Orthodontics

Dentistry for Children has expanded its services to include orthodontics for children. We are excited to offer FREE Orthodontic Consultations for kids at our Toms River, Howell, Jackson, Cliffside Park, and Jersey City locations. Parents seeking orthodontic care in Ocean, Monmouth, and Bergen Counties can now save time and avoid the hassle of finding an additional practice for orthodontic treatment. Our kid-friendly practices provide patients and families with a comfortable, consistent experience from comprehensive dentistry to full orthodontic care!

Pediatric dentistry and orthodontics go hand in hand, as the American Association of Orthodontists recommends that children have their first orthodontic exam no later than the age of seven. Having an experienced orthodontist alongside our team of pediatric dentists allows for greater collaboration between our doctors, which is more beneficial to your child’s oral health.

Why is Orthodontic Treatment Necessary?

While pediatric dentists focus on the health of the teeth and gums, orthodontists focus on the growth and development of the teeth and jaw. The services provided by an orthodontist ensure proper spacing and alignment to allow for not only an attractive smile but a healthier smile. Properly aligned teeth make brushing and flossing easier, reduce the risk of decay, and are less likely to be fractured or damaged during falls or other injuries. More extreme cases, such as facial and jaw malalignment, can also be corrected with orthodontic treatment and can improve airway flow, reduce pain, and dramatically increase self-esteem in growing children.

While our pediatric dentists may notice preliminary orthodontic problems, only an orthodontist can provide a comprehensive evaluation to determine a proper course of action. Teeth, and sometimes entire facial structures, can be permanently changed and enhanced by orthodontic treatment. The orthodontists at Dentistry for Children have extensive and specialized training that enables them to provide patients with both professional and personalized treatment plans.

The Benefits of Early Orthodontic Treatment

The American Association of Orthodontists recommends that all children visit an orthodontist by the age of seven to assess potential tooth and jaw problems. Early orthodontic treatment is advantageous because a young child’s teeth have not finished erupting, which allows orthodontists to guide the growth of facial and jaw bones to address any problems at the earliest stage possible.

The goal of early treatment is to prevent a developing problem from worsening, eliminate the cause, and guide the growth of the facial and jaw bones to prepare enough space for the permanent teeth. A patient may require a second course of treatment after all permanent teeth have come in to move those teeth into their best positions, resulting in a health and functional “bite”.

An orthodontist may recommend treating a child who still has their baby teeth if they discover the following issues:

Underbites – when the lower front teeth are ahead of the upper front teeth
Crossbites – when the jaw shifts to one side
Crowded front teeth
Teeth that are spaced too far apart
Extra or missing teeth
Teeth that meet abnormally, or do not meet at all
Thumb, finger, or pacifier sucking, that affects the teeth or jaw growth

While some of these issues are inherited by way of genetics, others may result from accidents, dental disease, or abnormal swallowing. Early orthodontic treatment can take many forms, and each plan will consider the patient’s oral growth and development. The orthodontist could prescribe a fixed or removable appliance to change the position of the jaw, move teeth, or hold teeth in place to see desirable changes. Sometimes appliances are not necessary, and rather, the removal of baby teeth may help the permanent teeth erupt better and straighter.

Orthodontic Services

As your children rapidly grow, their mouths, jaws, and teeth are also growing and developing. Abnormal developments, such as crooked teeth, bite patterns, and jaw misalignment can be corrected (and sometimes prevented) by a pediatric orthodontist. The American Association of Orthodontists recommends that children should have an orthodontic evaluation by the time they are seven, but most children requiring orthodontic treatment usually begin their treatment between the ages of nine and sixteen.

In addition to their award-winning pediatric dental care, the team at Dentistry for Children now offers a range of professional orthodontic services including:

Adolescent Orthodontic Treatment
Clear or Ceramic Braces
Early Orthodontic Treatment (Phase I & II)
HERBST appliance
Orthodontic Evaluation
Palatal Expander
Retainers
Traditional Metal Braces

Frequently Asked Questions About Orthodontics

What is an orthodontist?

An orthodontist is a doctor who specializes in the field of dentistry that aims to diagnose, treat, and prevent dental irregularities. This includes crooked teeth, misaligned bites, and other conditions that affect the look and function of the face and jaw. A children’s orthodontist has completed several years of training in addition to dental school, allowing him or her to successfully correct dental irregularities in adolescents.

What does an orthodontist do?

An orthodontist’s goal is to allow for a healthy and functional “bite” in addition to a great smile by employing a variety of appliances and treatment. Orthodontists are responsible for placing fixed appliances, like braces, which use gentle pressure to move teeth into proper alignment. When your child visits an orthodontist, he or she will receive a thorough orthodontic examination. Then, the orthodontist will determine which treatment, if any, is required.

Is it required that my child sees an orthodontist if they are a dental patient?

While it’s not required, the American Association of Orthodontists recommends that all children by the age of seven visit an orthodontist to assess potential tooth and jaw problems so that corrective action or treatment can take place through early intervention. Many of our patients are referred by their Dentistry for Children dentist or family dentist, while others take the initiative to schedule an examination themselves to best enhance their child’s smile.

At what age should I schedule an orthodontic screening for my child?

The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition. If our child is older than 7, an evaluation or check-up should be scheduled as soon as possible to allow for adequate treatment plans.

Can orthodontic correction occur while a child has baby teeth?

Yes, some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient’s growth and development until the time is right for treatment to begin.

What will I learn from the initial orthodontic examination?

There are five essential questions that our orthodontists will cover during the initial examination:

Is there an orthodontic problem, and if so, what is it?
What must be done to correct the problem?
Will any teeth need to be removed?
How long will the treatment take to complete?
How much will the treatment cost?

What are space maintainers?

When a baby tooth is lost early, the teeth on either side can tend to tilt or drift into the empty space that is left behind. When this happens, crowding can occur and result in a lack of space in the jaw for your child’s permanent teeth to erupt. In this situation, your child’s dentist or orthodontist may recommend using space maintainers to maintain the space previously occupied by the baby tooth to avoid loss of space.

What are braces?

Braces are used by your orthodontist to help you improve the look and feel of your smile through the proper alignment of both the teeth and jaw. There are several different types of braces to choose from, including:

Clear braces
Traditional metal braces
Invisible aligners

The orthodontists at Dentistry for Children offer both clear braces and traditional metal braces.

If my child requires braces, how long will they need to wear them?

Each child’s treatment plan and the amount of time spent in braces will vary depending on the individual patient because every smile responds differently to treatment. Treatment can take anywhere between 6 and 30 months, however, most standard treatments take approximately 20-24 months.

Can my child return to school the day they receive braces?

Yes. There is no reason to miss school because of orthodontic treatment. We will be happy to provide your child with a school excusal note to return with that day.

Does my child need to brush their teeth more or less often with braces?

With any fixed appliance, you should brush your teeth at least three times a day to keep your teeth, gums, and mouth healthy and clean. Brushing regularly will help remove any food that may be caught around the appliances. You should also floss daily to reach the areas where your brush cannot. Your orthodontist can show you how to properly brush and floss once your appliances are placed.

If my child has braces or another orthodontic device, do they still need dental check-ups every six months?

Yes! In fact, it’s even more important that patients receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that the toothbrush can’t reach. This causes bacteria to build up that can lead to cavities, gingivitis, and gum disease. Your child’s dentist will work closely with your orthodontist to make sure that your teeth stay clean and healthy while wearing braces.

By having both pediatric dentists and orthodontists under the same roof at Dentistry for Children, our patients benefit from the continuous collaboration of our dental professionals.

Will braces interfere with school activities and sports?

Playing an instrument or a contact sport may require some adjustment when your child first gets their braces, but wearing braces will not stop a child from participating in any school activities. If your child plays a contact sport, it is recommended that he/she wear a mouthguard to protect any braces or appliances. Your Dentistry for Children team can help you with obtaining a specially made mouthguard that best suits their athletic and oral health needs.

What should I do if I'm having an orthodontic emergency?

Please feel free to contact the office if you are experiencing any discomfort or if you have any questions. Below are a few simple steps that might help if you are unable to contact us or if you need a “quick fix:”

Loose Bracket

Occasionally, a bracket may come loose. You can remove the loose bracket and save it in an envelope to bring to the office or leave it where it is, if it is not causing any irritation. Call the office as soon as possible in order for us to allow time to replace the bracket.

Poking Wire

If a wire is poking your child’s gums or cheek, there are several things you can try until you can get to the office for an appointment. First, try a ball of orthodontic wax on the wire that is causing the irritation. You may also try using a clean nail clipper or cuticle cutter to cut the extra piece of wire that is sticking out. Sometimes, a poking wire can be safely turned down so that it no longer causes discomfort. To do this you may use a pencil eraser, or some other smooth object, and tuck the offending wire back out of the way.

Wire Out of Back Brace

Please be careful to avoid hard or sticky foods that may bend the wire or cause it to come out of the back brace. If this does happen, you may use clean needle nose pliers or tweezers to put the wire back into the hole in the back brace. If you are unable to do this, you may clip the wire to ease the discomfort. Please call the office as soon as possible to schedule an appointment to replace the wire.

Poking Elastic (Rubber Band) Hook

Some brackets have small hooks on them for elastic wear. These hooks can occasionally become irritating to the lips or cheeks. If this happens, you may either use a pencil eraser to carefully push the hook in, or you can place a ball of orthodontic wax on the hook to make the area feel smooth.

Sore Teeth

You may be experiencing some discomfort after beginning treatment or at the change of wires or adjusting of appliances. This is normal and should diminish within 24-72 hours. A few suggestions to help with the discomfort:

Rinse with warm water, eat a soft diet, take acetaminophen (Tylenol) or ibuprofen (Advil) as directed on the bottle.
Chewing on the sore teeth may be sorer in the short term but feel better faster.
If pain persists more than a few days, call our office.

Comments are closed.