Dr. Steven C. Demetriou, D.M.D.
Pediatric Dentistry

1147 Main Street - Cottage Place - Tewksbury, MA 01876
(978)  851- 6334




Orthodontic Frequently Asked Questions

 

What age should my child have an orthodontic evaluation?
Why is it important to have orthodontic treatment at a young age?
What Causes Crooked Teeth?
How Do Teeth Move?
Will It Hurt?

WHAT AGE SHOULD MY CHILD HAVE AN ORTHODONTIC EVALUATION?

The American Association of Orthodontists (AAO) recommends an orthodontic screening for children by the age of 7 years. At age 7 the teeth and jaws are developed enough so that the dentist or orthodontist can see if there will be any serious bite problems in the future. Most of the time treatment is not necessary at age 7, but it gives the parents and dentist time to watch the development of the patient and decide on the best mode of treatment. When you have time on your side you can plan ahead and prevent the formation of serious problems.
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WHY IT IS IMPORTANT TO HAVE ORTHODONTIC TREATMENT AT A YOUNG AGE?

The American Association of Orthodontists (AAO) recommends an orthodontic screening for children by the age of 7 years. At age 7 the teeth and jaws are developed enough so that the pediatric dentist can see if there will be any serious bite problems in the future. Most of the time treatment is not necessary at age 7, but it gives the parents and dentist time to watch the development of the patient and decide on the best mode of treatment. When you have time on your side you can plan ahead and prevent the formation of serious problems.

Doing orthodontic treatments in two steps provides excellent results often allowing the doctor to avoid removal of permanent teeth and jaw surgery. The treatment done when some of the baby teeth are still present is called Phase-1. The last part of treatment after all the permanent teeth have erupted is called Phase-2.
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WHAT CAUSES CROOKED TEETH?

Crowded teeth, thumb sucking, tongue thrusting, premature loss of baby teeth, a poor breathing airway caused by enlarged adenoids or tonsils can all contribute to poor tooth positioning. And then there are the hereditary factors. Extra teeth, large teeth, missing teeth, wide spacing, small jaws - all can be causes of crowded teeth.

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HOW DO TEETH MOVE?

Tooth movement is a natural response to light pressure over a period of time. Pressure is applied by using a variety of orthodontic hardware (appliances), the most common being a brace or bracket attached to the teeth and connected by an arch wire. Periodic changing of these arch wires puts pressure on the teeth. At different stages of treatment your child may wear a headgear, elastics, a positioner or a retainer. Most orthodontic appointments are scheduled 4 to 6 weeks apart to give the teeth time to move.
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WILL IT HURT?

When teeth are first moved, discomfort may result. This usually lasts about 24 to 72 hours. Patients report a lessening of pain as the treatment progresses. Pain medicines such as acetaminophen (Tylenol) or ibuprofen (Advil) usually help relieve the pain.
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Steven C. Demetriou , D.M.D.

Pediatric Dentistry
1147 Main Street - Cottage Place
Tewksbury, MA  01876
 (978) 851-6334


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