There are several indications for early treatment. Some of them are listed below:

Deep Bite
The upper teeth completely hide the lower teeth when biting down. This can occasionally damge the soft tussue of the palate behind the upper incisors. It can often be corrected with partial braces or a bite plate.

Open Bite
The upper and lower teeth not meet in the front when your child bites. This can be a result of a thumb sucking habit or tongue thrust. Partial upper and lower braces are often used to fix this type of malocclusion. A habit/tongue crib can also frequently be used to aid in the cessation of thumb sucking or tongue thrusting. Stopping these habits will often lead to self correction.

Excess Overjet
The upper front teeth stick out farther than the lower teeth. This is most often corrected with headgear worn at home and while sleeping, but several other appliances may also be used. Excess overjet is best corrected by utilizing growth. Braces frequently do not need to be placed.

This type of malocclusion occurs when the upper teeth are inside the lower teeth. It can occur on 1 side, both sides, or in the front of the mouth. An expander (usually get in place for 4 to 6 months) is used to correct unilateral or bilateral posterior crossbites. A removable retainer or partial braces are used to correct anterior crossbites; this can take anywhere from 2 weeks to 6 months, depending on the severity of the crossbite. Anterior crossbites can also be a result of a skeletal discrepancy -- a reverse pull face mask is worn at home and sleeping to bring the entire upper arch forward in this situation. With any crossbite, the sooner it is corrected, the more stable it tends to be, very frequently requiring no retainer to maintain.

Crowinding occurs when there is not enough room for the permanent teeth to erupt into the arch. This can be the result of the loss of a baby tooth early or a tooth size/jaw size discrepancy. A passive lower holding arch placed before the loss of the primary 2nd molars (around 10.5 to 11 years old typically), can often save enough space to prevent the need for the extraction of permanent teeth. The lower holding arch also helps to increase stability of the final outcome.


These are just some of the signs that your child may benefit from early treatment. Please feel free to contact our office if you have questions on any of the above mentioned malocclusions or treatment modalities. Both Dr. Vogt and Dr. Ellerhorst are verynowledgeable in early treatment and always provide honest, evidence based responses to your questions.