 |
 |
 |
|
 |
| Why is the term dentofacial orthopedics used in orthodontics? |
| The objective of contemporary orthodontics is a well-proportioned face, as well as an esthetic and stable dentition. For that reason, the orthodontist must evaluate the dental arches and face in three dimensions of space: transverse, anteroposterior, and vertical. It is often through facial orthopedics that the orthodontist is able to achieve a treatment result with jaws in proportion to each other and to the rest of the face. |
| Why are many children treated before all of the permanent teeth erupt? |
In most cases where early orthodontic treatment is recommended, the objective of interceptive treatment will be one or more of the following: With these problems, timely treatment may provide advantages that are not available later. After the permanent teeth erupt, the treatment objective is to achieve optimal alignment, esthetics, function, and stability. |
| Do all children with orthodontic problems require int~rceptive treatment? |
| No. The need for interceptive orthodontics must be determined on an individual basis. After a thorough diagnosis, the orthodontist will determine if the benefits and opportunities significantly outweigh the time and effort involved in early treatment. For some children, a delayed single-phase treatment is the best approach. |
| Why are serial or selective extractions recommended for some young patients? |
| Early removal of selected primary teeth can be necessary to guide the eruption of permanent teeth. Carefully-timed extractions may prevent a variety of problems including: ~ palatal impaction or high eruption of permanent canines with little or no attached gingiva ~ root resorption, especially on permanent lateral incisors ~ severe crowding in the permanent dentition requiring extensive appliance therapy |
At what age should a child have an orthodontic screening? |
Age 7, unless you suspect a problem at an earlier age. |
| Why is age 7 an ideal time for screening by an orthodontist? |
The posterior occlusion is established when the first molars erupt. At that time the orthodontist can evaluate the antero-posterior and transverse relationships of the occlusion, as well as any functional shift. The presence of permanent incisors indicates archlength, possible crowding, habit patterns, and vertical dimension problems such as deep bite, open bite, or gummy smile. Most facial asymmetries are likely to be apparent by age 7. For some, a timely screening will lead to extraordinary treatment benefits. For others, the principal benefit is peace of mind. And, the professional who makes timely referrals is regarded as informed, caring, and concerned with the total well-being of the patient.. |
Why are children being evaluated at such an early age? |
| Early diagnosis and treatment can guide erupting teeth into more favorable positions, preserve space for the permanent teeth and reduce the likelihood of fracturing protruded front teeth. Also, early treatment may shorten treatment time, make treatment easier and in some cases less expensive. |
| When is the best time to refer a child with a skeletal disproportion or oral habit? |
Because some orthodontic problems respond best to early correction, the child should be referred as soon as a problem is recognized. Optimal treatment timing will be determined by an accurate differential diagnosis and the growth and development of the individual patient. |
| What's the problem with waiting until the permanent teeth erupt to refer? |
| The problem may be one of opportunity missed with respect to growth and development. It's useful to view treatment opportunities in 3 phases: early, on time, or too late. While patients can be treated at any age, those with available growth may enjoy a substantial advantage. For some patients, timely treatment may prevent the need for jaw surgery, extraction of permanent teeth, or fracture of protruded incisors. Early treatment may also aid in psychological development that is appearancerelated. Most harmful oral habits respond best to early correction. A patient referred in the mixed dentition may also benefit from space management and guidance of eruption. |
| What is the psychological impact of early treatment? |
| Appearance has been related to popularity, social behaviors, self-expectation, personality style, and self-esteem. Orthodontic therapy may lessen the likelihood that a child will be picked on by other children. Treatment may reduce appearance-consciousness and the emotional scarring that can occur during critical developmental years. Also, as adolescents enter the sensitive teenage years, they become far less receptive to orthodontic therapy. |
| Is orthodontic care expensive? |
Orthodontic therapy may eliminate the need for other medical and dental treatment. The physical and psychological benefits usually last a lifetime, making orthodontics one of the best investments in healthcare and qual¬ity of life.
Several budget options are available so that finances don't stand between the patient and necessary treatment. |
| In addition to esthetic improvements, what are some other benefits of orthodontic therapy? |
| Additional benefits may include better function, improved cleanability, more favorable wear patterns and greater longevity of natural teeth. |
| Why is growth spurt at puberty so important in orthodontics? |
| This is the time when much of the development of the face occurs. Treatment during this period allows the orthodontist to favorably influence the facial profile in a growing child. Once growth of the facial bones is complete, correction of skeletal discrepancies usually requires surgery. |
| Adult Orthodontics |
| At what age is a patient too old for orthodontics? |
| Patients who have teeth and healthy supporting structures are never too old for orthodontic therapy. They can spend the rest of their lives with an attractive smile if they choose to. Age is not a factor. |
| Why are adults seeking orthodontics in increasing numbers? |
| Many adults are receiving orthodontic care that was not available to them as children. They realize that improving the health of their mouths and the attractiveness of their smiles and facial appearances can result in changes for the better in their personal, social, and professional lives. Technical advances have also had an impact on adult therapy. |
| What are some of those advances? |
| Advanced technology has produced small, tooth-colored brackets that are barely noticeable. Specially alloyed wires are more comfortable, can speed up treatment, and may decrease the number of necessary appointments. New retainers can be placed where they do not show. Also, advanced surgical techniques now allow treatment of many skeletal problems after growth is completed. |