Why We Are Different

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Dr. Brian Scott had a two-year course learning this philosophy during his orthodontic residency at the Detroit Mercy School of Dentistry. Detroit Mercy is the only orthodontic school in the nation that teaches this philosophy to its students.

Dr. Brian has completed a two-year course called the Roth-Williams Advanced Education in Orthodontics. This is a comprehensive post-graduate course designed to teach the principle and clinical techniques of the Roth-Williams philosophy.

What is the Roth-Williams philosophy of orthodontics?

This philosophy involves not only treating the teeth for an attractive smile, but also correcting the bite. This means to correct the teeth so that they are in harmony with the movements of the temporomandibular joints (TMJ), and the muscles of mastication (the muscles of the chewing system). As such, Roth-Williams orthodontists believe that orthodontic treatment is a health service as well as a cosmetic one.

How can you tell the difference between a Roth graduate and other orthodontists?

A Roth-trained orthodontist carefully considers the tooth to jaw joint relationship (TMJ) from the beginning to the end of orthodontic treatment. As a result, his/her practice can be differentiated from the tooth alignment practice in a number of ways.

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  • A Roth-trained orthodontist will rarely use the initial exam appointment for an exam, diagnostic records, and the placement of braces, as is popular in many orthodontic offices today. Roth orthodontists will take the time to study necessary records prior to explaining the individual treatment plan and treatment options in a formal consultation. This is why you will usually have two to three separate appointments scheduled.
  • The Roth orthodontist will also routinely mount study models of the teeth on an instrument called an articulator, which is of crucial importance in the analysis of the functional relationship between the teeth and the temporomandibular joints.
  • A Roth orthodontist will obtain images of the temporomandibular joints of all adolescent and adult patients.
  • The Roth orthodontist will also time the beginning of treatment so that braces can be placed on the 12-year molars. These teeth are closest to the jaw joints and have a profound effect on functional jaw movement. Rarely do we place braces on individuals that do not fall into this category. This, however, does not imply that we don't do early treatment.

The Seven Goals of Roth-Williams Orthodontic Treatment

#1. ​Patients Chief Complaint: While many aspects of the patient's oral health and function are addressed, it is important to address the chief complaint of the patient; that is the issues that they are concerned about regarding their teeth.

#2. Temporomandibular Joint Health: Every effort is made to ensure that the temporomandibular joints or jaw joints are healthy, free of pain and other symptoms, and seated in their most orthopedically stable position. It is the job of the orthodontist to ensure these conditions exist before, during, and most importantly, after orthodontic treatment. Healthy and properly positioned jaw joints are critical to the long term stability of a completed orthodontic case.

#3. Facial Esthetics: During the course of diagnosis and treatment planning it is of utmost importance to pay close attention to and design a plan that will improve or enhance facial balance and esthetics for the patient.

#4.Periodontal Health: It is a general goal in all aspects of dentistry to help the patient obtain and maintain healthy teeth and gums (the periodontium). This is mostly accomplished through patient education, i.e., teaching the patient how to care for their mouth. Another aspect of periodontal health involves the proper positioning of the teeth within the bone that supports them. This is the job of the orthodontist.

#5. The Dentition: One of the most obvious goals of orthodontic treatment is the alignment of the dentition – straight teeth! The teeth should be perfectly aligned, free of rotations, spacing or crowding thus providing the patient with a healthy, esthetic smile.

#6. Function: A functional bite is a major goal of orthodontic treatment. Specifically, this means even contact throughout the dentition when biting down, as well as how the teeth glide off of one another during functional movements (eating, chewing and even speaking). Having the dentition in the proper functional relationship increases orthodontic stability, reduces tooth wear and damage, and increases the overall longevity of the teeth.

#7. Stability: If all of these goals are kept in mind during the diagnosis, treatment planning and the delivery of care, the result is a very high quality orthodontic finish that is not only esthetic, but is engineered to provide the patient with a stable bite designed to last a lifetime with minimal tooth wear, damage, and optimal oral health.

What is the Roth-Williams International Society of Orthodontists?

roth-williams-international.gifRWISO is a unique and elite group of orthodontists from countries all over the world. These orthodontists have taken the course that teaches the Roth philosophy of orthodontics. Graduates of this course have been shown how to correct the bite as well as align the teeth for an attractive smile and for normal function of all the parts of the chewing system.