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Treatment Timing and Phases
First Phase Orthodontic Treatment:
Early Treatment, sometimes called "Interceptive" care usually occurs between the ages of 7 to 9. Treatment usually takes twelve to eighteen months, and is recommended to correct specific problems. A variety of appliances may be used:
Braces: Placed on the upper and sometimes lower permanent teeth
Headgear: Worn to move the upper molars back
Rapid Palatal Expander: Worn to widen the upper jaw
Frozat Appliance: A lower arch expander used to create space
Face Mask: Worn to move the upper jaw and/or teeth forward
Functional Appliance: A removable "retainer" worn to redirect jaw growth
When is the best time to begin orthodontics?
Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense. The American Association of Orthodontists recommends the initial orthodontic evaluation occur at the first sign of orthodontic problems, or no later than age 7. At this early age, orthodontic treatment may not be necessary, but vigilant examination can anticipate the most advantageous time to begin treatment.
What are the benefits of early orthodontic evaluation?
Early evaluation provides both timely detection of problems and greater opportunity for more effective treatment. Prudent intervention guides growth and development, preventing serious problems later. When orthodontic intervention is not necessary, an orthodontist can carefully monitor growth and development and begin treatment when it is ideal.
Why is age 7 considered the optimal time for screening?
By the age of 7, the first adult molars erupt, establishing the back bite. During this time, an orthodontist can evaluate front-to-back and side-to-side tooth relationships. For example, the presence of erupting incisors can indicate possible overbite, openbite, or gummy smiles. Timely screening increases the chances for an incredible smile.
What are the advantages of interceptive treatment?
Some of the most direct results of interceptive treatment are:
* Creating room for crowded, erupting teeth. * Creating facial symmetry though influencing jaw growth. * Reducing the risk of tauma to protruding front teeth. * Preserving space for unerupted teeth. * Reducing the need for tooth removal. * Reducing treatment time with braces. Maintenance Phase
During the time between the first and second phase the patient will be seen approximately two times a year. The patient may wear a retainer during the maintenance phase of care.
Second Phase (if necessary)
At approximately age 12 to 13, Dr. Jusino will evaluate to determine if a second phase of treatment is necessary. During the first phase of treatment, Dr. Jusino has no control over the (16) unerupted permanent teeth. As the permanent teeth erupt, if problems still exist, further treatment will be recommended. Typically, Phase Two involves a full set of braces. Treatment usually takes twelve to twenty- four months.
Full Treatment:
Most often, treatment will be started when all permanent teeth have erupted. Full treatment usually takes twenty-four to thirty months at 12 to 14 years of age. The length of treatment depends on several factors, including:
Severity of the problem Age of the patient
Patient Cooperation Keeping appointments
As an Orthodontic Specialist, Dr. Jusino is trained to diagnose and recommend the best treatment plan for you. During the initial examination appointment, Dr. Jusino will advise you if 2-Phase treatment is necessary, or if Full Treatment is recommended. The advantages and disadvantages of pursuing a 2-phase program or a full treatment program will be presented.
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