Orthodontics for Children
The American Association of Orthodontists recommends the orthodontist see children as early as age 7, as this is the best age to correct several specific orthodontic problems. The first permanent molars and incisors have usually come in by that time and the “occlusion”, or bite, is established. Problems such as crowding, harmful habits, crossbites, and skeletal/facial asymmetries can be detected. While many patients require two-phase or early orthodontic treatment, most do not. Dr. Lenk believes early treatment should be targeted only to cases where a clear benefit exists. For most growing patients without early orthodontic problems, Dr Lenk feels age 9 is generally a more appropriate time to advise if orthodontic treatment is required or anticipated.
Two-Phase Treatment
When indicated, early treatment allows the orthodontist to correct damaging developmental conditions that cannot be deferred. Early treatment can correct the width and position of the upper dental arch, the length of the lower dental arch, gain space for permanent teeth, increase the likelihood of avoiding permanent tooth extraction, reduce likelihood of impacted permanent teeth, correct thumb-sucking, and eliminate abnormal swallowing problems.
What is the advantage of two-phase orthodontic treatment?
The major advantage of two-phase treatment is to correct damaging developmental conditions so that the ideal, healthy, functional, esthetic result is still possible when all permanent teeth have erupted.
What if I put off treatment?
The disadvantage of waiting until complete eruption of permanent teeth and having only one phase of treatment for someone who will benefit from early intervention is facing the possibility of a compromised result that may not be stable or esthetically pleasing.
