Orthodontics In Children, When Is It Necessary And What Should We Know?

Young Braces

WHAT IS ORTHODONTICS IN CHILDREN?

Orthodontics is a specialty of dentistry which is based on diagnosing, treating and preventing dental malpositions and maxillary malocclusions. In addition, orthodontics in children can diagnose a whole series of problems that can occur during growth, both at the bone level and dental replacement. During the development of the child there are a series of changes which can favor to cure or prevent some malocclusions in advanced ages and can also be treated quickly and easily.

Anteroposterior growth of the arcades occurs. The arches grow in the antero-posterior direction, more molars erupt distally. There is a presence of interdental spaces. These are space reserves and may be due to the transverse growth of the jaws. In temporary dentition, the interincisive angle is greater (the incisive teeth are very straight, the permanent ones are more inclined towards the vestibule. Therefore, the greater the inclination, the greater the space. It may seem that the permanent teeth are much larger than the temporary teeth that they replace, and this happens in the anterior sector (in the incisors) but in the lateral sector we find the so-called drift space. The definitive teeth are not larger than the temporal ones, for example the premolars are smaller than the temporal molars.

Orthodontics In Children, When Is It Necessary And What Should We Know

There are many more therapeutic possibilities of orthodontics than in other ages because during childhood there are all circumstances which are very favorable.

WHEN IS ORTHODONTICS NECESSARY IN CHILDREN?

Orthodontic specialists advise that the first revision with the orthodontist is recommended between 5 and 7 years of age. It is between this age when the dental replacement has begun and the jaws are in full growth. During the reviews with the orthodontist, he explores both the extraoral and the intraoral part of the child. It focuses on the observation of the eruption of the teeth, being able to see whether or not it corresponds to the child’s age, as well as exploring the child’s bite or observing the position of the maxillary bones with each other and in the whole. Although the child’s rash and bite are correct, it is important to perform annual checkups to follow the entire process of dental replacement in the oral cavity. Children should go to the dentist or specialist for the first time, to the pediatric dentist, every year since the first teeth erupt (at 6 months). These appointments are important to be able to diagnose with time any series of changes in the oral cavity that may go unnoticed by the child’s parents.

WHY IS IT IMPORTANT TO PERFORM ORTHODONTICS IN CHILDREN?

In the childhood ages, the maxillary bones and all the bones of the face are in development, so forces can be applied to them and their growth can be modified to correct any pathology and also achieve more harmonic facial proportions. It is important to know that once the growth is finished, the treatment of bone malocclusions that affect the bones of the face can only be performed by orthognathic surgery. Also in children some temporary teeth are replaced by definitive teeth which are of a size, mesio-distal, smaller than those of milk. So there is a surplus space that may be necessary to perform some type of dental movement and correct the malocclusion established.

On the other hand, the habits that children perform can cause the appearance of dental malocclusions since they prevent the correct growth of facial bones and cause an imbalance of facial proportions. Some of the habits are: thumb sucking, oral breathing, atypical swallowing, among many others. All this series of habits means that malocclusions such as the previous open bite can be established, by thumb sucking or atypical swallowing, a cross bite, by the presence of oral breathing and atypical swallowing since there is no stimulation of the palate by the language.

WHAT ARE ORTHODONTIC TREATMENTS IN CHILDREN?

Orthodontics in children’s ages can be interceptive, functional or corrective. Interceptive orthodontics is the one that prevents more serious subsequent pathologies. It is only based on making movements with a few teeth controlling the space, habits and dysfunctions in children, such as digital suction, oral breathing or the presence of a pacifier or bottle at ages of more than 2 years. Functional orthodontics is intended to focus craniofacial growth towards a correct position and achieve stability in it, even when the bones are growing. Finally, corrective orthodontics is based on treating malocclusion that is already established by applying different forces with orthodontic appliances. This type of orthodontics is usually performed when there is a definitive dentition or in the final part of the mixed dentition replacement. Thus, the orthodontic treatment varies depending on the age of the child and the type of alteration or habit that is present and that must be corrected. It is important that before starting an orthodontic treatment a complete extraoral and intraoral study of the child is done to analyze all kinds of alterations, as well as an exhaustive exploration of the functions and habits of children.

Orthodontics At An Early Age

Orthodontics At An Early Age

Most children are born with healthy and strong teeth, but as the age progresses, they move away from proper care, hygiene and a balanced diet, which has a decisive impact on their oral health. The mouth needs a correct maintenance that is different in each individual according to their specific circumstances. This is where parents should pay special attention and see a professional to monitor whether dental growth is adequate or corrective measures must be taken. While an orthodontist can improve a smile at any age, there is an optimal period of time to start treatment. Usually, this moment is in the last stage of mixed dentition or at the beginning of permanent dentition and before the end of growth, that is, as in any aspect related to health, good prevention prevents future complications.

The American Dental Association as well as other national and international associations of orthodontists recommend that the first visit to the specialist be from 7 years, since it is from that age when the first permanent molars come out and the basic structure of the bite. The early detection of these problems allows us to plan a more effective treatment to obtain a correct masticatory function and a beautiful smile. The orthodontist should evaluate the antero-posterior (forward-backward) and transverse (width ratio) position of the teeth and jaws. For example, the way to hatch the incisors may indicate an increased overbite (deep bite), an open bite, a cross bite, crowding or gingival smile (show a lot of gum).

In addition to these, prevention provides other positive factors such as reducing the chances of having to remove dental pieces and it will also be of great help in correcting habit problems such as digital suction, which arises because the Child has a habit of sucking his finger. Another problem of habit that corrects prevention is swallowing problems in children who, when swallowing food, the tongue obstructs the gap between the teeth and does not let them reach contact and do not completely seal the lips.

As for teenagers, they are a group of patients with whom special care must be taken since they are more aware of their aesthetics. The most common problems in young people are the crowding and dental separation that are corrected with a studied orthodontic treatment. They may also have skeletal problems where the maxillary bones usually have a different size, and there is a bad fit of the dental arches that can be reflected on the face, which are corrected with a dental treatment, a treatment by which it is guided facial growth through brackets and other fixed or removable devices. Finally, more and more adults are interested in the different orthodontic processes mainly for aesthetic reasons, but the starting point is different from that of a child patient since the bones in adults no longer grow, some loss has been possible of dental pieces or even the bone that supports the teeth.

 

 

What Is The Difference Between A Dentist And An Orthodontist?

What Is The Difference Between A Dentist And An Orthodontist

Orthodontists and dentist are both professionals that help patients improve their oral health. However, both their professions are different in their own way. Dentistry is a medical specialty that deals with teeth, gums, nerves and the jaw, whereas orthodontics is a field within dentistry that deals with correcting jaw structure, occlusion and the straightens the teeth. One major difference between the both is that, all orthodontists are dentists however, not all dentists are orthodontists.

What is the similarity between a dentist and an orthodontist?

The main similarity between the both is that they both focus on oral care. An orthodontist can work in an office and yet provide the same services as a dentist. This makes the both similar. They are doctors and are known to deal with the teeth and gums.

Why are they termed differently?

Orthodontists and dentists are more different rather than the same. An orthodontist needs to take up extra schooling and training as a dental specialty. It is exactly like how a doctor has to take up extra schooling to become a surgeon. Another difference is that orthodontists specially focus on helping patients who have a misalignment of their teeth, have trouble in their bite or fitting corrective braces. On the contrary, dentists are particularly experts in oral hygiene, tooth decay, root canals, gum diseases, teeth whitening, bridges, etc.

What does an orthodontist help with?

An orthodontist helps with crooked teeth however they also help with other issues as well. These issues include overbites and underbites, crossbites, spaces between the teeth, overcrowding of the teeth and treatments of temporomandibular disorders. Other problems with the jaw are also treated by an orthodontist. A dentist may be trained to provide orthodontic care along with extractions, TMJ treatments and fillings. But it is best to trust your smile to an orthodontist as he can better balance the formation of your teeth and address the different procedures that you may require.