The American Association of Orthodontists recommends that all children see an orthodontist by at least age seven and sooner if something is obviously wrong before age seven. Fortunately, most young patients don't need anything more than observation while the permanent teeth are growing into place.

Many young patients have problems, which will not, or should not wait. Most orthodontic problems are inherited and cannot be totally prevented; however something can usually be done before these problems become more difficult and more expensive to manage.

It is advisable to consult with an orthodontist prior to having your dentist remove any baby teeth or permanent teeth. To ensure the best overall dental and facial development, all patients should have an orthodontic consultation sometime between the ages of four and seven.

Dr. Bock offers early examinations and observation consultations. Contact us to schedule a complimentary consultation.

Classifications of Teeth

The classification of bites is divided into three main categories: Class I, II, and III. This classification refers to the position of the first molars, and how they fit together.

Class I
Class I is a normal relationship between the upper teeth, lower teeth and jaws or balanced bite.


Class I normal



Class I crowding

 

Class I spacing
 

 

Class II
Class II is where the lower first molar is posterior (or more towards the back of the mouth) than the upper first molar. In this abnormal relationship, the upper front teeth and jaw project further forward than the lower teeth and jaw. There is a convex appearance in profile with a receding chin and lower lip. Class II problems can be due to insufficient growth of the lower jaw, an over growth of the upper jaw or a combination of the two. In many cases, Class II problems are genetically inherited and can be aggravated by environmental factors such as finger sucking. Class II problems are treated via growth redirection to bring the upper teeth, lower teeth and jaws into harmony.

 

 
Class II division 1

 
 
Class II division 2

 

 

Class III
Class III is where the lower first molar is anterior (or more towards the front of the mouth) than the upper first molar. In this abnormal relationship, the lower teeth and jaw project further forward than the upper teeth and jaws. There is a concave appearance in profile with a prominent chin. Class III problems are usually due to an overgrowth in the lower jaw, undergrowth of the upper jaw or a combination of the two. Like Class II problems, they can be genetically inherited. Class III problems are usually treated via surgical correction of one or both jaws.

 
Class III functional or dental

 
 
Class III skeletal

 

 

Orthodontic Problems

 
Overjet
Upper front teeth protrude


 
 
Deep bite
Upper front teeth cover lower front teeth too much

 
 
Underbite
Lower front teeth protrude


 
 
Open bite
Back teeth are together with space between the front teeth


 

Crowding
Upper and/or lower teeth are crowded


 

Excess Spacing
There is excess space between teeth


 

Mid-Line Misalignment
Mid-lines of upper and lower arches do not line up

 

Crossbite
Upper back teeth fit inside lower teeth

Phases of Treatment

Phase I: Treatment usually takes 12 to 18 months and is done between the ages of 7-9. A variety of appliances may be used to correct specific problems.

Maintenance / Recall Phase: During the time between the first and second phase the patient will be seen every few months per year. This is to monitor the eruption of the permanent teeth and exfoliation of primary teeth.

Phase II (if required): During the first phase of treatment Dr. Bock has no control over 16 unerupted permanent teeth. If they grow in and problems still exist, further treatment, known as Phase II, will be required. A separate fee will be quoted at that time. Treatment usually takes 12-24 months.

Full Treatment: If you decide to wait, treatment will be started when all permanent teeth have erupted. Full treatment usually takes 18-30 months. The length of treatment depends on the severity of malocclusion and orthodontic problems.

Proper Braces Care and Brushing Techniques

Brushing and flossing your teeth can be challenging when wearing braces but it is extremely important that you do both consistently and thoroughly.

 
 
 


Foods to Avoid During Treatment: Eating proper foods and minimizing sugar intake are essential during orthodontic treatment. Your braces can be damaged by eating hard, sticky, and chewy foods.

  • Hard foods : Nuts, Candy, Hard Pretzels
  • Crunchy foods : Popcorn, Ice, Chips, etc.
  • Sticky foods : Gum, Chewy Candy (Skittles, Taffy, Gummy Bears, Caramel, etc.)
  • Chewy foods : Bagels, Hard Rolls, etc.
  • Foods you have to bite into : Corn on the Cob, Apples, Carrots (cut these foods up into smaller pieces and chew on back teeth)
  • Chewing on Hard Objects (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

Hard Foods

 

Soft Foods

 

Mouthguard.Today most adults recognize that leading a healthy, active lifestyle is a big plus. Moderate exercise has been shown to help lower blood pressure, keep cholesterol levels under control, and even reduce feelings of anxiety or depression. To stay active, some 150 million adults in the United States get involved in sports or physical recreation every year. And every year, some of those active folks wind up being treated for sports-related dental injuries.

Who is apt to suffer this kind of injury? Men are more likely than women, but only by a few percentage points. For both sexes, the injury rate falls off rapidly after the teen years — although older athletes tend to have more severe problems. But if you thought that contact sports like football and hockey produced the greatest number of injuries…then it's time to think again: Adult males are far more likely to be injured playing basketball!

Baseball, bicycling, handball, skiing, surfing and equestrian sports — plus some two dozen others — are activities that the American Dental Association (ADA) has identified as potential causes of dental injury in adults.

Don't get us wrong: There's no question that the benefits of physical activity far outweigh the possibility of being hurt. But when serious dental injury occurs, it can result in pain, time taken away from work or the family, and high treatment costs — which often aren't covered by insurance. If you had a piece of equipment, endorsed by the ADA, which could reduce the risk of sports-related dental injury by 60 times… would you use it?

An Indispensable Part of Your Sports Gear: The Mouthguard

Athletic mouthguards.

A high-quality, custom-made mouthguard should be part of every athlete's equipment. What's a mouthguard? It's a small protective device that fits over your teeth and absorbs the force of an impact, helping to protect the mouth from damage. There are different kinds of mouthguards, available from various sources. They include:

  • “Off-the shelf” types. Found in some sports retailers and big-box stores, these inexpensive guards come in S-M-L sizes, and are generally worn by clenching them between the teeth. They are probably better than nothing, if you don't mind wearing them—but they can be uncomfortable, and are of uncertain quality.
  • “Boil and bite” guards. This type of mouthguard is meant to be softened by heat, and then molded into shape by fingers, teeth and tongue. It's a better choice than the first kind, but there can be wide variation in how much mouth coverage these guards provide—and in their effectiveness.
  • The custom-fabricated mouthguard. This is the one that's made just for you: First a model of your teeth is prepared, and then is individually fabricated into a piece of protective gear for a perfect fit. It's strong, lightweight and comfortable — which means you can wear it comfortably. Because, after all, if you don't wear it, it doesn't help.

Custom-made mouthguards are an indispensable piece of equipment — especially when they could save you the inconvenience (and potentially much higher cost) of restoring or replacing teeth. So if you're the active type, consider having a custom mouthguard made for you. It's the best way to prevent a dental injury from spoiling your game.

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