Correcting Underbite in Toddlers: Treatment Options and Specialist Recommendations - Dentistry

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A two-year-old child has a recessed lower jaw and does not like to eat?


My child has an inwardly curved lower jaw and is currently two years old.
All of his teeth have fully erupted, but he tends to bite the soft tissue of his upper jaw while chewing, which makes him reluctant to eat.
Currently, he only consumes rice porridge daily.
Is it possible to perform mandibular correction surgery on a two-year-old child, or are there other treatment options available? Can you recommend any specialists in Hsinchu who deal with this issue? Thank you!

Yangyang, 0~9 year old female. Ask Date: 2005/06/26

Dr. Wang Cunzhen reply Dentistry


Hello: We apologize! Dr.
Wang Chun-Cheng has left our hospital and is no longer providing services here.
We will respond to your inquiry once another physician has addressed it.

Dear Yang Yang: Regarding the questions you posted on the website, some parts are not easily understandable at first glance.
Therefore, we recommend that you personally bring your child to a pediatric orthodontist's clinic or hospital for an in-person consultation to receive an appropriate treatment plan.
Thank you!
Dr.
Wen Yu-Ya, Pediatric Dentistry, Hsinchu Hospital

Reply Date: 2005/06/26

More Info


Correcting an underbite in toddlers is a concern that many parents face, especially when it affects their child's eating habits and overall comfort. An underbite, or mandibular prognathism, occurs when the lower jaw protrudes beyond the upper jaw, which can lead to difficulties in chewing and even pain or discomfort in the mouth. In your case, since your child is only two years old and is experiencing issues with biting the upper palate, it is essential to approach this situation carefully and consider various treatment options.


Treatment Options for Underbite in Toddlers
1. Observation: In many cases, especially for very young children, the first step is often to monitor the situation. Children’s jaws and teeth are still developing, and sometimes, underbites can correct themselves as they grow. Regular dental check-ups can help track the development of your child's bite.

2. Orthodontic Evaluation: While surgical options may be considered later, early orthodontic evaluation can be beneficial. An orthodontist can assess your child's bite and recommend early intervention if necessary. This may include the use of space maintainers or other appliances to guide the growth of the jaw.

3. Functional Appliances: These are devices designed to help correct jaw alignment and can be used in young children. They work by encouraging the proper growth of the jaw and can help in repositioning the teeth. An orthodontist can provide guidance on whether such appliances are suitable for your child.

4. Surgical Options: Surgical correction of an underbite is typically not recommended until the child has reached a certain age, often around adolescence, when the jaw has fully developed. For a two-year-old, surgery would be considered a last resort and is generally avoided unless there are severe functional issues.

5. Speech Therapy: If the underbite is affecting your child's speech or eating habits, consulting a speech therapist may also be beneficial. They can provide strategies to help your child manage their eating and improve their speech clarity.


Specialist Recommendations
In terms of finding a specialist in Hsinchu, it is advisable to look for a pediatric dentist or an orthodontist who specializes in treating young children. Here are some steps you can take:
- Consult Your Pediatrician: Your child's doctor can provide referrals to trusted dental specialists in your area.

- Local Dental Associations: Check with local dental associations or societies for recommendations on pediatric dentists or orthodontists who have experience with underbites.

- Online Reviews and Resources: Websites like Healthgrades or Zocdoc can provide patient reviews and ratings for dental professionals in your area.


Conclusion
In summary, while surgical options for correcting an underbite in toddlers are limited and typically not recommended at such a young age, there are several non-invasive treatment options available. Regular monitoring, orthodontic evaluation, and possibly the use of functional appliances can help manage the condition effectively. It is crucial to consult with a pediatric dentist or orthodontist who can provide personalized recommendations based on your child's specific situation. Early intervention can often lead to better outcomes as your child grows.

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