The range for children and young people
By cooperating closely with other specialists (e.g. ENT doctors, speech therapists) we are able to address problems holistically. For example, improving speech impediments (“lisping”) by cooperating with speech therapists, or improving nasal breathing by widening the upper jaw, etc.
One aspect is paramount, especially when treating children and young people – the treatment should not dominate a patient’s life too much. We always take care to ensure that all necessary treatment measures suit the respective age groups and are compatible with everyday life.
For early treatment we always differentiate between three age groups:
Early treatment in primary dentition / milk teeth is only necessary in a few instances. If the upper jaw is too narrow in relation to the lower jaw, this is known as a cross bite. Frontal and lateral cross bites should be treated in primary dentition, otherwise it may lead to unfavourable upper jaw growth inhibition or a deviation from the medial line.
Cross bite in primary dentition
Lateral with medial deviation
Early mixed dentition (only the permanent front teeth and the first large molars are present, the rest are still milk teeth) offers a much clearer indication for early treatment. At this age, growth can be controlled easily and children are usually very cooperative.
For certain jaw misalignments it makes sense to start using functional orthodontics early on in order to harmonise facial and soft tissue growth. This also increases bite stability by correcting the teeth into their optimal position. Within a relatively short treatment period (1½- 2 years), we can harmonise the relationship between the jaws.
The primary focus during this development phase is growth stimulation. As a rule, misaligned teeth are only corrected in the permanent dentition. Some treatment indicators are:
Growth stimulus of the lower jaw in case of severe overjet or overbite (“distal bite”)
Wachstumsförderung des Unterkiefers bei extrem großer Frontzahnstufe („Distalbiss“)
Negative overjet (“mesial bite“) due to overdevelopment of the lower jaw or insufficient growth in the upper jaw
Frontal or lateral open bites, e.g. caused by malfunctioning of the tongue or wrong swallowing habit
When treating this age group, we are well aware of the difficulties our patients experience during puberty, and we endeavour to find gentle and aesthetic solutions.
Cooperation during this phase of life is not always easy, that’s why we only use treatment methods which require a minimum of cooperation.
Most teeth and jaw misalignments are best treated at this age. The adolescent growth spurt allows for an easy manipulation of the jaws, and we apply the complete range of orthodontic methods during this development phase. Whenever possible, however, we try to wait for most of the permanent teeth to erupt before treatment.
Teeth are often damaged during sports. Wearing a mouth guard for sports that pose a higher risk of injuries to teeth and mouth is a simple yet effective protective measure. For maximal safety, every mouth guard is specifically moulded from the patient’s dental imprint. The protection fits perfectly and allows for undisturbed breathing and normal speech. To make it more fun to wear, the mouth guard can have a customised design – either in club colours, bright or transparent – all depending on one’s personal taste.