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Interceptive orthodontics refers to all interventions and treatments that can be performed during the primary or mixed dentition with the aim of eliminating or minimizing dento-alveolar and skeletal disharmonies that can interfere with the normal growth and development of occlusion, function, aesthetics and the psychological wellbeing of children. The main purpose of interceptive orthodontics is to prepare an environment that will not interfere with the occlusal development in order to reduce the future need for prolonged complex mechanical orthodontic treatment. According to the American Association of Orthodontics the most suitable age for screening the paediatric population for interceptive intervention is 7 years of age.
CPD/Clinical Relevance: To review the progress made in the field of interceptive orthodontics and discuss the current principles of early orthodontic intervention.
Article
The role of the general dental practitioner is crucial in identifying any problems or abnormalities in the developing dentition early as they are the first to see the patients. It is estimated that 15% of malocclusions can be corrected and future complications prevented with relatively simple, early interceptive means in the developing dentition.1 One-third of British children are in need of interceptive treatment, but only 20% of those children receive it.2,3 The main reasons for this are irregular dental attendance and GDP-related factors.4 One-third of the GDPs in the UK fail to identify, treat or refer developing malocclusion at the optimal time. The reasons behind this seem to be a lack of clinical expertise and training, combined with a high work load.5 This failure is in spite of the fact that knowledge and competency in providing interceptive orthodontic treatment are essential learning outcomes in the General Dental Council (GDC) curriculum for dental students.6,7
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