Paediatric Orthodontist vs. General Orthodontist: What’s the Difference and Why Does It Matter?

Parents do all they can to make sure their children are happy and healthy. Between school, soccer practice, and other activities, it seems like parents are always on the go. Then there are regular doctor appointments and dentist appointments to keep on top of. But what about other specialists, such as an orthodontist in Vancouver?

Is it really necessary to schedule an orthodontist appointment in Surrey for your child when they already see their family dentist?

What’s the difference between a paediatric orthodontist and a general orthodontist? When should your child see an orthodontist for the first time?

How do I know if my child needs orthodontic care?

 

With so much scheduling and information to keep track of, even when it comes to one aspect of your child’s health, such as their oral health, it’s easy to get overwhelmed. And with so many different terms flying around within the field of dentistry, it can be easy to get confused. Dentists and orthodontists share a similar goal – to ensure your child develops strong, healthy teeth and gums. So again, what’s the difference?  

In this post, we’re going to discuss the major differences between dentistry, general orthodontics, and paediatric orthodontics. Does your child need to see an orthodontist? When should you schedule their first appointment? How will you know if your child needs orthodontic care? We’re going to answer these questions and more.  

 

Dentistry vs. Orthodontics

Family Dentist

You’ve probably been taking your child to see a dentist since their first teeth started erupting. Regular dentist appointments are important for your child’s overall oral health. Dentists complete a general dental degree and cover a broad range of issues including cavities, tooth decay, and gum disease. Dentists don’t put on braces or do other types of alignment treatment. If your child needs orthodontic treatment, your family dentist might recommend they see an orthodontist.

 

Orthodontist

After completing their degree in dentistry, orthodontists go on to complete a specialist degree in orthodontics. While dentists care for a patient’s overall oral health, an orthodontist specializes in dental development, facial growth, and tooth and jaw alignment. An orthodontist can offer types of treatment such as braces, retainers, or Invisalign. These treatments can provide solutions for orthodontic issues such as crooked or overcrowded teeth, along with several misaligned bites such as a crossbite, overbite, underbite, or open bite. 

So, now that we know the difference between an orthodontist and your family dentist, let’s go one step further. What’s the difference between a paediatric orthodontist and a general orthodontist? Does it matter?

 

Pediatric Orthodontist

As the name suggests, the main difference between a general orthodontist and a paediatric orthodontist is that the latter specializes in orthodontic care for children and adolescents. So why does this matter? Here are a few things that make a paediatric orthodontist different from a general orthodontist:

 

Education

Paediatric orthodontists have achieved a high level of education. Not only have they completed an extra few years of specialized education in orthodontics on top of their degree in dentistry, but paediatric orthodontists also have extra training in paediatric care. This helps them to understand how to manage a child’s behaviour and possible anxiety during checkups.  

 

Specialized Care

Children’s teeth are not the same as adults. A child’s mouth is still growing and developing. Early orthodontic care is sometimes called “interceptive orthodontics” because, when caught early, treatment for orthodontic issues in Vancouver will likely be much more simple. When left untreated, more serious problems with the teeth and jaw can develop. Paediatric orthodontists are better equipped to handle the unique needs of children and early adolescents.

 

Different Treatment Options

Paediatric orthodontists often have access to the latest treatment options and technologies. Since they are used to working with children and teenagers, they know that your child might prefer a more comfortable and less invasive option.  

Some treatment options that paediatric orthodontists use to treat your child include:

 

Clear Braces

Clear ceramic braces are less noticeable than metal braces, which might be important to your teen if they are less than thrilled about their new hardware. They might be more comfortable for your teenager’s developing mouth.

 

Invisalign

As the name suggests, Invisalign is a clear aligning treatment that is almost invisible. This is a popular choice for some adolescents.  

 

Lingual Braces

Lingual braces are placed on the back of the teeth. While there are some specific teeth conditions where lingual braces should be avoided, they are often a great option for children or adolescents, since they are hidden from view behind the teeth.  

 

Retainer

A retainer is an orthodontic device custom-made to fit your child’s teeth to keep them in place. Some retainers are worn after braces to retain the new position of the teeth, and some retainers don’t require braces and help shift the teeth to a better position. Retainers are usually made from metal wires or plastic.  

 

Better Experience for Your Child

As we’ve mentioned, a paediatric orthodontist is experienced in working specifically with children and adolescents. This means that your paediatric orthodontist will be better suited to deal with the many personalities a child might display upon visiting an orthodontic clinic. Your child might be nervous about their appointment or your teenager might be moody about receiving a treatment such as braces.

You’ll want to choose an orthodontist who is friendly and patient, and who communicates with both the child and parent. You don’t want to feel rushed at your visits and you don’t want your child to feel scared. A paediatric clinic might even be more visually stimulating and fun for a child. Seeing a paediatric orthodontist in Surrey as opposed to a general orthodontist can make for a more positive experience for everyone involved.  

Now we understand the difference between a dentist and an orthodontist and have gone even further to understand the difference between a general orthodontist and a paediatric orthodontist. So let’s ask the big question that every parent wants to know:

 

Does My Child Need to See an Orthodontist?

 

Let’s start with the short answer. Yes, your child should visit an orthodontist. But why? What if you don’t think your child needs orthodontic care?

Looking at your child’s teeth, you might think they appear straight and unproblematic and therefore your child doesn’t need orthodontic care. This could indeed be the case, but the fact is that children’s teeth develop in a wide disparity. This means your child’s teeth can develop very differently from the next child, and so on.

It can take an expert to notice if the teeth are indeed developing normally, or if any orthodontic issues are present that will likely need treatment. Also, an orthodontist doesn’t just look out for issues with the teeth, but also the alignment of the jaw and even facial structure. A parent may not always see an issue with the development of the jaw but an orthodontist will be able to spot a problem. 

Soon we’ll go into more detail about the benefits and phases of early treatment. But before we do that, let’s answer another common question.

 

At What Age Should My Child See an Orthodontist for the First Time?

 

The Canadian Association of Orthodontists recommends that children see an orthodontist as early as age seven. At this age, most children have a mix of primary and permanent teeth. This makes it easier for a paediatric orthodontist to diagnose and correct any issues with the teeth or jaw and allows for early treatment when necessary.

Let’s quickly discuss the benefits of early treatment. As with most issues, when caught early, orthodontic issues are simpler to treat. Teeth grow and develop rapidly throughout childhood and adolescence. When left untreated, some orthodontic issues might later require surgery or tooth extractions.

There are a few phases in orthodontic treatment.  Let’s quickly go over them.

 

Phase One – The Planning Stage

Before receiving treatment, your orthodontist will need to diagnose any issues and come up with a treatment plan for your child. Phase one will include your initial consultation where your paediatric orthodontist will check on the health of the teeth and gums and alignment of the teeth and jaw.

The orthodontist will examine your child’s teeth either with X-rays or special digital scanners to gather information and come up with a specialized treatment plan. This is a good time to come prepared with any questions or concerns you or your child may have. You might even have a teenager who is hesitant to wear braces or receive treatment and this is a good time to help them prepare for braces.  

 

Phase Two – The Active Treatment Phase

Once a diagnosis has been made, it’s time for treatment! Your orthodontist will apply your child’s braces. The type and length of treatment will depend on your child’s specific case. Your child’s teeth might feel sore within a couple of hours of receiving braces, so it’s a good idea to have some pain relief available just in case.

Your orthodontist will discuss how to care for your child’s teeth with braces including how to brush and floss, and what foods your child can and cannot eat. During active treatment you’ll need to visit the clinic with your child regularly to have the braces adjusted, to keep the teeth moving into the desired position.  

 

Phase Three – Post-Treatment or Retention Phase

Once the teeth have been correctly aligned, your child’s braces will be removed. Your child will then be provided with a custom-fit retainer to wear. Wearing a retainer ensures that the teeth don’t shift back to their original positions. Your child will need to wear their retainer for a certain number of hours per day, for a specified period (usually a few months).

Depending on your child’s case, a retainer might need to be worn full-time for a few months, and then overnight after that. Patients will continue to see their orthodontist for regular checkups, to ensure the teeth are still in the correct place and that the retainer still fits.  

Before we wrap up, let’s reiterate – regardless of whether or not you think your child needs orthodontic care, your child should still visit a paediatric orthodontist for the first time around the age of seven. Your dentist might also refer your child to an orthodontist if he or she feels that your child needs orthodontic treatment. However, you might notice that your child is developing orthodontic issues. So, let’s answer a few final questions.

 

How Do I Know if My Child Needs Orthodontic Treatment? 

 

Here are some signs you should look out for:

-You notice abnormalities in your child’s teeth such as overcrowded teeth, crooked teeth, or several different bites. Orthodontists treat overbites, underbites, crossbites, or open bites.

-Your child has speech difficulties such as difficulty pronouncing words or slurring words. The alignment of the jaw affects speech and difficulty speaking might be a sign of an orthodontic issue.

-Your child is a mouth breather. This can cause several complications in a child’s developing mouth.  

-Your child loses their baby teeth very early or very late. While children lose their teeth on their schedule, typically they lose the first tooth around the age of five or six and should lose all of their baby teeth by age 12 or 13.  

-Your child has difficulty eating. Your child shouldn’t be in pain while chewing and this could be a sign of a misaligned jaw or issues with the teeth. If you notice your child is avoiding food or in pain while eating, this could be an orthodontic issue. 

-Your child was a thumb sucker. This can affect the developing teeth.  

Scheduling an orthodontic appointment for your child can be overwhelming and choosing the right orthodontist can be tricky. Scheduling an initial consultation with a paediatric orthodontist can help determine whether or not your child’s teeth and jaws are in good shape and provide them with treatment if necessary.  

We’ve covered a lot in this post, but you might still have questions or concerns about your child’s orthodontic care. Our team at PacificWest Dental is committed to achieving the highest level of patient health. Please don’t hesitate to contact our office today.

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Dr. Yashodhan Milind Bichu

  • Certified Specialist-Orthodontics, British Columbia College of Oral Health Professionals, 2024
  • Dental Speciality Assessment and Training Program Orthodontics, University of British Columbia, 2024
  • M.D.S, Master of Dental Surgery, Goa Dental College & Hospital, Goa University, Goa, India,2010
  • B.D.S, Bachelor of Dental Surgery, MGV’s KBH Dental College & Hospital, Nashik, Maharashtra University of Health Sciences, India 2006,

Dr. Yash is a Certified Specialist Orthodontist with an experience of over 14 years gained through specialist orthodontic practices in Mumbai, India and Dubai and Abu Dhabi, United Arab Emirates. He is multilingual and fluent in several languages, including Hindi, Punjabi, Marathi, and Arabic.

He completed his dental program from India in 2006 with Honors, as a distinguished recipient of the Vice-Chancellor’s Certificate of Merit for Academic Excellence and subsequently earned his master’s degree in Orthodontics from Government Dental College as a Gold Medalist of the Goa University in 2010. Being an ardent advocate of ‘Learner for Life’ philosophy, Dr. Yash went on to pursue advanced training in Lingual Orthodontics, Micro Implant Anchorage and Surgical Orthodontics at the Yonsei University, Seoul, South Korea in 2014. He then completed a mini-residency stint at the UConn Dental School, University of Connecticut, USA (2017) to further hone his skills for accelerated orthodontics and clear aligner therapy.

Dr. Yash moved to Canada with his family in 2022 and completed his orthodontic specialty recertification program at the University of British Columbia in 2024, by securing the single coveted seat offered to internationally trained Orthodontists in 2023. He is also a fellow of the prestigious Royal College of Dentists of Canada- an honor bestowed to the top dental specialists in their field.

Dr. Yash believes in “Practice Passion in Orthodontics” and specializes in treating children with preventive and interceptive orthodontics, and adults with contemporary and esthetic treatment modalities.

In his spare time, Dr. Yash enjoys talking; actually, mostly listening, to his wife, Aditi, an orthodontist herself; and their chatty 6-year-old daughter, Anahita. The trio live in Vancouver and love exploring all the wonderful places, sampling the plethora of cuisines and just soaking in the resplendent beauty that Beautiful British Columbia and Canada offer!

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Yan Liu

  • University of British Columbia 2021, Vancouver, Certified Orthodontics and Dentofacial Orthopedics
  • Arthur Dugoni School of Dentistry, 2004, San Francisco, Postdoctoral Fellowship
  • Pecking University, 2001, Beijing, PH.D.
  • Beijing Medical University 1997 Beijing, DDM,

Dr. Yan Liu is a Certified Specialist of Orthodontics and Dentofacial Orthopedics with over 20 years of experience as both a practitioner and an educator. She has been practicing at Pacificwest Dental Group in Vancouver BC, since 2021.

She received her Doctor of Dental Medicine from Beijing Medical University in 1997 and later acquired her Ph.D. from Peking University in 2001. In 2004 Dr. Liu finished her postdoctoral fellowship at the Arthur Dugoni School of Dentistry in San Francisco. She is now a part-time faculty at UBC Dentistry School, where she spends considerable time advancing research and mentoring students. Her clinical researches are about Assessment of Treatment Results of Invisalign and Comparison of Root Resorption Between Cases Treated with Invisalign and Fixed Edgewise Appliance.

When asked what gets her up in the morning, Dr. Liu says it’s seeing her patients thrive in life with their new smiles. She strives to explore efficient treatment modalities that serve patients well and keep her knowledge and skills updated. She also cares about the ongoing research and development in Orthodontics and how to improve the long-term impact on patients’ beautiful smiles. Her enthusiasm for her work is further evident in her active involvement in the Canadian Association of Orthodontics as well as the BC Society of Orthodontists.

In her spare time, Dr. Liu enjoys spending time with her family. She loves to golf, bike and practice yoga, too.

Professional Memberships

  • The Canadian Association of Orthodontists
  • The British Columbia Society of Orthodontists
  • The Chinese Association of Orthodontists
  • Invisalign Annual Summit Speaker

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Kevin Lee

Dr. Kevin Lee

  • University of British Columbia 2015 Combined MSc and Diploma in Orthodontics, Vancouver, BC
  • University of British Columbia 2011 DMD, Vancouver, BC
  • University of British Columbia 2006 Bachelor of Science: Biochemistry, Vancouver, BC

Born and raised in Taiwan, Dr. Kevin Lee moved to Richmond, BC with my family in 1999 when he was 15 years old. Dr. Lee received his Bachelor of Science (Biochemistry) Degree and Doctor of Dental Medicine degree from the University of British Columbia in 2011. After spending a year working as a full-time hospital dental resident at the Montefiore Medical Center in the exciting city of Bronx, New York (Yankees!), Dr. Lee came home to British Columbia, where he spent three years at UBC to complete graduate training in orthodontics. He also earned a Master of Science degree in Craniofacial Biology for his study of Dentofacial Morphology in Children with Obstructive Sleep Apnea.

Dr. Lee is a certified specialist in Orthodontics, a fellow of the Royal College of Dentists of Canada, and diplomat of the American Board of Orthodontics. Dr. Lee is also a director of the Taiwanese Chamber of Commerce in BC.

Dr. Lee lives in Richmond with his wife Dr. Sherry Liu, a local family dentist, and their two kids. In his spare time, Dr. Lee enjoys photography, cooking, movies, and spending time with families and friends. He also volunteers at Willingdon Church as photographer and First Aid Responder.

“The unique combination of art, mechanics, and science required to treat every patient is what made orthodontics fascinating to me. Because every smile and patient is unique and different, a customized treatment plan is formed for each person to provide a balance between function, aesthetic, and health. As a board-certified orthodontist, I am passionate in updating myself with the most advanced knowledge and skill to provide quicker, easier, and most predictable treatment options for my patients. I am excited for the opportunities to meet with every one of my patients to share my knowledge, skill, and passion in orthodontics, and to form a long lasting partnership with them.”

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Cheng Lun Wang

  • DDS. Doctor of Dental surgery, University of Western Onterio, 1989
  • MSc. University of Manitoba 1994
  • Cert. of Orthodontics, University of Manitoba 1994

Orthodontic specialist, Dr. Wang, is the founder and sole-proprietor of PacificWest Orthodontics and Dental Group in Surrey and Vancouver. Dr. Cheng Lun Wang graduated with a degree in Dental Surgery from the University of Western Ontario in 1989.

After graduation, he completed an internship with the Hospital for Sick Children in Toronto, transitioning later into a full-time position with the I.W.K. Hospital for Children in Halifax and specializing as a pediatric orthodontist. During this time, Dr. Wang continued to teach undergraduate dental students from Dalhousie University, while also building a part-time private practice in Dartmouth, Nova Scotia.

Dr. Wang entered the orthodontic program at the University of Manitoba in 1991. After three years of intensive Clinical Orthodontic training, he earned a Masters of Science degree in Craniofacial Biology in 1994.

An enthusiasm for continuing education has led Dr. Wang to share his years of professional experience on Orthodontic and Pediatric dentistry at various lectures and professional presentations throughout Canada. In addition to actively practicing lingual and labial Orthodontics in his private clinics, he also serves as a clinical instructor at the University of British Columbia (UBC) School of Dentistry. His clinical research has been published in the Journal of Oral Surgery, Oral Medicine, and Oral Pathology.

Dr. Wang’s primary focus is working directly with you to meet your specific orthodontic needs. Working with his orthodontic associates and support team, Dr. Wang practices out of two PacificWest Dental Group clinics – one in Vancouver BC and the other in Surrey BC. 

Professional Memberships

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

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