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Old 30.10.2015, 18:22
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Orthodontia

Another one for the group: My daughter (10) just saw her dentist yesterday and was referred to an orthodontist (mostly overbite; teeth are fairly straight).

Can we continue orthodontic treatment that is initiated in the US once we get to Switzerland, or is it better to start it there? (I am sure it's more expensive there, as we have partial coverage via dental insurance here). Haven't seen the orthodontist here so don't know what will be recommended. My guess is the whole treatment course will be 2 years, for which we would, if I take the job, be in Switzerland.

Thoughts?
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Old 30.10.2015, 18:36
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Re: Orthodontia

Maybe ask if it is urgent? My child is the same age. Our dentist advised only yesterday that she may need correction but to wait until she is 13 or 14, as she is at the start of the teenage growth spurt so her bottom jaw will grow between now and then.
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Old 30.10.2015, 20:28
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Re: Orthodontia

I would suggest delaying...here it's unusual to see kids with braces before 12, but my son told our dentist (when discussing orthodontics for what she happily admitted would be purely cosmetic reasons) that he is the only kid in the class that doesn't have them...

Yes, they are mostly for cosmetic reasons, and yes, lots of teens have them here as quite frankly people are affluent and can afford it...kids get free annual checkups and there is a general attitude that it's a good idea to look after your teeth.

If you absolutely avoid a 'diagnosis' and sign her up for swiss insurance including dental, obey the waiting period, you might even be able to get it subsidised by your swiss health insurance.
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Old 30.10.2015, 21:02
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Re: Orthodontia

My son started with the orthodontist this year, he will be 9 soon. I have no idea of prices in the states (I had them over 20 years ago), but our first appointment with x rays and molds was a flat 1250 francs. The rest of the price estimations were listed on the patient form as well, up to about 15,000 francs.

I do have a complementary insurance which covers 75% of up to 15,000 francs per year for him. Its only 10 francs a month I think, so if you can figure out how to get a complementary orthodontic insurance, then start the treatment, it would cover a lot of the costs.

The exact prices, I can't help unfortunately. My son's treatment is being paid by disability because of something wrong with his jaw that they consider a "birth defect".
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Old 30.10.2015, 22:04
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Re: Orthodontia

There's an old joke among dentists: When you ask five dentists the same question concerning a dental problem, you'll hear five totally different solutions. Unless it's an orthodontic problem, in which case you'll hear seven totally different solutions. That is true pretty much anywhere.

In other words: With a treatment begun in the USA, you run the risk of the Swiss orhodontist to completely disagree with anything already done, no matter where, which could mean even next door.

By the way, on the average, most dental treatment is slightly cheaper in Switzerland than in the USA, but I don't know detailoed prices of orthodontics in the USA.
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Old 30.10.2015, 23:44
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Re: Orthodontia

Hi Kirsten,


Couple of things to consider:


1) unless the overbite is very severe, starting a treatment at 10 is a bit too early. Typically the best time to look into orthodontic treatment is around age 13-14, when permanent teeth are in place and can precisely be measured.


2) many orthodontists in Switzerland will likely hesitate continuing a therapy started abroad (our experience with several colleagues to whom we had referred such cases previously); the issue is that the planning part of the orthodontic treatment is fairly well-compensated, but the periodic visits are at a fairly low rate, making them less interesting for an orthodontist. A better bet will be with a general dentist, who can make the adjustment and wire/bracket adjustments (and can also do the teeth cleaning, if necessary) for the planning that is already started in USA.


Deniza (aka Dr. Uzunova, Dental Praxis Cham)
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Old 31.10.2015, 09:35
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Re: Orthodontia

Make sure you get an orthodontist who's kept up to date. When my daughter had a problem with her braces in the UK and had emergency treatment, the orthodontist there expressed surprise at the old fashioned techniques that had been used. "These were considered old when I qualified fifteen years ago" she said!
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Old 31.10.2015, 12:50
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Re: Orthodontia

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Make sure you get an orthodontist who's kept up to date. When my daughter had a problem with her braces in the UK and had emergency treatment, the orthodontist there expressed surprise at the old fashioned techniques that had been used. "These were considered old when I qualified fifteen years ago" she said!
Well, those old-fashioned techniques may have a splendid come-back some day. That's exactly what I meant in my previous post. If today's techniques really hold water will be clear in 20 years or so. We've seen that many, many times.
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