Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

Dental Implants, Teeth Whitening, Porcelain Veneers, &
Botox Cosmetic.

Most people overlook the role of the general dentist in the success or failure of orthodontics. Generally, the dentist is the first line of defense in diagnosing crowding of teeth or a malocclusion. The timing of when to see an orthodontist is critical for many of our younger patients. This timing can ensure a smooth transition into orthodontic treatment as well as utilize phases of growth to help with tooth movement. A good general dentist will also be able to find a well trained orthodontist with the skills and personality to fit your child’s needs.

When To Refer To An Orthodontist?

Many children are ready for an orthodontic consult by age 7. This could be even earlier if the dentist or parent have further concerns regarding development. By age 7 enough of the permanent teeth have erupted to gauge the need for early orthodontic intervention. Luckily, most children do not need early orthodontic intervention but for those that do it makes the seemingly impossible possible again. Severe crowding of teeth can be difficult to fix without removal of teeth, so it is essential to get an early look. Many people see orthodontics as simply a cosmetic procedure but it most definitely is more than that. The benefits go beyond cosmetic as they effect our occlusion, periodontal health, and prevent trauma due to misalignment.

Top Reasons For An Orthodontic Referral

-Insufficient Space For The Eruption Of Permanent Teeth.

-Anterior Or Posterior Crossbite.

-Primary Tooth Loss Timing. Early or late loss can have its own unique implications.

-Thumb Sucking or finger sucking habits.

-Speech Difficulty.

-Extreme protrusion of teeth. This can leave them at increased risk of trauma.

-Open Bite. This occurs when the upper front teeth do not cover the lower front teeth.

-Facial imbalance or facial asymmetry.

General Dentist Role Once Orthodontic Treatment Begins

Once the general dentist refers the patient to the orthodontist the co-treatment begins. The patient will continue to see their general dentist for routine dental work including dental examinations and professional cleanings every 3-4 months. The dentist and orthodontist will confer on the case and keep the parents updated.Without proper oral hygiene maintenance, and teamwork between the dentist and orthodontist, the entire orthodontic treatment can be placed in jeopardy.

The most preventable issues with orthodontic care are periodontal disease (inflammation of the gingival tissues), decalcification of the enamel (also referred to as white spot lesions), and cavities. Maintaining good oral hygiene during orthodontic treatment requires special tools and training. Simple tooth brushing is not enough to get the job done. Some of these tools include:

-Electric toothbrush with an oscillating head. This will ensure good coverage around orthodontic brackets to remove plaque and food debris.

-Waterpik. This is a fabulous tool to clean in and around the teeth but also around the brackets and wires. It has been shown that water flossing in orthodontic patients can remove as much as 3x the plaque and bacteria vs traditional flossing.

-Floss Threaders. This can help make flossing easier, and thus be done more often.

-Mouthwash. A good antibacterial mouthrinse will help kill bacteria where the toothbrush doesn’t reach.

-Interdental Brushes. These work great to remove large particles of food from between larger spaces, they are also recommended for brushing around molars that have not yet come all the way through the gum tissue.

-Fluoride Rinses. Rinsing with fluoride should help lessen the possibility of white spots on the teeth and decay.

Orthodontic Treatment Conclusion

Communication between patient, parent, general dentist, and orthodontist should be an ongoing process. All should be intimately involved to ensure that everything is going smoothly and to head off any trouble issues as soon as possible. A team approach only works when all parties communicate their needs and issues so they can be addressed properly. Maintaining oral hygiene can be challenging during orthodontic treatment but it can be overcome with the proper tools, techniques, and more frequent professional cleanings.

 

Interceptive Orthodontics is a phased type of orthodontics. Growth is utilized to correct developmental occlusion problems. Staging the treatment can correct immediateInterceptive Orthodontics Marielaina Perrone DDS problems and future issues. Interceptive orthodontics simply means diagnosing and treating malocclusions as soon as they are detected. The American Academy of Orthodontics now says all children should have an orthodontic assessment no later than the age of seven.

In the past, orthodontic treatment did not begin until around age 12-14. This is when all the permanent teeth are already erupted or very close to it. It was also common for your dentist to remove  permanent teeth to correct the bite and allow for room for the final phase of tooth movement. Modern orthodontists now advocate a way to keep permanent teeth, with phased  interceptive orthodontics. In interceptive orthodontics, children are treated at much earlier ages (usually between age 7-11 years old) to take advantage of continuing growth. Patients at this age tend to be more receptive to, and compliant with treatment. Interceptive orthodontics allows for fewer teeth to be extracted and also allows for  better end results.

Why Does My Child Need Interceptive Orthodontics?

Parents and patients need to understand that when interceptive orthodontics is performed there is usually more than one phase of of treatment. Phase two will begin when all the permanent teeth are in place. Going through phases allows for the second phase to be shorter in duration, since the major corrections happened in the interceptive orthodontics phase. Sometimes interceptive orthodontics are needed to correct problems related to skeletal development, and sometimes it is needed as a direct result of oral habits.

-Correction of Thumb Sucking and Pacifier Habits. Persistent thumb sucking, and extended use of a pacifier effect the development of the mouth. Thumb sucking, and pacifier use after the age of three could result in:

- a reshaped jawbone given its soft and pliable nature

- mis-aligned teeth growing out of position

- narrower dental arches

-extreme tongue thrust habits

- protruding front teeth which may be more susceptible to injury

- “open bites” that would require extensive orthodontic treatment to straighten

Some developmental issues requiring interceptive orthodontics include:

-constricted palate, causes misalignment of back teeth commonly called crossbite

-crowding of teeth

-uneven development of upper and lower jaw

Interceptive Orthodontics Marielaina Perrone DDS

Examples of Interceptive Orthodontics:

-Expansion of the upper jaw to eliminate a crossbite

-Expansion of one or both jaws to create space for overly crowded teeth

-Early removal of specific baby teeth to facilitate the proper eruption of permanent teeth

-Maintaining space for permanent teeth after the premature loss of a baby tooth

-Reducing the protrusion of upper incisors to decrease the likelihood of fracture from trauma

What are the advantages of interceptive orthodontics?

Some of the most direct results of interceptive treatment are:

-Creating room for crowded, erupting teeth

-Creating facial symmetry by influencing jaw growth

-Reducing the risk of trauma to protruding front teeth

-Preserving space for unerupted teethLas Vegas Cosmetic Dentist Marielaina Perrone DDS

-Expanding the palate to properly position back molars

-Reducing the need for tooth removal

-Reducing treatment time

Is your child a candidate for Interceptive Orthodontics?

Orthodontics is not just for improving the appearance of the smile. Orthodontic treatment improves malocclusions.  Malocclusions occur as a result of tooth or jaw misalignment. Malocclusions affect the way you smile, chew, clean your teeth or even the way you feel about your smile. Recent studies have shown that malocclusions left untreated can result in problems as we age. Crowded teeth are much more difficult to brush and floss which may contribute to tooth decay and periodontal disease. Protruding teeth are more susceptible to accidental chipping. Crossbites can result in unfavorable growth and uneven tooth wear. Openbites can result in tongue-thrusting habits and speech impediments.

Interceptive Orthodontics Conclusion

In the end, orthodontics is not just about a pretty smile. It adds to ones function and ability to maintain healthy teeth throughout their lives.