What is the difference between early orthodontic treatment, and regular orthodontic treatment and why might my child need early treatment? How will early treatment benefit my child in the long-run? These are just a few of the questions surrounding the topic of early orthodontic treatment for children. The Canadian Association of Orthodontists recommends that children see an orthodontist as early as age seven. At this point the orthodontist will evaluate whether your child will need orthodontic treatment.
Early treatment (also known as Phase-One) typically begins around age eight or nine (Phase-Two will begin around age 11 or older). The goal of early treatment is to correct the growth of the jaw and certain bite problems, such as underbite. Early treatment also helps to make room for permanent teeth to come in properly, lessening the chance of extractions in the future.
How to tell if your child may need early orthodontic treatment:
- Early or late loss of baby teeth (your child should typically start losing teeth around age five, and will have all their permanent teeth around age 13)
- Difficulty chewing and/or biting
- Mouth breathing
- Your child continues sucking their thumb after age five
- Speech impediments
- Protruding teeth (the top teeth and the bottom teeth extend away from each other)
- Teeth that don't come together in a normal manner or even at all
- Shifting of the jaw when your child opens or closes their mouth (crossbites)
- Crowded front teeth around age seven or eight
What causes orthodontic problems, and how will early prevention benefit my child?
Orthodontic problems such as crowding of the teeth, too much space between the teeth, jaw growth problems, protruding teeth, and bad bites can be inherited or caused by injury to the mouth, early or late loss of baby teeth, or thumb sucking habits.
Most children lose all their baby teeth by age 13, and by the end of their teen years, the jaw bones will harden and stop growing. Orthodontic procedures for adults often take more time and can involve tooth extraction or oral surgery. Receiving early orthodontic treatment as a child can help prevent the need for orthodontics as an adult, leaving little to no chance of extraction or surgery in the future.
If your child is between the ages of seven and eight and shows signs of needing orthodontic care, or if you have been directed by your family dentist to visit the orthodontist, please contact our practice and schedule an appointment. Our team will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.
What is the advantage of two-phase orthodontic treatment?
Two-phase orthodontic treatment is a specialized process combining tooth straightening and physical, facial changes.
What if I put off treatment?
Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your smile.
The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.
- Planning now can save your smile later
Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.
- Making records to determine your unique treatment
Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, X-rays, and photographs. During your child's initial consultation, your doctor will take records to determine if early treatment is necessary.
In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.
- Monitoring your teeth's progress
At the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.
The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly. Phase Two usually involves full upper and lower braces.
At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of 24 months. Retainers are worn after this phase to help you retain your beautiful smile.
You may have noticed that Dr. Al-Daghreer specializes in "Orthodontics and Dentofacial Orthopedics." While most people have heard of orthodontics, many are confused by the dentofacial orthopedics part of the title.
Every orthodontist starts out in dental school. Upon completion of dental school, some graduates immediately go into practice as dentists. Others choose to pursue a specialty, which requires additional schooling during a two- to three-year residency program. There are nine specialties sanctioned by the Canadian Dental Association. Some you are likely familiar with: Pediatric Dentistry (dentistry for children), Periodontics (dentistry focusing on the gums), and Oral Surgery.
"Orthodontics and Dentofacial Orthopedics" is one of the nine specialties. Essentially, while orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and development, which occurs largely during childhood. Appliances are frequently used — the more familiar braces for orthodontics, and other specialized appliances like headgear and expanders depending on what facial abnormalities are present. Sometimes orthopedic treatment may precede conventional braces, but often the two are used at the same time. So if your child gets braces and headgear, he's actually undergoing orthodontics and dentofacial orthopedics.
Being skilled in both areas, our doctor is able to diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments.