Miller Orthodontic Specialists in Keene, Rindge, NH and Brattleboro, VT

Smiles by Dr. Miller

Orthodontics for Kids

At what age should a child first visit the orthodontist?

The American Association of Orthodontists recommends that most children should have an orthodontic screening by age 7. This allows Dr. Lance Miller to determine if orthodontic treatment will be required and the best time for the patient to be treated. Many of the dentists in our community have been trained to identify orthodontic problems early, and may refer you to our office earlier than age 7.

Why are children being evaluated at such an early age?

Early diagnosis and treatment can guide erupting teeth into a more favorable position, preserve space for permanent teeth, and reduce the likelihood of fracturing protruded front teeth.

If early treatment is indicated, Dr. Miller can guide the growth of the jaw and incoming permanent teeth. Early treatment can also regulate the width of the upper and lower dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce the likelihood of impacted permanent teeth, correct thumb sucking, and eliminate abnormal swallowing or speech problems. In other words, early treatment can simplify later treatment, after all the permanent teeth erupt.

Does early treatment benefit all children?

Early treatment does not necessarily benefit all children. Certain types of orthodontic problems can be more easily and efficiently corrected in the teen years when all the permanent teeth have erupted. Some skeletal orthodontic problems should not be addressed until growth is more advanced or completed. The doctors develop a plan for treatment based on each individual child’s needs. If the doctor decides the patient is not ready for treatment, they are placed on our orthodontic supervisory program.

What is the Orthodontic Supervisory Program?

The orthodontic supervisory program is for patients who are not ready for treatment and have been placed on recall. This program enables us to monitor the eruptive pattern of the permanent teeth. Sometimes, poor erupted patterns of permanent teeth may be eliminated with early removal of baby teeth and reduce the treatment time required for braces. We will notify your general dentist of any recommendations made during your visit. We normally see the patients on recall every 6-8 months to observe their progress as they grow. There is no fee for this program and it helps the orthodontist determine the optimum time to begin treatment and achieve the best possible result for your child.

In addition to a beautiful new smile, what are some other benefits of orthodontic treatment?

Braces can improve function of the bite and teeth, improve ability to clean the teeth, prevent wear on the teeth, and increase the longevity of natural teeth over a lifetime.

If a child has treatment early, will this prevent the need for braces as an adolescent?

Early treatment can begin the correction of significant problems, prevent more severe problems from developing, and simplify future treatment. Because all of the permanent teeth have not yet erupted when early treatment is performed, their final alignment may not have been corrected. Typically, a shortened comprehensive phase of treatment (Phase II – full braces) in the teen years, after all the permanent teeth have erupted, completes the correction. However, in some circumstances, further orthodontic treatment may not be indicated.

Do we still need to see our family dentist during orthodontic treatment?

Patients with braces and other orthodontic appliances require more effort to keep their teeth and gums clean. Because we want to insure the highest level of dental health, we recommend you see your family dentist for regular check-ups and cleanings every 6 months during treatment.

Nicole Goncalves
Nicole Goncalves
21:15 16 May 22
My experience with Miller Orthodontic Specialists was nothing short of amazing. The office is very... clean and welcoming.The staff are all extremely kind and knowledgeable about what they are doing. They always asked me how I was doing, made me smile and laugh when I was there. They let me know what they were going to do before they did it which was comforting to know.I came to them with my concerns about my teeth and what I wanted. The treatment plan I had was to have braces for 24 months and they explained it all thoroughly to me every step of the way. Any questions I had were answered and my concerns were addressed in a professional manner.The payment plan worked perfectly for me. I am very satisfied with the outcome of my treatment and highly recommend going to see them for a consult if you want a beautiful smile! 😁 Thank you to everyone at Miller Orthodontic Specialists for being so kind to me and helping me get the smile I've always wanted!! 💙 Especially Ashley for being super kind to me and going out of your way to connect and converse with me, making me feel welcomed and comfortable.read more
LoveMyZJ
LoveMyZJ
16:47 29 Mar 22
I had multiple orthodontic problems for years; cross bite, over bite, crowding, overlapping, you... name it. Over the course of two years, four months and three days, Dr. Miller and his team took outstanding care of me, explaining every step of the process, accommodating my busy schedule, and providing flexible financing. Now my teeth look and feel better than ever! At 33 years old, I'm one of the many examples of proof that it's never too late to have the smile you deserve.read more
Heather Shepa
Heather Shepa
21:41 17 Mar 22
My daughter started her journey with Dr. Miller in May of 2019. She had to do some adjustments... before we could start the actual process. Rosemary was very understanding and explained the whole process to her and I, and the whys for every step. She kept scheduling appointments to make sure that my daughter was doing what she needed to, before the process started. Finally, January of 2020, we got the braces put on. At the height of Covid and the shutdowns, and the restrictions of what we needed to do to complete this process, Dr. Miller's team worked with us every step of the way. They worked with us with scheduling appointments and rescheduling appointments and what we needed to do when she got there. They were amazing with communicating with me on what the next process was. Today, she got her braces removed. Her teeth and smile look absolutely amazing and I am blown away at the work they put in to make this happen. It wasn't always easy for my daughter when she had her wires changed, and adjusting to what foods she could or couldn't eat, but we did it. Not just her and I, but the amazing team of professionals at Miller Orthodontics. I will be forever grateful for what they were able to accomplish for my daughter. I recommend them to anyone who asks.read more
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