Orthodontic research in the last 10 years (References 1-2) has clearly shown that early treatment for “class II” problems (prominent upper front teeth or “buck teeth”) is of little value and may actually cause other problems.
Children undergoing two-phase treatment for class II problems often experience “burnout” from lengthy treatment. Other disadvantages can include increased cost, potential root resorption (“blunting” of the roots) and enamel decalcification or stains on the teeth.
Class II problems are best addressed during the child’s pubertal growth spurt, when the lower jaw is growing most rapidly. This time most often corresponds to when the child has most, if not all, of their adult teeth. As a result, Dr. Korne will carefully monitor the child’s dental development and physical maturation in order to treat these problems with one comprehensive phase of treatment.
1 Tulloch, Proffit, Phillips. Outcomes in a 2-phase randomized clinical trial of early class II treatment. American Journal of Orthodontics & Dentofacial Orthopedics. 125(6):657-667, June 2004
2 Harrison, O’Brien, Worthington. Orthodontic treatment for prominent upper front teeth in children. Cochrane Database of Systematic Reviews 2007, Issue 3. Art. No.: CD00345.DOI:10.1002/14651858.CD003452.pub2