Dento-Facial Orthopedics

In addition to straightening teeth, orthodontists can affect the shape and size of the upper and lower jaws.  This is important because the jaw size determines the boundaries of possible tooth movement.  By changing the shape and/or size of the jaws, we have the ability to expand the range of possible tooth movement. Orthopedic treatment is primarily available to growing individuals and is generally done between the ages of 7 and 15.  Since orthopedic treatment can enhance the overall success of many types of treatment, orthodontic/orthopedic screening of children is recommended by the American Association of Orthodontists at age 7. Some types of orthopedic change are still possible in the adult, however, to a more limited extent.

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Example of Orthopedic/Orthodontic treatment at age 8½ to 10 (18 months)

Before: Looking at this patient’s bite and X-ray, you can see a very large overbite. Early Treatment was initiated at age 8½ due to the severity of the overbite and teasing that was occurring at school. In addition to the social reasons, early treatment of this severe overbite decreases the chances of fracture to the upper incisors.

After: Orthopedic treatment completed at age 10 (18 months treatment).  Notice the dramatic reduction in overbite accomplished by orthopedic and orthodontic methods.

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Example of orthopedic/orthodontic treatment in an adult:

Before: Notice the narrow smile and crowded dental arch of this patient before orthopedic/orthodontic treatment.	After: Notice the broader smile achieved by orthopedic expansion of the dental arches.