Treatment of children and teenagers

Never too early

Don’t be afraid to come and see us with your child three to five-year-old: Some dental malalignments can already be corrected easily in the baby teeth to facilitate proper biting and chewing, for example, or to achieve correct articulation if your child lisps or sleeps with open mouth . Often, early steps can be taken to reduce the need for major orthodontic treatment at a later age.

First visit to orthodontist

By age 7, enough permanent teeth have come in and enough jaw growth has occurred that the orthodontist can identify current problems, anticipate future problems and alleviate parents’ concerns if all seems normal. The first permanent molars and incisors have usually come in by age 7, and crossbites, crowding and developing injury-prone dental protrusions can be evaluated. Any ongoing finger sucking or other oral habits can be assessed at this time also.

Children develop their final permanent teeth between the age of nine and twelve, making this the best age to start orthodontic correction. This treatment can last right to the end of puberty, when the last back baby teeth fall out and are replaced by permanent teeth, and when the facial bones are still growing. In order to prevent malalignments we guide the process of tooth eruption and monitor the proportions of the jaws and skull in our practice. We also check the positioning of upper and lower jaws on a regular basis. We usually treat our patients with removable appliances at this stage. Depending on the type selected, these will not only influence the position of the teeth and jaw, can also improve the chewing pattern and facilitate lip closure This is an excellent stage to start treatment, when indicated, as your child’s hard and soft tissues are usually very responsive to orthodontic or orthopedic forces. The timing of your treatment is very important; a consultation will allow us to better understand your needs. Some signs or habits that may indicate the need for early orthodontic examination are early or late loss of baby teeth, difficulty in chewing or biting, mouth breathing, thumb sucking, finger sucking,crowding or blocked out teeth. Treatment initiated in this stage of development is often very successful and many times, though not always, can eliminate the need for future orthodontic/orthopedic treatment.

There are several types of aplliances for jaw relationships correction including Activator, Bionator, Twin-block, Delaire mask.... And it can also be reassuring to hear that everything is fine and no treatment is necessary.


We use the diagnostic records (models, X-rays and photos) to plan treatment and specify timings. We then explain each step to you in an in-depth consultation. In this session we also explain the different treatment options and describe the various types of appliances available.

This all sounds far more protracted than it actually is. And what is most important, it doesn’t hurt.


Removable appliances therapy

Full patient cooperation (not parents) is essential for succesful orthodontic treatment. You should take out our recommendations on how long to wear removable appliances of, at least 16 hours per day if you want results to be proud off. Our advice on how long to wear the braces is tailored to each patient, taking into consideration the long , hard school day. You should clean your appliance every time when wash your teeth with tooth brush. We adjust them during treatment with the aid of springs and screws, thus controlling all necessary movement.

But please note that wearing the appliances only during the night when asleep is seldom enough.

The treatment requires monthly check-ups, don t forget your appliance.

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The headgear

The headgear is a type of orthodontic appliance attached to the molars, via molar headgear bands and tubes, and helps to draw these molars backwards in the mouth, opening up space for the front teeth to be moved back using braces and bands. Headgear needs to be worn between 12–22 hours each day to be effective in correcting the overbite.The headgear application is one of the most useful appliances available to the orthodontist when looking to correct a Class II malocclusion.

Its purpose is to slow or stop the upper jaw from growing, thereby preventing or correcting an overjet. Orthodontic headgear is a very important part of the treatment for some patients. Headgear creates forces that guide the growth of the face and jaws. It also is used to move teeth into better positions or to prevent teeth from moving.

Take your headgear with you to every appointment.

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Fixed braces

If all permanent teeth are developed (about 12 years), we correct existing malalignments with the aid of fixed braces.

Fixed braces consist of brackets and bands bonded or cemented to your teeth (to get a hold of them), and very thin metal wires that gently push your teeth into their right positions. The wire is tied into the brackets with a steel ligature or a coloured plastic ring. Some brackets have clips to hold the wires and no ties are needed. Brackets can be made of metal or tooth-coloured ceramic or plastic. Ordinary fixed braces are bonded to the front of your teeth. There are also braces that can be bonded on the back of your teeth (lingual braces). Sometimes it also makes sense to use additional rubber bands or other aids, but this is something the patient decides for him or herself. The treatment requires monthly check-ups to activate the appliance. The orthodontist moves tooth in a desired position, not aplliance.

Full patient cooperation is essential for successful orthodontic treatment.

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Retention follows the active part of the therapy in which fixed braces are worn on teeth. Retainers are mobile braces, which are worn after taking the fixed braces off and serve to retain teeth in their correct position. Retainers must be worn exactly as instructed, otherwise teeth could return to their initial position. There are various types of retainers: the transparent splint (Essix retainer), the type with wire elements (Wraparound retainer, etc.) and fixed wire type that are applied to the inner surfaces of the front teeth. The time of use is unlimited, especially if the patient keeps the harmful habits of pushing the tongue when swallowing, breathing through the mouth, etc.

This is the best way to keep your beautiful smile.