What should you pay attention to when correcting malocclusion in children?

What should you pay attention to when correcting malocclusion in children?

Nowadays, parents attach great importance to their children’s oral health, and dental development is one of the focuses. Unaligned teeth will affect the appearance of the face and are also related to the health of dental development. This oral problem is collectively known as malocclusion in medicine. However, many parents have many misunderstandings about the “do’s” and “don’ts” of early correction of their children’s malocclusion. Active “doing” can effectively prevent, correct and improve problems. On the other hand, they need to be treated with caution and there are some “don’ts”. “To avoid excessive medical treatment.”

Two types of malocclusion require timely intervention

Malocclusion refers to the imbalance in the position and relationship of the teeth, dental arch, jaw and craniofacial body. Common malocclusion can manifest as tooth crowding, mandibular retrusion, bimaxillary protrusion, commonly known as “buck teeth”, and crossbite, commonly known as “buck teeth”. “The earth covers the sky” and so on. The cause may be genetic factors, such as parents or elders who also have this kind of malocclusion, or environmental factors, such as diseases, bad oral habits, tooth replacement disorders, etc., which lead to improper development of teeth, dental arches, jaws, and craniofacial conditions. coordination. Therefore, early correction is very necessary.

Early correction of children’s malocclusion refers to intervention and treatment through a series of professional correction methods for abnormalities in teeth, jaws and facial structures that appear during children’s growth and development, in order to promote the normal development of the oral cavity and face. Because children grow and develop rapidly, their jaws, muscles, teeth and bite also change rapidly. Various diseases that lead to malocclusion often appear at this stage. Therefore, the therapeutic effect of early correction is mainly based on two aspects: first, children’s physical development is fast and responds well to treatment; second, intervention is performed before the problem becomes serious, so the difficulty of correction is lower and the treatment effect is better.

Specifically, there are two main types of malocclusion that require timely intervention.

1. Abnormal function. The oral and maxillofacial system is involved in breathing, chewing, language, swallowing and other functions. If abnormal functions and abnormal structures interact with each other, it will cause serious malocclusion and further affect the function. Functional abnormalities mainly refer to oral breathing, abnormal tongue function, abnormal lip function, occlusal dysfunction and other bad oral habits, such as thumb sucking, cheek sucking, biting foreign objects, etc. These functional abnormalities may seem unimportant, but in fact they are in great need of early intervention and treatment. The purpose is to block the further development of the deformity and improve and guide the normal development of the dentofacial system.

2. Obstacles in the dental replacement period, such as premature loss or retention of deciduous teeth, early or late eruption of permanent teeth, abnormal eruption direction or sequence, and uneven tooth and bone mass, all require corresponding appliance intervention. The purpose of treatment is to maintain The length and spacing of the dental arch ensure the normal replacement of teeth.

Early correction of most skeletal malocclusions, such as the majority of children with “girdles” or “small chins” caused by mandibular retrusion, can avoid the need for surgical treatment of severe maxillofacial deformities in adulthood. However, there are also some genetic factors, such as severe family inheritance of “shoehorn” face or severe buck teeth, for which it is difficult to achieve the ideal treatment effect through early correction, and surgical treatment in adulthood cannot be avoided. Therefore, these children need further evaluation by an orthodontist and good communication with their parents to decide whether to undergo early orthodontic treatment.

Dental problems that do not affect development can be kept under observation

Although early orthodontic treatment has many advantages, for some minor dental problems that do not affect normal development, you can wait for a period of time before making a decision.

During the dental replacement period in children, there is a small amount of space between the upper and central incisors, the lateral incisors are slightly tilted, the lower dentition is slightly crowded, the molars are slightly distally related, that is, the buccal cusps of the upper and lower first permanent molars are opposite each other, and the anterior teeth are slightly overbitten. For temporary malocclusions (meaning the upper front teeth bite within 1/3 to 1/2 of the crowns of the lower front teeth) and are not accompanied by other problems, regular review is enough and no advance intervention is required. Even if this situation fails to improve later, orthodontic treatment in the permanent teeth stage can still achieve good treatment results.

Intervening when you encounter a problem is over-treatment. There are individual differences in children’s physical development. Whether immediate correction is needed or not, judgment and decision-making should be based on the advice of a professional dentist.

For some functional problems whose causes have not been removed, such as mouth breathing caused by airway obstruction, abnormal tongue function caused by a short tongue frenulum, dental crowding caused by insufficient bone mass, etc., direct orthodontic treatment is required without solving the original cause. , it is impossible to achieve stable therapeutic effects. For example, in children with nasal ventilation disorder caused by rhinitis, long-term mouth breathing with the mandibular protrusion leads to “earth-covering”, the problem of nasal ventilation needs to be solved first, and then the teeth can be corrected.

In addition, some parents may obtain correction information through the Internet or other channels and try to provide early correction for their children on their own. This behavior is risky because different diseases and problems require targeted treatment plans, and only professional doctors can accurately assess the condition and give appropriate treatment recommendations.

Do five things to ensure the effectiveness of correction

Children who have been evaluated for early correction should pay attention to the following aspects in order to ensure stable therapeutic effects.

First, choose a regular medical institution to ensure that the correction process is carried out under the guidance of a professional doctor to avoid damage to the child’s oral health due to improper operations;

The second is to conduct regular reviews so that doctors can promptly adjust the treatment plan according to the child’s correction progress to ensure the effectiveness of the treatment;

The third is to pay attention to the psychological changes of children during the treatment process, timely relieve negative emotions, and improve the child’s cooperation with treatment.

Fourth, good oral hygiene must be maintained during the period of orthodontic treatment. Parents should urge their children to brush their teeth and rinse their mouths on time to avoid food residues remaining around the appliance and causing oral diseases.

Fifth, avoid eating foods that are too hard or sticky to avoid damaging the appliance or affecting the treatment effect.

In addition, since the removable appliance is removable, the child may take it off on his own due to discomfort, which may result in the failure to wear the appliance for the required time and greatly reduce the effectiveness of the treatment. Parents should urge their children to insist on wearing the appliance according to the doctor’s instructions. During the treatment process, parents and doctors should maintain close communication and jointly pay attention to the child’s treatment process to ensure that children’s early treatment proceeds smoothly and achieves the expected treatment results.

In short, children with malocclusion who meet the requirements for correction should be intervened as early as possible. This can promote normal bone and tissue development, prevent the occurrence of severe malocclusion in adulthood, improve appearance, and increase the child’s self-confidence. Correction of malocclusion often requires a series of treatment processes, including the use of orthotics, surgery, etc. Before deciding whether to perform early correction, parents need to fully understand the nature of the disease and the necessity of treatment, and communicate and work together with professional doctors. decision making. (Dai Jingzhe, a dental surgeon at Miyun District Hospital, Beijing)

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