Preventive Treatment

You don't have to wait for an orthodontic problem to arise before you visit your orthodontist. Dr. Nizam will use radiographs and a clinical exam to evaluate children as early as 7 years old. Often, if a problem with the teeth is noticed early enough, the treatment can be much shorter, less expensive and less traumatic for the patient. Here is a list of common preventative treatments that your orthodontist, Dr. Nizam, can provide for your child.

• Space Maintainers
• Guided Eruption
• Early Extraction
• Cross-Bites
• Thumb Sucking
• Early Straightening of Permanent Incisors
• Functional Jaw Orthopedics
• Headgear
• Disking

Space Maintainers

Early loss of teeth sometimes requires a space maintainer. If a tooth is lost before the permanent tooth has a chance to take its place, the space will close when other teeth drift into the space. Once the permanent tooth erupts, it's path will be out of alignment as well. A space maintainer is an orthodontic appliance that holds the space open so that the permanent tooth can erupt favourably. It is a simple device that can save your child many months of future orthodontic treatment.

           

Guided Eruption

Mild to moderate crowding may be alleviated or reduced without using braces if treatment begins while the permanent front teeth are erupting (before 7 years of age). This can be done by creating more space for the teeth and allowing natural alignment to occur. A space analysis can be done as soon as baby teeth start to fall out, to calculate the amount of space required. It is critical to get x-rays taken and an exam to allow for the most efficient treatment possible.

Early Extraction

Sometimes baby teeth do not fall out when they are supposed to. In fact, there are some cases when the baby tooth does not fall out naturally at all. This can happen when the permanent tooth is congenitally missing or growing in the wrong location and does not push out the baby tooth. In these cases it may be necessary to extract the baby tooth to allow for proper alignment of the permanent teeth.

Cross-Bites

When a healthy mouth bites down, the top teeth will fit outside of the bottom teeth. This is nature's way of helping you chew your food without chewing your cheeks and lips. Cross-bite is when the top teeth fit on the inside of the lower teeth. This can happen with the front teeth or the back teeth. We can fabricate one of several appliances that will be specific for your case and correct the problem. Usually, this means expanding the upper arch. If corrected early enough with an appliance, a jaw disharmony can be prevented.

Thumb Sucking

Prolonged thumb or finger sucking can lead to adverse affects on the teeth and jaws. It may result in the upper front teeth to tip forward and even the upper jaw to move forward. Stopping the habit in time is important in preventing potentially serious overbite. We can fabricate an appliance that makes it nearly impossible for your child to suck their thumb or fingers. If the problem is addressed early enough, braces may not even be necessary.

Early Straightening of Permanent Incisors

Permanent front teeth can be straightened with braces at the ages of 8-10. The braces are only placed on the front teeth. Sometimes this is necessary to correct a functional problem and/or to prevent a more serious problem at a later time. At other times, parents may desire that braces be placed early to improve a child's appearance. Remember, children want to look as normal as possible and sometimes gross discrepancies in tooth alignment can lead to insecurities that can otherwise be corrected. However, Dr. Nizam will need to evaluate each patient on a case-by-case basis, as braces are not appropriate for all young children.

Functional Jaw Orthopedics

Some children have a significant mismatch of the upper and lower jaws. Orthopedic appliances can help align the jaws properly. These appliances can usually be inserted and removed by the patient. The success of these appliances is dependent on the timing of treatment and the growth pattern of the child. Sometimes, even with the help of these appliances we cannot achieve the result we hope for, due to eradict growth pattern of the jaws.

Headgear

Headgear is used to correct the way the upper and lower molars fit together. It can also be used to create additional space for permanent teeth alignment. Dr. Nizam does not feel it is appropriate to have children wear headgear to school because it is too intrusive with daily activity; she asks her patients to wear them at home and to sleep.

Disking

Disking is a procedure used to create extra space to improve alignment of permanent teeth. This can be done with or without braces. It works best in children with mild to moderate crowding of permanent incisors. The amount of tooth removed in between teeth is imperceptible and does not affect further tooth function or development.

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