Ask Dr. Chelian: When should my child come in for a check-up?

Many parents assume they must wait until their child has all of his or her permanent teeth to visit Dr. Chelian, only to find that treatment would have been much easier if started much sooner. Some orthodontic problems are easier to correct while the jaw is still growing. Consequently, the American Association of Orthodontists, or AAO, recommends that every child have an orthodontic check-up no later than age seven.

Ok, so what’s so great about age seven, you ask? Enough permanent teeth have arrived for Dr. Chelian to make a determination about whether any problems are present. The first molars have come in, providing an opportunity to check for malocclusion, or “bad bite.” Also, the incisors have begun to come in, and problems such as crowding, deep bites and open bites can be detected.

Orthodontic evaluation at an early age provides one of two positive outcomes: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future. For others, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and detrimental to good oral hygiene. So if your child is nearing age seven, give us a call at My Orthodontist to schedule an appointment.

Ask Dr. Chelian: When are two phases of treatment necessary?

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. Dr. Chelian calls this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:
• An upper or lower jaw that is not growing correctly
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner. Give us a call if you have any questions!

A few helpful webisodes about orthodontics, from Dr. Suren Chelian

Dr. Chelian and his team at My Orthodontist would like to point you to a few interesting webisodes about orthodontics, located on the YouTube page of the American Association of Orthodontics, or AAO.

There, they tend to post some very pertinent videos about orthodontic treatment, as well as state-of-the-art technology in orthodontia. These include "Orthodontic Treatment Basics," "Common Bite Problems Seen in Children" and "Does My Child Need Braces?"

We think you may find these webisodes interesting, as well as enlightening. If you have any questions about the videos, or your treatment here at My Orthodontist, please give us a call.

Happy New Year from the entire team at My Orthodontist!