Frequently Asked Questions
I really do not like visiting the dentist, is there anything you can do to help me relax?
Dr. Gorman is noted for his gentle touch and our team goes to great lengths to make your visit relaxed. Still, many people are jittery about coming to see us. Some will even put off an appointment (exposing themselves to more serious dental problems) rather than see a dentist. If you have had a past traumatic dental experience, difficulty becoming numb, a bad gag reflex, very sensitive teeth, or complex dental problems, we can offer sedation dentistry. For this service, we request that a companion accompany you to the office.Is a second opinion common in orthodontics?
Yes. It’s very common—especially for parents. Orthodontic plans can differ based on clinical philosophy, timing, growth predictions, and the provider’s approach. Getting another perspective is a normal part of making an informed healthcare decision.Is “cheapest” the goal when comparing opinions?
Not necessarily. The goal is best value and best fit: an appropriate plan, proper timing, clear rationale, and long-term stability. A plan that costs less but misses the real issue (or starts too early) can end up costing more over time.Is expansion painful?
Most children experience minimal discomfort. Any pressure is gentle and monitored.Is TMJ disorder related to teeth grinding or clenching?
Absolutely. Bruxism (teeth grinding or clenching) places excessive pressure on the temporomandibular joint and surrounding muscles, often worsening or triggering TMJ symptoms. Oral appliance therapy is commonly used to reduce this strain and protect the joint.Is TMJ disorder the same as TMD?
TMJ refers to the temporomandibular joint itself, while TMD (temporomandibular disorder) describes conditions that affect the joint, muscles, and surrounding structures. While the terms are often used interchangeably, TMD is the more accurate term for the condition.My child’s teeth look crowded—does that automatically mean braces now?
Not always. Crowding can be influenced by growth, spacing changes, and eruption patterns. In some cases, early intervention helps; in others, it’s better to monitor and start at the ideal time. A second opinion can clarify whether treatment now improves outcomes—or simply starts the clock earlier than necessary.The orthodontist recommended removing teeth (extractions). Should we be worried?
Extractions can be appropriate in some cases, but it’s a big decision. A second opinion is especially valuable here to explore:
- Whether extractions are the only path, or one of several options
- Whether expansion, reshaping, or different mechanics could work
- The expected impact on facial profile, spacing, and long-term stability
- Risks of crowding relapse if space isn’t created appropriately
We were told our child needs an expander. How do we know if that’s truly necessary?
Expanders can be helpful for certain bite and space concerns, but they should be recommended for a clear reason. A second opinion can confirm:
- Whether the jaw/palate width is truly the limiting factor
- Whether expansion is age-appropriate right now
- What the goals are (space creation, crossbite correction, bite improvement)
- Alternatives and expected stability