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Sometimes hygiene can deteriorate very rapidly. It can be bad, and you can tell them that if it doesn't improve that we will take the braces off soon. Then, all of the sudden they come back in 4 weeks with decay everywhere. Sometimes they come back in 4 weeks and it looks totally fine. You can't blame the orthodontist for the patient being completely negligent about their oral health. I assure you the orthodontist was imploring the patient to improve. Encouraging a lawsuit does nobody any good.As a pediatric dentist, I see way more patients than I’d like that should have been debonded by their ortho due to hygiene noncompliance. Like you said, these orthos are driven by money.
“Congratulations! Your teeth are straight…but now you need endo and crowns from canine to canine and you’re only 14 years old.”
I’ve had some cases that were so bad I almost told the parents that if they file a malpractice claim against the ortho I’d be an expert witness for free. I mean the ortho has been seeing these kids every 4-6 weeks and they never said anything about the rampant caries that’s completely visible to the naked eye?!
Big Hoss