Dr. Marvin Goldstein started his Orthodontic practice in 1941. This practice would eventually become known as West Paces Ferry Orthodontics. Along the way, Dr. Goldstein had some impressive achievements. In this three-part series, we will explore some of these achievements in more detail.
In 1947 in a paper entitled “Adult Orthodontics” Dr. Goldstein made an extensive study of the available literature on orthodontic treatments of the time and found little mention of adult orthodontics. He concluded that orthodontic treatment was not attempted if the patient was over 20 years old. Dr. Goldstein quickly realized there was no legitimate rationale as to why adults couldn’t be treated successfully with orthodontic therapy. He also realized that adults needed to be treated differently than children. Dr. Goldstein told the Orlando Sun Sentinel ” Many adults who have orthodontic work, even if the treatment is begun in middle age or later, may be able to keep their remaining teeth all their lives.” This was radical thinking at the time. Many orthodontists not willing to accept the changes Dr. Goldstein was pioneering went as far as sending him hate mail.
Dr. Goldstein found that adults could be treated, but the treatment was not achieved the same way. Since there is not a clinically significant amount of growth in the adult, one must consider how best to accomplish tooth movement. For instance, before tooth movement space may need to be secured within which to move the teeth. This space can be achieved by extracting a tooth or several, or by interproximal reduction.
Another trend Dr. Goldstein changed was when a patient sees the orthodontist. A generation ago it was all too common for the adult seeking orthodontic treatment to see the orthodontist only after having extensive periodontal or aesthetic dental work completed. Now it is advisable for only the worst periodontal problems to be treated before seeing the orthodontist. Also, cavities should be filled but crowns, implants, and extensive restorations should be done after orthodontic treatment is completed. This allows for all needs to be addressed to take advantage of creating space while preserving the teeth with the greatest potential to remain healthy.
History has proven Dr. Goldstein correct, as now almost all orthodontist treat adults as well as children. Dr. Kristin Huber and Dr. Paul Yurfest continue to innovate orthodontic therapies that make new treatments ever more efficient and effective here at West Paces Ferry Orthodontics.
Are there dental concerns you thought could not be treated?
If a tooth is knocked out or avulsed, you should attempt to put the tooth back in the socket and soon as possible. Every minute counts. A tooth that is replaced within the first 30 minutes has a good prognosis for long-term survival. If the tooth is out of the mouth for over two hours, the chances of keeping that tooth long term is minimal. If the tooth cannot be replaced immediately, it should be placed in a solution of either milk or a balance salt solution that can be purchased from the drugstore. If neither of these solutions is available, the best thing to do is place it in saliva (it can be held in the cheek) until it can be replaced.
If the tooth simply gets knocked out of position, see an orthodontist immediately. The sooner that it can be moved back in position, the better long-term prognosis it will have. When trauma occurs to the tooth, the nerve/vascular bundle is disturbed. It is also not uncommon for fractures of the surrounding alveolar bone to occur. As these areas heal, the cells of the tooth and bone can become confused, and ankylosis of the tooth can occur. This makes orthodontic correction impossible. If orthodontics is immediately initiated, the proper signals are sent to the brain that helps differentiates bone from the tooth, and ankylosis is not as likely to occur.
These valuable tips are not widely known, so spread the word and knowing the 411 may help you or a friend save a tooth!
By: Paul Yurfest, DDS
I have been in Orthodontic practice over the last 41 years and have had a lot of time to help people while doing what I like to do.
I provide free orthodontics to families who have no means to pay for the service. It’s a lot of fun! I have been doing
ing that since 1975 at the Ben Massell Free Dental Clinic in downtown Atlanta. As part of the JFC&S and United Way organizations, the clinic helps many varied members of the Atlanta community. Helping people is rewarding!
Getting into an activity other than Orthodontics has great appeal to me as well. I love gardening, and I love helping people! When I decided to become aGeorgia Master Gardener, I did not know I would be combining both gardening and volunteering together!
As a Master Gardener, I volunteer there to answer the questions of many homeowners related to their lawns and gardens. Also, I help teach gardening at Farm Chastain, a small farm in the center of the North Fulton CourseatChastain Park!