Interceptive Orthodontics
Orthodontic Evaluation Treatment Planning Marlboro NJ
Historically, most patients did not commence orthodontic treatment until all their permanent teeth had erupted and then had a malocclusion diagnosed and addressed at the age of about 12-14. Waiting this long often necessitated the extraction of several permanent teeth to create space for orthodontic movement. More extensive movement necessitated the use of headgear and other orthodontic appliances. It was noted that teen cooperation in wearing such appliances was often problematic.
Interceptive orthodontics is a technique and philosophy which was developed to address certain orthodontic problems between the ages of 7-11. This early intervention and phased treatment can result in fewer extracted teeth and better patient compliance.
Some of the techniques used in this interceptive orthodontic phase include arch expansion, which allows more room for permanent teeth and orthopedic growth appliances which enhance jaw growth and make later orthodontic treatment much simpler.
Interceptive treatment involves diagnosing and correcting orthodontic problems early in childhood to help the jaws develop in a way that accommodates permanent teeth and allows the upper and lower jaws to fit together properly.
- Palatal Expander: This appliance is used to orthopedically widen a narrow upper jaw. It can be used to correct crossbites (when upper teeth bite inside the lower teeth) or to make space for crowded teeth.
- Habit Appliance: This appliance is used to eliminate unwanted habits such as thumb sucking or tongue thrusting. At times, this appliance will also be incorporated into a palatal expander.
- Space Maintainer: This appliance is used to hold space as permanent teeth erupt.
- Headgear: This is a removable appliance, used mostly at nighttime, which helps to guide jaw growth into a more favorable pattern.
Comprehensive Orthodontic Treatment
Comprehensive treatment involves assuring that each tooth is in its proper position in the mouth and is in harmony with the lips, teeth, tongue, and other teeth. This treatment is usually started when most or all the baby teeth are lost. Appliances may include:
Appliances may include:
- Metal braces: These are the most common type of braces. They are much smaller and more comfortable than those of the past. Metal braces straighten teeth using metal brackets and arch wires. They also allow for the option of adding colored elastics (which are changed at each visit) to create a unique smile.
- Ceramic braces: These are less visible on teeth than metal braces, making them a good esthetic choice. They are mostly recommended for adults, since they are more fragile. Like metal brackets, ceramic brackets are used along with arch wires to help straighten the teeth.
- Aligners: Aligners are a form of orthodontic treatment using a series of clear plastic trays. Aligners were developed as a substitution to the use of metal brackets and wires and allow orthodontic treatment to occur almost “invisibly”.