In order to more rationally time the initiation and continuance of treatment, it is very helpful to understand how your patient is growing. Every patient exhibits their own unique pattern of maturational development regardless of
chronologic age. Many treatment modalities will yield a better result in less time if properly correlated with the facial growth patterns that are associated with the patient.
Treatment associated with a head-gear, functional appliance, Herbst
appliance, chin-cup, the decision whether to extract teeth or not, two stage therapy, etc. are all very dependent on intervention at an optimal time relative to facial growth velocity patterns. A decision can be rationally made relative to the timing of surgical intervention in a specific case. GrowthTek can evaluate
for your patient the relative merits of whether surgery can be initiated prior to full completion of maxillary and/or mandibular growth. Future developmental
timing and amounts of future skeletal growth of the face can be estimated
specifically for your patient. The most advantageous timing of face-mask
treatment and maxillary expansion can be related to the individual's
maturational age. Problems often exist regarding the apparent ankylosis
of dental implants if inserted prior to the termination of facial growth.
Optimal treatment timing is based on the direct inter-relationships that exist
between the patient's maturational stage ( SMI ) and the maturational level
( advanced vs. average vs. delayed ) at any given point in time. These two
factors reflect a multitude of variations relative to percentages of maxillary
and mandibular total growth completed, the timing between developmental periods
of growth, the time of growth termination and the fluctuations in growth rate.
GrowthTek evaluates all of these factors to aid the clinician in formulating a
properly designed and timed treatment plan.
Please refer to the other questions in this 'Clinical Applications'
section of this web site for specific clinical information regarding
maturational timing of treatment. Also refer to the 'Background
Information' section of this web site for additional information.
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