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Teens

Also known as comprehensive treatment, it is performed once all of the permanent teeth have erupted in the mouth. It usually coincides between the ages of 11 to 15. For many reasons this age range is considered one of the best times to receive orthodontic treatment; among those are:

  • All of the permanent teeth are present in the mouth.
  • There are minimal signs of enamel wear, restorations and missing teeth.
  • Patients are close or at the peak of puberty which makes it a golden time for any growth modification, if needed.
  • Teeth will respond faster to the orthodontic forces.  
  • Minimal peer pressure. Many of their classmates and friends are in orthodontic treatment. 
  • Minimal social concerns leave more treatment options for them.

Below is a list of common conditions that can be addressed during this phase.

Crowding

There is not enough room for all of the permanent teeth to fit nicely in the arch. There are different methods to correct the crowding. To fix the crowding your orthodontist needs to gain more space to be able to correct the crooked teeth. Based on the severity of the crowding, bite, lip support and facial profile your orthodontist may need to choose one of the following methods to gain space and utilize it to align teeth. 

  • Mild to Moderate: Expand the upper and lower dental arches with wires or appliances. 

 

  • Severe: Removing a few permanent teeth. Don’t worry! Dr. Amin and Dr. Vaziri will close all of the spaces for you as if you never had a tooth pulled.

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Spacing

There is more than enough room for all of the permanent teeth. So teeth will erupt in the mouth with gaps in between. Treatment will be focused on closing all of the gaps between teeth. 

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Missing teeth

One or more of the permanent teeth have never formed congenitally. Depending on the condition, one of the following options might be available.

  • Save the primary teeth and keep it in place as long as possible. Sometimes these teeth can last for a long time.
  • The orthodontist manages the space and a family dentist fills up the gap with a dental implant. 

 

  • Closing the space by moving other teeth together. 

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Impacted teeth

Impacted teeth are those teeth that have failed to erupt into the mouth within a normal time period. Second to the wisdom teeth, upper canines are the most common impacted teeth. Managing this kind of complication usually requires a team of an orthodontist and oral surgeon. Options are limited to the following. 

  • Oral surgeon removes the impacted tooth and Dr. Amin and Dr. Vaziri rearrange other teeth.
  • Oral surgeon, exposes the impacted tooth and bonds orthodontic accessories to it and Dr. Amin and Dr. Vaziri move the impacted tooth into its final place. 

Dr. Amin Movahhedian and Dr. Hamed Vaziri will present the best option to you. Upon your agreement they will communicate with your oral surgeon and family dentist to manage your treatment the best way possible.

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Underbite

Also known as anterior crossbite, is when the upper front teeth are behind the lower front teeth. Depending on the severity of the problem, treatment will be either of the following.

  • Mild to moderate: In these cases underbite is minimal or it’s only limited to a few front teeth. Often the orthodontist alone is able to fix the problem. 

  • Severe: In these cases not only is the underbite affecting the teeth, but also the facial profile. By performing surgical orthodontics the orthodontist is able to fix the bite and the oral surgeon is able to fix the facial profile. Please refer to surgical orthodontics to read more.  

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Bimaxillary Protrusion

These are patients with protruded upper and lower lips. They are usually conscious with their smile and mention that both upper and lower teeth are too far out. They also have difficulty keeping their lips closed. Treatment will be one of the following.

  • Dental Protrusion: If possible, an orthodontist repositions the upper and lower front teeth to a further back position. This will allow the lips to be more relaxed while they are closed. Almost always this type of treatment requires space to be able to retract the front teeth. If there is enough space between teeth the space is already there and it just needs to be utilized. However, if there is no space between teeth or the teeth are already crooked your orthodontist needs to gain space by requesting the removal of a few teeth. The space gained will be utilized for the retraction of the front teeth. 

 

  • Jaw Protrusion: If the problem is within the bone supporting teeth, surgical orthodontics will be necessary to set the jaw back. To read more, please refer to surgical orthodontics.

We look forward to being a part of your wonderful, life-changing experience.

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