The American Association of Orthodontists recommends all children to get a check-up with an orthodontic specialist no later than the age of 7 yrs. so any problems can be spotted early. That doesn't mean a kid will get braces right away. But the orthodontist will know which problems exist and can choose the best time to start treatment.
There is a better way, called ‘Early Treatment’. Prevention is always better than cure.
Early treatment may prevent or intercept more serious problems from developing and may make treatment at a later age shorter and less complicated. In some cases, the orthodontist will be able to achieve results that may not be possible once the face and jaws have finished growing.Early treatment may give your orthodontist the chance to :
• Guide jaw growth
• Lower the risk of trauma to protruded front teeth
• Correct harmful oral habits
• Improve appearance
• Guide permanent teeth into a more favorable position
• Create a more pleasing arrangement of teeth, lips and face
Through an early orthodontic evaluation, you’ll be giving your child the best opportunity for a healthy and beautiful smile.
If your child is older than 7, it’s certainly not too late for a check-up. Because patients differ in both physiological development and treatment needs, the orthodontist’s goal is to provide each patient the most appropriate treatment at the most appropriate time.EARLY ORTHODONTIC TREATMENT PROCEDURES ALSO INCLUDES
1. Parent education with prenatal and post natal counselling
2. Predental care
3. Oral hygiene and care of deciduous teeth
4. Caries control and restoration of decayed teeth
5. Monitoring of primary dentition to mixed dentition and smooth transformation into permanent dentition.
6. Occlusal equilibration
7. Extraction of supernumerary and over retained deciduous teeth
8. Management of ankylosed tooth
9. Management of deeply locked first permanent molar due to mucosal or bone barriers
10. Management of abnormal frenal attachments like tongue tie
11. Disking of primary tooth
12. Mouth guards & protectors during contact sports
13. Space maintainers
A space maintainer is a removable or fixed appliance designed to maintain an existing space after early loss of baby teeth. Space maintainers are usually fitted in children when they have lost baby teeth early. The gap left from losing this tooth needs to be held open for the permanent tooth to erupt in the correct position.II.Interceptive orthodontic procedures-
Some of the common oral habits found in childrens are- thumb sucking habit, lip biting habit , nail biting habit, mouth breathing habit, tongue thrusting, digit sucking etc. There treatment varies according to the duration , intensity and frequency of the habit.
A) Psychological approach for breaking oral habits: It is generally said that children lacking parental care, love and affection resort to this habit. Thus the parents should provide the child with adequate love and affection. Also the child’s attention should be diverted to other things such as games and toys. The dentist and the parents should together work to motivate the child to discontinue the habit.
B) Mechanical Aids for breaking oral habits: They are basically reminding appliances that assist the child who is willing to quit the habit but is not able to do so as the habit has entered the subconscious level. They may be removable or fixed appliances.
2. Serial extractions or guided extraction
3. Space regaining methods after early loss of milk teeth
4. Interception of developing crossbite
5. Control of abnormal habits
6. Interception of developing skeletal malocclusion
7. Removal of soft tissue or hard tissue barrier for unimpeded eruption of teeth
8. Muscle exercises or oral physiotherapy
Here are a few things to look for:
• Early or late loss of baby teeth
• A hard time chewing or biting food
• Mouth breathing
• Finger or thumb sucking
• Crowded, misplaced, or blocked teeth
• Jaws that pop or make sounds when opening and closing
• Teeth that come together abnormally, or do not come together at all
• Jaws and teeth that are not proportionate to the rest of the face
• Crowded front teeth around age seven or eight
If you want to improve the look and feel of your smile, then any age can be a great age to see the orthodontist. The American Association of Orthodontists recommends that children first visit an orthodontist around the age of 7; however, orthodontic treatment is not exclusive to children and teens, with about one in every five orthodontic patients being over the age of 21. Whether you're considering treatment for yourself or for a child, any time is a good time to visit the orthodontist.How Orthodontic Treatment Works ?
Orthodontic appliances can be made of metal, ceramic, or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position. This is a great time to wear braces! Gone are the days when a metal band with a bracket was placed around each tooth. Wires are also less noticeable than they used to be, and the latest materials move teeth faster with less discomfort to patients.Thumb-sucking
Along with favorite blankets, teddy bears, and nap time, thumb-sucking can be one of the most comforting aspects of childhood. According to a recent report, between 75% and 95% of infants suck their thumbs. Chances are there's a thumb-sucker (or a former thumb-sucker) in your family. Is this cause for worry?
In most cases, the answer is no. However, it's important to pay attention to your child's habits in case his behavior has the potential to affect his oral health.
What is normal thumb-sucking behavior? Most children begin sucking their thumb or finger from a very young age; many even start inside the womb. Sucking is a natural reflex for an infant and it serves an important purpose. Sucking often provides a sense of security and contentment for a young one. It can also be relaxing which is why many children suck their thumbs as they fall asleep.
According to the American Dental Association, most children stop thumb-sucking on their own between the ages of two and four. They simply grow out of a habit that is no longer useful to them. Studies show that the older a child gets, the lower his chances of continuing to suck his thumb. However, some children continue sucking beyond the preschool years. If your child is still sucking when his permanent teeth start to erupt, it may be time to take action to help them to break the habit.What signs should I watch for thumb sucking?
First, take note of how your child sucks his thumb. If he sucks passively with his thumb gently resting inside his mouth, he is less likely to cause damage. If on the other hand, he is an aggressive thumb-sucker, placing pressure on his mouth or teeth, the habit may cause problems with tooth alignment and proper mouth growth. Extended sucking affects both the teeth and the shape of the face and may lead to a need for orthodontic treatment in the future.
If at any time you suspect your child's thumb-sucking may be affecting his oral health, please give us a call or bring him in for a visit. We can help you assess the situation.How can I help my child quit thumb-sucking?
Should you need to help your child end his habit, follow these guidelines:
1. Always be supportive and positive. Instead of punishing your child for thumb-sucking, give praise when is not engaged in sucking his thumb.
2. Put a bandage on his thumb or a sock over his hand at night. Let him know that this is not a punishment; it is just a way to help him remember to avoid sucking.
3. Start a progress chart and let him put a sticker up every day that he doesn't suck his thumb. If he makes it through a week without sucking, he gets to choose a prize (trip to the zoo, new set of blocks, etc.) When he has filled up a whole month, reward him with something great (a ball glove or new Before/After game); by then the habit should be over. Making your child an active participant in his treatment will increase his willingness to break the habit.
4. If you notice your child sucking when he's anxious, work on alleviating his anxiety rather than focusing on the thumb-sucking.
5. Take note of the times your child tends to suck (long car rides, while watching movies) and create diversions during these occasions.
6. Explain clearly what might happen to his teeth if he keeps sucking his thumb. Whatever your method, always remember that your child needs your support and understanding during the process of breaking the thumb-sucking habit.
Two-phase orthodontic treatment is a specialized process combining tooth straightening and physical facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, aesthetic result that will remain stable throughout your life.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. Early treatment is most effective for achieving lasting results.Phase — One Your foundation for a lifetime of beautiful smiles
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 and can be corrected with orthodontic appliances. 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 avoid the need to extract permanent teeth 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.
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.Resting Period
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.Phase — Two
Stay healthy and look attractive
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 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 22 months. Retainers are worn after this phase to ensure you retain your beautiful smile.How long will I have braces?
Length of treatment can vary from case to case. Typically you can expect to have your braces on for 1-2 years. After your treatment you can expect to use a retainer on a personally-designed schedule to keep your best smile.I heard there are things I can’t eat with braces on.
The style and brand of braces you get will determine which foods you can’t eat. Hard and sticky foods are to be avoided because they can break braces. Don’t stop eating your fruits and veggies! Just prepare them differently: Apples and carrots need to be cut into wedges or strips. However, there are some styles of braces that don’t limit your diet at all!Will it be painful?
While you won’t usually experience any pain during appointments, there will be a period of discomfort after adjustments, typically for only 4 to 5 days. We do have treatments and care to keep discomfort to a minimum.How will be my child’s life after braces?
Now that you have your braces, how do you take care of them? It's important for you to know how to properly take care of your braces throughout your entire orthodontic treatment.Eating with Braces
Don't worry, you'll be eating popcorn and snacking on potato chips again in no time! However, before you can start enjoying some of the treats you love, you will need to take special care to avoid any foods that could damage your new appliances.Foods to avoid with braces:
• Chewy foods — bagels, licorice
• Crunchy foods — popcorn, chips, ice
• Sticky foods — caramel candies, chewing gum
• Hard foods — nuts, hard candies
• Foods that require biting into — corn on the cob, apples, carrots
• Dairy — soft cheese, pudding, milk-based drinks
• Breads — soft tortillas, pancakes, muffins without nuts
• Grains — pasta, soft cooked rice
• Meats/poultry — soft cooked chicken, meatballs, lunch meats
• Seafood — tuna, salmon, crab cakes
• Vegetables — mashed potatoes, steamed spinach, beans
• Fruits — applesauce, bananas, fruit juice
• Treats — ice cream without nuts, milkshakes, Jell-O, soft cake
When you first get your braces, you may notice that your teeth and mouth feel a little tender or sore. This is perfectly normal, and we promise your mouth will not be sore forever! To relieve the pain, we recommend dissolving one teaspoon of salt in eight ounces of lukewarm water. Swish and gargle this solution in your mouth for just a couple of minutes (do not swallow the saltwater).
If the pain is more severe and does not go away after rinsing, you can also try taking a pain reliever. It is also not uncommon for your lips, cheeks, and tongue to become irritated for one to two weeks as they toughen and become use to the braces. We would be happy to give you some wax that you can put over the braces to lessen the tenderness. If you need some wax, please let us know.Loose Teeth
If your teeth begin feeling a little loose, don't worry; this is normal! Your braces must first loosen your teeth to move them into the right position. Once your teeth have been repositioned, they will no longer be loose.Loose Wires and Bands
The wires and bands on your braces may come loose. If this happens, please contact us as soon as possible so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you.
You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.Take Care of your Appliances
Damaged appliances can increase the length of your treatment process, so be sure to take care of all your appliances. Your teeth and jaw can only move into their correct positions if you consistently wear the rubber bands, headgear, retainer, or other appliances prescribed by your doctor.Playing Sports with Braces
Game, Set, Match — we have great news for athletes! You can still play sports even while undergoing orthodontic treatment! If you do play sports, it's recommended that you wear a mouthguard to protect your teeth and your appliance. Let your doctor know if you need help finding the right mouthguard for the best protection.
In case of a sports emergency, be sure to immediately check your mouth and appliance for damage. If you notice any loose teeth or appliance damage, please contact our office right away. You can temporarily relieve the discomfort by applying wax or rinsing your mouth with warm saltwater.Will I like my new smile?
Dr. Shibli is confident that your journey to your best smile will be a successful one & you will definitely love your new smile!!
To learn more about how you can transform your smile with Dr. Shibli and his unique methods, schedule your appointment today or call us at 9822522560
ORTHODONTIC TREATMENT OUTCOME