Last updated on December 12, 2023
Doctor, I heard that even if I do the first phase of pediatric orthodontic treatment, I have to straighten my teeth again after the permanent teeth come in.
What happens if I stop orthodontics for children in the first phase of treatment?
Many people think that orthodontic treatment for children is just the first stage of treatment, thinking that if they do it when they are children, their permanent teeth will grow in nicely.
So what is the actual situation?
This time,This section describes what happens when the first phase of orthodontic treatment for children is stopped!
- What is the first phase of orthodontic treatment for children?
- What happens when the first phase of pediatric orthodontic treatment is stopped?
- What to consider when stopping the first phase of orthodontic treatment for children
What is the first phase of orthodontic treatment for children?
What is the first phase of orthodontic treatment for children,Orthodontic treatment during the period when baby teeth are changing to permanent teeth.It is.
Children around 3 to 12 years of age are eligible for treatment, and the following treatments are performed according to the growth and growth of the jaw.
- Children with bucktooth tendency → inhibit growth of upper jaw, promote growth of lower jaw
- Children with a tendency to have a passive mouth → promote the growth of the upper jaw and inhibit the growth of the lower jaw
- Improvement of mouth breathing due to tongue habit, etc.
from thisEarly elimination of factors that disrupt the alignment and bite of the permanent teeth, and the ideal growth of the child's upper and lower jaws.It is.
In contrast to the first phase of orthodontic treatment, there is also a second phase of orthodontic treatment, which is performed at the age of 12 or later, when the permanent teeth have come in.
The second phase of treatment is the finishing orthodontic treatment to align and align the teeth and bite of the permanent teeth that will be used for the rest of the patient's life.
Basically, the treatment is the same as orthodontic treatment for adults to align and align the permanent teeth and bite.
However, because the base for aligning permanent teeth is created at the skeletal level during the first phase of treatment, abnormalities in tooth alignment and bite are often mild compared to adult orthodontics,
- Treatment time may be shorter than adult orthodontic treatment
- Possible to avoid tooth extraction and jaw bone cutting procedures
This has the advantage of reducing the burden on the child who wants orthodontic treatment in terms of
Phase I treatment alone cannot control permanent teeth embedded in the jaw.
Therefore,In pediatric orthodontics, after the first phase of treatment, it is advisable to continue to the second phase.
What happens when the first phase of pediatric orthodontic treatment is stopped?
If the child stops orthodontic treatment in the first stage of treatment,Permanent teeth may not be aligned and bite aligned.
Permanent teeth may not line up in the first stage of treatment alone.
Some people think that the first stage of treatment will result in a clean eruption of permanent teeth in the jawbone.
However,In fact, in many cases, the permanent teeth do not erupt cleanly after only the first stage of treatment.It is.
In some cases, permanent teeth waiting in the jaw are broken up and the disruption of tooth alignment is reduced, but the permanent teeth buried in the jaw cannot be controlled to erupt cleanly during the first phase of treatment.
If there are permanent teeth that are crooked or malpositioned in the jaw, it is unlikely that the permanent teeth will be aligned well with only Phase I treatment.
It is likely that the permanent teeth will be misaligned after only completing the first phase of treatment, and a second phase of treatment will be necessary to clean them up.
Jaw growth can disrupt the bite.
The growth of the upper and lower jaw,
- Upper jaw → peaks around age 10
- Mandible → peaks around age 15 for females and around age 18 for males
It is. Therefore,Even after the first phase of treatment is completed, the risk of bite deterioration due to jaw growth will remain.
Even if the balance and bite of the upper and lower jaws are well aligned at the end of the first phase of treatment, the growth of the jaws may again disturb the balance and bite of the upper and lower jaws.
Jaw growth is often related to genetic factors.
Note that Phase I treatment alone may not be sufficient to fully resolve bite problems, especially if the patient is expected to be genetically predisposed to bucktooth or a passive mouth.
What to consider when stopping the first phase of orthodontic treatment for children
If you want to stop orthodontic treatment for children after only the first phase of treatment,Note that there is a risk of misalignment of the permanent teeth and bite.
Creating a jaw base for the permanent teeth in the first stage of treatment does not ensure that the permanent teeth in the jaw will erupt cleanly and fit together.
Even if the permanent teeth are beautifully aligned, if the bite is not properly aligned, the teeth are often disrupted by the force of chewing.
Pediatric orthodontics is,
- Phase 1 treatment creates a base for permanent tooth alignment.
- Second stage treatment to tilt and position permanent teeth.
The basic treatment is a two-step process.
When orthodontic treatment is done for children, it is advisable to do so through the second phase of treatment.
What is the first phase of orthodontic treatment for children,Preventive orthodontic treatment performed during the stage of deciduous teethIt is.
The goal of treatment is to take advantage of the child's growth period to support the development of the jaw and to prevent the deterioration of bucktooth and arch of the mouth that may occur in the future.
The first stage of treatment may shorten the treatment time for permanent orthodontic treatment compared to adult orthodontic treatment for permanent teeth in the second stage of treatment, and may also reduce the risk of tooth extraction or jaw bone cutting surgery.
If you are thinking, "I want my child to have orthodontic treatment."It is recommended to consider orthodontic treatment from the first stage of treatment, not after the permanent teeth have erupted.It is.
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365dentist General Supervisor Dentist/Yukiko
Graduated from Nagasaki University School of Dentistry, ~2018 Kyushu Medical Center, 2018-present Working at a dental clinic in Tokyo
After completing clinical training, worked in cosmetic dentistry in Tokyo. Currently a dentist and dental writer.