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Pediatric Dentistry/Palate Expansion for child?

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Question
Teeth
Teeth  
We have a little girl who is 5 years, 7 months old. She is quite small for her age due to health issues, and have been told that she's likely going to need orthodontics due to crowding/spacing issues. I know one dentist mentioned even the possibility of a palate expander.

At what age, would it be beneficial for her to see an orthodontist? Does her jaw look *that* narrow/crowded? To my eye, it looks as though her upper teeth are angling inwards? Is that a problem? If she did need treatment for crowding (either pulling teeth or the expander), at what age do they typically start treatment?

Answer
Palatal expansion should not be done till the full eruption of the permanent 1st molar around 7 years of age. Cannot evaluate need for orthodontics till enough teeth are in.  Normally we like to see spacing between the anterior teeth in the primary dentition, when we see crowding it is likely that some type of orthodontic treatment may be needed.Once the permanent 6 year old molars are fully in I would have the orthodontist to a space analysis to see what treatment would be best for her.

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Michael D. Saxe D.M.D.

Expertise

All questions related to Pediatric Dentistry, Dental Growth, Dental Trauma, First Dental visit, Baby Bottle tooth Decay, Dental Sedation, Etc...

Experience

20 years private practice as a Pediatric Dentist, Staff at University Of Nevada School of Dental Medicine, Advanced Education Program in Pediatric Dentistry.

Organizations
ADA, AAPD, Nevada dental society, Clark County Dental Society, Cal. AAPD, Western society of Pediatric Dentistry, Southern Nevada CFA Team core member.

Publications
ASDC Journal

Education/Credentials
Washington University in Saint Louis, Dental School University of Texas Health Science Center San Antonio, residency

Awards and Honors
Top pediatric Dental office 6 years in a row.

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