Teeth to be corrected, it is wrong to wait for permanent dentition – time.news

from Elena Meli

Between 4 and 7 years it is better to submit the child to the first visit: it is possible to intercept problems and save interventions that may be necessary in puberty

For many, the pandemic means job loss, economic problems, worries. Thus, as reported by the Association of Italian Specialists in Orthodontics (Asio), on social channels there are plenty of offers of low cost orthodontic treatments to be done remotely or self-modeling bites to solve bruxism, or the grinding of teeth at night that affects many adults but also many children. It is a pity that they can hardly give satisfactory clinical results, according to recent data collected by the University of Michigan, therefore, although parents are careful to guarantee their children adequate care and resist the temptation to save enough, experts warn and reiterate the importance of adequate orthodontic care.

Online ordering to save

The concept “order online and save” cannot and should not apply to medical care, observes Giorgio Iodice, president of Asio. Orthodontic therapies are and must have an accurate diagnosis, an individual treatment plan, continuous and detailed monitoring during and after surgery: the choice of the most correct therapy to solve malocclusion, dental alignment problems or night bruxism it must be done by a specialist, not independently with one click online.

The right specialist

The search for solutions on the web has mainly taken hold among adults, because as told by Letizia Perrillo, president of the Italian Society of Orthodontics (Sido) and director of the School of Orthodontics of the University of Campania Luigi Vanvitelli of Naples, pandemic seen as an opportunity to “invest” in children’s smiles: having no expenses for travel or other entertainment, savings are used to start orthodontic therapy. It is essential that a specialist follow the care for a child because all orthodontists are dentists, but not all dentists are orthodontists: the delicate development phase and it is necessary to ensure that any alterations in the mouth are resolved so that they do not lead to worse problems later on. , as teenagers or adults, but also be sure not to overdo it, intervening when there is no need.

Periodic checks

The time for the first visit, as Iodice explains, Between four and seven years, when the first phase of exchange of milk teeth begins, there is the eruption of the first permanent teeth and some problems of bone development can be intercepted. After the first visit, often no orthodontic treatment should be done, but only checkups every six or twelve months for monitoring; in some cases, however, it is necessary to intervene, for example to correct growth defects in the jaw bones or a lack of space for permanent teeth.

Anomalies and bad habits

Delaying the first visit is one of the most common mistakes of parents, who often think they should wait for permanent dentition before assessing whether the structure of the teeth and mouth is correct: also for this reason the Asio experts recommend taking the child to the specialist without delay. case there are alarm bells indicative of possible alterations. At the first check, anomalies in the quantity, position, color, shape or size of the teeth, bad habits such as finger sucking or the presence of bite alterations, any caries or loss of teeth that could create conditions for subsequent occlusion defects and so on, Perrillo points out.

Early interventions

On malocclusions such as the cross bite it is good to intervene already at the age of four, because they can lead to asymmetries in bone growth and therefore in the face; others, such as excessive crowding of the teeth or excessively protruding anterior incisors that could break in the event of trauma, can be corrected around the age of six to eight. This first phase serves to intercept the problems and evaluate whether an early intervention is appropriate: in some cases it is, because if the child collaborates with timely therapy (which is usually based on relatively simple devices, ed) helps solve problems before they cause further damage and therefore become more complex to deal with later.

In pubertal phase

In fact, the second moment of evaluation is pubert, between twelve and fourteen years at the most, when all the permanent teeth have already come out: at this point it may be useful to perfect the alignment and everything is easier if any major defects have already been eliminated first. , as Perrillo concludes: The two-phase therapy, when needed, takes longer overall but makes everything easier and often less expensive: in some children who only come to the dentist in adolescence, for example, it may be necessary to associate a dental extraction with the appliance. which, on the other hand, could have been avoided by acting at an earlier stage of growth.

November 4, 2021 (change November 4, 2021 | 4:45 pm)

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