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

 

Dental patient relaxing.Some people fail to receive the benefits of modern dental treatment because of a simple yet seemingly overwhelming problem: Fear. It isn't uncommon to have a little anxiety about an upcoming dental procedure. But if your fears have kept you away from the dental office when you know you really should go — take heart! Conscious sedation with nitrous oxide can help you lose that anxiety, and make the whole experience so stress-free that you may not even remember it when it's over.

Nitrous oxide, a colorless gas with a slightly sweet odor, has been used in medicine for about a century; however its outdated nickname, “laughing gas,” is undeserved. It's a safe and effective method of administering conscious sedation — which means that you'll stay awake during the procedure. But when nitrous oxide is used in combination with a local anesthetic, you won't feel pain or anxiety. In fact, many patients report a feeling of well-being during this type of sedation. All bodily functions remain normal during the administration of nitrous oxide, and its effects wear off quickly afterwards.

How Is Nitrous Oxide Administered?

Nitrous Oxide.As a form of conscious sedation, nitrous oxide is inhaled through a small mask that fits comfortably over your nose. The gas is mixed with oxygen as it is being delivered, and both gases are always kept at a level that is safe for the body. In just a few minutes, you may start to experience a floating sensation, and perhaps some tingling in the hands and feet. That's a sign that the sedation is working. Once it has been verified that you're calm and comfortable, and that the dose is correct, your dental procedure can begin.

Nitrous oxide itself isn't a substitute for a local anesthetic — it's considered an anxiolytic, which means it makes anxiety disappear. For some procedures, you may still need an anesthetic injection. The difference is, you won't mind. Yet, you won't be asleep — you'll be able to speak, be aware of what's going on, and you will remain in control during the procedure. In fact, the dose can be fine-tuned to just the level of sedation you need.

When the procedure is over, the flow of nitrous oxide is decreased to zero, and the oxygen may be increased. After resting in the chair for a few minutes, you'll be able to sit up, and soon you can resume normal activities like driving. Although the experience has been compared to “having a couple of drinks,” there is very little “hangover” effect afterward.

Who Can Benefit From Nitrous Oxide?

Most people whose anxiety would otherwise keep them out of the dental chair can benefit from conscious sedation with nitrous oxide. Before beginning treatment, we will take a complete medical history, including your use of both prescription and non-prescription medications. If you are pregnant, have COPD (Chronic Obstructive Pulmonary Disease) or some other pulmonary diseases, or are taking certain drugs, it may not be right for you. However, if you feel that you would benefit from a more stress-free experience in the dental office, ask about nitrous oxide conscious sedation.

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