What is the best children’s orthodontics?
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      string(5568) "As a parent you will surely ask yourself: Does my child need orthodontics? And if he or she needs it, what is the best children's orthodontics? Children's dental health is essential as you can avoid more complicated and expensive treatments in adulthood.

 Without a doubt, the first thing is to visit the dentist, especially the pediatric dentist, who will assess whether your child's dental health is adequate or, on the contrary, he or she needs to apply some treatment.

But, from what age should our children go to the dentist? From our Nart dental clinic we recommend that children from the age of 6 begin with their first check-up.

Before starting we must be clear about the two types of treatments that exist:

Orthodontic treatments:

 Interceptive

 Interceptive treatment, commonly called children's orthodontics, are usually removable appliances, but some of them are fixed.  It is used before permanent dental replacement, in ages between 6 and 11 years, and it is usually started when crowding, occlusion or bite problems such as prognathism or retrognathism are diagnosed.

Corrective

 Corrective treatment can be implemented upon completion of the definitive denture. This type of orthodontics is usually fixed, as well as braces or lingual orthodontics.  Usually, the age to implement corrective orthodontics is approximately 12 years, but it depends on when the patient already has the final teeth. Generally, this type of treatment is not classified within children's orthodontics.

 What are interceptive orthodontic treatments?

Interceptive orthodontic treatments are linked to orthopedic treatments to solve problems of the jaw development or its bone structures. That is, improve the position of the jaw or correct the space of the definitive denture. Children's orthodontics aims to avoid problems in the future when the patient's dental development has fully developed, since these types of anomalies tend to have a high cost due to the need for surgical interventions. Below we will develop the types of problems with their respective solutions but we must clarify that, if you need more detailed information, you should consult your trusted dentist.

Children's orthodontics: problems and solutions

Retrognathia

Bone abnormality due to lack of growth in the jaw bone. That is, with respect to the profile of the face, the jaw is located backwards. To solve retrognathia it is necessary to resort to:
  • Facial mask.
  • Palatine breaker.
 

Prognathism

Deformity that consists of the movement of the jaw forward. To correct prognathism:
  • Chin guard
  • Face mask and combined with palate breaker.
 

Cross bite

It is a type of malocclusion that consists of the upper teeth falling behind the lower ones. Unlike prognathism, crossed jaw is not a jaw-related problem. To solve it, it is necessary to resort to:
  • 2 circuit breakers: McNamara and Two-band circuit breaker.   
Children's orthodontics can be very useful to solve problems in adulthood. However, despite the fact that the child wears interceptive orthodontics, surely in adolescence he must wear corrective orthodontics.  On the other hand, it is highly recommended to correct habits at childhood ages such as thumb sucking or nail biting because they can lead to problems such as atypical swallowing, open bite ... From 2 years of age these types of habits must be eliminated." ["post_title"]=> string(41) "What is the best children's orthodontics?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(4) "open" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(39) "what-is-the-best-childrens-orthodontics" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:38:09" ["post_modified_gmt"]=> string(19) "2021-09-08 08:38:09" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(37) "https://nartclinicadental.com/?p=2492" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [1]=> object(WP_Post)#5244 (24) { ["ID"]=> int(2947) ["post_author"]=> string(1) "6" ["post_date"]=> string(19) "2018-06-07 07:34:33" ["post_date_gmt"]=> string(19) "2018-06-07 07:34:33" ["post_content"]=> string(298) "The case is a 12 year old female patient with a right upper canine in the palate and dental and skeletal malocclusion. The patient was treated with fixed orthodontics and after fenestration of the canine, it was brought into the arch. Finally a fixed lower and removable upper retention was placed." ["post_title"]=> string(23) "Case 1 – Orthodontics" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(19) "case-1-orthodontics" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:33:36" ["post_modified_gmt"]=> string(19) "2021-09-08 08:33:36" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(48) "https://nartclinicadental.com/caso-1-ortodoncia/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [2]=> object(WP_Post)#5242 (24) { ["ID"]=> int(1726) ["post_author"]=> string(1) "6" ["post_date"]=> string(19) "2015-10-06 16:26:31" ["post_date_gmt"]=> string(19) "2015-10-06 16:26:31" ["post_content"]=> string(8255) "The number of adults who got orthodontic treatment is up nearly 40% since 1996, but adults face challenges that many teens do not, like an urgency to get potential gum ailments under control before they get braces.

Braces used to be just for teens.

Growing numbers of adults are having orthodontic treatments, hoping to achieve the perfect smile and bite. And more dentists are offering their grown-up patients appliances designed to be more discreet than traditional metal braces, including clear aligners, porcelain braces and back-of-the-teeth lingual orthodontics. While the principles of straightening teeth are pretty much the same at any age, dental experts say adults should be aware of possible complications. Decades of dental work, including crowns, root canals and cavity fillings, can make it harder for the orthodontist to get the desired result in an older patient. And because the mouth of an adult has finished growing, correcting the teeth might, more often than in adolescents, require oral surgery in addition to braces. Patients seeking orthodontic treatment are getting older, they are greatly influenced by social media, esthetics and appearance, they more conscious of their oral health, they are healthier, their dental health is better, and they’re interested in having their teeth last the rest of their life. There isn’t yet strong evidence, however, to assure whether orthodontic treatment helps teeth last longer. Studies haven’t been able to prove that having straight teeth makes it easier to keep them clean and in better periodontal health but it has been shown recently by an study done at University of Washington by Dr. María Nart that teeth aren’t getting worst after orthodontic treatment. Still, people who have had orthodontic work may take more pride in their teeth and, after making a major investment, want to take better care of them. Their motivation for oral hygiene increases. More than 1.2 million adults in the U.S. received orthodontic treatment in 2012, the most recent numbers available from the American Association of Orthodontists. That is up 39% from 1996. By comparison, about 4.65 million orthodontic procedures were performed for patients age 17 and younger in 2012, up 32% in the same period.

You’re Not a Kid Anymore

What adults should know before getting braces

  • Orthodontic work can be more complex in adults than teens because of crowns, cavity fillings and other past treatments.
  • Braces might not resolve some problems in adults because, unlike teens, the face has stopped growing. Surgery might be needed to fix problems like crossbite.
  • Adults are more prone to gum disease than teens. It’s important to resolve any gum issues before having orthodontic work and to be attentive to hygiene while wearing braces.
  • Treating adults in some cases may take longer than adolescents. Doctors sometimes apply less pressure with adults because of greater sensitivity to pain.
  • Clear aligners, popular because they are less visible, are considered an option for less complicated oral problems.
Treatment costs for adults typically range from $4,800 to $7,135, a little higher than the $4,685 to $6,500 range for adolescents, according to an American Dental Association survey of dental fees from 2013. The main difference between treating adults and adolescents is that the jaws of young people are still growing, which can be helpful in treatment. If a patient’s upper teeth stick out a lot we can hold back the growth of the upper jaw while the lower jaw grows and then facial balance will come. Not so with adults, whose bone and facial structure are fixed. For example, to correct a crossbite in an adult, when the upper teeth bite inside the lower teeth, usually requires changing the size or shape of the jaws surgically to get them to fit correctly. Another tactic when patients have stopped growing: Orthodontists might insert small titanium screws into the bone to use as anchors to pull teeth in the desired direction. Adults must also make sure to clear up any gum and periodontal disease before getting braces, or risk additional bone and soft tissue loss or tooth loss. Children and teens are less prone to gum disease than adults. Orthodontic treatment is only possible if the gums and the bone are healthy and stable. In some cases adults need orthodontic treatment before having other dental work done, such as teeth restorations or implants. In order for the restorations to be aesthetic and function well sometimes the spaces and crowding of the teeth have to be corrected and that would involve getting braces. There doesn’t seem to be an upward age limit for getting braces, as long as the gums and bone are healthy. Harold Walter, who is 87 years old, had his braces removed last week. “I had one tooth that was protruding and I was fearful that I might have to get it pulled out,” he said. The Wichita, Kan., resident, who wore the braces for less than a year, said his teeth now “feel great and they look great.” Surprisingly, studies have found that teeth of men and women today tend to be more crooked than those of people who lived centuries ago. Diet is probably a contributing factor, experts say. One theory is that modern civilizations have evolved to use the jaw less in chewing food so our jaw size may be decreasing relative to our teeth. Another theory is that when unprocessed and hard foods were the main diet there was less teeth crowding because the teeth would be worn down, leading to more space. Nearly a third of adults getting braces had them when they were younger but their teeth since shifted because they didn’t continue to wear a retainer. Most orthodontists recommend putting in a retainer at night indefinitely. An alternative is to get a bonded retainer, which involves permanently gluing small wires to the back of the teeth to hold them in place. For adults self-conscious about wearing metal braces, other options are more discrete, but often cost more and may not suit every patient. Plastic clear aligners sit firmly over the teeth and are changed every few weeks as the teeth shift. Orthodontists say clear aligners can be a good option for less complex cases. Also less visible are porcelain braces and lingual orthodontics, or braces glued to the back of the teeth. Ken Dillehay, an orthodontist in Wichita, Kan., and a member of the American Association of Orthodontists’ board of trustees, said adult treatment can sometimes take a few months longer than for children, in part because of possible additional challenges with adults getting braces. The average treatment time for adults is 24 to 30 months, compared with 18 to 22 months for adolescents, Dr. Dillehay estimates. Dr. Aamodt, of UCSF, said he often uses a more gradual treatment for his adult patients, including lighter wires and less pressure, because they tend to feel more pain from forces placed on the teeth. Adults also should have lower expectations for orthodontic treatment because a history of dental work and disease makes the procedure more difficult than with teens. “Our goal for treatment of children is to achieve perfection,” Dr. Aamodt said. That often isn’t possible in grown-ups, he said, “so our goal for treatment of adults is to achieve the best compromise.” ortodoncia en adultos 2 ortodoncia en adultos

" ["post_title"]=> string(34) "Why More Adults Are Getting Braces" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(34) "why-more-adults-are-getting-braces" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:43:41" ["post_modified_gmt"]=> string(19) "2021-09-08 08:43:41" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(65) "https://nartclinicadental.com/why-more-adults-are-getting-braces/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [3]=> object(WP_Post)#4783 (24) { ["ID"]=> int(1717) ["post_author"]=> string(1) "6" ["post_date"]=> string(19) "2010-08-05 10:26:26" ["post_date_gmt"]=> string(19) "2010-08-05 10:26:26" ["post_content"]=> string(537) "ortodoncia-infantil 12 years old patient with canine tooth included in the palate and skeletal/dental malocclusion. Patient was treated with fixed orthodontics and fenestration of the canine was carried out to replace it in the right position of the arch. Finally a fixed retention was placed in the lower teeth and a removable retainer was used for the upper teeth." ["post_title"]=> string(42) "Orthodontics and Orthopedics clinical case" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(42) "orthodontics-and-orthopedics-clinical-case" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:46:44" ["post_modified_gmt"]=> string(19) "2021-09-08 08:46:44" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(73) "https://nartclinicadental.com/orthodontics-and-orthopedics-clinical-case/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } } ["post_count"]=> int(4) ["current_post"]=> int(-1) ["in_the_loop"]=> bool(false) ["post"]=> object(WP_Post)#5252 (24) { ["ID"]=> int(2492) ["post_author"]=> string(1) "6" ["post_date"]=> string(19) "2021-04-09 08:23:57" ["post_date_gmt"]=> string(19) "2021-04-09 08:23:57" ["post_content"]=> string(5568) "As a parent you will surely ask yourself: Does my child need orthodontics? And if he or she needs it, what is the best children's orthodontics? Children's dental health is essential as you can avoid more complicated and expensive treatments in adulthood.  Without a doubt, the first thing is to visit the dentist, especially the pediatric dentist, who will assess whether your child's dental health is adequate or, on the contrary, he or she needs to apply some treatment. But, from what age should our children go to the dentist? From our Nart dental clinic we recommend that children from the age of 6 begin with their first check-up. Before starting we must be clear about the two types of treatments that exist:

Orthodontic treatments:

 Interceptive

 Interceptive treatment, commonly called children's orthodontics, are usually removable appliances, but some of them are fixed.  It is used before permanent dental replacement, in ages between 6 and 11 years, and it is usually started when crowding, occlusion or bite problems such as prognathism or retrognathism are diagnosed.

Corrective

 Corrective treatment can be implemented upon completion of the definitive denture. This type of orthodontics is usually fixed, as well as braces or lingual orthodontics.  Usually, the age to implement corrective orthodontics is approximately 12 years, but it depends on when the patient already has the final teeth. Generally, this type of treatment is not classified within children's orthodontics.

 What are interceptive orthodontic treatments?

Interceptive orthodontic treatments are linked to orthopedic treatments to solve problems of the jaw development or its bone structures. That is, improve the position of the jaw or correct the space of the definitive denture. Children's orthodontics aims to avoid problems in the future when the patient's dental development has fully developed, since these types of anomalies tend to have a high cost due to the need for surgical interventions. Below we will develop the types of problems with their respective solutions but we must clarify that, if you need more detailed information, you should consult your trusted dentist.

Children's orthodontics: problems and solutions

Retrognathia

Bone abnormality due to lack of growth in the jaw bone. That is, with respect to the profile of the face, the jaw is located backwards. To solve retrognathia it is necessary to resort to:
  • Facial mask.
  • Palatine breaker.
 

Prognathism

Deformity that consists of the movement of the jaw forward. To correct prognathism:
  • Chin guard
  • Face mask and combined with palate breaker.
 

Cross bite

It is a type of malocclusion that consists of the upper teeth falling behind the lower ones. Unlike prognathism, crossed jaw is not a jaw-related problem. To solve it, it is necessary to resort to:
  • 2 circuit breakers: McNamara and Two-band circuit breaker.   
Children's orthodontics can be very useful to solve problems in adulthood. However, despite the fact that the child wears interceptive orthodontics, surely in adolescence he must wear corrective orthodontics.  On the other hand, it is highly recommended to correct habits at childhood ages such as thumb sucking or nail biting because they can lead to problems such as atypical swallowing, open bite ... From 2 years of age these types of habits must be eliminated." ["post_title"]=> string(41) "What is the best children's orthodontics?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(4) "open" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(39) "what-is-the-best-childrens-orthodontics" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:38:09" ["post_modified_gmt"]=> string(19) "2021-09-08 08:38:09" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(37) "https://nartclinicadental.com/?p=2492" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } ["comment_count"]=> int(0) ["current_comment"]=> int(-1) ["found_posts"]=> int(4) ["max_num_pages"]=> float(1) ["max_num_comment_pages"]=> int(0) ["is_single"]=> bool(false) ["is_preview"]=> bool(false) ["is_page"]=> bool(false) ["is_archive"]=> bool(true) ["is_date"]=> bool(false) ["is_year"]=> bool(false) ["is_month"]=> bool(false) ["is_day"]=> bool(false) ["is_time"]=> bool(false) ["is_author"]=> bool(true) ["is_category"]=> bool(false) ["is_tag"]=> bool(false) ["is_tax"]=> bool(false) ["is_search"]=> bool(false) ["is_feed"]=> bool(false) ["is_comment_feed"]=> bool(false) ["is_trackback"]=> bool(false) ["is_home"]=> bool(false) ["is_privacy_policy"]=> bool(false) ["is_404"]=> bool(false) ["is_embed"]=> bool(false) ["is_paged"]=> bool(false) ["is_admin"]=> bool(false) ["is_attachment"]=> bool(false) ["is_singular"]=> bool(false) ["is_robots"]=> bool(false) ["is_favicon"]=> bool(false) ["is_posts_page"]=> bool(false) ["is_post_type_archive"]=> bool(false) ["query_vars_hash":"WP_Query":private]=> string(32) "af05d46518adf649499ff94d5fa482de" ["query_vars_changed":"WP_Query":private]=> bool(true) ["thumbnails_cached"]=> bool(false) ["stopwords":"WP_Query":private]=> NULL ["compat_fields":"WP_Query":private]=> array(2) { [0]=> string(15) "query_vars_hash" [1]=> string(18) "query_vars_changed" } ["compat_methods":"WP_Query":private]=> array(2) { [0]=> string(16) "init_query_flags" [1]=> string(15) "parse_tax_query" } }

Dra. María Nart Molina

Dr. María Nart Molina is a specialist in Orthodontics and Dentofacial Orthopedics. She has a degree in dentistry from the UIC (2009) specializing in orthodontics and dentofacial orthopedics. She has also trained at the University of Washington with a Master of Science in Dentistry.

Currently, Dr. Maria Nart Molina is an associate professor in the Department of Orthodontics at the UIC and writes periodically for national and international publications.

She is a member of the Spanish Society of Orthodontics (SEDO), American Association of Orthodontics (AAO) and World Federation of Orthodontics (WFO).

Latest news from Dra. María Nart Molina

09 Apr 2021

What is the best children’s orthodontics?

As a parent you will surely ask yourself: Does my child need orthodontics? And if he or she needs it, what is the best children’s orthodontics? Children’s

...

07 Jun 2018

Case 1 – Orthodontics

The case is a 12 year old female patient with a right upper canine in the palate and dental and skeletal malocclusion The patient was treated with fixed orthodontics

...

06 Oct 2015

Why More Adults Are Getting Braces

The number of adults who got orthodontic treatment is up nearly 40% since 1996, but adults face challenges that many teens do not, like an urgency to get potential

...

05 Aug 2010

Orthodontics and Orthopedics clinical case

12 years old patient with canine tooth included in the palate and skeletal/dental malocclusion

Patient was treated with fixed orthodontics and fenestration

...

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