Is Orthodontic Treatment Inevitable?


Every day, parents visiting our Abbotsford or Surrey orthodontic clinic ask, “Will my kid need braces?” or, “Are braces inevitable?” There are a variety of factors that determine the answer to those questions. To shed light on the subject, we’ll go over when braces are needed, the causes of malocclusion, or an improper bite, and if orthodontic treatment can be avoided with preventative measures.

Will My Child Need Braces?

Haven’t we all crossed paths with one those lucky people who have a fantastic smile without the help of orthodontics? Yet, they seem so few and far between. That’s because research indicates that 80% of kids and teens have some degree of malocclusion with crowding being the most common, followed by overjet, often referred to as an overbite. Whileanyone in this 80% could benefit in some way from braces or Invisalign, not all of them will be in jeopardy if they skip the teeth-straightening process, particularly those with very mild cases.

The majority of the time, treatment is recommended to improve oral hygiene, for cosmetic purposes and to ensure long-term oral health. All of these are important, valid reasons for undergoing treatment. Yet, it’s estimated that around 15% of patients have a serious, handicapping malocclusion, meaning it interferes with chewing, speaking or even causes pain. In these cases, it’s absolutely necessary for your child or yourself to seek out treatment and the early you do it, the better the outcome will be.

To get back to the question at hand, statistically, it’s highly likely that your child will have a degree of malocclusion. Whether or not they wear braces, unless they fall into the 15% with serious orthodontic issues, will be a personal choice. However, when weighing the pros and cons, know that the benefits of straight teeth include being able to properly clean them to avoid expensive, painful dental work, having aligned jaws, which may ward off TMJ pain, headaches and changes to facial structure, preventing future bone loss, and more. Also, considering we’re a society that really values the appearance of people’s smiles, even patients whose crooked teeth are merely a cosmetic concern, particularly kids and teens who are vulnerable to teasing, will still want to consider braces or Invisalign. The power of self-confidence shouldn’t be underestimated!

What Causes Crooked Teeth?

A lot of orthodontic issues are caused by genetics. Crowding and spacing often present themselves because of an imbalance in the tooth to-jaw-size relationship. With crowding, teeth can be too large for a smaller arch and spacing is sometimes thanks to teeth that are too narrow for the jaw. Overjet and underbites are typically skeletal in nature and result from a discrepancy between the jaws. Crossbites, especially a back crossbite, are also subject to the genetic lottery. Even with two parents who never wore braces, the mixture of genes passed onto the child won’t necessarily result in perfectly straight teeth.

The massive number of individuals who need orthodontic treatment these days even goes beyond traits inherited from family members. In fact, overjet is actually more common in certain ethnicities including Caucasians and South Asians. A study found that humans’ transition from hunting and gathering to farming may have led to a shortening of the jaw that left less room for teeth (remember, we said crowding was the most common orthodontic problem?). This is because with the advent of farming, easier to chew, processed foods became the staples of our diet and we no longer needed such robust jaws.

While genetics play a huge role in the alignment of our teeth and jaws, certain habits and environmental factors can also create problems or worsen existing ones. Thumb sucking, extended pacifier and bottle use, nail biting and pen biting and losing baby teeth too early are tied to a range of diagnoses including front crossbites, crowding and spacing.

How Can I Prevent Braces for My Child?

Sorry, mom and dad, there’s nothing you can do to prevent orthodontic problems that are hereditary unless you have some scientific secrets we don’t know about yet. There are habits and environmental factors you do have a bit of control over though. Here are a few ways you can prevent certain orthodontic issues, or at least reduce their severity:

Schedule your child’s first visit to the orthodontist by age seven! We know, we know, you’re thinking this means your kid will be even more likely to wear braces. That’s actually not the case. Only about 10 to 15% of children can benefit from early intervention. The overwhelming majority will simply pop in occasionally over the next few years so the doctor can monitor the development of their teeth and jaws and let you know when, and if, it’s time for treatment. If action should be taken that could help your kiddo skip braces, like extracting baby teeth to make room for permanent teeth or using an appliance temporarily, they’ll let you know.



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