Download “INTERCEPTIVE ORTHODONTICS: Skeletal Discrepancies” PART II

CIGNA ORTHODONTICS, PC
FACT SHEET
“INTERCEPTIVE ORTHODONTICS:
Skeletal Discrepancies” PART II
D r. S a l v a t o r e A . C i g n a , D . D . S .
w w w. c i g n a o r t h o d o n t i c s . c o m
Orthodontics for Children & Adults
Early referral
The American Association of
Orthodontics recommends that a
child first visit the orthodontist at
seven years of age. It is beneficial to the child that treatment
be correlated with their skeletal,
dental, and psychological maturation level. Correct diagnosis
at the right time is the key to interceptive treatment.
1. Crossbites
These must be diagnosed as to
whether they are skeletal or
dental in nature. Anterior
crossbites of the permanent
incisors must be corrected
ASAP to:
A) deter dental trauma and gingival recession of the mandibular anteriors
and
B) inhibit a class III pattern and
profile from developing.
Posterior crossbites involving
the permanent first molars must
be corrected ASAP to:
A) avoid functional shifts of the
mandible which in turn may contribute to asymmetrical growth
Complimentary Exam
and Panorex
for all your patients
of the mandible and lower face.
Early treatment of skeletal discrepancies allows the
orthodontist much greater control over the magnitude and
direction of facial growth. This
may obviate the need for
orthognathic surgery in the
permanent dentition.
2. Class II malocclusions
Can be treated with fixed or removable appliances such as
the Herbst, Bionator, and
Frankel, especially during periods of significant growth of the
child. Limited fixed appliance
therapy and the use of extraoral forces (headgears) offer
another modality to promote
mandibular growth and restrain
maxillary growth. In addition,
trauma to protruding maxillary
incisors can be prevented with
early treatment.
orthopedic expansion appliances, as well as various
extra-oral forces, such as chin
cups and face masks, are utilized. The goal is to create the
proper overjet/overbite relationship and deter further
Class III growth.
4. Skeletal/Dental open bites
Various fixed, removable and
orthopedic appliances are
used to intrude posterior teeth,
enhance anterior bite closure,
and control detrimental habits.
Advantages
Successful Phase I early
treatment shortens the Phase
II final detailing of the occlusion. Appliances are usually
removed between the two
phases. Early evaluation of
these patients by the orthodontist is important to increase
facial aesthetics and greater
long term stability.
3. Class III malocclusions
Treatment plans involve the correction of a maxillary deficiency
and/or inhibition of further mandibular growth. Fixed maxillary
1123 Rt. 82
Hopewell Jct., NY 12533
Phone: 845-227-7880
www.CignaOrthodontics.com
Dr. Salvatore A. Cigna, D.D.S.
1123 Rt. 82
Hopewell Jct., NY 12533
Phone: 845-227-7880
ORTHODONTIC FACT SHEET - “INTERCEPTIVE ORTHODONTICS: Skeletal
Discrepancies” PART II
D
R .
W W W
S A L V A T O R E A . C I G N A , D . D . S .
. C I G N A O R T H O D O N T I C S . C O M
“INTERCEPTIVE ORTHODONTICS:
Skeletal Discrepancies”
PART II