The Impact of Early Orthodontic Intervention on Dental and Skeletal Development in Children with Mixed Dentition

Avreet Sandhu; Brinda A Sakaria; Sejal D Patel; Gaurav Ahuja; Neeldipsinh Jadeja; Aaryan Mehta; Dinta Kakkad

doi:10.4103/jpbs.jpbs_1035_23

The Impact of Early Orthodontic Intervention on Dental and Skeletal Development in Children with Mixed Dentition

J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S818-S820. doi: 10.4103/jpbs.jpbs_1035_23. Epub 2024 Feb 29.

Authors

Avreet Sandhu¹, Brinda A Sakaria², Sejal D Patel³, Gaurav Ahuja⁴, Neeldipsinh Jadeja⁵, Aaryan Mehta⁶, Dinta Kakkad⁷

Affiliations

¹ Department of Orthodontics and Dentofacial Orthopaedic, Luxmi Bai Institute of Dental Science and Hospital, Baba Farid University of Health Sciences, Faridkot, Punjab, India.
² Department of Pedodontics, Temple University, Philadelphia, Pennsylvania, USA.
³ Department of Orthodontics and Dentofacial Orthopaedic, Government Dental College and Hospital, Jamnagar, Gujarat, India.
⁴ Department of Orthodontics and Dentofacial Orthopaedic, Yamuna Institute of Dental Sciences and Research, Gadhouli, Yamunanagar, Haryana, India.
⁵ Department of Oral Medicine and Radiology, Karnavati School of Dentistry, Krnavati University, Gandhi Nagar, Gujarat, India.
⁶ Department of Dentistry, Narsinhbhai Patel Dental College and Hospital, Sankalchand Patel University, Gujarat, India.
⁷ Department of Public Health Dentistry, Gujarat University, Ahmedabad, Gujarat, India.

Abstract

Background: The mixed dentition stage in children is a critical period for orthodontic assessment and intervention. This study investigates the effects of interceptive orthodontics on dental and skeletal development in children with mixed dentition, aiming to evaluate the potential benefits of early orthodontic treatment.

Materials and methods: A retrospective analysis was conducted on a cohort of 150 children with mixed dentition (aged 7-11 years), who received interceptive orthodontic treatment. Dental and skeletal records, including cephalometric radiographs and dental cast models, were collected before and after treatment. A control group of 150 untreated children with mixed dentition was also assessed for comparison. Various dental and skeletal parameters, such as dental alignment, overjet (OJ), overbite (OB), and cephalometric measurements, were recorded and analyzed.

Results: The results of this study indicate significant improvements in dental alignment and occlusion in the group of children who received interceptive orthodontic treatment. The average reduction in OJ was 3.5 mm, and the OB correction averaged 2.1 mm. Cephalometric analysis showed positive changes in skeletal relationships, with a mean reduction in the angle formed by point A, nasion (N) and point B. (ANB) angle of 2.8 degrees. These improvements were statistically significant compared to the control group (P < 0.05).

Conclusion: Early orthodontic intervention, such as interceptive orthodontics, has a positive impact on dental and skeletal development in children with mixed dentition.

Keywords: Dental alignment; dental development; early intervention; interceptive orthodontics; mixed dentition; orthodontic treatment; skeletal development.