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Octagon Orthodontics

WHEN SHOULD CHILDREN SEE AN ORTHODONTIST? DENTISTS' INFORMATION Malocclusion, like caries and periodontal disease, creeps up on its victims slowly… and we have the ethical duty to detect and inform. Robert Kirshen, Orthodontic screening in a minute - BDJ 1998 ll busy dentists are glad for time saving tips and clear guidance on which cases to refer in order to A fulfil their responsibilities to patients who ultimately remain in their care from birth to adulthood. A short and simple clinical examination can lead to the discovery of problems which can be addressed or corrected. THINGS DENTISTS CAN CHECK INCLUDE: 1: SKELETAL DISCREPANCIES Severe class II or III patterns are easy to pick up during facial examination. Moderate or mild skeletal problems require a closer look and might only become obvious through detailed measurements or radiographic examination. 2: SOFT TISSUE FORM Lips might not meet at rest or the patient might be unable to close their lips incompetent. The lips might protrude excessively as in bimaxillary proclination cases. 3: HABITS Thumb and finger sucking, nail biting and pen chewing can disrupt the occlusion. 4: ECTOPIC, MISSING OR UNERUPTED TEETH With the help of an eruption calendar a tooth count can determine whether the clinical picture matches the patient’s age. Supernumerary and supplemental teeth might not be obvious clinically but a radiographic examination is recommended if these are suspected. Example point 4: Supernumerary teeth. 5: THE OCCLUSION Teeth can be out of the intercuspal position due to crowding, spacing, cross bites, overjet or overbite problems, centerline shifts and skeletal discrepancies. 6: PREMATURE CONTACTS & DISPLACEMENTS These can be determined by examining the occlusion in a retruded contact position. > > > > Example point 1: Upper jaw and tooth position Goofy appearance has resulted from upper jaw being too far forward and upper teeth pointing forward. Lower jaw position Lower jaw set back relative to top. 42 Smiles & F aces The Comprehensive Guide To Orthodontics Octagon Orthodontics www.octagonorthodontics.com AN INTRODUCTION TO ORTHODONTICS


Octagon Orthodontics
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