Mommy Magic receives hundreds of emails a week filled with questions and concerns that come up through out the parenting journey. We're kicking off a new feature where we ask YOUR questions to trusted experts - Introducing "Ask Mommy Magic". A new series of blog posts featuring in depth conversations about popular parenting topics.
This month we dive into the world of Pediatric & Kids' Orthodontics! If you haven't heard braces are a big deal emotionally, physically and monetarily! I'm so lucky to personally know Jeffery Biggs, DDS, MS of Sondhi-Biggs Orthodontics. I asked him to respond to several of the most FAQ about Pediatric & Kids' Orthodontics.
What are the early symptoms of childhood orthodontic problems?
I believe that most parents recognize for themselves that their children are developing orthodontic problems simply by observation, since crowding of teeth, and some jaw issues are fairly obvious. Some children will develop speech and swallowing problems as well as difficulty keeping their teeth clean because of severe crowding, at an early age. Some will even express concern regarding discomfort in their teeth due to extra pressure caused by the crowding. These are the reasons why the American Dental Association and the American Association of Orthodontists adopted an early screening recommendation at the age of 7 as the standard of care for children. A referral from a dentist is not required for an child's orthodontic consultation in our office.
What are the consequences of my child not getting needed early orthodontic treatment?
Unlike years ago, when some children did not get orthodontic treatment unless the teeth looked really bad, we now understand the long-term dental health benefits of establishing aligned teeth and a good bite. A malocclusion (bad bite), can result in worn and broken down teeth, gum and bone problems, difficulty chewing, and temporomandibular joint problems. Some children need orthodontic treatment at a young age, sometimes as early as 7, while they are young and growing. Others may not need treatment until the age of 11 or 12, when all their adult teeth have erupted. It is important to identify those children needing early orthodontic treatment and/or full orthodontic treatment at the right age.
At what age should my children start orthodontic treatment?
The age at which to start children's orthodontic treatment is an independent decision based on growth and development of each child’s teeth and jaws. Some of the more severe problems are evident as early as age 7, which is why it is the recommendation and standard of care to screen for these types of problems at that age. Upon screening and examination, we determine whether or not the type of problem the child has would benefit from or require early orthodontic treatment, or if it can be delayed until they are older and all the adult teeth have erupted. Failure to start orthodontic treatment at the proper age can result in more complex issues, longer treatment times, extraction of permanent teeth, and additional costs. Therefore, early screening around the age of 7 is appropriate for all children, whether or not they need early orthodontic treatment.
What questions should I ask a prospective orthodontist for my child?
It is important for parents to ask the necessary questions to make them comfortable with why an orthodontist might recommend early treatment for their child, or simply observe them until they are older. Unfortunately, parents remember their personal experiences with orthodontic treatment, when patient management and mechanics were much different. Therefore, the current orthodontic process is important for parents to understand. It is also important for parents to ask the orthodontist what makes their practice different from other orthodontic practices. There are significant differences in not only the practice, but the orthodontists themselves. Choosing an orthodontist is more of a serious decision than people realize since not all orthodontic practices and orthodontists are the same. Knowing more about the orthodontist’s practice philosophy and patient care expectations is important. Length of treatment and expected finished treatment results are important factors to discuss. Also, whether or not the child’s treatment can avoid complex issues like extractions,headgears, and other more difficult procedures is important to understand. For example, headgear is never used in our practice.
What is having braces like for my child?
Having braces is much different now than it was years ago. Check to be sure the orthodontist has moved forward with the times, and is utilizing some of the newer and more technologically advanced orthodontic products. Our office uses state-of-the art brackets and archwires from 3M Unitek Corporation that help to deliver orthodontic treatment in an extremely efficient and comfortable manner. Our brackets and wires are smaller, more comfortable, and provide very little or no discomfort to the patient. Due to specific advances in technology, less frequent appointments also reduce some of the difficulties that kids and parents faced years ago. Most children today can be treated for their orthodontic problem with braces in approximately 12-18 months, and only need to be seen at the orthodontist’s office every 8-12 weeks.
Will my child have any limitations with braces?
The possibility of being limited to an incomplete orthodontic correction exists with all children, depending their pre-existing orthodontic problems. The teeth, bones, jaws, and jaw joints, all play into whether or not any limitations could be expected. Those limitations should be identified early in the process so that parents can understand the impact it may have on the outcome of their child’s treatment. These would be discussed with parents early in the process, when possible. Some limitations, such as incomplete corrections, can develop in the midst of treatment due to failure to comply with instructions or unforeseeable growth or developmental changes.
Limitations because of orthodontic treatment include some dietary restrictions. There are very few limitations with extra-curricular activities, such as sports and playing musical instruments. These would be discussed in detail with the patients.
To obtain more information regarding the right age for an orthodontic screening or general questions and concerns check out the American Association of Orthodontists(AAO) www.braces.org.
For more information about Jeffery Biggs, DDS, MS and Sondhi-Biggs Orthodontics go to
www.indyortho.com.
You can also contact Dr. Biggs at biggs@indyortho.com or in the office, Sondhi-Biggs Orthodontics.9333 N. Meridian St., Ste. 301, Indianapolis, IN 46260
Tel: (317) 846-1455 Fax: (317) 843-0626