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FOCUS-APRIL201219462PaxtonStreetPortPerryLocatedacrossfromthehospitalintheMedicalAssociatesbuilding905-985-8459EVENINGAPPOINTMENTSAVAILABLEthingsliketeethgrindingormouthbreathingwillleadthemtorecommendtakingyourchildforanorthodonticcheckup.x1dForthosechildrenwhoneedbracesthecommitmentbeginsaround13yearsofage.Dr.Boykopointsoutx1cThisiswherepatientmanagementbegins.Myjobistokeepthepatientinterestedintreatment.NomatterwhatIdothoughitismypatientswhohavetomaintaintheworkthatisdone.Icanmotivateanddirectbutapatienthastobeanactiveparticipantintheprocedure.Acommittedpatientwhofollowsalltherulesoforalhygienewillendupgettingthebestresults.Bracesputanorthodontistandapatientthroughafourtoveyearcommitmentwithappointmentsgenerallyevery3to4weeks.Likegeneraldentistryandothermedicalareashavingbracestodayisnotnearlyasdauntingasitwas25yearsago.Bracestodaycomparedto25yearsagoareacompletelydifferentexperienceforbothmeandthepatient.Thewholephysicalprocessispainfreeandtherearenoneedles.x1dDr.Boykoaddswithasmalllaughx1cThepatientsuffersmoreinthewaitingroomanticipatingtheappointmentthantheydowhentheyseeme.x1dThisisnottosaythatbracesareanuncomfortableexperience.Thebulkofthediscomfortcomesintimeasthebracesputpressureontheteethandbeginstomovethemaroundtheseadjustmentsmayhaveminimaldiscomfortbutitx19skindoflikegoingtothegymwhenyouhavenx19tbeenforawhile.Youachethenextdaybecauseyouareoutofshape.Yourmouthwillbetenderasyourteethmovebutthenlikeafewdaysafterthegymyouwillbene.x1dWhenaskedwhatthemostgratifyingpartofhisworkasanorthodontistisDr.Boykorepliesx1cthemostrewardingthingformeisthattheworkwedogetsseeneveryday.Peoplesmile.Itx19snotimportantthatanyoneknowsIwasinvolvedbutthefactthatpeoplecanseeourworkasorthodontistx19severydayisagreatreward.x1dDr.Boykoaddsthatthereareotherfactorsthatbringhimprofessionalpridex1cManypatientsgainagreatdealofself-esteemwhentheirteetharexed.Achildcomesinandyounoticetheycovertheirmouthwhentheyspeakthengraduallythislessenswhenresultscanbeseen.Overtimetheybecomehappierbrighterandpronetosmilingwidelyoften.Withsomechildrentheirpersonalitiesreallychange.x1dDr.Boykosaysitisnevertoolatetogetorthodontictreatment.Someofthechildrenhehastreatedovertheyearshavebeensucceededbytheirparentsgettinglongsought-aftercare.Peoplearelivinglongerandgenerallyhavehadbetterdentalcarethanthepreviousgeneration.Therearemoreadultsintheir40sand50swhowillkeeptheirownteethwaybeyondwhatusedtobethenormandtheywanttoinvestinthehealthoftheirteeth.ForprofessionalslikeDr.BoykothesocialacceptabilityofbracestheemphasisonpreventivetreatmentandproblemscaughtthroughearlydetectionareonlyafewofthereasonshecontinuestopracticewithPortPerryDentalAssociates.InadditionearlyorlatelossofbabyteethmouthbreathingdifcultyinchewingorbitingspeechdifcultiesjawsthatshiftormakesoundsfacialimbalancegrindingorclenchingoftheteethbitingthecheekortheroofofthemouthCrossbiteofFrontTeethDeepBiteCrossbiteofBackTeethUnderBiteCrowdingSpacingOpenBiteProtrusionProblemstoWatchforinGrowingChildrenMalocclusionsx1cbadbitesx1dlikethoseillustratedbelowmaybenetfromearlydiagosisandreferraltoanorthodonticspecialistforafullevaluation.