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 Many
parents ask, “When is the best time to begin orthodontic
treatment?” My answer is, “it depends.”
For the majority (about 80%) of young
patients, it is best to delay treatment until most of their
permanent teeth are in. That usually occurs between the ages
of 11 or 12.
For the other 20% of children, earlier treatment is best.
This includes kids with cross bites, severe jaw imbalances,
excessive crowding, early loss of baby teeth and airway problems.
Because bones are growing so rapidly during childhood, we
can often reduce total treatment time and achieve better results
by addressing these problems earlier, between age 7 and 10.
Usually, this involves a two-phase treatment plan. After the
first phase of treatment, we use retainers to hold the alignment
and spaces. Once all of the permanent teeth have erupted,
the patient is ready for a full set of braces.
Today’s smaller, lighter bracket and wire systems make
braces more comfortable, practical and less obtrusive than
ever before. For some children, Invisalign technology may
be an option.
On Pulling Permanent Teeth
Another common parent concern has to do with pulling teeth.
In the past, it was standard practice to address childhood
orthodontic crowding by extracting permanent teeth. Unfortunately,
that sometimes leads to unwanted spaces between teeth or less
than ideal facial structure in adulthood. Although extracting
teeth is still sometimes necessary, Dr. Robinson most often
utilizes modern orthodontic appliances that expand the palate
and make room for crowded teeth. That way, when a child grows to
adulthood, he or she will enjoy a lifetime of full, beautiful
smiles and a great facial profile as well.
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