At what age should a child have an orthodontic screening? Age 7, unless you suspect a problem at an earlier age. Why are children being evaluated at such an early age? Early diagnosis and treatment can guide erupting teeth into more favorable positions, preserve space for the permanent teeth and reduce the likelihood of fracturing protruded front teeth. Also, early treatment may shorten treatment time, make treatment easier and in some cases less expensive. What is the psychological impact of early treatment? Appearance has been related to popularity, social behaviors, self-expectation, personality style, and self-esteem. Orthodontic therapy may lessen the likelihood that a child will be picked on by other children. Treatment may reduce appearance-consciousness and the emotional scarring that can occur during critical developmental years. Also, as adolescents enter the sensitive teenage years, they become far less receptive to orthodontic therapy. Is orthodontic care expensive? Orthodontic therapy may eliminate the need for other medical and dental treatment. The physical and psychological benefits usually last a lifetime, making orthodontics on of the best investments in healthcare and quality of life. Several budget options are available so that finances don’t stand between the patient and necessary treatment. In addition to esthetic improvements, what are some other benefits of orthodontic therapy? Additional benefits may include better function, improved cleanability, more favorable wear patterns and greater longevity of natural teeth. Why is growth spurt at puberty so important in orthodontics? That is the time when much of the development of the face occurs. Treatment during this period allows the orthodontist to favorably influence the facial profile in a growing child. Once growth of the facial bones is complete, correction of skeletal discrepancies usually requires surgery. If I’m not sure about the need for orthodontics, how should the patient be managed? If in doubt, refer. If you notice a problem and refer to specialist, your professional responsibilities are fulfilled. Also, a timely referral can avoid more complex problems that may worsen. All treatment is coordinated with the dentist so that each patient receives the best comprehensive care. At what age is a patient too old for orthodontics? Patients who have teeth and healthy supporting structures are never too old for orthodontic therapy. They can spend the rest of their lives with an attractive smile if they choose to. Age is not a factor. How can I tactfully approach an adult patient who could benefit from orthodontics? Ask the question: “Are you happy with the appearance of your teeth?” The answer will be your guide to further development of the conversation. Why are adults seeking orthodontics in increasing numbers? Many adults are receiving orthodontic care that was not available to them as children. They realize that improving the health of their mouths and the attractiveness of their smiles and facial appearances can result in changes for the better in their personal, social, and professional lives. Technical advances have also had an impact of adult therapy. What are some of the advances in adult orthodontic therapy? Advanced technology has produced small tooth-colored brackets that are barely noticeable. Specially alloyed wires are more comfortable, can speed up treatment, and may decrease the number of necessary appointments. New retainers can be placed where they do not show. Also advanced surgical techniques now allow treatment of many skeletal problems after growth is completed.