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In
children and growing adolescents, it is preferrable to treat cases without the need for
removal of permanent (or adult) teeth. This can be achieved via "Growth
Modification" and involves increasing the amount of "jaw space" available
for the crowded mouth. This will often involve utilising Headgears, Expansion Plates, Lip
Bumpers or Functional Appliances (Night-Time Plates) for a 9-15 month period; however,
this time frame is dependent on patient compliance and the timing & direction of
facial growth. After this initial phase treatment, the majority of cases will then
commence with braces for a standard period of 18-24 |
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| In cases
where one or both jaws are severely malpositioned "Jaw Surgery"is also necessary
in conjunction with braces. Jaw surgery is usuallyundertaken within the first year of
treatment after initial alignment and decompensation with braces. The total active
treatment time is usually 21-27 months depending on the complexity of the case. Retention is a necessary part of treatment and, in most cases, involves the use of removable plates at the conclusion of active tooth movement (i.e. when the braces come off). The length of time wearing retainers is variable and is dependent on such factors as the original tooth position and the amount of further facial growth expected." |
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