The most confusing question for most parents, and some general dentists, is when to actually start treatment. The objective is to treat at the time when it will minimize treatment time, achieve a normal profile, and get the best long term, stable result. Some orthodontic problems start developing at the age of 6 to 7 years, and it is usually a good time to get an initial consultation, especially if the parent or general dentist suspects that a problem may be developing. Though no active treatment may be initiated at this time in most cases, some problems may need to be intercepted to prevent them from later developing into complicated situations. An example of an indication to start early treatment is the presence of a cross-bite of the front or back teeth. However, if there are no unusual circumstances, the first visit to the orthodontist should be at the age of 10 years for girls and 11 years for boys. It is important to note that in case of jaw growth deficiencies it is mandatory to initiate the treatment before the completion of active growth spurt failing which later might require a complicated Orthognathic jaw surgery.
There is no age limit for braces treatment. All of us know that we have two sets of teeth in a life
time. Milk teeth in the early years and permanent teeth in later years. The transition from milk
teeth to permanent teeth takes place over a period of 5 to 13 years of age. Dental problems
developed during this period ranging from simple tooth decay to a complex one.
Conditions requiring braces treatment can be prevented to some extent by certain procedures. This is called preventive orthodontics.
Minor malocclusions which have appeared can be intercepted during the transition period and the severity can be reduced. This is called interceptive orthodontics. Functional jaw orthopedics - It is important to initiate this kind of treatment with functional/orthopedic appliances before completion of pubertal growth spurt in children having excess or deficiency of upper, lower or both jaws. There is a wide spread misconception among general public and general dentist/non-orthodontist that orthodontic treatment should always be started after eruption of upper canine teeth. This is not true, incase of children with jaw discrepancy where treatment timing is critical with reference to the growth. Ideally these children should be examined by an orthodontist around 9-10 years itself to intercept the skeletal malocclusion failing which might require a complicated jaw surgery in future.
The most important is the nature and discrepancy of the problem, onset of the problem and management. So it is always better to consult a specialist (Orthodontist) when in doubt.
The early warning signs of a bad bite are:
Things that alert you to go to an Orthodontist :
Parents are often worried about their children's teeth. It is a good idea to consult your orthodontist if you have any doubts about your child's bite. The presence of certain features should alert you to seek professional advice from an orthodontist.
Malocclusion can be said to be a deviation from the normal or abnormal arrangement of teeth. Numerous are the causes of malocclusion. Some common causes are listed below,
FJO deals with children who has deficiency /excess growth of upper/lower jaws.
Growth modification of jaws is known as DENTOFACIAL ORTHOPAEDICS.
Growth modification techniques otherwise called as Functional Jaw Orthopedics are special procedures used between 9 and 12 years during which time the active Growth of the jaws take place. These techniques are used early during the active growth period of children just before their puberty using special appliances namely Rapid Maxillary Expansion (HYRAX) Screws, cross bite correction appliance ,Bionators, Frankles Appliances, Twin Blocks, Face mask etc. The Growth modification helps in achieving balanced Jaws on which if irregular or protruded teeth present can be treated using braces as the next stage of treatment.
Diagnosis is made by Clinical Examination and Face X-rays. If the jaw growth is excess it could be restricted or if the growth is short can be stimulated to grow using some special appliances. These procedures eliminate the need for Orthognathic Surgeries at a later date in majority of cases used apart from braces to either restrict the excessive growth of the jaws or stimulate the under grown jaws. These techniques are used early during the active growth period of children just before their puberty using special appliances namely Bionators, Frankles Appliances, Twin Blocks, Face Masks, Rapid Maxillary Expansion. The Growth modification helps in achieving balanced Jaws on which if irregular or protruded teeth present can be treated Functional Jaw Orthopedics.
If the Jaw growth related problem is diagnosed after the Growth is over then using both Braces and Orthognathic Surgical Procedures. These procedures are either done in the Upper Jaw or Lower Jaw or combined Upper and Lower Jaws. Sometimes Chin Surgeries and Nose Surgeries may be needed.
Micro implants in Orthodontics is used as an adjunctive to retract severely protruded teeth beyond the scope of braces. By using micro implants in orthodontic the need for surgical Orthodontics has reduced to a great percentage. These implants are TITANIUM and does not cause any excessive discomfort and can be easily removed once their action is over.