General Dentists Offer a Variety of Orthodontic Options to Patients

orthodonic options Recently the American Association of Orthodontists (AAO) reported that over one million adults are wearing braces. New technologies have widened the options for braces and made them attractive to dental patients of all ages.

No longer do patients fear having a “mouth full of metal.”

We conducted a survey that asked dentists what type of orthodontic options they now offer at their practice.

This was their response –

  • Conventional braces — 22%
  • Ceramic braces — 19%
  • Lingual braces — 6%
  • Invisalign® — 22%
  • Inspice ICE® — 4%
  • ClearCorrect® — 10%
  • Simpli 5® — 6%
  • Smart Moves® — 4%
  • RW II® — 3%
  • Red White & Blue® — 4%

“I have done orthodontics as a GP for 24 years.” (General dentist)

“Patients value the option of avoiding bands and brackets.” (Urban dentist)

“I prefer fixed orthodontia, as it is easier to keep the patient compliant.” (North Carolina dentist)

“Pre-treating arch discrepancies including posterior cross bites with removable orthopedic appliances allow you to finalize many cases with Invisalign®.” (California dentist)

Braces Patients and the General Dentist (video)

Braces patients: dentists and orthodontistsThere is lots of variation among dentists when it comes to referring braces patients out to an orthodontist.

While 1 in 4 treats most braces patients themselves, 1 in 3 general dentists refers out all dental braces patients.

“Minor tooth movement is within the purview of dentist and pediatric dentist,” said one oral surgeon. “Treatment planning for major malocclusions is better done by an orthodontist and an oral surgeon.”

The relatively high cost of braces can be attractive to doctors. “If we (GP’s) as a whole just knew how easy orthodontics are, the vast majority could increase monthly income by 15 to 25%,” said one dentist. “I love doing it, and now me and my stay-at-home wife are both driving Mercedes.”

Read more about child and adult braces: Dentists and Orthodontist Referrals: Survey Results

Who Is At Fault When Braces Are Not Removed for 11 Years?

Devin Bost Who Claims His Braces Were Not Removed for 11 Years -- image via FacebookCommon sense says there’s something amiss with an orthodontia story about an Oregon man who is suing his dentist after 11 years of wearing braces.

As reported by CBS News and the Oregonian, former orthodontia patient, Devin Bost, is suing orthodontist Dr. Brad Chvatal of Oregon-based Chvatal Orthodontics for $185,000 for allegedly allowing him to wear his braces from ages 7 to 18.

Bost says that he began seeing Dr. Chvatal in August 1997 when he lived in the Eugene, Oregon area.

Bost claims in his lawsuit against the orthodontist that he has suffered serious tooth decay and periodontal disease from all of the years his teeth were covered by braces.

But here’s where the story gets more strange, Dr. Chvatal has asserted that he couldn’t have treated Bost the entire time because he only became licensed as an orthodontist in 2002. The orthodontist really can’t divulge any more than this fact due to patient/doctor privacy laws.

According to news sources, Bost admits that he didn’t visit the orthodontist as often as he should, but that he did go from time to time.

But what constitutes “from time to time”? Every 2 years? Every 5 years?

Bost claims that the orthodontist didn’t do anything about the removal of his braces until June 2008 when he “received an urgent phone call from the orthodontist office that he needed to have the braces removed immediately.”

David Hollander, the attorney representing Bost in the lawsuit, told The Oregonian, “Some of Bost’s teeth will need to be yanked out and replaced with implants, but that may not be possible in some areas of his mouth because the teeth have rotted through to the jaw. He has racked up more than $35,000 in dental bills so far. He had to seek the expertise of one of the nation’s top dentists in Boston because the damage is so extensive.”

But if this story isn’t strange enough on its own, Bost’s mother is a medical doctor. Wouldn’t she have noticed something was amiss with her son’s teeth?

What are your thoughts as to what really happened?

For more on this story see: Rotten Teeth, After 11 Years in Braces, Lead Oregon Man to Sue for $185,100

Texas Medicaid Braces Dentist Builds Water Park at Mansion

Texas Medicaid Braces Dentist Builds Water Park at MansionAfter months of The Wealthy Dentist’s coverage of the ongoing story behind the Medicaid braces racket in Texas, WFAA-TV is now reporting that one of the dentists being charged with massive fraud is in the process of installing a water park on his mansion property.

The Wealthy Dentist began its coverage of Texas Medicaid orthodontics in June of 2011, when we reported that in 2010, Texas spent $184 million on Medicaid orthodontics — more than the rest of the United States combined.

Nowhere was the lucrative business of Medicaid braces more evident than with Texas dentist Richard Malouf’s mansion in Dallas.

It is a massive French chateau with a pool house big enough for the average American family of four to live in. The Maloufs also own the mansion next door. According to tax records, the combined value of the two properties is more than $14 million.

They are known in Texas as the house that braces built.

Now, as two lawsuits charge dentist Malouf with fraud, he continues to expand his mansion properties.

Real estate columnist Candy Evans told WFAA-TV, “There’s going be a gymnasium, a rock climbing wall and there’s plans for a bowling alley upstairs. There’s going to be exercise rooms.”

According to the WFAA-TV website –

Attorney Jim Moriarty is one of a consortium of attorneys in the action lawsuit, led by Waters & Kraus in Dallas. They say samples of Malouf’s records show that 100 percent of his Medicaid claims were false.

“Frankly, it borders on being obscene,” Moriarty said of the mansion expansion. “The taxpayers of the State of Texas paid to build that house, and are paying to expand that house for a guy who claims to have made his money treating the people of Texas.”

WFAA-TV originally uncovered that Malouf’s All Smiles Dental Centers of Texas had orthodontia billings of up to $10.2 million while under his control.

Since those days, Chicago-based hedge fund Equity Partners acquired All Smiles Dental for an undisclosed sum and is now involved bankruptcy proceedings in Texas.

For more on this story see: Dentist in Medicaid Suit Adding a Water Park to His Mansion

Dentist Has Invisalign Orthodontia at Age 50 and Loves It

Dentist Has Invisalign Orthodontia at Age 50 and Loves ItDental statistics report that almost 50% of the U.S. population have crooked teeth, irregular bites, or overcrowding.

In a recent The Wealthy Dentist survey we asked dentists if they have ever had braces themselves. 42% said they had braces as children, while 28% said they had braces as adults.

30% revealed they have never had braces in their life.

The American Association of Orthodontists reports that most orthodontia treatment begins between ages 9 and 14. When the same dentists were asked if their children have had braces, 75% responded yes.

Here are some dentist comments on braces:

“I had braces as a child and as an adult too — they still moved.” (Texas dentist)

“I had regular brackets and arch wire braces at age 40. Like many of younger patients I did not wear my retainer and I had a relapse. I had Invisalign orthodontia at age 50 and loved it compared to the brackets and arch wires. I continue to wear my Invisalign retainer going on 8 years now.” (Kentucky dentist)

“I had orthodontia before dental school as a teen by a general dentist, then again during dental school combined with orthographic surgery. I am so glad I had it re-done!” (North Carolina dentist)

“Having orthodontia as a child changed my life.” (General dentist)

“I now wish I did not get them. Four of my bicuspids were removed and it ruined my smile.” (Louisiana dentist)

“I was treated with “four-on-the-floor” and I wish it was done non-extraction. My son has the same structure and I treated him with Occlus-O-Guide and it gave him a great smile and profile. My daughter had fixed orthodontia, non-extraction.” (Illinois dentist)

“I had Invisalign as an adult, and it was a much more pleasant experience!” (Minnesota dentist)

“Four bicuspid extractions with retraction orthodontics resulting in a restricted envelope of function and a lifelong battle with headaches.” (Texas dentist)

“Braces have become much more readily accepted by the population and allow us to provide beautiful smiles and proper occlusions for patients of all ages.” (Michigan dentist)

“Had them. Love my smile.” (Washington dentist)

What has been your personal experience with braces? Did you have braces as a child and as an adult?

How about your children?


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