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Are the reasons for orthodontic treatment purely cosmetic?

No, that’s a common misconception. Orthodontic treatment can boost a person's self-image as the teeth, jaws and lips become properly aligned, but an attractive smile is just one of the benefits. The alleviation or prevention physical health problems are just as important. Without treatment, orthodontic problems may lead to tooth decay, gum disease, bone destruction and chewing and digestive difficulties. A "bad bite" can contribute to speech impairments, tooth loss, chipped teeth and other dental injuries.

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What causes “bad bite” in the first place?

Most orthodontic problems are inherited, including tooth size and jaw size, and may lead to crowding of teeth or spacing of teeth. Overbites, under bites, extra or missing teeth, and irregularities of the jaws, teeth, and face also are inherited. Other orthodontic problems can be caused from accidents, pacifier or thumb sucking, dental disease, or the premature loss of either the primary or permanent teeth.

When is the ideal time to seek treatment?

The best age to do the orthodontic treatment is when you are twelve to thirteen years of age as all the permanent teeth have usually erupted by this stage. The jaws are growing at this age and so it is easier to expand your jaws and reshape your mouth.

However, it may be worth seeking advice even earlier. By the age of seven, enough permanent teeth have come in and enough jaw growth has occurred that the dentist or orthodontist can identify current problems, anticipate future problems or alleviate parents' concerns if all seems normal.

For those patients who have clear indications for early orthodontic intervention, early treatment presents an opportunity to:

  • guide the growth of the jaw

  • regulate the width of the upper and lower dental arches

  • guide incoming permanent teeth into desirable positions

  • lower risk of accidental damage to protruded upper incisors (front teeth)

  • correct harmful oral habits such as thumb sucking

  • help to reduce or eliminate abnormal swallowing or speech problems

  • improve personal appearance and self-esteem

  • recognize problems at an early stage and potentially simplify any procedures that may be required in the future

  • reduce likelihood of impacted permanent teeth (teeth that should have come in, but have not)

  • preserve or gain space for permanent teeth that are coming in

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