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

 

Toothpaste.Toothpaste: It's something most people use every day, but rarely give much thought to — except, perhaps, when choosing from among the dozens of brands that line the drugstore shelf. Is there any difference between them? What's toothpaste made of… and does it really do what it promises on the box? To answer those questions, let's take a closer look inside the tube.

The soft, slightly grainy paste that you squeeze on your brush is the latest in a long line of tooth-cleaning substances whose first recorded use was around the time of the ancient Egyptians. Those early mixtures had ingredients like crushed bones, pumice and ashes — but you won't find that any more. Modern toothpastes have evolved into an effective means of cleaning teeth and preventing decay. Today, most have a similar set of active ingredients, including:

  • Abrasives, which help remove surface deposits and stains from teeth, and make the mechanical action of brushing more effective. They typically include gentle cleaning and polishing agents like hydrated silica or alumina, calcium carbonate or dicalcium phosphate.
  • Detergents, such as sodium lauryl sulfate, which produce the bubbly foam you may notice when brushing vigorously. They help to break up and dissolve substances that would normally be hard to wash away, just like they do in the laundry — but with far milder ingredients.
  • Fluoride, the vital tooth-protective ingredient in toothpaste. Whether it shows up as sodium fluoride, stannous fluoride or sodium monofluorophosphate (MFP), fluoride has been conclusively proven to help strengthen tooth enamel and prevent decay.

Besides their active ingredients, most toothpastes also contain preservatives, binders, and flavorings — without which they would tend to dry out, separate… or taste awful. In addition, some specialty toothpastes have additional ingredients for therapeutic purposes.

  • Whitening toothpastes generally contain special abrasives or enzymes designed to help remove stains on the tooth's surfaces. Whether or not they will work for you depends on why your teeth aren't white in the first place: If it's an extrinsic (surface) stain, they can be effective; however, they probably won't help with intrinsic (internal) discoloration, which may require a professional whitening treatment.
  • Toothpastes for sensitive teeth often include ingredients like potassium nitrate or strontium chloride, which can block sensations of pain. Teeth may become sensitive when dentin (the material within the tooth, which is normally covered by enamel, or by the gums) becomes exposed in the mouth. These ingredients can make brushing less painful, but it may take a few weeks until you really notice their effects.

What's the best way to choose a toothpaste? The main thing you should look for is the American Dental Association (ADA) Seal of Acceptance on the label. It means that the toothpaste contains fluoride — and that the manufacturer's other claims have been independently tested and verified.

But once you've chosen your favorite, keep this bit of dental wisdom in mind: It's not the brush (or the paste) that keeps your mouth healthy — it's the hand that holds it. Don't forget that regular brushing is one of the best ways to prevent tooth decay and maintain good oral hygiene.

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Toothpaste It's something we put in our mouths every day. Yet for those who actually take the time to read that list of ingredients, it can be hard to figure out what it all means. Dear Doctor magazine breaks it all down and reveals a great way to be sure the claims written on the label can be trusted... Read Article