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Very early orthodontic treatment: when, why and how?
Ute E M Schneider-Moser1,2,3, Lorenz Moser1,2
1Private practice (Bolzano, Italy).
Dental Press Journal of Orthodontics
|June 15, 2022
Summary
Early orthodontic treatment using simple appliances can efficiently correct several malocclusions, reducing the need for complex procedures later. This interceptive therapy is beneficial for conditions like posterior crossbites and Class III malocclusions.
Area of Science:
- Orthodontics
- Pediatric Dentistry
- Dental Public Health
Background:
- Early intervention in orthodontics can prevent complex and costly future treatments.
- Specific malocclusions like posterior crossbites, Class III, Class II, open bites, and arch length discrepancies benefit from early treatment.
Purpose of the Study:
- To review evidence-based literature on early orthodontic treatment.
- To demonstrate the application and effectiveness of interceptive orthodontics through clinical examples.
Main Methods:
- Systematic review of existing evidence-based literature.
- Presentation of multiple clinical case examples illustrating early orthodontic interventions.
Main Results:
- Early interceptive orthodontic treatment with simple appliances is effective in correcting specific malocclusions.
- Treatment during the deciduous or early mixed dentition phase can simplify or eliminate the need for complex procedures during puberty.
Conclusions:
- Short-term interceptive orthodontic treatment in early dentition phases offers efficient correction of certain malocclusions.
- Serial extractions should be considered for patients with significant arch length discrepancies as part of orthodontic management.
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