Services
Early Interceptive Orthodontics
HABIT-BREAKING APPLIANCES AND GROWTH MODIFICATION TREATMENT
What is early interceptive orthodontics?
Early interceptive orthodontics is a proactive approach in orthodontic treatment aimed at identifying and addressing potential dental and skeletal issues at an early age. This form of treatment involves the use of habit-breaking appliances and growth modification techniques to guide the proper development of a child's teeth and jaws. Interceptive orthodontic treatment is often a first phase treatment and may require a second phase of orthodontic treatment at a later age. By intervening early, orthodontists can prevent more severe problems from developing, thereby reducing the need for more extensive treatment later on.
Habit-breaking appliances
Habit-breaking appliances are non-invasive devices designed to help children stop detrimental oral habits such as thumb sucking, tongue thrusting, or prolonged use of pacifiers. These habits, if left unaddressed, can lead to malocclusions (misalignment of teeth), speech problems and possible growth disorders between the upper and the lower jaw.
Common habit-breaking appliances include:
- Tongue cribs: Custom-made appliances, designed to discourage habits like thumb-sucking and tongue thrusting by making them more uncomfortable or difficult to perform.
- Bluegrass or similar appliances: Fixed or removable appliances which has a loose roller or a bead that distracts the child from thumb-sucking and promotes the correct tongue position.
Growth modification treatment
Growth modification treatment in orthodontics aims to influence the growth of the jaws and facial bones to ensure they develop in proper proportions, especially during childhood and adolescence when significant growth spurts occur.
Techniques and appliances used in growth modification include:
- Headgear or facemasks: Worn outside the mouth, typically at night to stimulate or deter growth of the jaws and facial bones.
- Functional appliances: Functional appliances, such as the Herbst or Twin Block appliances, aim to modify the position of the lower jaw relative to the upper jaw.
- Palatal expanders: Palatal expanders are utilised to widen the upper jaw, creating additional space for aligning the teeth.
When is early interceptive orthodontics indicated?
Early interceptive orthodontics is typically indicated in children between the ages of 6 and 10, but the exact timing varies depending on individual needs. Indications for this type of treatment include:
- Malocclusions: Such as crossbites, open bites, and severe crowding.
- Jaw Discrepancies: Issues with the size or position of the jaws.
- Habits: Prolonged thumb sucking, tongue thrusting, or pacifier use.
- Early Loss of Primary Teeth: Leading to space issues for permanent teeth.
- Speech or Chewing Problems: Resulting from misaligned teeth or jaws.
Process of Early Interceptive Orthodontics
Step 1 - Initial Consultation:
The process begins with a comprehensive examination by Dr Rozanne Opperman. This includes a review of the child’s dental and medical history, clinical examination, and the taking of radiographs and impressions if necessary.
Step 2 - Diagnosis and Treatment Planning:
Based on the assessment of clinical findings and orthodontic records, Dr Opperman will diagnose the specific issues and develop a personalised treatment plan. This plan will outline the recommended habit-breaking appliances or growth modification techniques.
Step 3 – Case Discussion:
A case discussion appointment is usually scheduled a week or two following the initial consultation. Dr Opperman will discuss her findings with the patient and his/her parents and outline the treatment plan. The appliance to be used and an estimate of treatment costs and duration will also be reviewed.
Step 4 – Commencement of Treatment:
Treatment will commence with appliance fabrication once the presented treatment plan is accepted. Impressions are taken and send to a dental laboratory to construct the appliance.
Step 5 – Appliance Delivery:
The appliances is typically ready to be fitted a week or two later. Dr Opperman will make sure that the appliance fits perfectly and make adjustments as necessary. Instructions regarding appliance wear and cleaning will be provided.
Step 6 - Follow-up visits:
Follow-up visits are scheduled every 4 to 8 weeks. It's essential to attend regular follow-up appointments to track progress and make any needed adjustments to the appliances. These visits ensure that the treatment is on track and allow Dr Opperman to address any emerging issues promptly.
Step 7 - Completion and Evaluation:
Once the desired results are achieved, the appliances are removed. A final assessment will be performed to verify that the treatment goals have been achieved. Retainers or other maintenance devices may be recommended to preserve the results.
Step 8 - Long-term follow-up:
Periodic check-ups will be scheduled to monitor the stability of the treatment and address any future orthodontic needs as the child grows.
“Smiles are the poetry of life,
and orthodontics is the art that helps create the masterpiece.”
ANONYMOUS