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St. Thomas, VI Orthodontist, Orthodontist in St. Thomas, VI, FL

9003 Havensight Building 3 Ste. 307
St. Thomas, VI 00802

Orthodontics for Children & Adults




First Visit

We are always excited about meeting new patients during their first visit to our office. This important visit will give us insight into your orthodontic needs. During this time, we will help you get acquainted with our office and learn about your orthodontic treatment. We understand that each patient's treatment is different, and we promise to give you the personal attention you deserve.

When you enter the office, a friendly team member will greet you and gather all necessary information regarding your potential treatment. Dr. Naidu will then conduct an examination and review the findings with you. After we have evaluated your records, Dr. Naidu will explain the treatment plan, estimated treatment time and answer any questions you may have.

If treatment is indicated, our treatment coordinator will discuss the fees and what appointments are necessary in order to begin.

It is our goal to make this experience as pleasant and simple for you as possible.


What is an orthodontist?
An Orthodontist is a highly trained specialist who has completed two to three years of training after graduating from dental school. An orthodontist not only straightens teeth but also is interested in the bite, facial profile, and oral growth.

Why should I have my teeth straightened?
Orthodontic treatment improves your smile and your health. Your smile is the most striking part of your face. Look in the mirror. Do you like your smile now? Can your smile be improved? Think about how you react to someone with a pretty smile. Do you find them more attractive? Will you be more attractive with an appealing smile? Orthodontic treatment will make your smile look fabulous. The fabulous smile can last for the rest of your life. Think about how a fabulous smile will improve your life. Orthodontic treatment will also make your face look delightful. Wouldn't a delightful face be wonderful?

Your health is also affected by poorly arranged teeth that can break easily and trap food particles that cause tooth decay and gum disease. They can also lead to poor chewing and digestion which can be bad for your overall health such as:

Dental problems. Crooked teeth are hard to clean so that people with crooked teeth tend to have more cavities and gum problems than people who have orthodontic treatment. Crooked teeth wear in ways that they should not. This puts extra stress on your teeth, gums and jaw which can lead to problems later on.

Breathing problems. As you get older the roof your mouth can sometimes partially block the air passages in your nose. If you have orthodontic treatment you may avoid this possibility.

How do braces straighten crooked teeth?
Braces use steady, gentle pressure over time to move teeth into their proper positions. They don't look like they're doing much just sitting there. But in fact, every moment of your orthodontic treatment, there's something happening in your mouth. Something good for you. The brackets we place on your teeth and the main wire that connects them, are the two main components. The bracket is a piece of specially shaped metal or ceramic that we affix to each tooth. Then we bend the arch wire to reflect your "ideal" bite - what we want you to look like after treatment. The wire threads through the brackets and, as the wire tries to return to its original shape, it applies pressure to actually move your teeth. Picture your tooth resting in your jaw bone. With pressure on one side from the arch wire, the bone on the other side gives way. The tooth moves. New bone grows in behind. It may look like nothing is happening--but we're making a new smile here. Thanks to new materials and procedures, all this happens much quicker than ever before. It's kind of an engineering feat.

At what age should I take my child to an orthodontist for an orthodontic screening?
The American Association of Orthodontists recommends a screening at age 7. The most appropriate age varies for each particular problem. We recommend that you have an initial appointment as soon as any problem is evident; we can then monitor the problem if it is too soon to treat. Many orthodontic problems are treated using growth and it is important that we see children before their growing phase. How many permanent teeth they have is not initially important.

What do rubber bands do?
Rubber bands or elastics contribute a lot to straighter teeth. They are marvels of physics. Attached to your braces, elastics exert the force that creates the right amount of pressure to move teeth in directions that the braces alone can't. It's important to wear your elastics as prescribed and change them every day so the force is constant which the teeth like. A lack of consistency in wearing rubber bands can bring treatment to a standstill. Teeth never fail to move when elastics are worn consistently as directed. As for bouncing an elastic off someone across the room, it will happen (don't worry, your aim will improve).

Are there foods that my child should avoid while in braces?
We generally recommend that your child avoid hard sticky, gooey or crunchy foods. Caramel and taffy can stick on your child's braces. Crunchy foods like carrots and apples and hard rolls can occasionally knock off a bracket.

What happens if a bracket comes off?
The orthodontist will attach another bracket. However, every time the orthodontist has to replace a bracket, it delays the orthodontic treatment.


Are there any other activities that my child should avoid when they have braces?
We advise against patients participating in activities where there will be many blows to a patient's mouth. Sports like boxing and wrestling should be avoided. Fighting should also be avoided. Your child should wear an orthodontic mouthguard whenever they participate in any sporting activity.

How often should my child brush their teeth when my child has braces?
We recommend that your child continue to brush and floss their teeth after every meal and before they go to bed. Brushing and flossing is especially important when your children have braces because food can get caught in the braces and cause cavities. Many orthodontists also recommend that your child brush with a fluoride gel in a further attempt to avoid cavities.

How often should my child change their rubber bands?
Orthodontic rubber bands break after they have been chewed a few times. Usually, the rubber bands snap when the child opens their mouth, with uncomfortable results. The only way to avoid the discomfort is for your child to change their rubber bands frequently. We recommend that orthodontic patients take off their rubber bands before each meal and put in new ones after they are done eating. It also is helpful for your child to change the rubber bands before the child goes to bed.

What happens if my child leaves off their rubber bands?
The orthodontic treatment will take up to a year longer, be more uncomfortable, and results are compromised.

What does a retainer do?
The objective of a retainer is to keep your child's teeth in perfect alignment after braces are removed.

Why is a retainer needed? Do teeth move after orthodontic treatment?
Usually, when braces are first removed, your child's teeth will all be in perfect alignment, but your child's gums, bones, etc. will not have completely shifted into their new positions. The retainer holds your child's teeth in position until their gums, bones etc. settle in to their new positions. Also, your child is still growing after your child's braces are removed. Sometimes, your child's mouth will grow unevenly. If so a retainer can be used to make sure the child's teeth stay in perfect alignment as your child grows.

What happens if my child does not use the retainer?
If your child does not wear a retainer, your child's gums and bones will not fully settle into their new positions. Eventually, the incorrectly shaped bones will push your child's teeth causing the teeth to move out of perfect alignment.

How long should my child use a retainer?
Generally, patients are advised to keep wearing a retainer 24 hours a day for at least a week after their braces are removed. Then it is recommended that a child continue to wear a retainer every night until your child stops growing at age 24, then a few nights a week to maintain their position.

Knowledgeable St. Thomas, VI orthodontists are hard to find. Dr. Kistama Naidu, DMD is a well-trained St. Thomas, VI Orthodontist providing braces, orthodontics, invisalign and more.