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Medical Forum / General / Dentistry / May 2007Age to start orthodontic treatment
At what age should kids start orthodontic treatment. My child is 7.5 and has replaced 6 front teeth. The 4 lower ones are a little crowded but in right position. And the 2 upper incisor looks big, a bit protruding and has a big gap between them. Should we start orthodontic treatment right now, or wait until all teeth are replaced? Thank you. > At what age should kids start orthodontic treatment. My child is 7.5 > and has replaced 6 front teeth. The 4 lower ones are a little crowded [quoted text clipped - 4 lines] > > Thank you. Sometimes having a child seen early can allow interceptive procedures that can ultimately make treatment easier and more successful. I suggest an early consultation; the orthodontist can always tell you what is going on, and whether your child specifically needs anything done now. If not, the child can be monitored for growth, tooth loss etc. so that treatment can start at the optimal time. My daughter is 10; she started treatment about 1 1/2 years ago. Steve On Apr 19, 5:51 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > yeh_li...@yahoo.com wrote: > > At what age should kids start orthodontic treatment. My child is 7.5 [quoted text clipped - 15 lines] > > Steve Did you treat your daughter? Can a general dentist or children dentist do the job? Or we should visit an orthodontist? > On Apr 19, 5:51 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 18 lines] > Did you treat your daughter? Can a general dentist or children dentist > do the job? Or we should visit an orthodontist? I am NOT treating my daughter--she is being treated by an orthodontist. Some general dentists may well be qualified to treat full orthodontic cases in children--I will not. Steve >> Did you treat your daughter? Can a general dentist or children dentist >> do the job? Or we should visit an orthodontist? > > I am NOT treating my daughter--she is being treated by an orthodontist. What !?1 No Invisilign ? <G> > Some general dentists may well be qualified to treat full orthodontic >cases in children--I will not. I hatae bending wires also. >Steve >>> Did you treat your daughter? Can a general dentist or children dentist >>> do the job? Or we should visit an orthodontist? >> >> I am NOT treating my daughter--she is being treated by an orthodontist. > > What !?1 No Invisilign ? <G> Heh, heh! Steve >> Some general dentists may well be qualified to treat full orthodontic >> cases in children--I will not. > > I hatae bending wires also. > >> Steve On Apr 19, 4:34 pm, yeh_li...@yahoo.com wrote: > At what age should kids start orthodontic treatment. My child is 7.5 > and has replaced 6 front teeth. The 4 lower ones are a little crowded [quoted text clipped - 4 lines] > > Thank you. Different orthodontists have different approaches to this. depends who you go to. early treatment is good since it makes phase 2 treatment much easiler and you can take advantage of growth and do more orthopedic movement. And this makes phase 2 treatment more stable. downside to starting early is the child becomes frustrated with braces and you will not finish what you started. They will give the parents an attitude and will refuse phase 2 braces. The downside to waiting an just starting when they are in their teens is you can not do orthopedic movement some compromises have to be made, the teeth are not as stable and the cost is usually much more. sometimes its better to do simple movements as they grow and then phase 2 is much simpler to deal with. good luck with what you choose I prefer to get them early. Here's a good link. http://www.braces.org/beautifulsmile/children/index.cfm While interceptive or first phase treatment certainly is indicated at times, IMO it is overdone. carabelli > Here's a good link. > [quoted text clipped - 4 lines] > > carabelli as a general rule early tx (with some exceptions) is way over rated, does not shorten tx time (just read the research) and does not preidctably make second phase shorter. if you believe in evidenced based dentistry, you can't justify early tx except for a limited number of problems. How about thumb-suckers?  Signature/ Amatus / >> Here's a good link. >> [quoted text clipped - 11 lines] > based dentistry, you can't justify early tx except for a limited > number of problems. > How about thumb-suckers? Unless there is an exceptional open bite and/or tongue thrust associated with it, I usually prefer to wait until around first grade to give peer pressure a chance to discourage it first. Yup, looks like Charlie snuck in the back door. carabelli I was thinking of the thumb sucker who pushes the palatal vault way up and creates the narrow palatal arch. Don't you want early intervention to expand the arch in these cases? i.e. palatal arch expansion around 7-10 years of age. I thought you were watching that back door? Signature/ Amatus / > >> How about thumb-suckers? [quoted text clipped - 6 lines] > > carabelli >I was thinking of the thumb sucker who pushes the palatal vault way up and >creates the narrow palatal arch. Don't you want early intervention to >expand the arch in these cases? i.e. palatal arch expansion around 7-10 >years of age. As usual, it depends. Sometimes this presents itself but palatal expansion may produce a buccal crossbite. Case by case......... carabelli ok Signature/ Amatus / > >>I was thinking of the thumb sucker who pushes the palatal vault way up and [quoted text clipped - 6 lines] > > carabelli > >creates the narrow palatal arch. Don't you want early intervention to > >expand the arch in these cases? i.e. palatal arch expansion around 7-10 [quoted text clipped - 4 lines] > > carabelli you'd have to use a lower schwartz to prevent the crossbite. Some people are saying evolutionwise our maxillas are getting smaller, maybe we are not sucking our thumbs long enough. I think there is more involved in the etiology of high vault palates and narrow arches. which came first the thumb sucking or the high vault narrow Gothic arches? its like the chicken and the egg. >> >creates the narrow palatal arch. Don't you want early intervention to >> >expand the arch in these cases? i.e. palatal arch expansion around 7-10 [quoted text clipped - 12 lines] >which came first the thumb sucking or the high vault narrow Gothic >arches? its like the chicken and the egg. The chicken came first. "that fowl may fly" or something like that. "Alexander Vasserman DDS" <purple543210@yahoo.ca> wrote in message........... > you'd have to use a lower schwartz to prevent the crossbite. Unstable expansion carabelli > "Alexander Vasserman DDS" <purple543...@yahoo.ca> wrote in > message........... [quoted text clipped - 4 lines] > > carabelli What ortho is stable? you still need retainers for life. If you follow Lawrence Andrews 6 Keys to good occlusion, you should be fine. Of course you still need to determine if this is a skeletal crossbite or dental and address that accordingly as well as the airway problems. "Alexander Vasserman DDS" <purple543210@yahoo.ca> wrote ..........> What ortho is stable? you still need retainers for life. Certainly relapse is a potential problem after any orthodontic treatment is completed. However, mandibular expansion is just begging for significant relapse. carabelli > "Alexander Vasserman DDS" <purple543...@yahoo.ca> wrote ..........> What > ortho is stable? you still need retainers for life. [quoted text clipped - 4 lines] > > carabelli What about a bonded retainer? >> Here's a good link. >> [quoted text clipped - 10 lines] > based dentistry, you can't justify early tx except for a limited > number of problems. Charlie? Steve On Apr 21, 10:45 pm, Alexander Vasserman DDS <purple543...@yahoo.ca> wrote: > On Apr 19, 4:34 pm, yeh_li...@yahoo.com wrote: > [quoted text clipped - 23 lines] > good luck with what you choose > I prefer to get them early. phase 2 means treatment starting after 13 years? |
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