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Most problems involving the alignment of your child’s teeth and the growth of their jaws can be identified by the time they are in the first or second grade. That is why the American Association of Orthodontists recommends that all children have a check up with an orthodontic specialist no later than age 7. At this visit the orthodontist will carefully examine your child’s bite and assess the alignment and development of the teeth. The orthodontist will also look at the growth and relationships of the jaws, and in particular check for any shifts or dysfunction. It will also be determined if any premature tooth loss, habits, swallowing or breathing patterns are having an effect on your child’s occlusion.
Following this visit the orthodontist will indicate if any immediate preventative or interceptive orthodontic care is needed. In many circumstances no treatment is required right away and the child can be observed until it is the appropriate time for care. Your child’s dental development as well as their prospective facial growth will be carefully considered in outlining the best timetable for care.
Orthodontic treatment for children typically begins between the ages of 9 and 14. At this time they are generally in the mid to late mixed dentition stage. This means they have a mix of permanent front teeth, permanent molars, and some baby teeth. The benefit of placing braces at this stage is that the orthodontist can improve the alignment of permanent front teeth, guide the incoming new adult teeth into position, and utilize the child’s growth and development to best advantage.
Most parents wonder when is the best time to have their child evaluated for braces. One common misconception regarding orthodontic treatment is to wait until all of your child's permanent teeth (except the wisdom teeth) are present. However, an orthodontist can identify most problems involving the alignment of the teeth and jaw growth by the time a child is in the first or second grade. For this reason, the American Association of Orthodontists recommends that all children have a check up with an orthodontic specialist no later than age 7.
It is important to keep in mind that aligning the teeth and the jaws does not happen overnight. Whether you are wearing conventional braces, clear aligners, or any other type of appliance, orthodontic movement is a gradual process. Orthodontic tooth movement is based on the use of light and continuous forces to correct your bite in an incremental, predictable, and healthy manner.
The total duration of orthodontic care, not including wearing retainers to maintain the result, depends on several factors. Such things as growth, as well as compliance with care, may influence treatment time. On average comprehensive orthodontic care to correct a malocclusion can take anywhere between 18-36 months. Orthodontic treatment for more limited problems with tooth alignment typically ranges from 6 to 18 months.
Because orthodontic movement takes time, most appointments after the initial placement of appliances are scheduled approximately four to eight weeks apart. This interval gives your teeth time to move at both a steady and healthy pace. However, there may be situations where more frequent visits to evaluate the status of your case, tooth movement, or to have an additional adjustment are required.
Teeth can be moved at any age. Orthodontic treatment as an adult can completely transform an imperfect and poorly aligned smile into one that is attractive and functions at its best. However, initiating orthodontic care and achieving a successful outcome relies on the presence of healthy teeth and supporting bone. For these reasons, it is essential for adult patients to address any outstanding dental problems before their appliances are placed and to remain diligent about maintaining their oral health throughout care.
