Early Orthodontic Management of Class 2 malocclusions- Part 2
Release Date: 09/04/2021
How to Connect with Your Pediatric Patient (Dentist Podcast)
Giving Sydney Great Smiles
This is an area that many general dentists can find challenging. It can be commonplace for kids to grow up being scared of dentists. Unpleasant experiences can often linger for a long while. I can recall parents recounting stories of their childhood unpleasant dental experiences. In this dentist podcast, Dr Andrew Chang and Dr Diane Tay talk about:
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White crowns (Zirconia) vs Stainless steel crowns in Pediatric Patients
Giving Sydney Great Smiles
Lots of advances in the restoration of primary teeth are important to consider as parents are keen for alternative, aesthetic options. We also know the importance of maintaining primary teeth for function, aesthetics and space maintenance. Crowns provide a full coronal coverage restoration to help preserve form and function. In this dentist episode, Dr Diane Tay and Dr Andrew Chang talk about Reasons and indications for placement of crowns ....
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Early Orthodontic Management of Class 2 malocclusions- Part 2
Giving Sydney Great Smiles
In this part 2, Orthodontist Dr Andrew Chang discusses:
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Early Orthodontic Management of Class 2 malocclusions - Part 1
Giving Sydney Great Smiles
In this podcast for dentists, Dr Andrew Chang Orthodontist shares with Dr Diane Tay:
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What is the best time to start treating skeletal Class 3 malocclusions? Role of the general dentist. Part 2
Giving Sydney Great Smiles
In this Part 2 of the Q&A with Dr Diane Tay, Sydney Orthodontist Dr Andrew Chang discusses and outlines treatment options for Class 3 based upon the dental developmental stages:
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Felicia shares her story
Giving Sydney Great Smiles
We are humbled to have both Felicia and her mother share their experiences with us and with their braces. In this episode, we have an open and authentic conversation. They also share their advice and tips for children and parents considering orthodontic treatment. Sorry for the audio quality at times. While we miss seeing them for their regular adjustments, it gives us great satisfaction knowing she does not hold back smiling anymore.
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Zahra Shares Her Story
Giving Sydney Great Smiles
We are humbled to be able to serve our patient's and help them along their smile transformations. Personally, it has been rewarding for me and all the members of our team to play a role in their orthodontic care. We are grateful to have Zahra how sharing her experiences, having just completed her braces orthodontic treatment.
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What is the best time to treat Class 3 malocclusions?. Part 1
Giving Sydney Great Smiles
In this Q&A with Dr Diane Tay, Sydney orthodontist Dr Andrew Chang shares the best time to start treating skeletal Class 3 malocclusions. In this Part 1, he covers:
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Are all clear removable aligners the same?
Giving Sydney Great Smiles
Dr Diane Tay interviews orthodontist Dr Andrew Chang on the differences between clear removable aligners compared with braces. The differences between the different clear removable aligner products are discussed as well as the “do-it-yourself” aligner solutions. The idea of braces or aligners to fix crooked teeth should not be thought of as a zero sum game, as combining braces and aligners provides the benefits of aligners and the predictability of braces with difficult movements.
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Aligners & Braces. What are the differences?
Giving Sydney Great Smiles
What cases perform, better with braces? and with aligners? How do the different aligner companies compare during the process? and final outcomes? Dr Tay interviews Dr Andrew Chang on aligners. A synopsis is below:
info_outlineIn this part 2, Orthodontist Dr Andrew Chang discusses:
Treatment Options:
- No treatment
- Interceptive Treatment now: Functional Appliances with U maxilla expansion + referral to speech therapist.
- Wait till permanent dentition, then camouflage with upper arch extractions, U expansion is less effective.
Treatment Timing:
- Is it too early? Primary dentition?
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- If have habits eg: thumb sucking or dummy, best to cease habit first
- Mixed dentition: best time for maximum orthopedic effect (CVMS 2: Baccetti 2002): Shape of vertebral bodies of C2-4 and inferior borders of C3-4
- Adult. Is it too late? What happens with functional appliances? Compliance and success rate (due to temporary speech disruptions), greater lower incisor proclination. Jaw surgery and risks of morbidity.
- Adv & Disadv of Early Treatment- Gingival trauma, Upper incisor trauma, psychosocial.
- Adv & disadv of Late mixed dentition or Permanent dentition Tx: Orthopedic effects best retained.
What should dentists be looking out for?
- Age and Dental Status. Mobile D’s and E’s at 10-11 yrs may be difficult to retain functional appliances.
- Habits - ask about thumbsucking, dummy, mouth breathing etc.
- Signs of Risk Factors manifesting as gingival trauma, narrow jaw, Upper Incisor trauma.
- Assessing risk factors through their lifestyles and habits ie: sports, mouthbreathing
- >7mm Overjets and referral to orthodontist
- My experience has been parents would prefer to do a combined functional appliance + teeth alignment that address root causes, rather than orthodontic camouflage and adults are not keen on jaw surgery procedures due to significant risks.