Tag Archives: dentistry

The Right Time For Braces, Part 1

Happy_Children
The average age to wear braces is about 12 years old, but that’s not necessarily the best time to start braces. Why? Orthodontic problems vary a huge amount. From slightly crooked or spaced teeth, to severely protruding teeth (buck teeth), to major bite problems (lower jaw too far forward or too far back), to a bite that causes the jaw to grow to the side, to delayed eruption of teeth, just to name a few! Each of the many variety of problems effects the best time to start braces, some as early as age 7 or 8, and others as late as 18 or 19! Orthodontic problems can be divided into two types: those needing treatment in two steps (an early step and a later step) or those best treated in one step. Each of these steps has an optimum time to start depending on the details of the particular patient’s bite problem. It is important to know how to tell the difference between a problem needing two steps vs. one needing only one step.
Quality Braces Care: 
Proper timing of braces greatly effects the quality of the care. If you start too early, the patient can wear braces longer than necessary. If you start too late, the patient might not receive the best result. Both lower the quality of orthodontic care. There are 7 principles that guide selecting the best time for braces:
1) Make treatment as simple as possible and still get the best result obtainable.
2) Treat to minimize irreversible problems.
3) If a current problem can cause other problems, keep that from happening, when reasonable.
4) Provide treatment that maximizes stability.
5) Consider the benefits to the patient of achieving a beautiful smile as soon as reasonable.
6) Avoid treatment that suffers from delays.
7) Minimize treatment costs in money and time.
Principle 1: Simplicity with the best result.
Sometimes there is more than one way to achieve the best result. The orthodontist has to know a wide variety of ways to make braces work so he or she can pick the simplest way for that patient to receive the best result. Broad, expert knowledge is important here!
Principle 2: Don’t allow irreversible problems if at all possible. 
Sometimes there is a bite problem that if allowed to persist will become partly or fully irreversible. It’s very important to know how to recognize these, also requiring expert knowledge, experience, and to know how to treat these early enough to avoid an irreversible condition. Bites that cause the jaw to grow to one side are an example and have to be caught very early to avoid irreversible growth problems.
Principle 3: Don’t let one problem cause other significant problems. 
Some bite problems can over time cause other problems, making the bite problem harder to get an excellent result. The best age for braces seeks that we have the highest degree of predictability and that we will obtain an excellent result. Not allowing a problem to compound many times makes a difference. With a severe overbite, for example, the upper front teeth go way down over the lower front teeth and can interfere with proper development and alignment of the lower teeth or impede growth of the lower jaw. Selecting these cases properly, with expert knowledge and experience, improves the quality of the result.
In “What is the Best Age for Braces? Part 2” we will look at the remaining principles and end wrapping it all up in how proper timing for braces, derived from expert knowledge and experience, supports providing braces for a lifetime of beautiful smiles. Stay tuned!

Welcome to Raleigh Orthodontics

Orthodontics Care and Braces

Raleigh Orthodontics and Dr Bert KellingYour child’s smile is personal. If your youngster isn’t smiling, or doesn’t feel great about his or her smile, you’re not smiling either. If you’re not smiling because of how your teeth look, you may not be enjoying life to the fullest.
At Raleigh Orthodontics, we take great smiles personally. Raleigh Orthodontics is committed to providing you expert personalized braces care, customized and delivered each visit by me and my highly experienced team.

Raleigh Orthodontics dedication to your personal care is rooted in my original interest in being a doctor. When I was a little boy my mother told me that the best thing to do in life is to find a way to help people. Her father was a successful physician for nearly 50 years. So, at age 14 I made the decision to be a dentist. With encouragement and lots of help from my parents I stuck to that goal for the next 15 years until finishing my orthodontics training at Harvard University in Boston, the same city where my grandfather completed his medical education.

Practicing Orthodontics

What heartened me during those 15 years of hard work, and helped to sustain my dream to practice dentistry, was a sense of purpose to create an orthodontics practice where there were few if any limits on how well I could help people within my chosen profession. Little did I know that the blessing of practicing orthodontics is not only do we have a great opportunity to give people a beautiful healthy smile that lasts a lifetime, but we also get to know our families personally and have many opportunities to share their joys and sorrows. Through this closeness we enjoy the fruit of authentic relationships that form the basis for truly helping people where they need help the most. We’re particularly enthusiastic about helping people achieve a beautiful smile for a lifetime through orthodontics care and braces.
Three of Raleigh Orthodontics Happy SmilesRaleigh Orthodontics, Dr Bert Kelling, beautiful smiles for a lifetime, orthodontics care and braces

In 2005 I was led by the Holy Spirit to dedicate Raleigh Orthodontics to the Lord Jesus Christ. This came from the realization in my heart that my success in practice was established more by what the Lord has done/is doing in my life than by my own efforts. Rooted in Christ, we ask daily for opportunities to represent Him the best we can and ask for His help in the treatment we provide, recognizing that each person who comes through our door has been sent to us for a reason, dental or otherwise. It is our goal to discover these reasons, respect those who seek our help, and serve them with the highest levels of care.

Orthodontics Raleigh NC and Personal Care

So, what started as a dream to help people with orthodontics care and braces has been lifted to a calling to serve the Lord, which has given us the blessing of finding that as we care abundantly for others we reap the greatest benefit for ourselves. This is certainly what my mom knew way back then.

These many years later, it is our blessing and joy at Raleigh Orthodontics to serve our family of patients with orthodontics care and braces and help them have a beautiful smile to last a lifetime. Call Raleigh Orthodontics today…Why Wait?…call 919-847-6364 to schedule a consultation.

Dr. Bert Kelling
Board Certified Orthodontist
Raleigh Orthodontics