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

 

Before and After Smile Makeover.Smiling with confidence makes you feel great. A beautiful smile is also an important social and professional asset. Yet there are many people who avoid showing their teeth in public or in photographs because they don't like what they see. If that describes you, then why not start the process of getting the smile you've always wanted with a smile makeover?

A smile makeover goes beyond simply responding to dental problems as they arise. It's a comprehensive smile-rejuvenation plan that's uniquely suited to your own facial features and aesthetic preferences. The results can be quite dramatic — both in terms of how your will look and how you will feel. These are the major steps involved:

Take a look. The makeover process is all about giving you the smile of your dreams. So take a good look at your smile and note what you like and don't like about it. Some questions you can ask yourself are:

  • Are your teeth as white as you'd like them to be?
  • Are any teeth chipped, cracked or worn?
  • Does your smile have a gummy appearance?
  • Do your teeth seem too large or small?
  • Do you like the alignment and spacing of your teeth
  • Are you self-conscious about crookedness or gaps?

Remember, beauty is in the eye of the beholder… and that's you! Some people want their smile to look “perfect” — and to them, that means completely straight, uniformly white teeth. Others like a slightly more natural look, and are not displeased by slight gaps or shade variations. There are lots of decisions to make, but don't worry — dentists are skilled at helping you sort it all out!

Cosmetic dentistry video

Share your thoughts. Communication is an extremely important part of the smile makeover process. At the first makeover consultation, it helps if you describe what you would like to change in as much detail as possible. Bring along pictures of smiles you like, or of how your own smile used to look. Your makeover dentist will have some thoughts to share with you as well because dentists are trained to look at smiles in terms of facial balance. In other words, a dentist will look not only at how the elements of a smile (teeth, lips and gums) relate to each other, but also how they blend in with the face as a whole.

Make a plan. An important part of planning a smile makeover is a comprehensive dental exam. Cosmetic dentistry offers an amazing array of lifelike tooth restorations and treatments; but first, any conditions in your mouth that may jeopardize a good result must be taken care of. If your teeth are discolored, for example, the reason must be determined. You may have an underlying dental disease that needs to be treated before whitening your teeth; otherwise, the whitening may not last. Likewise, if you often drink red wine or other beverages that stain, you might do better with porcelain veneers than bleaching treatments.

Try it out. A smile makeover is an investment that is meant to last. That's why many of the procedures performed are irreversible. So if you are contemplating some changes, it's a great idea to try them out before you fully commit to them. There are many ways to preview the results: computer imaging, 3-D models, and even placing temporary restorations on your teeth so you can see what the final results will look and feel like in your own mouth. This also allows a fine-tuning of the makeover plan.

A “trial smile” is a great way to eliminate unknowns in the makeover process. But when it's all done, there's still one thing you may not be prepared for: how great it feels to flash your new smile to the world!

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