Generally, it can be said that removable braces are ideal for children aged 6-12 years. This is because removable braces utilise the growth of the jaw to allow the eruption of permanent teeth in their correct position. In addition, the function of the muscles can also be used to influence the growth of the oral cavity. This is where the name functional orthodontic appliance comes from, which is carried out with devices such as activators, bionators, and more.
Within the scope of an early treatment, the patient's anterior cross bite was repaired within 18 months in order to ensure a regular development of the upper and lower jaw. An exact adjustment of all teeth is not the aim of the treatment.
It is actually never too early to visit an orthodontist, but if there are no birth defects such as cleft lip and palate, we recommend the first visit to be when the child is around 4 years old. It really first makes sense from the age of 6 when the mixed dentition stage begins. But how do you recognise this stage, what does it actually mean and why do I have to see an orthodontist so early?
Children are divided into different stages of tooth eruption. A) Primary dentition until the age of 6. B) Resting phase from the 8th to the 9th year of life. C) Mixed dentition stage from the age of 9 D) Permanent dentition stage from the age of 12
As a patient or parent, the beginning of the mixed dentition phase is usually seen a few months later, when the first primary anterior teeth start to wobble. From this point on it makes sense to pay your orthodontist a visit. Orthodontic treatment during this time is only recommended for special orthodontic indication groups (KIG) and usually only an early treatment over 1.5 years is recommended. This only serves to resolve acute problems which could otherwise lead to problems later on.
After the first primary teeth have fallen out in the 6th-7th year of life, a resting period follows. As soon as the next deciduous tooth starts to wobble, the 2nd mixed dentition stage begins (at about 9 years of age). During this stage of tooth eruption, a visit to the orthodontist makes total sense in order to make sure everything is ok.
If an orthodontic treatment is necessary, we usually recommend removable braces until all permanent teeth have erupted. This is usually the case at the age of 12. In principle, the time for a complete orthodontic treatment plan is 16 quarters, i.e. 4 years. This is divided into a treatment phase and a retention phase with removable retainers. Since teeth shift for a lifetime (Little et. al), we additionally recommend custom lab-fabricated fixed retainers. These are attached to the lingual (inside) side the anterior teeth in the upper and lower jaw and do not pose a problem for speech nor hygiene due to the complex manufacturing process.
Although we generally recommend a short, non-binding appointment with BISS45, we have put together some basic guidelines on how to identify the relevant orthodontic indication groups that require treatment.
It is important to note that early treatment is not intended to straighten all teeth but only to positively influence growth. This is mainly due to the fact that an early treatment is carried out before the 2nd mixed dentition stage. This means before all permanent teeth have erupted and therefore not all permanent teeth can be moved.
A lateral cross bite causes a displacement of the lower jaw. This leads to asymmetrical adjustments in the temporomandibular joint. Therefore the growth of the jaws should be guided correctly by a removable appliance.
An increased step between the front teeth acutely increases the risk of trauma of the upper anterior teeth. Therefore the growth of the jaws should be guided correctly by a removable appliance.
An anterior cross bite is usually caused by the excessive growth of the lower jaw and causes an non-occlusion of the anterior teeth. Therefore the growth should be guided correctly with braces
A crowding or loss of space usually provides an unstable support for the teeth and can lead to premature contacts which put strain on the temporomandibular joint and lead to the loss of tooth substance. In addition, the risk of caries may increase.
An open bite can be recognized when the front teeth have no contact. Often an interdisciplinary therapy in cooperation with speech therapists is recommended here, as the tongue can be the trigger for the situation.
A deep bite can be recognized by the fact that almost none of the lower anterior teeth are visible when in occlusion. This leads not only to overloading of the temporomandibular joints, but also to abrasions of the teeth (loss of tooth substance).
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