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

 

Laser Dentistry.They are inside your laptop computer and your DVD player, present on the factory floor and the supermarket checkout line. And now, lasers are finding increasing use in dentistry. Someday soon, you may have a routine dental procedure performed with the aid of a powerful, yet highly controllable beam of laser light, instead of a drill or a probe.

What are dentists currently using lasers for? These devices have been proven to help in the detection and treatment of oral diseases. They can be used for treating gum disease, detecting cancer, and pinpointing tooth decay in its early stages. They can precisely remove tissue, seal painful ulcerations like canker sores, and even treat small cavities. In the future, dental laser technology will undoubtedly find even more applications.

How Do Lasers Work?

Lasers take advantage of the quantum behavior of electrons, tiny particles inside atoms. By stimulating atoms with pulses of energy, and then using a method of optical amplification, they cause the atoms to produce a beam of coherent light. Essentially, that means that they emit light which has a great deal of energy, yet can be precisely controlled. It's the combination of high energy and precision that make lasers so useful.

Where Are Lasers Being Used?

At present, the use of lasers in dentistry falls into three general categories: disease detection, soft tissue treatments, and hard tissue treatments.

There are many ways lasers can aid in diagnosis. Laser light of specific wavelength, for example, can detect tiny pits and fissures in the biting surfaces of the tooth that a traditional dental tool can't find. This enables a defect that's too small to be treated at present to be carefully monitored. Lasers can also help locate dental calculus (tartar) beneath the surface of the gums, and can even aid in the detection of oral cancer in its early stages, accurately showing where healthy tissue ends and diseased tissue begins.

For the treatment of soft tissue problems, lasers have many advantages. They are minimally invasive tools that generally involve taking away less tissue than conventional methods. Used in gum surgery, for example, lasers can treat gum disease by killing harmful bacteria deep in pockets below the gum line, and removing the diseased tissue without harming the healthy tissue. They can also remove the thin layer of cells that inhibits reattachment of the gum and bone tissues to the tooth, while sealing off the adjacent blood vessels. This type of procedure generally results in less bleeding and pain. Lasers are also effective in treating ulcers and sores on the lips or gums.

Lasers are even finding increasing use for hard-tissue procedures, like the treatment of dental caries and cavities. Not only are they more exact in the amount of material they remove, but they eliminate the noise and vibration of the dental drill, which is uncomfortable for some patients.

As lasers become more common in the dental office, these high-tech tools will be integrated into routine dental practice. This promising technology already offers some real benefits, and is sure to find increasing use in the near future.

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