Bullying is endemic among schoolchildren, and the effects can be devastating
and long lasting. The persistently bullied kid shows a definite psychological
type, with poorly developed social skills and a submissive nature. Physical
appearance acts a major role in bullying. Teasing related to dental appearance
is hurtful. Fortunately, there is evidence of a marked increase in self-confidence
following early orthodontic treatment in youngsters.
1989-90, a research aimed to examine the motives why parents and third-grade
schoolchildren seek early orthodontic treatment. These researchers inquired the parents
of 473 kids in the study to complete the self-report forms. The form had questions about their children's
dental and facial appearance. It also
asked the parents about their reasons for seeking orthodontic care early for
their children. Almost all parents asserted deep concern about their children's
deficient dental appearance. About half
of the parents informed their children had been cruelly taunted. Fourteen percent of the parents also reported
that it was their children who had first sensed the need for orthodontic treatment.
The main reason for parents' seeking early orthodontic treatment
is the unpleasant appearance of teeth. Other reasons comprise of Houston
dentists' recommendation and the poor facial profile. Of these, dental
"overjet" (protrusive maxillary incisors) malalignment has been
the most significant predictor of whether a kid might be ridiculed in school.
Therefore, modern orthodontic intervention increasingly focuses on the
overjet problem for these youngsters.
While the parents seek early orthodontic treatment mainly for improving
their children's dental aesthetics, Houston dentists and orthodontists
recommend braces for the young children on the basis of clinical dental
status. Their objectives for advising early
orthodontic treatment are:
to reduce the total treatment time;
to prevent relapse (reverse to the original condition;
to receive better result;
to support in speech therapy; and
to avoid future surgical intervention.
The dental specialists would most likely advise early orthodontic
treatment (phase 1) for the youngsters for the following conditions:
Crossbite: This malocclusion happens when
the narcotic teeth is trapped inside lower teeth. Dentists start management about this condition
on young patients of between the ages of 8 and 10. These young patients still have most of the
baby teeth (early mixed dentition).
Deepbite and mandibular inadequacy: Deepbite occurs when the upper front teeth
covers almost all the lower front teeth.
Also known as class II malocclusion or retrusion, mandibular inadequacy
is characterized by early loss of mandibular canines by severe crowding. Houston dentists typically begin treatment for these two conditions in
late mixed dentition (ages 11-12).
(3) Mandibular prognathism, diastema, and congenitally missing teeth: Mandibular prognathism, also known as class
III malocclusion, refers to the excessive protrusion of the lower jawbone. Diastema is the dental term, meaning
"gap between the front central incisors." In congenitally missing teeth, some permanent
teeth fail to succeed the baby teeth. Most Houston dentists begin treatment for these conditions in early adolescents (ages 13-15).
Today, there are two common methods used by Houston dentists to correct
dental malocclusion in phase 1 orthodontics. One is the dental
orthodontic removable appliance and the other is the fixed appliance with 2
bands and 4 brackets. The fees,
treatment times, and outcomes for these two methods are not significantly
different. However, the removable
appliance allows better dental hygiene and more comfortable. One disadvantage of the removable orthodontic
appliance is that it needs a lot more patients' compliance.
In our dental practice we see that people with high dental-esthetics scores
have more favorable oral-health attitudes. We also
find the children who had early orthodontic treatment show greater dental
hygiene, dental awareness, and self-esteem than those who had not. Although the
long-term psychological benefits of early orthodontic treatment are difficult
to measure, these findings suggest that favorable dental aesthetics from early
orthodontic treatment is critical in framing and strengthening the children's overall
health, social behaviors, academic achievement, and happiness. Therefore, it is important the children with
low dental-esthetics scores are evaluated early and treated promptly.