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The average age of individuals who get braces is between nine and 14, although it is appropriate for younger children to visit Bauer Hite Orthodontic Specialists for a consultation with Dr. Elizabeth Hite, DMD, MS. While parents may be concerned about the efficacy of early orthodontics, research suggests that early intervention can prevent greater dental health problems later in life.

What types of conditions require early intervention?

According to the American Association of Orthodontists, 3.7 million children under the age of 17 receive orthodontic treatment each year. Early intervention may be appropriate for younger children with crooked teeth, jaw misalignment, and other common issues. Early orthodontic treatment may be of use for several types of problems:

• Class I malocclusion. This condition is very common. It features crooked teeth or those that protrude at abnormal angles. In general, early treatment for Class I malocclusion occurs in two phases, each two years long.
• Class III malocclusion. Known as an underbite, in which the lower jaw is too big or the upper jaw too small, Class III malocclusion requires early intervention. Because treatment involves changing growth patterns, starting as early as age seven is a smart choice for this dental problem.
• Crossbite. Crossbite occurs when the upper and lower jaws are not properly aligned. An orthodontic device called a palatal expander widens the upper jaw, allowing teeth to align properly. Research suggests that early treatment may be beneficial in crossbite cases, especially when the jaw must shift laterally to correct the problem.
• Tooth extraction. That mouthful of crooked baby teeth can cause problems when your child’s permanent teeth erupt. For kids with especially full mouths, extracting baby teeth and even permanent premolars can help adult teeth grow in straight.

Considerations when thinking about early intervention

Early intervention isn’t helpful for all conditions. For example, research suggests that there is little benefit to early orthodontics for Class II malocclusion (commonly known as an overbite). Instead, your child should wait until adolescence to begin treatment. Scheduling a visit to our Edwardsville office when your child is around age seven is a smart way to create an individualized treatment plan that addresses unique orthodontic needs.

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.

Two-phase orthodontic treatment with Dr. Elizabeth Hite, DMD, MS can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at Bauer Hite Orthodontic Specialists recommends that you bring your child to our Edwardsville office at the age of seven or eight, so that Dr. Elizabeth Hite, DMD, MS can determine if early (Phase-One) treatment is necessary.

Phase-One

Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.

Phase-Two

Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.

Signs your child needs two-phase orthodontic treatment

If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:

• Losing baby teeth early, before five years of age
• Problems with biting or chewing
• Sucking the thumb after age five
• Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
• Teeth are crowded at age seven or eight
• Protruding teeth on the top or bottom

Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at Bauer Hite Orthodontic Specialists.

Orthognathic surgery is surgery to correct a wide variety of abnormalities of our patients' jaw and teeth. The surgery is often done in conjunction with orthodontic treatment. While the patient’s appearance may be significantly improved as a result, the primary purpose of the surgery is to correct functional problems including but not limited to:

• Unbalanced facial appearance
• Protruding jaw
• Open bite (upper and lower teeth don’t overlap properly
• Excessive wearing down of the teeth
• Difficulty with chewing or biting
• Chronic mouth breathing
• Sleeping problems such as sleep apnea
• TMJ pain (jaw joint pain)
• Restoring facial injuries

Knowing when to start the orthodontic treatment in preparation for orthognathic surgery can also be tricky if our team at Bauer Hite Orthodontic Specialists is treating a teenager. It is important to know when to get started. If orthodontic treatment is initiated too soon and the teenager is still growing, the patient will either need to hold in braces until his or her growth is complete and they are ready for surgery or the braces will have to be removed and then placed again when growth is complete. Neither of these options is attractive since it requires longer time in treatment, which is something all our patients want to avoid. Our team at Bauer Hite Orthodontic Specialists strives to get all patients finished with treatment as quickly as possible because it is healthier for the teeth and gums and gives them a beautiful smile to enjoy for a lifetime.

If you are considering orthognathic surgery or you have been told that you need jaw surgery, give us a call to schedule your initial consultation today. Dr. Elizabeth Hite, DMD, MS and our team at Bauer Hite Orthodontic Specialists will explain our treatment plan in a way you will understand and we will keep you informed every step of the way.

Going back to school is already an exciting (and sometimes nerve-racking) time so we don't want your braces adding to that. Our Edwardsville team has compiled some helpful tips to make the process as easy and fun as possible.

1. Make sure you pack or purchase braces-friendly lunches

Try to avoid overly crunchy foods (think carrots, celery, hard crackers) especially if your teeth are sore from having your braces tightened. But you shouldn't stop eating healthful foods that fall in this category. For instance apples can be sliced into wedges or carrots can be cut into coins.

You should also avoid sticky foods like candy or gum that can and will stick in your braces like glue! Softer foods are easier on your teeth and braces, so aim to make a good portion of your lunch on the softer side.

2. Have a braces kit in your backpack or locker

Having some useful items on hand at school when you need them is one of the most helpful things you can do. Pack some wax for sores or tenderness, floss and/or flossing tools made for braces, a toothbrush and toothpaste, a small cup for rinsing, a small mirror to check for trapped food, and some lip balm if your lips tend to chap. With these tools on hand, you'll avoid most if not all braces-related nuisances!

3. Know that you're not alone

If you're feeling self-conscious about your braces, don't. Be proud of them! There are many other people your age who have braces, and if they don't have them now, they probably will in the future. Relax and know that you're on the path to a straighter and healthier smile.

If you have any questions about making your transition into "braceshood," just ask Dr. Elizabeth Hite, DMD, MS or any member of our Edwardsville team! We're here to help make your braces experience (and your smile) the best it can be.