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1. 115-Early Treatments in Orthodontics
Protrusion
Awatef SHAAR (BAU-LB), Orthodontist.
Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA.
Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
Contact: dr.aboualnaser@hotmail.com
2010

2. BENEFITS OF EARLY TREATMENT IN ORTHODONTICS
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

3. 1Anterior cross bite
2Posterior Crosse bite
3-Crowding
4-Openbite
5-Protrusion
6Ectopic eruption
7Class III- proglissement
8-Disatema-freins
9-Oral habits- Thumb sucking Tongue thrusting Lips
10-Class II division 2-Blockc growth
11Mouth breathing
12Mandibular deviation growth midline
13-Space maintainer
15-guidage of eruption
Early Treatments in Orthodontics
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

4. Early Orthodontic Treatment for
Children
• What is the difference between early orthodontic treatment and
regular orthodontic treatment, and why might my child need early
treatment? How will early treatment benefit my child in the long
run?
• These are just a few of the questions surrounding the topic of early
orthodontic treatment for children. The American Association of
Orthodontists recommends that children see an orthodontist as
early as age seven. At this point the orthodontist will evaluate
whether your child will need orthodontic treatment.
• Early treatment (also known as Phase One) typically begins around
age eight or nine (Phase Two will begin around age 11 or older). The
goal of early treatment is to correct the growth of the jaw and certain
bite problems, such as underbite. Early treatment also helps to make
room for permanent teeth to come in properly, lessening the chance
of extractions in the future.
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

5. Early Treatments in Orthodontics
Protrusion
• ToAvoid traumatic injury to maxillary and central incisors.
• ToAvoid Jaw or Orthognathic Surgery
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

6. Early Treatments in Orthodontics
Protrusion
• Before and after Orthognathic surgery
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

7. Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Early Treatments in Orthodontics
Improving the Profile

8. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correlation between dental traumatic
injuries and overjet -prevention

9. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correlation between dental traumatic injuries and overjet -
prevention

10. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correlation between dental traumatic injuries and overjet -
prevention

11. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correlation between dental traumatic injuries and overjet -
prevention

12. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correlation between dental traumatic injuries and overjet -
prevention

13. Early Treatments in Orthodontics
Protrusion
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

14. Early Treatments in Orthodontics
Protrusion
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

15. Early Treatment in Orthodontics
Protrusion
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

16. Frankel appliance - Functional
Regulator
• Frankel appliance
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

17. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Dental Injuries

18. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correction protrusion, overjet reduction,
Functional appliance

19. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Protrusion, and dental trauma

20. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Mouthguard protection

21. 1 Maxillary protusion: Hedgear or Functional appliance
2 Mandibular retrusion: (Functional appliance )
3 Combinaison of above: Hedgear or Functional appliance
Hedgear or Functional appliance ?
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

22. 1 Maxillary protusion: Hedgear or Functional appliance
2 Mandibular retrusion: (Functional appliance )
3 Combinaison of above: Hedgear or Functional appliance
Hedgear or Functional appliance
SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

23. Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

24. SANDID OUSSAMA
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

25. Why does early orthodontic treatment
make sense?
• Some children display early signs of minor orthodontic irregularities. In such cases,
the pediatric dentist may choose to monitor the situation over time without
providing intervention. However, for children who display severe orthodontic
irregularities, early orthodontic treatment can provide many benefits, including:
• Enhanced self-confidence and esthetic appearance.
• Increased likelihood of proper jaw growth.
• Increased likelihood of properly aligned and spaced adult teeth.
• Reduced risk of bruxing (grinding of teeth).
• Reduced risk of childhood cavities, periodontal disease, and tooth decay.
• Reduced risk of impacted adult teeth.
• Reduced risk of protracted orthodontic treatments in later years.
• Reduced risk of speech problems.
• Reduced risk of tooth, gum, and jawbone injury.
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

26. HOW TO TELL IF YOUR CHILD MAY NEED EARLY ORTHODONTIC
TREATMENT:
• Early or late loss of baby teeth (your child should typically start
losing teeth around age five, and will have all permanent teeth
around age 13)
• Difficulty chewing and/or biting
• Mouth breathing
• Your child continues sucking his or her thumb after age five
• Speech impediments
• Protruding teeth (the top teeth and the bottom teeth extend away
from each other)
• Teeth that don't come together in a normal manner or even at all
• Shifting of the jaw when your child opens or closes his or her mouth
(crossbites)
• Crowded front teeth around age seven or eight
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

27. WHAT CAUSES ORTHODONTIC PROBLEMS, AND HOW
WILL EARLY TREATMENT BENEFIT MY CHILD?
• Orthodontic problems such as crowding of the teeth, too much
space between the teeth, jaw growth problems, protruding teeth,
and bad bites can be inherited or caused by injury to the mouth,
early or late loss of baby teeth, or thumb-sucking habits.
• Most children lose all their baby teeth by age 13, and by the end of
their teen years, the jaw bones will harden and stop growing.
Orthodontic procedures for adults often take more time and can
involve tooth extraction or oral surgery. Receiving early orthodontic
treatment as a child can help prevent the need for orthodontics as
an adult, leaving little to no chance of extraction or surgery in the
future.
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

28. Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

29. Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR