619-461-6166
4700 Spring Street, Suite 104 La Mesa, CA 91942

Best Children's Orthodontist in La Mesa and San Diego

Dento-Facial Growth & Development

The American Association of Orthodontists

Recommends that every child have an orthodontic evaluation by an Orthodontist as they approach the age of 7. Early detection and treatment of specific dento-facial developmental problems give your child the special edge needed for a better chance at normal and natural development. At our office, since Dr. Surillo is both an Orthodontist and Pediatric Dentist, he will likely have a chance to get to know your child’s dento-facial developmental at a much younger age. Most of our patients begin their dental check-ups between the ages of 1-2, and we are not only evaluating their dentition, but also their overall growth and development of their jaws, face and supporting structures. Any significant variation from normal development (which typically is recognized at a young age) is diagnosed and evaluated for future correction and/or guidance as may be appropriate for your child and their stage of development. With early diagnosis and by working with the natural growth of your child’s dentition and jaws, we can prevent problems from becoming worse. As your child matures, our dual specialties can provide the accurate diagnosis, tooth guidance and appropriate orthodontic intervention that will ensure the best possible results.

Early treatment should be initiated for:

  • Habits such as tongue thrusting and thumb sucking
  • A constricted palate and airway due to swollen adenoids or tonsils (in cooperation with the child’s Ear-Nose-Throat-specialist)
  • Moderate to severe protrusion of the teeth (overbite-overjet) or underbites
  • Narrow or underdeveloped jaws (crossbites)
  • Facial asymmetries of the jaws and face
  • Space maintenance for missing teeth

Facts: Early Treatment is important to consider when these problems exist.  Dr. Surillo is well known for being conservative in his recommendations and only encourages early treatment when it is very necessary, as a result of his training and experience.

Facial Development

Seventy-five percent of 12-year-olds need orthodontic treatment for a variety of problems. Yet 90% of a child’s face has already developed. By guiding facial development earlier, through the use of early orthodontic appliances, 80% of the treatment can be corrected before the adult teeth are present, by correcting the underlying size, shape and position of the growing bones of the lower face.

Cooperation

Younger children between the ages of 8-11 are often much more cooperative than children near or at the age of high school. Psycho-socially, it is easier to address and correct the facial development of a younger child than on a young adolescent. As children grow and mature, unresolved developmental problems are more difficult to correct and the child may negatively internalize the unfortunate resultant physical characteristics. Focusing on these traits during their adolescence is a delicate endeavor for them, but essential in their pursuit of self-acceptance.

Dento-Facial Orthopedics

Almost 55% of children who need orthodontic treatment due to a bad bite have underdeveloped or overdeveloped upper or lower jaws. Early orthodontic treatment can reposition the jaws, improving the child’s profile and correcting the bite problem. Early normalization of dento-facial problems is one the components in the development of a child’s self-esteem, and early orthodontic intervention may ensure the best possible results.

Children's Braces and Dentistry

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Phase One Orthodontic Treatment (Ages 5-12)

In the first phase, the doctor is interested in the position, size, and symmetry of the jaws as well as the developing alignment of the teeth, future growth potential, spacing of the teeth, breathing and other oral habits which may, over time, result in abnormal dento-facial development. Treatment initiated in this phase of development is often very successful and some times, though not always, can eliminate the need for future orthodontic and/or surgical treatment.

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Phase Two Orthodontic Treatment (Ages 12 and beyond)

In the second phase, the doctor will be looking at how your child’s teeth and jaws fit and work together. Your child’s teeth will be straightened and their occlusion (bite) is properly aligned. Attention will be given to the jaw joint (TMJ), the maturation of the face and facial profile, periodontal (gum) tissues and the stability of the final results. By undergoing the first phase, we can usually reduce the amount of time needed for braces on the permanent teeth.

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Orthodontic Treatment for Adolescents and Beyond

Great news for adolescents and beyond: age is not a factor in enhancing the beauty of your smile and/or reversing the effects of time on your teeth. Dr. Surillo treats orthodontic patients of all ages. More than half of our orthodontic patients are adolescent and adults of all ages. And the results can be very dramatic. Also, our adolescent patients are excellent candidates for the use of Invisalign and/or clear braces to correct their malocclusions. We recognize the importance of esthetic treatments during the teenage years and Dr. Surillo is highly qualified, experienced and trained in these modern approaches to treatment. Our adult orthodontic patients, most of which are the parents of our child-patients, recognize not only the improvement in their child’s face, teeth, and self-esteem but have also realized that it is possible for them to achieve the improvements they always wanted. Dr. Surillo and staff are highly trained and qualified in all aspects of orthodontic treatment of young children, adolescents and adults including treatment in combination with surgery of the jaws (orthognathic surgery) with an oral-maxillofacial surgeon specialist.