Does my son really need orthodontia? my dentist recently suggested that maybe my son seen an orthodontist, but we can't really figure out why. our son doesn't think his teeth need to be straightened, and he doesn't seem to have any problem with crowding.

It : It is so difficult to diagnose your son's malocclusion over the internet, sight unseen. Your dentist suggested that a consultation might be in order. He/she is in a better position to explain to you his/her rationale for the recommendation.

I : I would suggest if you are unclear as to why your dentist made the recommendation, you should go back and ask. At that point they may show you something specific as to why they are suggesting you do so. Orthodontics is not just "routinely" done. There are specific functional as well as esthetic criteria that are to be met with treatment. However, the ultimate decision to proceed or not proceed with treatment should only be made once you are fully aware of any issues and also have had a thorough evaluation by a licensed orthodontist to determine how and if treatment could benefit your son. Good luck!

When : When a dentist suggests a consultation for any specialist to any of his patients, he may have a reason to believe that a condition he sees may affect the patient, and the treatment is beyond his scope of practice. If you trust your dentist, follow his instructions and don't question his opinion if you don't understand something ask him, communication is the key success of any relationship. If you still doubt his judgement or opinion, please find one you can trust and build a relationship. Good luck.

Maybe: Your gp suggested a consultation. If you do not know why, ask for a complete answer. Esthetics is subjective, and so you may see no reason for treatment. Orthodontics addresses not only cosmetics, but the function of the teeth. That is likely the referral reason. Ortho exams are generally free, so it would be good to meet with a certified orthodontist.

Need is subjective: There are many things that the lay person does not notice. I suggest you get an evaluation by an orthodontist. If it makes sense, then you should proceed.

Get an opinion: If the dentist has determined a need, it's probably worth a visit to your orthodontic specialist. They can demonstrate to you and explain what the bite issues may be. Just because teeth appear straight in the front, that does not mean there are not bite problems. It's worth a visit with the orthodontist.

Probably: If your dentist recommended that you see an orthodontist, your dentist feels that your son has a malocclusion (bad bite). You can ask your dentist for clarification, or take his advice and schedule an initial examination with an orthodontic specialist. The orthodontist can show you what's right and what's not right with your son's occlusion, and discuss treatment options with you.

Other reasons: Crooked teeth are not the only indication for orthodontics! malocclusion, or teeth not meeting togeather properly, is the other major reason. This may not be readily apparent to you, but is very important for long term dental health. Have the orthodontic eval. It will all be explained at that time!

Benefit from consult: You've been given some great advice. The only thing i might add is this: even if your son's teeth are straight, the relationship between the upper and lower jaws might be off. Many adults experience problems in later years due to these mis-alignments (ie TMJ dysfunction, jaw pain etc.) a consult with an orthodontist is just a smart move to get all information necessary to make a solid decision!

Better to wait, but: Orthodontic treatments can be provided at any age, so it may be best to wait until your son is "ready". Patients must cooperate for most orthodontic treatments, so if your son doesn't want treatment he may not cooperate and you may not get the results desired or anticipated. I would recommend you discuss the options with your son and proceed when all are ready.

Ask your dentist: Have a up front discussion with your dentist. A great doctor will provide options for your son and if you disagree then your doctor should not be offended. Get a second opinion if you are not satisfied with your doctor's answers. A great doctor should not get offended. It is your son's health and you should seek further professional advice.

See orthodontist: Need is a word that may have a different defination depending on who you ask. Most orthodontists worth their salt offer free consults. Find one know for honesty and integrity and schedule a consult. You have nothing to lose and can gain added info for you to make a more informed decision.

Orthodontics needed?: Your dentist may have seen a functional issue with your sons teeth that may require orthodontic intervention. Many times the bite (or occlusion) of the teeth may be off by quite a lot yet the aesthetic appearance of the teeth may seem relatively ok. Usually an orthodontic evaluation is offered at no cost to you and will aid you in fully understanding your sons condition.