Children's dental mouth guards
The most important period for orthodontic treatment is the age of 6-10 years. At this time, not only the teeth change, but also the formation of the bones of the face, upper and lower jaw and their alveolar processes (the part of the bone tissue where the roots of the teeth are located). It is the size, symmetry and relationship of the bony structures of the jaws that determines whether and to what extent bite pathology will develop.
The main goal of orthodontic treatment in childhood is the correct harmonious formation of the jaws, which will allow the permanent teeth to erupt in the necessary position and close in a correct bite.
There is a huge amount of equipment that is used in pediatric orthodontics:
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removable and non-removable plates for one jaw
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removable double-jaw devices
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partial bracket system
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different types of caps
The first three items include a lot of metal parts in their structure, which often frightens young patients, spoils the positive attitude to treatment and leads to complexes in communication with other children. Therefore, the use of mouth guards, which are no less effective but more comfortable for children and invisible to others, is gaining popularity in orthodontic treatment.
Types of children's caps
Caps can be of two types:
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Silicone double-jaw mouthguards (trainers)
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Children's aligners
Trainers
The orthodontic trainer can be used in children with milk and removable bite. The main feature of this device is its functional orientation – In addition to a small correction of the position of the teeth, the trainer effectively affects the formation of nasal breathing, the correct position of the tongue and lips, eliminates the bad habits of putting the tongue between the teeth, sucking fingers and other objects..
How does the device work?
The silicone double-jaw mouthpiece has pads for the upper and lower dentition, a tongue flap and a lip bumper. When a child puts on a mouth guard, the teeth fall into special recesses, and the jaw is fixed in the correct position. The tongue barrier does not allow it to be between the teeth, which prevents the development of an open bite, and the correct position of the tongue near the palate contributes to the development of the upper jaw in length and width. The lip bumper ensures proper lip tone and closure, helps to get rid of bad habits such as finger sucking and mouth breathing.
In difficult clinical situations, the trainer is used as a pre-orthodontic preparation (stage 1) for treatment with braces or aligners in the future, with a permanent bite (stage 2). The device eliminates bad habits, promotes the harmonious development of the jaws and proper teething, but does not provide perfect evenness of permanent teeth and does not correct pronounced malocclusion pathologies.
What types of trainers are there?
Orthodontic trainers exist in several standard versions. They differ in size, stiffness, and frame, and may have pads for the entire dentition or separate cells for each tooth. The orthodontist selects the size and a specific model depending on the clinical case (LM activator, Myobrace Starter, Myobrace NoCore, Elastopositioner corrector, etc.)
When is the trainer scheduled?
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bad habits (sucking your finger and other objects, breathing through your mouth, putting your tongue between your lips, etc.)
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small crowding
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slight narrowing of the dentition
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reverse incisor overlap
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palatal or vestibular position of individual teeth
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Stage 1 of orthodontic treatment
Trainer use is contraindicated in case of nasal breathing disorders due to ENT pathologies (chronic runny nose, tonsilitis, etc.)
What is the wearing mode?
The device must be worn regularly and daily. The trainer should be worn at night, and during the day it is enough to wear the appliance for 2-3 hours, for example, when doing homework or watching TV. At first the appliance may press a little on the teeth or fall out of the mouth at night, but with regular wear the adaptation comes quickly enough – after a week the trainer will not cause any problems and unpleasant sensations. The trainer should not be chewed while wearing it and should not be spoken to – this can deform the construction of the mouth guard and its effects will be unpredictable.
Care of the device
The appliance should be rinsed under running water every time after use, and the mouth guard should be washed with soap and water once a week. The main thing is not to use very hot water and hard brushes, as this can damage the silicone material of the trainer and cause it to deform.
Children's aligners
Aligners are a set of transparent plastic caps that are made individually using virtual modeling. After taking impressions or digital scanning of teeth, a 3D model of the dentition is created in the laboratory and it is planned to move each tooth. This allows you to accurately predict the result of treatment and see it even before wearing the cap.
How do aligners work?
Individually made mouthguards perfectly repeat the shape of the teeth and fit snugly to the crown of the tooth from all sides. Forces act on each tooth evenly and precisely in the volume and direction necessary for movement.
A special feature of children's eliners is the minimal number of attachments and the absence of any other fasteners.
Advantages and disadvantages of aligners
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Unnoticeable on the teeth. During childhood, it is very important to be comfortable socializing with peers without embarrassment
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They are safe for the mucous membrane and teeth. Individually designed mouthguards precisely follow the gingival contour and do not rub when worn, whereas the metal structures of the plates can scratch, prick and, in case of accidental injury, damage the tooth enamel.
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Hypoallergenic. The colorless cap material does not contain harmful components and does not lead to the development of allergic reactions.
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Convenience. Children adapt very quickly to removable mouth guards due to their lightness and small thickness, they do not affect diction, and if necessary, they can be easily removed.
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All tooth movements and changes during orthodontic treatment are predictable and effective, and you will see the result of treatment even before you start wearing the cap.
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Wearing aligners does not complicate oral hygiene. Mouth guards are easily removed, and children clean their teeth as usual with a brush and paste.
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Require strict adherence to wear — at least 22 hours a day
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The cost is higher than for alternative hardware
When can aligners be appointed?
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Narrowing and/or shortening of the dentition
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Reverse incisor overlap
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Vestibular or palatal position of individual teeth
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Tremors and diastemes
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Stage 1 of orthodontic treatment
Baby aligners are contraindicated in severe malocclusion, as well as in the absence of more than 4 teeth, since cap fixation will be impossible
What is the mode of wear?
Aligners must be worn constantly (at least 22 hours a day), except for eating and brushing teeth. The caps are replaced with new ones about once a month after the movements programmed in the cap are completed and the strength of the first pair of aligners weakens. In aligners, you can not drink too hot drinks and eat food, as this leads to deformation of the mouth guard material and a change in its action.
Maintenance of aligners
The care of the aligners is very simple; it is enough to rinse them under running water after use, if necessary, they can be washed with soap and cleaned with a soft brush.
The final decision on the treatment method is always made by the orthodontist, based on the specific clinical situation and diagnostic data. Not all bite abnormalities can be effectively treated with different types of mouthguards.
Correcting the bite in childhood – is the key to proper harmonious development of the face and jaws, as well as the basis for a beautiful smile and correct bite in adulthood
Make an appointment for a consultation with a pediatric orthodontist