What are the Reasons for Early Orthodontic Intervention?
Early orthodontic intervention by the pediatric dentist is a highly controversial issue generated by a section of specialists. Though comprehensive treatment may be required at a later date, the need for early intervention cannot be denied. The problem can be prevented from occurring in the first place or its complexity can be reduced to an extent that the further procedures are simplified. Clinical experiences of various Periodontists show that emphasis should be placed on guidance of growth, early interception of developing malocclusion and elimination of the first symptom. In this article, there is a brief discussion on the reasons for early orthodontic intervention. Let us examine them.
Reasons for early orthodontic intervention
There are several reasons that favor early orthodontic intervention are mentioned below:
- It does not impede normal growth of the dentition rather it helps in facilitating the guidance of developing occlusion.
- Crowding progressively gets worse if not intervened early, with the secondary effects being more complicated than primary problem.
- Premature loss of primary teeth if not prevented, the it can cause asymmetry of the arch form, with complex mechanics required to treat this problem later.
- Rotated teeth if not corrected early and left for long duration may also affect stability of correction later.
- Early intervention also allows for more favorable condylar position and growth by unloading the mandible in cases of developing class III relations. Thus, use of devices such as utility arch wire, ca reduce the complexity of the treatment at a later date. It can be considered a supervised neglect on the part of specialists if incipient malocclusion’s are not resolved as soon as they are seen in the developing dentition.
- The early occlusal guidance trains the tongue to act like a functional appliance and produces unique arch development.
- Majority of the class II problems which are often 3.5 mm or less in molar relation if treated early can be corrected within 6-8 months.
- Clinical studies have shown the Andrews six keys to normal occlusion can be more consistently attained with early intervention and hence more esthetically accepted profile is achieved.
- Non compliance of adolescent years can be avoided with early treatment.
- Children and patient’s support is overwhelming as functionally and aesthetically accepted occlusion can be achieved before the traditional starting time for late orthodontic treatment.
The above article discusses about the various reasons for early orthodontic intervention.