Many children and young people suffer from misaligned teeth and jaws. Corrections may also be necessary in adulthood, for example after tooth or bone loss.
It is the job of the orthodontist to create a well-functioning and aesthetic appealing tooth position through an appropriate procedure, which, with proper care, can be preserved for life.
For further information:Swiss Society for Orthodontics
Problematic tooth and jaw positions often appear as a combination. Careful diagnosis and treatment planning are therefore extremely important.
First, the orthodontist clarifies whether the cause of the misalignment is due to an incorrect position or development of the jaw (so-called skeletal deviation) and whether there is a misalignment of the teeth (so-called dental deviation).
Depending on the therapeutic tasks, various devices are used on a patient: jaw growth is often influenced in a first phase. In a second phase (after completing the tooth change), the misalignment of the individual tooth is finally corrected.
It should be noted that all corrections require reliable patient cooperation and good oral hygiene so that the treatment goal can be achieved.
The upper jaw teeth are clearly in front of the lower row of teeth (most common jaw deviation).
Here the lower front teeth are in front of the upper dental arch.
The upper jaw is too narrow in relation to the lower dental arch.
Due to a lack of support, the lower front teeth bite on the upper palate. This can permanently damage the tooth bed of the upper teeth.
The teeth do not clench (usually in front). Pacifier or thumb sucking is often the cause of this in young patients. The open bite affects the biting function and the language or sound formation.
If there is a mismatch between the size of the teeth and the jaw or if the milk teeth are lost prematurely, so-called constrictions occur which make it difficult to clean the space between the teeth. This favors tooth decay and inflammation of the gums, which can lead to tooth bed disease (periodontitis) in adulthood.
One must not miss the right time for orthodontic treatment in the course of bite development and jaw growth. If you start too early, there is even a risk that the treatment will take too long.
Incidentally, it is not the age in years of life that is decisive for the start of treatment in the child, but the skeletal age and the timing of the tooth change.
Source: SSO Dental Association
I really like children and young people and love working with them and gaining their trust. As a former teacher and dentist at the Zurich School Dental Clinic, I was able to gather a lot of experience in dealing with children and adolescents. These still help me carry out successful dental treatments today. With a lot of respect and patience, positive feedback and by explaining, showing, I try to create a relaxed situation in order to achieve the goal.
It is nice to be able to treat children in optimal conditions. For example, there is a TV on the ceiling of the treatment room on which children's films can be played. For very anxious or small patients, I can promote the relaxation with the help of laughing gas, if required and wished for.
The older children and adolescents are particularly close to my heart. Because the older one gets, the more decisive personal responsibility for oral health becomes. As a dentist, I naturally want to support and encourage by educating and motivating the young people.
Yes, if there are milk tooth holes on the side. Because these holes can lead to pain or even abscesses without treatment. It is also important to ensure enough space for the coming, permanent teeth. Because this change begins relatively late: for girls, on average, only shortly before 10 years, for boys only about 10.5 years and lasts up to 1.5 years.
If, on the other hand, the holes are on the milk incisors, we do not recommend treatment, because the change to the permanent teeth is already between 6 and 8 years old. However, if these holes hurt, the milk incisors need to be pulled.
Electric toothbrushes have a very good cleaning effect - if they are used correctly. However, we recommend cleaning by hand at least once a day so that the cleaning technique can be trained and improved by hand. When purchasing an electric toothbrush, make sure that it is a sonic toothbrush. In addition, the brush head should not be too big and the brush handle should be light and handy. We will be happy to provide you with cleaning instructions for brushing your teeth with the sonic toothbrush on your next visit.
Try to make your child confident and let them know that you trust us. Let them know that they can ask any questions and that everything is explained to them in detail very calmly. Be compassionate if your child wants to stay at home - it takes courage to get involved with something unknown. Show the child that you will do this together. Who knows, maybe the prospect of making your teeth healthy again will help to look forward to the visit.
We are in the convenient position that orthodontics and pediatric dentistry are under the same roof in our practice. This way it is possible for the specialists Dr. Lorenzo Pagliaro and Dr. Isabella Scherer to be consulted at any time. The right time for an orthodontic start can be determined - not too early and not too late.
Our practice offers you a reasonable price-performance ratio. Billing is based on the official rate of the Swiss Dental Association SSO (Dentotar).
The invoices are issued transparently, listing all the items separately.
Before the treatment, you will be fully informed about the expected costs. On request, you can also receive a detailed written cost estimate.
The following tax point values apply:
Private patients: CHF 1.20
Orthodontics: CHF 1.00
Accident insurance and social services: CHF 1.00