Also known as a comprehensive treatment, it is performed once all of the permanent teeth have erupted in the mouth. It usually coincides between the ages of 11 to 15. For many reasons this age range is considered one of the best times to receive orthodontic treatment; among those are:
Crowding
There is not enough room for all of the permanent teeth to fit nicely in the arch. There are different methods to correct crowding. To fix the crowding, Dr. Amin and Dr. Vaziri need to gain more space to be able to correct the crooked teeth. Based on the severity of the crowding, bite, lip support, and facial profile they may need to choose one of the following methods to gain space and utilize it to align teeth.
Mild to Moderate: Expand the upper and lower dental arches with wires or appliances.
Clear Damon Braces – Ortho Treatment
Severe: Removing a few permanent teeth. Dr. Amin and Dr. Vaziri will close all spaces.
Extraction
Space Closure – Power Chain
Spacing
There is more than enough room for all of the permanent teeth. So teeth will erupt in the mouth with gaps in between. Treatment will be focused on closing all of the gaps between teeth.
Missing Teeth
One or more of the permanent teeth have never formed congenitally. Depending on the condition, one of the following options might be available.
Missing Lateral Incisor – Implant Replacement
Missing Lateral Incisor – Canine Substitute
Impacted Teeth
Impacted teeth are those teeth that have failed to erupt into the mouth within a normal time period. Second, to the wisdom teeth, upper canines are the most commonly impacted teeth. Managing this kind of complication usually requires a team of an orthodontist and an oral surgeon. Options are limited to the following:
Impacted Canine Boney Exposure
Dr. Amin and Dr. Vaziri will present the best option for you. Upon your agreement, they will communicate with your oral surgeon and family dentist to manage your treatment the best way possible.
Underbite
Also known as anterior crossbite, is when the upper front teeth are behind the lower front teeth. Depending on the severity of the problem, treatment will be either of the following.
Crossbite Treatment by Rubber Band
Mild to Moderate: Underbite is minimal or only limited to a few front teeth. Often the orthodontist alone is able to fix the problem.
Severe: In these cases not only is the underbite affecting teeth but the facial profile. By performing surgical orthodontics, Dr. Amin and Dr. Vaziri are able to fix the bite and the oral surgeon is able to fix the facial profile.
Bimaxillary Protrusion
These are patients with protruded upper and lower lips. They are usually self-conscious of their smile and mention that both upper and lower teeth are too far out. They also have difficulty keeping their lips closed. Treatment will be one of the following.
Lip Support Treatment by Extraction
Dental Protrusion: If possible, Dr. Amin and Dr. Vaziri reposition the upper and lower front teeth to a further back position. This will allow the lips to be more relaxed while they are closed. Almost always this type of treatment requires space to be able to retract the front teeth. If there is enough space between the teeth, it just needs to be utilized. However, if there is no space between teeth or the teeth are already crooked they need to gain space by requesting the removal of a few teeth. The space gained will be utilized for the retraction of the front teeth.
Jaw Protrusion: If the problem is within the bone supporting teeth, surgical orthodontics will be necessary to set the jaw back. To read more, please refer to surgical orthodontics.