important factor for orthodontic treatment Orthodontics for children during growing phase is an ANABOLIC PROCESS Orthodontics for adults during non- growing phase is a KETABOLIC PROCESS IMPORTANCE 1 Diagnosis: e.g. 1)Transient malocclusion in mixed dentition period 2) Spacing in primary dentition 3) Deep bite in primary/ mixed dentition 2 Treatment planning: Preventive: space maintainers etc early loss of deciduous teeth Interceptive: serial extraction during mixed dentition period and F.J.O. during puberty Corrective orthodontic: fixed mechanotherapy after puberty Factors to be considered: 1)Individual growth pattern 2)Growth spurts- prepubertal, pubertal 3) Type of malocclusion 4)Mode of orthodontic treatment. Timing and treatment : 1.Infantile period : rapid growth orthopedic treatment in cleft lip and palate e.g. speech bulb , obturators etc 2.Primary dentition period preventive procedures 3 Mixed dentition period interceptive orthodontic procedure transient malocclusion no treatment 4 Permanent dentition period corrective orthodontics –before 18yrs surgical orthodontics -after 18yrs