Why do children need braces?

Doctor's Answers 1

You are quite right about the fact that most of the time orthodontists will only start full braces treatment when a child has all their adult teeth present.

However, every child is different and there exists certain conditions where early management may help to prevent worsening of the bite condition or may prevent future problems from developing. We refer to such treatment as interceptive orthodontic treatment.

Interceptive orthodontic treatment is usually for a shorter duration to treat the urgent problem before the complex braces treatment will be carried at a later stage when adult teeth have all erupted. If you are in doubt, you can bring your child to an orthodontist for a consultation.

You can also refer to the article I contributed here for more information: The Orthodontist's Complete Picture Guide To Braces For Children (2018).

Dr Elaine Tan

Consultant, Department of Orthodontics

National Dental Centre Singapore

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How can I reverse orthodontic treatment after tooth extraction to improve my facial profile?

The extraction of premolar teeth very rarely causes a collapse in face profile, unless it has been carried out without proper diagnosis and treatment planning. You are right that extraction orthodontics are still commonly practised as in Asian faces – most jaws are small, hence teeth are protruding and more crowded. Without extractions, straightening of teeth may sometimes compromise the dental health of the teeth. The reverse orthodontics that you describe is to re-open up the spaces to ‘push’ the teeth back out.

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Is it normal for gaps in my teeth to return within hours of not having retainers on?

congratulations on the completion of your orthodontic treatment! Our teeth are constantly moving, and people tend to notice that the teeth may "move more" during orthodontic treatment, or within a few months after orthodontic treatment. The reason is because during orthodontic treatment or after, the periodontal ligament that cushions/holds the teeth in place likes to move back to its old position. Several of my patients will feedback that upon not wearing the aligners or retainers for a few hours, the teeth may shift slightly, and upon wearing it again it feels tight on the teeth.

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