Boulder City, city, Clark county, southeastern Nevada, U.S., overlooking Lake Mead, which is impounded by the Hoover Dam. Lying above the deep, narrow Black and Boulder canyons of the Colorado River on the Nevada-Arizona border, it was established in 1931 by the federal government as a residentialcommunityfor personnel employed at Hoover (Boulder) Dam and other local construction projects, including Lake Mohave and Davis Dam. From 1931 to 1935, during the construction of the Hoover Dam, Boulder City housed more than 4, 000 workers in 1, 500 buildings. After the dam was completed most of the workers left, and Boulder City became a federally administered headquarters for several agencies involved in the dam's operation. In 1958 the federal government ceded the townsite, then about 33 square miles (85 square km), to Boulder City's residents. The city charter, approved by voters in 1960, prohibits gambling. In 1979 the city government approved a referendum to control growth, and Boulder City has since limited the number of building permits issued each year; its population grew at a rate of only 3 percent annually in the 1990s, a rate far lower than that of other Nevada municipalities. Boulder City is headquarters for the U.S. Water and Power Resources Service and for the Lake Mead National Recreational Area. Inc. 1960. Pop. (2000) 14, 966; (2010) 15, 023.
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Short-term Orthodontics - a Gold Mine for General Dentists
For more on this topic, go to www.dentaleconomics.com and search using the following key words: short term orthodontics, gold mine, general dentist, profitability, Dr. Ryan Swain.
Every dentist wants to find new ways to increase profitability, while at the same time increasing satisfaction and decreasing stress. There is a huge profit center available that meets these criteria and that dentists from the U.S., Canada, and U.K. are discovering in droves. It is called short-term orthodontics, and it's exploding right before our eyes. Short-term orthodontics is similar to conventional orthodontics in that it involves the use of brackets and wires to move teeth. However, it is a revolutionary shift in treatment philosophy that can greatly benefit our patients and practices.
Adult patients with crooked teeth are usually left in "cosmetic limbo" when they refuse conventional orthodontic treatment. The long time period usually associated with conventional orthodontics, combined with the appearance of metal brackets and wires, result in an extremely low case-acceptance rate with which most dentists are all too familiar. Some of these patients can be helped with porcelain veneers, but most are not good candidates. Short-term orthodontics, or STO, is an effective, conservative, and reasonable treatment option for adult patients with misaligned teeth. The basic mindset behind STO is to give adult patients smiles that are esthetic, and to do it in a reasonable amount of time - around six months
The treatment goal is different
The short treatment times associated with STO are the result of a shift in treatment goals typically associated with conventional orthodontics. During the first four to nine months of conventional treatment, most of the cosmetic tooth alignment is achieved. The remainder and bulk of the conventional treatment time is spent correcting the patient's angle classification and creating ideal root angulation/inclination.
STO treatment focuses on addressing patients' chief cosmetic complaints while not attempting to alter angle classification. This philosophy can be compared to cosmetic treatment with porcelain veneers, which also does not change angle classification. However, STO has many benefits for both dentists and patients when compared to the use of veneers. STO allows us to address the primary issue at hand: improper tooth position. If teeth are misaligned, the most appropriate and conservative treatment involves orthodontic tooth movement rather than masking the problem.
What about root resorption and occlusion?
STO treatment seems to make remarkable common sense upon first inspection, but valid questions concerning root resorption and occlusion usually arise. The first question most dentists ask when they learn about STO is, "Is root resorption a problem?"
The answer to this question is definitely "no." Studies show that root resorption is typically associated with heavy forces applied over long periods of time. STO incorporates light forces over short periods of time. The short treatment times associated with STO are a result of striving for different goals than conventional orthodontics and not a function of moving the teeth more rapidly.
Occlusion is another area that should be understood when considering the addition of STO to a dental practice. We were all taught in dental school that the goal of orthodontic treatment is a Class 1 occlusion.
So, the idea of using brackets and wires to move teeth, while not always finishing with an ideal Class 1 occlusion, may at first seem unconventional to some dentists. However, a few important concepts should be considered:
The literature shows overwhelmingly that there is no relationship between angle classification and TMD signs/symptoms
Straightening teeth without altering angle classification can provide a dramatic cosmetic improvement and does not increase risks of dysfunction or pain
An ideal Class 1 occlusion is usually the most cosmetic occlusal relationship. However, there is little evidence that demonstrates that a Class 1 provides any tangible functional benefits. In fact, the literature and our own experiences show us that people with all types of dental relationships can function adequately and without pain.
Because an ideal Class 1 relationship is highly esthetic, it would be favorable if every adult patient with crooked teeth would undergo orthodontic treatment for as long as it takes to reach the ideal; however, most dentists would agree that fewer than 5% of adult patients are willing to undergo conventional orthodontics.
It is my firm belief that these patients should be given a reasonable orthodontic alternative rather than 1) conventional braces, 2) porcelain veneers, or 3) no treatment.
Orthodontic options for patients - and you
Invisalign treatment can be a very good alternative for adults who do not want to wear braces; however, more and more dentists are discovering that some of the costs and limitations of tooth movement associated with aligner therapy can create frustration for them and their patients.
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Related Statewide Reading Topics: Nevada Orthodontics Topics