Common Orthodontic Problems
It is urgent to consult for the following common problems
1. Jaw too narrow
In the absence of early treatment, bone asymmetry may develop.
Orthodontics alone will no longer be able to resolve the anomaly andadditionaljaw surgery may be necessary in late adolescence.
Atreatmentdone early allows better nasal breathing and thus better growth of the upper jaw.
2. Prognathism of the upper jaw and / or retrognathism of the lower jaw
2. Retrognathism of the lower jaw
In the absence of early treatment, the risk of fracture of the upper incisors is increased if the upper jaw is too far forward relative to the lower jaw.
3. Retrognathism of the upper jaw
If the lower jaw is in front of the upper jaw and the child does not benefit from a treatment early, orthodontics alone cannot resolve the anomaly and a surgery of the jaws (maxillofacial surgery) will very often be required in late adolescence or age adult.
4. Open bite (lack of contact between upper and lower teeth)
May be caused by thumb sucking or mouth breathing or by pushing the tongue against the teeth if the child keeps swallowing like an infant or has a tongue thrust.
We will often recommend speech therapy in addition to orthodontic treatment to re-educate the tongue posture.
5. Lack of space and malposition
Unsightly, brushing is very difficult; the patient is more at risk for caries and gum problems.
6. Excess space
6. Severe overbite
We see that the upper teeth completely cover the lower teeth, promoting their wear during tooth sliding movements, and increasing the risk of trauma to the gums (palate behind the upper incisors) and in front of the lower incisors.
8. Canine included
When a permanent canine gets stuck in the jaw and an orthodontic treatment must be combined with surgery to allow the canine to erupt.
9. Spaces between the incisors greater than 3mm (Prevents eruption of canines)
10.Permanent molar blocked under a baby molar
Caries risk and risk of premature loss of the baby tooth which maintains the space necessary for the eruption of the permanent tooth
11. Dental agenesis
Decide on the extraction of the baby tooth or its retention on the arch depending on the occlusion and the skeletal pattern
12. Presence of a supernumerary tooth
Its extraction allows a normal evolution of the teeth blocked in their eruption by its presence
13. Premature loss of baby teeth
Early management prevents the impaction of adult teeth in their eruption and prevents the appearance of asymmetries of the jaw.
14. Ankylosed baby teeth
A space maintainer may be necessary to maintain the spaces devoted to the eruption of permanent teeth and to avoid the appearance of asymmetry when a baby tooth is lost on only one side.