Opening Deep Bite Open Activator Different Orthodontic Appliances

Is treatment with functional braces always successful?

Not necessarily. Obviously, treatment will not work if the appliance is not worn sufficiently well. In addition, there are a group of patients who do not respond particularly well to functional braces. Unfortunately, it is very difficult to predict which patients will respond to treatment. Functional appliances are believed to be most successful prior to or during the adolescent growth spurt. This typically occurs between the ages of 11 and 14 in boys and 10 to 13 in girls. Nevertheless, treatment may be suggested at an earlier or later stage in certain circumstances.

If treatment is unsuccessful, how can the problem be addressed?

Class II problems may be treated in a variety of ways. If Class II correction fails, a variety of options exist. Consideration may be given to using an alternative device or approach to correct the Class II including:

• Headgear
• Extractions
• Jaw surgery

The indications for these approaches vary and is based on the specific problem. In certain instances it may be advisable to accept the residual problem before considering treatment if desired at a later date. Jaw surgery is generally deferred until 17 years and above.

Is there any benefit in using functional appliances before the age of 10 years?

Treatment in this age group is regarded as ‘early treatment’ in the U.K. although this practice is routine in many countries. Research has demonstrated that functional appliance therapy commenced at an early stage is no more effective but is less efficient than treatment commenced at 10 to 14 years. In certain circumstances, however, particularly if children are the subject of teasing in relation to dental appearance, early treatment may be recommended.