fillings, crowns, bridges, and preventive care.

Referral Process

If a patient requires orthodontic treatment, they are often referred to an orthodontist by their general dentist. Conversely, if an orthodontist identifies a cavity or dental issue, they will refer the patient back to a general dentist for treatment.

Do Orthodontists Fill Cavities?

The Short Answer

Orthodontists do not fill cavities. Their training and expertise are focused on aligning teeth and correcting bite issues. If a patient has a cavity, they must see a general dentist for treatment.

Reasons Orthodontists Do Not Fill Cavities

Specialization: Orthodontists specialize in tooth movement, not restorative dentistry. Their training does not include performing fillings or other restorative procedures.

Focus on Alignment: The primary goal of orthodontic treatment is to achieve proper alignment of teeth and jaws. Filling cavities is not part of this focus.

Referral to General Dentists: If an orthodontist discovers a cavity during treatment, they will refer the patient to a general dentist for appropriate care.

What Happens If You Have a Cavity During Orthodontic Treatment?

If a patient undergoing orthodontic treatment has a cavity, the following steps typically occur:

Assessment: The orthodontist will assess the cavity and determine its severity.

Referral: The orthodontist will refer the patient to their general dentist for evaluation and treatment of the cavity.

Treatment: The general dentist will perform the necessary treatment, which may include filling the cavity or addressing any other dental issues.

Return to Orthodontist: Once the cavity is treated, the patient can return to the orthodontist to continue their orthodontic treatment.

Importance of Regular Dental Check-Ups

Preventive Care

Regular dental check-ups with a general dentist are essential for maintaining oral health. These visits allow for early detection of cavities and other dental issues.

Collaboration Between Dentists and Orthodontists

Collaboration between general dentists and orthodontists is crucial for comprehensive patient care. General dentists can monitor oral health during orthodontic treatment and address any issues that arise.

Maintaining Oral Hygiene

Patients with braces or aligners must maintain good oral hygiene to prevent cavities. This includes:

Brushing: Brushing teeth at least twice a day, especially after meals.

Flossing: Using floss or interdental brushes to clean between teeth and around braces.

Regular Cleanings: Visiting a general dentist for professional cleanings every six months.

Conclusion

In conclusion, orthodontists do not fill cavities. Their expertise lies in aligning teeth and correcting bite issues, while general dentists handle restorative procedures like fillings. If a patient has a cavity during orthodontic treatment, they will be referred to a general dentist for care. Regular dental check-ups are essential for maintaining oral health and preventing issues that could affect orthodontic treatment. Collaboration between general dentists and orthodontists ensures that patients receive comprehensive dental care, promoting healthy smiles for years to come. If you are considering orthodontic treatment, consult with your general dentist to discuss your options and ensure your oral health is in good hands.

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