Early treatment may be necessary for younger patients to allow for proper dentofacial development as well as proper tooth positioning. We only recommend early treatment when it will make a difference to your child’s long term dental development and minimize treatment spent in braces or prevent the need for a permanent tooth removed.
Patients who have had long standing malocclusions or who have suffered trauma to their lower jaw, can have pain in their “jaw-joints” or temporomandibular joints (TMJ). There are times when patients can not open their months completely, have a deviation to one side with opening and have serve pain that mimics an ear ache.
Comprehensive orthodontic treatment is usually done when most of the permanent teeth have erupted. As mentioned above, early correction of a skeletal problem can dramatically shorten the length of time that braces or Invisalign are worn.
There are times especially in adults and “non-growing” patients where the bones are not in alignment. Orthognathic surgery in combination with orthodontics can be used when the skeletal correction is beyond what can be achieved with orthodontics alone or where greatly enhanced facial balance can be achieved by putting the bones into alignment.
Missing permanent teeth including congenitally missing teeth can be replaced with implants during or after orthodontic treatment. Often times, having the implant and a temporary crown in place (if the patient is age-appropriate) prior to removing braces will help with stability and may prevent adjacent teeth from shifting into the space.