Page 22 - The Connection Bernards-Ridge Edition, September 2012

PAGE 22 THE BERNARDS-RIDGE CONNECTION SEPTEMBER 2012
1 South Finley Avenue • Basking Ridge, NJ 07920
office: 908-766-8334 cell: 201-412-9316 fax: 973-387-4814
e-mail: ellen.latteri@cbmoves.com www.coldwellbankermoves.com/ellen.latteri
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33 Ridge Road, Green Brook
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Robert J. Bruzzichesi
DMD, LLC
Complete Orthodontic
Solutions for Children & Adults
Invisalign® Preferred Provider & Clear Braces
20 N Finley Ave, Basking Ridge, NJ 07920
(908) 766-0111
121 Main Street, Whitehouse Station NJ 08889
www.BaskingRidgeBraces.com
WHAT AGE SHOULD I BRING
MY CHILD IN FOR THEIR
FIRST ORTHODONTIC CHECK-UP?
By: Robert J. Bruzzichesi, DMD, MMSc
We have all heard the expression
“Timing is everything,” and this
saying certainly applies to the field
of orthodontics. I often get asked
the question by moms at the local
supermarket, “why do some kids
seem to get braces so early nowa-
days like 7-9 years old and others
not until around 11 or 12?”
Well the best answer is really the
simplest, every child’s orthodontic
case really is different. The guide-
line set by The American Associa-
tion of Orthodontists(AAO) is that
every child should receive an ortho-
dontic examine by the age of 7.
There are several reasons for choos-
ing this age.
The 6 year molars should have
erupted in the back of the mouth in
all four quadrants setting what is
essentially the foundation for the
bite to be built upon as the rest of
the permanent teeth erupt. By age
7-8 the front of the mouth normal-
ly has the four permanent incisors
erupting into place on the upper
and lower jaw, which sets up the
front bite or what we call the over-
bite relationship. As these 12 (out
of 32 total) permanent teeth erupt,
the orthodontist can evaluate the
developing teeth and jaws for sev-
eral important problems they may
possibly need some type of early or
interceptive treatment to prevent
the development of a more serious
problem.
Some examples of more severe
problems at this age include:
• teeth too large for size of jaws
(orthodontic crowding)
• top molar bites inside bottom
molar (posterior crossbite)
• Severe horizontal overlap of
front incisors (overjet)
• Severe Vertical overlap of front
incisors (deep/traumatic overbite)
• Top jaw too narrow for bottom
jaw (transverse maxillary deficiency)
• Top jaw outgrowing bottom jaw
(class II skeletal pattern)
• Bottom jaw outgrowing top jaw
(class III skeletal pattern)
The majority of the kids coming in
for orthodontic screenings at this
age do not present with problems
requiring immediate treatment.
They are placed on an observation
recall to monitor the future growth
and development of their teeth and
jaws to assess any future orthodon-
tic needs. When early or stage one
treatment is indicated for these
types of problems the type of treat-
ment is individually tailored to the
patient.
Some examples of early or stage I
orthodontic treatment include:
• palate expansion appliance – for
posterior crossbite, narrow upper
jaw, crowded teeth, etc
• functional or orthopedic appli-
ances to correct the skeletal mis-
alignment of the top and bottom
jaw
• partial set of braces - severe over-
bite, crowding, spacing
• habit control appliance - thumb
or finger sucking habits
• space maintenance appliance -
missing baby teeth
Dr Bruzzichesi has been in private practice
in the Somerset Hills area for 12 years since
the completion of his residency at Harvard
Dental School. He believes in providing
state of the art orthodontic care in a warm,
friendly environment with a personal
touch.
The office has 2 locations, Basking Ridge
and Whitehouse Station with evenings
and Saturdays available. Please call us
at 908-766-0111 or visit our website at
www.baskingridgebraces.com for more
information about orthodontic care for the
entire family.
www.theconnectionsnj.com