One of the most debated topics among orthodontists and even individuals in society for perhaps more than 20 years is when orthodontic treatment should be started. Many articles on this subject have been published both in scientific orthodontic journals and in journals dealing with social issues. The common question that all of these articles seek to answer is'Should all permanent teeth erupt before starting orthodontic treatment, or should they not wait?'
I. alternative treatment timing (orthodontic treatment after the eruption of permanent teeth); Some orthodontists argue that orthodontic treatment should not be started until all permanent teeth except wisdom teeth emerge. Orthodontists who support this view argue that the results and treatment duration of orthodontic treatments performed after permanent teeth have erupted are more predictable (for example, an average of 20 months to 30 months). Especially in individuals after adolescence, in other words, in individuals who have completed the growth and development process, the physician protects himself and his patient from the undesirable effects that may occur with growth and development, which have the potential to negatively affect the orthodontic treatment he will apply and the result of orthodontic treatment. This is a very important issue that should not be ignored in order to maintain the continuity of the improvement achieved with orthodontic treatment in the long term.
Another important issue that should be mentioned here is that the active growth development of the patient must be completed in order for some orthodontic treatments to be applied. For example; In the presence of skeletal problems involving the patient's lower and/or upper jaws, such as Class III skeletal disorders characterized by overgrowth of the lower jaw, simply straightening the teeth with orthodontic treatment will not be sufficient to solve the problem. Because not only the teeth played a role in the formation of the problem, a factor that is as responsible as the teeth, perhaps even more, is the regional or general deviations in the growth of the lower and upper jaw. The ideal treatment of such skeletal problems is two-stage and orthodontic correction of teeth is part of this treatment. It constitutes the first stage of the vi. The second stage is the ideal positioning of the jaws through surgery to be performed after orthodontic treatment. Only in this way can the teeth and jaws be in an ideal relationship.
II. alternative treatment timing (orthodontic treatment in mixed dentition); As with many treatment approaches, there are clinicians who argue that starting orthodontic treatment in adolescence will be much more effective in terms of the patient's treatment. There are also clinicians who claim that waiting until adolescence will cause serious disadvantages in the treatment of patients.
Some clinicians argue that an orthodontic treatment started during the mixed dentition period (between the ages of 7-13) can reduce the severity of problems that may occur in the future, and that this is healthier and ideal for patients. . In this case, the complexity of the orthodontic treatment to be applied after the permanent teeth have erupted is reduced by completely or partially treating the existing skeletal, muscular or jaw-related incompatibilities before the permanent teeth complete their eruption.
AS A RESULT; Rather than waiting for any problem to emerge completely and then seeking treatment, it is a much more logical treatment choice to prevent the current situation from getting worse by applying treatment approaches at the beginning of the problem or at least before it becomes completely evident. .
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