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re: Young kids and braces- what's the deal?

Posted on 6/29/15 at 7:10 pm to
Posted by Hammertime
Will trade dowsing rod for titties
Member since Jan 2012
43031 posts
Posted on 6/29/15 at 7:10 pm to
I was recommended to get braces, but never did. My teeth turned out fine, except for recently (30 years old) when I started pushing them with my tongue when I sleep. Hoping this Invisalign will get it back in check, but they were perfectly straight up until a year ago
Posted by Grouper Picatta
Sarasota,FL
Member since Mar 2013
1590 posts
Posted on 6/29/15 at 7:29 pm to
My 5 yo is getting veneers next week. She will lose them next year but we will redo them 1 by 1
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
33618 posts
Posted on 6/29/15 at 8:16 pm to
quote:

It's a racket. Ever know someone who went to an orthodontist and DIDN'T get braces? Me neither


This. Asking an orthodontist if you need braces is like asking a dog if they're hungry.
Posted by biglego
San Francisco
Member since Nov 2007
85592 posts
Posted on 6/29/15 at 8:16 pm to
I had braces at 9. So there.
Posted by TigerNlc
Chocolate City
Member since Jun 2006
33224 posts
Posted on 6/29/15 at 9:00 pm to
quote:

Yeah, I had a retainer too and was never told when to stop wearing them, so I stopped on my own. That was years ago and my teeth are perfect to this day, so...

Quit wearing mine after ten years because I lost it and my bottom teeth moved. Sucks.
Posted by ruzil
WNC
Member since Feb 2012
18467 posts
Posted on 6/29/15 at 9:50 pm to
quote:

Are regular pediatric dentists referring these kids for ortho consults?


Most likely, the pedo is doing the braces himself.

quote:

Braces seem to be "in". Are parents getting bilked out of money today that they would not have done 20-30 years ago?



Parents aren't getting bilked out of money getting braces for their children any more than they are getting bilked out of money from Disney vacations and Ford King Ranches.

I would argue that pretty much everything we do in dentistry, with the exception of treating pain and swelling that could be life threatening, is elective. The dentists presents the proposed treatment and rationale for doing said treatment, the patient or parent decides and a transaction is or is not made.

No patient should ever be belittled for not accepting treatment recommendations and if they feel pressured in any way, they should seek out a second or even third opinion.
Posted by ruzil
WNC
Member since Feb 2012
18467 posts
Posted on 6/29/15 at 9:51 pm to
quote:

Quit wearing mine after ten years because I lost it and my bottom teeth moved. Sucks.


This happens more often than not.
Posted by CoastLSUFan
Member since Nov 2010
751 posts
Posted on 6/29/15 at 10:11 pm to
My daughter had 2 phases of braces also. She had a bad thumb-sucking habit that has caused her palate to be malformed. Phase 2 was finished when she was 13, and her teeth are gorgeous now. Plus, she will not have to wear braces in high school.

It was worth every penny.
Posted by Tic44
Texarkana, Arkansas
Member since May 2015
2088 posts
Posted on 6/29/15 at 10:31 pm to
My wife works for an ortho. The doctor does amazing work. Yes some cases are less extreme than others, but the finished products are amazing. It's not a racket.
Posted by genro
Member since Nov 2011
62714 posts
Posted on 6/29/15 at 10:55 pm to
A lot of it is built on fear tactics, they tell kids and parents and middle aged women if you don't get this $4,000 bullshite your teeth will sink into your bones and through your lips and your jaw will crack open. Somehow we survived 10,000 years as a species without these things happening on any regular basis whatsoever.

It's just common sense that not that many kids have crooked teeth, compared to how many get braces. It's common sense that not that many people have major orthondontic abnormalities. And it's expensive. And it's easy to sell, it comes with the official government-approved seal of medical quality.

Don't be naive.
This post was edited on 6/29/15 at 10:57 pm
Posted by EA6B
TX
Member since Dec 2012
14754 posts
Posted on 6/29/15 at 11:01 pm to
quote:

It's just common sense that not that many kids have crooked teeth, compared to how many get braces. It's common sense that not that many people have major orthondontic abnormalities. And it's expensive. And it's easy to sell, it comes with the official government-approved seal of medical quality.


Parents can be just as much of a problem, 35 years orthodontics was recommended only when the patients teeth were outside of what was considered a normal range of alignment, they could be cosmetically not perfect and still be considered normal, today many parents will accept nothing less than perfect teeth for their kids.
Posted by ruzil
WNC
Member since Feb 2012
18467 posts
Posted on 6/29/15 at 11:07 pm to
quote:

A lot of it is built on fear tactics, they tell kids and parents and middle aged women if you don't get this $4,000 bullshite your teeth will sink into your bones and through your lips and your jaw will crack open. Somehow we survived 10,000 years as a species without these things happening on any regular basis whatsoever.




Stupidity like this will have America looking like the Brits in no time.
Posted by PJ250R
The Rock
Member since Sep 2006
2089 posts
Posted on 6/29/15 at 11:08 pm to
You seem like a guy who will never have kids. Do you?
Posted by genro
Member since Nov 2011
62714 posts
Posted on 6/29/15 at 11:20 pm to
That stereotype is passe. The Brits fixed their issues in the 90s.

Honestly I get creeped the frick out when I visit LA by all the perfect, identical chompers on everyone
This post was edited on 6/29/15 at 11:21 pm
Posted by texashorn
Member since May 2008
13122 posts
Posted on 6/29/15 at 11:30 pm to
Much of what you are seeing is orthodontists milking Medicaid.
Posted by ruzil
WNC
Member since Feb 2012
18467 posts
Posted on 6/29/15 at 11:51 pm to
quote:

That stereotype is passe. The Brits fixed their issues in the 90s.


Ok, point well taken, but you will have us looking like Livingston Parish in no time then.
Posted by ruzil
WNC
Member since Feb 2012
18467 posts
Posted on 6/29/15 at 11:53 pm to
quote:

Much of what you are seeing is orthodontists milking Medicaid.


Highly doubt.
Posted by Paige
Vice President of the OT
Member since Oct 2010
85640 posts
Posted on 6/30/15 at 12:08 am to
I think my son needs braces but the dentist hasn't recommended it
This post was edited on 6/30/15 at 9:18 am
Posted by texashorn
Member since May 2008
13122 posts
Posted on 6/30/15 at 12:09 am to
quote:

Until last year, the Texas Medicaid Dental Orthodontic program was spending money like a Christmas shopper on Black Friday. Between 2008 and 2011, Texas spent $705million on Medicaid orthodontics, which experts say many children don't even need. That's because the state was paying the bills without adding them up, or even seeing if the money was well spent.

It was what Doug Wilson, the Inspector General of Texas Health and Human Services, calls a "pay and chase" environment. Texas now is earnestly in the "chase" mode. It has between 300 and 400 open investigations. Wilson took over the Office of Inspector General in 2011, and after a series of WFAA stories exposing questionable Medicaid payments, the state is beefing up its investigation of Medicaid fraud.

"Texas is a huge state. There are a lot of kids out there," Wilson told News 8 in a lengthy interview last month. "Some of the things we're seeing are just errors and other things that we're seeing are more intentional. And we're taking appropriate actions and making referrals as necessary."

The state now is holding payments back from 91 Medicaid providers for Credible Allegations of Fraud. Dozens are dentists and orthodontists.

The first signs of trouble were in 2008. That's when an audit by the OIG revealed problems.

"The volume of prior authorizations (for spending on braces) was extremely high," Wilson says.


LINK
Posted by torrey225
Member since Mar 2015
1437 posts
Posted on 6/30/15 at 9:03 am to
Permanent retainers bonded to back of teeth.
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