Ted Rothstein, DDS, PhD
Specialist in Orthodontics for Adults and Children
Specialist in Orthodontic Jaw Wiring
American Association of Orthodontists
35 Remsen St., Brooklyn, NY 11201
718 852 1551 Fx 718 852 1894
September 7, 2008; revised September 21, 2012
Re: second opinion orthodontist
Dear ________ and seeker of second-opinion orthodontic orthodontist diagnosis and treatment plan:
Two days-ago I received an email from an adult female living in Connecticut,
(who by the good sense of an oral surgeon who advised her to delay the removal
of four teeth, and get a second opinion), found me on-line and inquired if I
would be willing to give a second opinion in regard to the
diagnosis of "bi-maxillary dental
protrusion" and a treatment plan
including "remove four teeth"--(the upper and lower, right and left second
premolars). She indicated she had worn braces previously.
I agreed to provide this service, and gave her a fee for my
experienced-expert, on-line. diagnosis and treatment plan based on the
records she could provide.
This was my introduction to the idea of "second
opinion orthodontic orthodontist diagnosis and treatment plan".
She scanned all the documents she had and sent them to me in a file.
They were by and large complete except for the molds of her teeth. She said
she was going to have her orthodontist send them to me.
I carefully reviewed the records she provided, and based on my clinical
experience of thirty years in orthodontic practice I opined that "there was
a mismatch between the diagnosis and the treatment provided by the first
orthodontist, and that there was an alternative diagnosis and treatment plan
that was less expensive and less invasive."
She needed a second opinion; and thus was born the idea of:
orthodontic/orthodontist diagnosis and treatment plan on-line
September 7, 2008
The diagnosis and treatment plan I provide are based on the "records"
you or your orthodontist provide to me.
Ideally those records should included Medical and Dental history,
and examination of the patient's head and neck/jaws and teeth, appropriate
x-rays and photos of the head, face and teeth, and finally, molds accurately
showing how the jaws/teeth come together and part.
To be more specific:
A Panoramic X-ray
A Lateral-head ("Cephalometric")
Photo of the patients profile with
Photo of the patient's face front
Photo of the patient's upper
teeth viewed looking up
Photo of the patients lower teeth
viewed looking down
Photo of the patients teeth from the
front in their biting position (not edge to edge)
Molds of the teeth are useful but in
most cases but are not essential
I will review the records and send a written opinion.
Included will be a telephone chat with the responsible party regarding the
opinion(s) I have provided.
An on-line service suffers b/c of a lack of "examination of the
patient's head and neck/jaws and teeth b/c they are the "real thing".
However, to the extent that it may be useful to some patients who are
anxious/doubtful about the diagnosis and or treatment plan provided to them
by a general dentist or by the inadvertent oversight of an orthodontist, I
may be able to provide a service to some of you who might arrive on this
My perspective of your diagnosis and treatment plan can lead to a number
of possible outcomes:
1. You will continue with the same diagnosis and treatment plan advised
by the first orthodontist.
2. You will continue with the first orthodontist using a different
3. You will decide not to continued with orthodontic treatment at all.
4. You will decide to have your treatment at my office.
/Dr. Ted Rothstein/
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