The American Association of Orthodontists recommends that all children have a check-up with an orthodontic specialist by age 7. At this age the permanent first molars (6 year molars) and the incisors are typically erupting. Many problems may be identified at this time including: crossbites, functional shifts, developing jaw discrepancies, crowding, oral habits, deep bites, and premature loss of primary teeth. Although comprehensive treatment (full braces) is not indicated at this time, early detection and limited treatment can nurture a more normal development.
Phase I treatment corrects problems in the earlier stages of the mixed dentition before the permanent teeth erupt. Treatment may be done early because the orthodontist and parents agree that something harmful could occur or the opportunity for achieving the best result could be lost. A Phase II treatment will usually follow when permanent teeth erupt. Minimizing treatment time and maximizing results determines the best time to start treatment. |
A single phase of treatment is most common. Children between the ages of 9 and 13 are going through many facial and dental changes that offer unique opportunities for treatment. During the transition of primary to permanent teeth, extra space can be saved or gained. Additionally, active facial growth during this time allows for orthopedic (bony) change that is no longer possible as an adult. In this period, braces are more accepted since peers are going through the same experience.
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