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It is impossible to predict treatment results with total accuracy when working with a living, growing person. In most cases, treatment progresses as planned, arriving at a good result that achieves goals. Patients who do not grow or respond normally, frequently require changes in the treatment plan and some compromise in treatment goals.

At the end of treatment, there will be some minor imperfections in the way the teeth meet. Some of this is due to irregularities in the shape of certain teeth and the fact that the teeth have worn down improperly for years in their old positions. For these reasons, an occlusal equilibration may be necessary. This procedure "fine tunes" the occlusion by grinding away minor amounts of enamel which are "high" on biting. It may also be necessary to remove a slight amount of enamel between the teeth, making flatter surfaces. This reduces the chance of the teeth moving out of position in the future.

The development of third molars (wisdom teeth) may change the alignment of the teeth and your dentist or orthodontist should check them regularly.

The fact that you have completed orthodontic treatment does not ensure a lifetime of perfectly straight teeth. Every effort will be made to establish the best possible result.

Retainers are necessary to hold the teeth in their new positions. Patients who do not wear their retainers often see shifting of their teeth and encounter adverse effects.

The length of time required for adequate retention is considerable. Usually upper retention is suggested for about three years. In the lower many changes occur naturally and unrelated to treatment. Permanent retention is the only method of ensuring no movement. This is really not practical. We are advising our patients to consider wearing a fixed retainer for approximately seven years after treatment.

Should further treatment be required, this may be subject to fees which will be discussed with you prior to its commencement. Slight irregularity, particularly of the lower front teeth, may sometimes have to be accepted as the best possible result for the particular circumstances.

Each patient is individual. General statements made in this pamphlet do not apply in every case. Most treatment goals can be reached by the development of a good relationship between the patient and orthodontist. The orthodontist and staff are dedicated to the best possible result for each patient. By working together, this can be attained in a pleasant and rewarding manner.