What Makes an Orthodontist Different from a Dentist?

When it comes to caring for your smile, you may be wondering whether to see a dentist or an orthodontist. After all, both professionals work with teeth, both are important for oral health, and both are highly trained. But while dentists and orthodontists do share similarities, they also have key differences in their education, focus, and the types of treatments they provide. Understanding what sets an orthodontist apart can help you make the right choice for your specific dental needs—especially when it comes to straightening teeth, aligning your bite, or addressing jaw issues.

Shared Foundations: Education and Early Training

Dentists and orthodontists both begin their journey with a degree in general dentistry. This involves completing a four-year undergraduate degree followed by four years at a dental school. At this point, a student graduates with either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD). Both degrees qualify a person to practice general dentistry, which includes everything from cleanings and cavity fillings to root canals and crowns.

However, an orthodontist goes a step further. After dental school, those who choose to specialize in orthodontics must complete an additional two to three years of advanced training in an orthodontic residency program. These programs are highly competitive and focus exclusively on diagnosing and treating misaligned teeth and jaws.

This means that while all orthodontists are dentists, not all dentists are orthodontists.

Specialized Knowledge and Focus

Dentists are like general practitioners in the medical field—they provide a broad range of services to maintain overall oral health. This includes routine exams, x-rays, cleanings, fillings, and other procedures that prevent or treat common dental problems like tooth decay and gum disease.

Orthodontists, on the other hand, specialize in the alignment of teeth and jaws. Their entire focus is on correcting issues such as:

• Overbites and underbites

• Crowded or crooked teeth

• Gaps between teeth

• Crossbites and open bites

• Jaw growth and development concerns in children

Orthodontists use specialized tools and appliances such as braces, clear aligners (like Invisalign), palatal expanders, and retainers to gently guide teeth into proper alignment over time. They also develop customized treatment plans for each patient based on precise measurements and imaging.

Tools and Techniques

Another major difference lies in the tools and techniques each provider uses. While both dentists and orthodontists use x-rays and dental impressions, orthodontists often utilize more detailed diagnostic tools, such as digital scanners, 3D imaging, and facial analysis software.

Orthodontists are also trained to anticipate changes in tooth positioning and jaw development over time, especially in growing children and teens. They consider the entire facial structure when planning treatment—not just the teeth.

Additionally, orthodontists are experts in biomechanics. This means they understand the precise application of force needed to move teeth safely and efficiently, which is especially important when working with braces or aligners.

When to See a Dentist vs. an Orthodontist

You should see a dentist regularly for cleanings, preventive care, and to address common issues like cavities, gum disease, or tooth sensitivity. Dentists are your first line of defense in maintaining healthy teeth and gums.

You should see an orthodontist when:

• Your teeth are crooked or crowded

• You have noticeable bite issues (like an overbite or underbite)

• Your jaw makes clicking or popping sounds

• You or your child are experiencing difficulty chewing or speaking

• You’ve been referred by your general dentist for orthodontic treatment

• You’re interested in braces or clear aligners to straighten your smile

Even children who still have baby teeth can benefit from seeing an orthodontist for an early evaluation. The American Association of Orthodontists recommends that children have their first orthodontic visit by age 7, as this is a key time to identify developmental issues before they become more complex.

The Importance of Choosing a Specialist

When you’re considering orthodontic treatment, working with a trained specialist is important. Orthodontic treatment is both an art and a science—it requires careful planning, ongoing adjustments, and a deep understanding of how the teeth and jawbone respond to pressure over time.

Some general dentists offer orthodontic services like Invisalign or limited braces. While these services may be suitable for very mild cases, more complex misalignments should always be handled by a certified orthodontist.

Orthodontists not only bring advanced training to the table, but they also have experience treating thousands of patients with a wide range of needs. This means they can spot potential issues early, customize your treatment plan, and help you achieve a healthier, more confident smile.

Why Patients Choose Reopelle Orthodontics

At Reopelle Orthodontics, we’re passionate about helping patients of all ages achieve beautiful, functional smiles. Dr. Reopelle and our dedicated team offer personalized treatment plans, the latest orthodontic technology, and a welcoming environment where your comfort comes first.

Whether you’re exploring braces for your child or considering Invisalign as an adult, we’ll guide you every step of the way with expert care and clear communication. We believe that everyone deserves a smile they love—and we’re here to make that journey as smooth as possible.

If you’re looking for a trusted Roanoke orthodontist, Reopelle Orthodontics is here to help. Contact us today to schedule your complimentary consultation and discover the difference that specialized care can make.