Early orthodontic treatment, also called phase I treatment, is designed to help young children who still have some or all their primary teeth, which may prevent improper growth and alignment of permanent teeth. The primary goal of early orthodontic treatment is to address skeletal issues with the jaw and alignment before or soon after permanent teeth emerge.
Early orthodontic treatment is a good idea if a parent or general dentist notices an issue with the child’s jaw or teeth alignment.
Several concerns that they might check for include:
- Malocclusion
- Bite complications
- Narrow jaw
- Protruding teeth
The American Association of Orthodontists (AAO) recommends that your child’s first check-up with an orthodontist be performed when an orthodontic problem is first recognized, but no later than age 7. However, it is important to note that not every child requires early orthodontic treatment, but an early visit can provide the orthodontist and the parent with a better idea of what treatment may be needed at a later age and what can be done during phase I to reduce the need for treatment later. Children who do not have any noticeable concerns with the alignment of their jaw or teeth should wait until phase II orthodontics for treatment. The best way to determine if a child can benefit from early orthodontic treatment is to consider visiting our office for a consultation, during which we can order dental X-rays and conduct an oral examination to see how the permanent teeth and the jaws are developing.
There are generally three outcomes of an initial check-up:
- No treatment is expected to be necessary.
- Treatment may be needed in the future, so the child will be followed periodically while the face and jaws continue to grow.
- There is a problem that lends itself to early treatment.
While there are many orthodontic problems that orthodontists agree are best treated after all permanent teeth have come in, early treatment can be in a patient’s best interests if their problem is one that could become more serious over time if left untreated.
Interceptive orthodontics solve problems while your child’s gums and jawbones are super pliable. These problems include some of the following:
- Early loss of space by preserving baby teeth and subsequent space stealing by other erupting teeth
- Underbites – when the lower front teeth are ahead of the upper front teeth
- Crossbites – when the jaw shifts to one side
- Very crowded teeth
- Facial asymmetry
- Extra or missing teeth
- Severely protruding teeth
- Teeth that meet abnormally, or don’t meet at all
- Thumb-, finger-, or pacifier- sucking that is affecting the teeth or jaw growth
Early orthodontic treatment can take many forms. Dr. Quest and Dr. Johnson may prescribe a fixed or removable appliance to move teeth, change the position of the jaw, or hold teeth in place in order to bring about desirable changes. Your child’s phase 1 treatment typically lasts only 10 to 15 months, plus an intervening period of retainer wear before the start of Phase 2 treatment when the remaining permanent teeth have erupted. Depending on the case, the extent and length of Phase 2 can be lessened after early orthodontics.
Regardless of how treatment goals are reached, the bottom line is that some orthodontic problems may be easier to correct if they are found and treated early. Waiting until all the permanent teeth have come in, or until facial growth is nearly complete, may make correction of some problems more difficult.
To give your child the best opportunity for a healthy, beautiful smile, visit Quest Johnson Orthodontics. No referral needed!
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