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Early Orthodontic Treatment with a Pediatric Dental Team Approach

Why early orthodontic treatment is encouraged, along with Pediatric Dentists being part of the team

By Adelberg Montalvan October 10, 2015
Early Orthodontic Treatment and the Importance 
of a Pediatric Dental/Orthodontic Team 
Approach to Providing Care

For the past several years, the orthodontic profession has seen a shift focusing on early childhood treatment.   Because of this, the ability of the pediatric dentist to monitor the child’s growth and development, identify the onset of certain problems, and then make the appropriate referral to the orthodontist makes them an indispensable gatekeeper for coordinated patient care. 



Early childhood treatment usually entails a TWO-PHASE approach to orthodontic treatment.
  The FIRST PHASE occurs when the child still has both their primary (baby) and permanent (adult) teeth.  The SECOND PHASE – which is usually full top and bottom braces - occurs at a later stage when all of the permanent teeth have erupted.   There are several reasons why one would significantly benefit from undergoing early/first phase treatment. 

First, early treatment occurs while the child’s jaw bones are still soft.
  Because the bones are still pliable, this allows the orthodontist to utilize appliances that will guide and direct the growth of the upper and lower jaws so that they can correctly relate to each other.   Some examples of misaligned jaws are crossbites, underbites, deep overbites, or excessively protruding teeth.  Also, by developing the jaws at an early age may allow the jaws the opportunity to accommodate all the permanent teeth thereby alleviating the need for extractions of permanent teeth later in life due excessive crowding.

Another reason for early childhood treatment is focused on the cessation of potentially destructive habits such as thumb sucking and tongue thrusting.
  If left untreated, these habits will negatively affect both the teeth, as well as the jaws.

These are just a few of many different reasons why it is both beneficial and important to perform early orthodontic treatment.
  Leaving such conditions untreated until all permanent teeth erupt could result in discrepancies too severe to achieve with braces.  However, by identifying and appropriately treating these problems, we can establish a good foundation in order to provide adequate room for eruption of all permanent teeth, well-balanced facial harmony, and an ideal healthy, functional, esthetic result that will remain stable throughout the child’s life.


Adelberg & Montalvan Pediatric Dental and Orthodontics can help with all Pediatric Dental and Orthodontics questions or concerns. You can visit their website at http://www.ampediatricdental.com/ or call to make an appointment in their Massapequa Park, West Islip, or Nesconset locations. 631/360-7337. LIKE them on Facebook for additional