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Orthodontic Braces, How Early Should a Child Be Treated?

How early should children get dental braces and orthodontic treatment?

A simple guideline to use is that children should be examined at the time their permanent teeth are beginning to come in. However, every child is different, and sometimes the best starting time for getting orthodontic braces and other dental appliances depends on the type of problem and how severe it is. So the answer really is: "It depends…"

If your child has crooked teeth and requires dental braces, early intervention can make a real difference. That is when the best results with orthodontic braces are seen; ones that might be impossible once your child's face and jaw have completely developed. Also, when started early, completing the orthodontics is much easier.

During an initial examination, your dentist will evaluate your child's facial growth, spacing between teeth, crowding, and extra, missing or crooked teeth. They will also look for overbite and for habits like tongue-thrusting and thumb-sucking that may hinder normal growth and development. These problems can change tooth alignment as well as alter facial appearance.

If, after the initial exam, your child doesn't require orthodontic braces or retainers, most dentists will schedule periodic follow-up exams. This is to ensure that while the permanent teeth are coming in, and their face and jaws continue to grow, their needs don't change. If they do, the problem can be caught and fixed early.

Getting orthodontic braces and retainers can bring your child's teeth, lips and face into harmony. We all know that a pleasing appearance and beautiful smile give children, and adults, a big advantage in life.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Adult Orthodontics

When most orthodontists meet an adult patient intent on correcting crooked teeth, they usually take it slow. Amid all the brouhaha about adult braces there are oral health concerns exclusive to adults that will affect how to plan the treatment.

A touch of gum disease

Because crowded teeth and misaligned jaws are often difficult to keep clean, some adult patients have a degree of gum disease. These patients should be referred to a dental hygienist or a periodontist for cleaning and gum therapy before teeth straightening starts. Then, during orthodontic treatment, your orthodontist will need to be especially alert to new outbreaks. He or she may want to apply less pressure orthodontically early in treatment, so gum tissue attachments have a chance to strengthen. For more information on gum therapy or dental cleanings, please visit our gum disease and hygiene sections for more articles.

What about missing teeth?

Orthodontic appliances need to be attached to something to provide the "push" and "pull" that move teeth. If key anchor teeth are missing, restorative dentistry may be suggested before the appliance can be placed.

Bite problems

More and more patients with temporomandibular or jaw joint problems (TMJ) are beginning to be seen by many dentists. TMJ disorders are very painful, and may result in uneven wearing of teeth or a jaw way out of position. The priority before teeth straightening is to address the jaw problem, and try to correct the bite before any more stress is added to the situation. So in the end you'll finish your orthodontic program with healthier gums, rejuvenated bone, a better bite, and a great smile to boot.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.