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Article #60: The Most Commonly Treated Orthodontic Problems in Children and Adults

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All orthodontic conditions are as unique the complications they can cause include:
and varied as the patients involved, but Overjet (protruded front teeth) -
there are some problems seen more Unattractive and prone to damage
frequently than others. These, too, vary Crowded Teeth - Unattractive, difficult
with the patient base. For example, the to clean, bone damage and gum recession
most common problems for adults are Underbite (lower front teeth protrude
different from those of children. The beyond the upper teeth) - Unattractive
most common problems can also vary from and uneven wear of the front teeth
one ethnic group to another, because many Deepbite (upper front teeth cover the
orthodontic problems are hereditary. lower teeth) - Excessive wear of the
For children, the most common orthodontic front teeth and gum and bone damage
problems are poor alignment of teeth due behind the upper front teeth
to crowding and protrusion of the upper Openbite (upper and lower teeth don't
front teeth ahead of the lower teeth meet in front) - Eating problems, speech
(frequently called 'buck teeth') due to problems, and excessive wear of those
the lower jaw being shorter than the teeth which do meet; unattractive
upper jaw. The main cause of crowding Crossbite (upper jaw is too narrow, so
stems from teeth being larger than the lower jaw swings to one side to allow the
amount of space available in the mouth. teeth to mesh) - Biting and chewing
The causes for protrusion of the upper difficulties
jaw can vary from patient to patient and Spacing (missing teeth or wide dental
include genetic growth patterns, thumb arch and small teeth) - Unattractive and
sucking, tongue thrusting, airway allows teeth to shift out of position
obstructions that cause the child to The American Association of Orthodontists
breathe through the mouth and abnormal recommends age seven for a child's
eruption of permanent teeth due to loss initial orthodontic evaluation. This can
of baby teeth. be sooner if the general dentist has
For adults, the most common treatments concerns and wishes your child to be seen
include correcting crowding or crooked by an orthodontist before age seven. Keep
teeth, closing spaces (old or new) in mind, however, a dentist's referral is
between teeth, and correcting the not required for the initial examination.
position and alignment of teeth. Even The orthodontist usually submits a
when adult orthodontic problems are the written report of his or her findings to
same as those of children, the treatment the patient's dentist. Inquire if this is
is different because there is no jaw done and request it if it is not.
growth in adults, so problems that could Children and adults should have a recent
be easily managed in a growing child (within last six months) cleaning and
(such as an upper jaw protrusion) may checkup with their dentist before
require surgery in an adult. Adults are scheduling an orthodontic evaluation.
also more likely to have gum or bone loss Whatever the orthodontic problem, the
due to periodontal disease and worn, goal of all orthodontic treatment is to
damaged or missing teeth. produce a healthy, well-functioning,
Some of the more common orthodontic stable bite.
conditions (in children and adults) and






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