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Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. David Baker and our team at Baker Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

• Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
• Difficulty chewing and/or biting
• Mouth breathing
• Sucking his or her thumb
• Speech impediment
• Protruding teeth (the top teeth and the bottom teeth extend away from each other)
• Crowded front teeth
• Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our Portland or Vancouver office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. David Baker, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

• Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

• Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

• Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

• Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

• Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

• Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

• Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. David Baker and our team recommend an orthodontic assessment at our Portland or Vancouver office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. David Baker can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. David Baker will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

• Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
• When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
• Rinse your aligners whenever you remove them during the day.
• Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Portland or Vancouver team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

• If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
• Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
• Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
• Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Dr. David Baker about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

Now that October is upon us, Dr. David Baker and our team at Baker Orthodontics wanted to send you a friendly reminder to schedule your orthodontic appointment prior to the end of the year to take full advantage of any flex spend, health savings, or insurance benefits that you may have.

The end of the year is always a busy time so make your appointment now so you don’t lose your available benefits! Give us a call today!