Early Treatment

The American Association of Orthodontists recommends a screening exam by an orthodontist by age 7. Our doctors agree with, and adhere to this recommendation. Orthodontic success begins at age 7.

At an early age the orthodontist is able to detect developing orthodontic problems. We utilize a panoramic x-ray that enables us to see all of the teeth that are in a patient’s mouth and also those still developing under the gums. It allows the orthodontist to see missing permanent teeth, impacted teeth, teeth that are erupting into the wrong position, development of crowding and spacing problems and bad bites. It may be appropriate to treat these developing problems at a young age to prevent them from deteriorating and causing serious problems.

Some orthodontic problems are a combination of teeth positioning problems and skeletal problems. In children, the facial bones are growing and can be manipulated and moved by the orthodontist to correct the skeletal part of the problem. This is not possible in older patients that are no longer growing. If the skeletal problem is severe, it can only be corrected with jaw surgery after the patient stops growing. For this reason, some orthodontic problems are best treated with a two step approach.

The first step is done while the patient is still growing and still has some primary, or baby, teeth present. The skeletal part of the problem is corrected at this time. The second step is done after all of the permanent teeth have erupted and growth has slowed or stopped.

How Orthodontic Treatment Works

Orthodontic appliances can be made of metal, ceramic or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position. This is a great time to wear braces! Gone are the days when a metal band with a bracket was placed around each tooth. You can choose brackets that are clear or metallic color. You can choose the color of the ties that hold the wire in brackets. Wires are also less noticeable than they used to be and the latest materials move teeth faster with less discomfort to patients.

Duration of Treatment

Treatment time typically ranges from one to three years, depending on the growth of the patient's mouth and face and the severity of the problem. Patients grow at different rates and will respond variously to orthodontic treatment, so the time to case completion may differ from the original estimate. The patient's diligent use of any prescribed rubber bands or headgear is an important factor in achieving the most efficient treatment. Interceptive, or early treatment procedures, may take as few as six months.