Orthodontics and dentofacial orthopedics, what differences?


Magalie is 8 and a half years old, and she has been referred by her dentist.

The first observation that I bring up to her mother is the narrow shape of her palate.

The mom could see that there was not a lot of space for the top four incisors and that she had a triangle shaped smile.

I continue the exam and I notice that her rear baby teeth and her first adult molars are closing in with the bottom teeth.

I explain to Magalie and her mother the necessary treatment and I advise them to proceed with it, even if Magalie still does not have all of her adult teeth.

The maxillary orthopedic correction is executed with a device that is fixed to four teeth (generally the first adult molar and the first primary molar) There is a micro screw fixed to the middle of the device that needs to be turned once a day for a period of 24 to 32 days.

I reassure Magalie that this procedure does not hurt because her palate is still made of soft cartilage in the middle, and her teeth positioning is going to change very quickly.

Her mother asks if she is not too young. Actually, her age is adequate because her bone has not fully hardened yet, and this will increase her chewing posture, and also help to develop her breathing because her sinuses are attached to the maxillary. Although this treatment won’t avoid braces or the Invisalign method in the future, her bone structure will have been corrected.

In the end, orthodontics and dentofacial orthopedics are complementary to one another. It is sometimes necessary to begin with orthopedics with young children in projecting a future orthodontic treatment during the teenage years.

Dr. Alain Brault, Orthodontist in Montreal and Mont-Tremblant