Do I need braces?
Hello Dr.
Chuang, my son is 6 years old (in kindergarten).
His last lower right tooth has been painful due to a cavity, so I took him to the clinic today.
The doctor performed a root canal and filled the tooth.
I would like to ask if my son needs to get a crown.
Which option is better, to get a crown or not? Thank you.
Xiang Xiang, 0~9 year old female. Ask Date: 2013/12/20
Dr. Zhuang Suhui reply Dentistry
Hello: The purpose of placing a dental crown is to protect the tooth from breaking or cracking.
The last primary tooth typically falls out around the fourth or fifth grade.
Whether or not to place a crown depends on the extent of the tooth's damage.
If the damage is minimal, a crown may not be necessary.
However, if the cavity is significant, it is advisable to place a crown to prevent the tooth from fracturing before it is replaced.
Reply Date: 2013/12/20
More Info
When it comes to determining whether your child needs braces, especially at a young age like 6, there are several factors to consider. First, it’s important to understand that dental development varies significantly from child to child. At this age, many children are still in the process of losing their baby teeth and getting their permanent teeth. Therefore, the need for braces may not be immediately necessary, but it is essential to monitor their dental development closely.
Braces are typically recommended when there are issues such as overcrowding, misalignment, or bite problems (like overbite or underbite). If your child has already experienced dental issues such as cavities and pain, as you mentioned with the tooth that required a root canal, it’s crucial to ensure that their dental health is stable before considering orthodontic treatment.
In your case, since your son is only 6 years old, it might be premature to jump into braces right away. Many orthodontists prefer to wait until a child has lost a significant number of their baby teeth and their permanent teeth have erupted. This usually occurs around ages 10 to 14. However, if there are significant alignment issues or if your dentist or orthodontist notices that your child’s teeth are coming in crooked or crowded, they may recommend early intervention.
Early orthodontic treatment, sometimes referred to as Phase 1 treatment, can be beneficial in certain cases. This approach can help guide the growth of the jaw and incoming teeth, potentially reducing the need for more extensive treatment later on. However, not all children require early treatment, and many can wait until they are older.
Regarding your question about whether to get braces or not, it is essential to consult with a pediatric dentist or an orthodontist who specializes in children's dental needs. They can perform a thorough examination, including X-rays if necessary, to assess your child's dental structure and determine the best course of action. They will consider factors such as the alignment of the teeth, the relationship between the upper and lower jaws, and any potential future dental issues.
If your child is experiencing pain or discomfort, it is crucial to address these issues first. Pain can sometimes be a sign of underlying problems that need immediate attention, such as infections or further decay. Once those issues are resolved, you can have a clearer picture of your child's dental health and whether braces are necessary.
In summary, while braces can be beneficial for correcting dental issues, it is essential to evaluate your child's specific situation. Early consultation with a dental professional will provide you with the best guidance on whether braces are needed now or if it would be better to wait until your child is older. Regular dental check-ups will also help monitor your child's dental development and ensure that any necessary treatments are implemented at the appropriate time.
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