Mixed dentition treatments: Period covering the age of six to 12 years

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The period of mixed dentition is quite a complex and dynamic period. It covers the age of six to 12 years, during which the milk is replaced by permanent dentition. Permanent dentition teeth are significantly larger than deciduous teeth and it is therefore very important that this period be followed by both a dentist and an orthodontist. Caries on the baby teeth is often present during that period, and it is extremely important for the permanent tooth to remain healthy. Therefore, all preventive measures are taken, from education for proper and regular cleaning of teeth, regular examinations and watering of fissures on permanent molars.

The first permanent molars are also pillars of proper occlusion. Their importance is very important in terms of chewing gum and function. With their sprouting, the bite is raised, so that normal vertical dimensions are formed.

The appearance of diastemas (gaps) between the teeth is a normal occurrence for that period and is very important. It occurs as a result of the growth of the jaws, which allows the creation of enough space for proper sprouting and placement of new, permanent teeth.

Whether the teeth are properly placed and arranged in that period is an assessment and work of the orthodontist. Through examination and appropriate orthodontic analysis, it is determined how the teeth are placed and whether therapeutic measures are needed, ie wearing an orthodontic appliance. What type of orthodontic appliance will be used depends on the type of anomaly. If there is tightness of the teeth or stinging, it is necessary to spread the jaws. In case of open and deep bite, it is necessary to wear devices that will enable the establishment of a proper, normal overlap of the teeth. In the event of a prognosis (pouring forward, usually on the lower jaw), careful monitoring of the patient is required and therapy in such cases can begin at an early age. Appropriate myofunctional exercises are sometimes needed to help guide growth.

Wearing orthodontic appliances aims to remove the cause and enable proper growth. It is therefore necessary to explain it nicely to the child and to accept their wearing regularly.

Doctor Ilija Karamanov, dentist

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