What factors are important to consider when determining whether to remove the remaining primary teeth? If a patient’s overall development is delayed, the decision to remove the remaining baby teeth is determined by several factors.
1. I consider the patient’s age. If they are 14 or 15 years of age, I have no hesitation in recommending the remaining baby teeth be removed so that their orthodontic treatment is completed before they graduate from high school.
2. I examine the development of the roots of the unerupted adult teeth. If the root formation of these unerupted teeth is nearing completion but the associated baby teeth are not loose, extractions are advisable.
3. If the 12-year molars are partially or fully erupted but the baby teeth remain, I will usually recommend having the remaining primary teeth removed so that treatment can begin. Continue reading Part 2: Baby Teeth and Braces-What Every Parent Needs To Know
Don’t we have to wait for all the baby teeth to come out? When is the best time for my child to get braces?
These are very common questions that parents ask me. The short answer is no, one does not have to wait for all the baby teeth to come out.
While it is true that a full set of braces is only complete when all the permanent teeth(including 2nd molars) erupt into the mouth (not including 3rd molars/wisdom teeth) that is not necessarily a reason to delay beginning orthodontic treatment. There are certain types of orthodontic problems when early intervention is beneficial; this is referred to as Two Phase treatment.
Two-Phase treatment is recommended in young patients typically between the ages of 7-10 years. When this particular set of problems are not addressed at an early age than the resolution of these problems becomes more challenging and may necessitate more aggressive treatment. At times, a child’s sense of self-esteem is adversely affected by the appearance of their teeth and so they would benefit from early care. Certain bite problems may cause the child’s teeth to be more susceptible to injury, so early treatment is advisable. Continue reading Part 1: Baby Teeth and Braces-What Every Parent Needs To Know