Orthodontic treatment in primary dentition can provide long-term benefits for children, helping to prevent the development of malocclusion in the permanent dentition. The goal of early treatment is to stop asymmetry from worsening or to improve it, and this is usually done with removable functional appliances. In cases of severe asymmetry, orthognathic surgery may be necessary. Orthodontic appliances are used to move teeth around the body, and they should be reactivated at intervals of 4 to 6 weeks with light and continuous force.
The ultimate goal of comprehensive orthodontic treatment is to restore the occlusion (the bite) to its optimal level. Proper tooth extraction during orthodontic treatment should leave the patient with excellent function and a pleasant appearance. Retention is necessary to keep teeth in their new position, and monthly visits during orthodontic treatment are recommended for best results. The objectives of orthodontic care in primary dentition should be to treat conditions that predispose to developing malocclusion in the permanent dentition or to monitor conditions that are better treated later on.
Some primary dentition problems can be treated effectively and the outcome provides long-term benefit. Skeletal problems are only addressed if there is progressive asymmetry as a result of a functional alteration. The reason for treating these patients on time is that treatment at a later time can be more difficult and complex if the child continues to grow asymmetrically and if dental compensation increases. The goal of early treatment is to prevent the asymmetry from worsening or to alter growth so that the asymmetry improves.
Most patients with progressive asymmetry are first treated with removable functional appliances that are designed to alter growth by manipulating the relationships between the skeleton and soft tissue and allowing for differential eruption of the teeth. Orthognathic surgery is a second treatment for progressive asymmetry, but it is reserved for patients with the most severe asymmetry or for those whose condition does not respond to therapy with functional appliances. It may be necessary to operate a second time when the child is older, because growth tends to remain asymmetrical even after surgical correction. Because the diagnosis and treatment of progressive asymmetry are difficult, it is recommended that these cases be referred to a specialist for evaluation and treatment.
A specialist or specialized team works to minimize facial disfigurement through early surgical and orthodontic intervention. Orthodontic appliances designed to move teeth around the body are rarely indicated, but subsequent cross-bite correction is one of them. The clinical implication of cellular change, tooth movement and cellular reorganization is that orthodontic appliances should only be reactivated at intervals of 4 to 6 weeks with light and continuous force to avoid injuries to the periodontium. The goal of comprehensive orthodontic treatment is to correct the identified problem and restore the occlusion (the bite) to its optimal level.
When a molar of milk is lost, an orthodontic device with a fixed wire is usually placed between the teeth to maintain space for the permanent tooth. The success of orthodontic treatment is a “two-way street” that requires a constant and cooperative effort on the part of both the orthodontist and the patient. Treatment can begin while patients have primary teeth, when they have a combination of primary and permanent teeth, or when all of their permanent teeth are in place. Retention is necessary because teeth that have been moved orthodontically tend to fall back or fall back into their original position after removing the appliance.
When the tooth has been moved a certain distance, the force exerted by the orthodontic appliance decreases to an amount lower than that needed for the tooth to move. The MSc indicates that the person has obtained a master's degree in science, generally associated with orthodontic training. Therefore, there is some biological basis for recommending monthly visits during orthodontic treatment. You should trust the orthodontist and his staff, and trust their ability to provide you with the best possible care.
