The sooner you see us the better

Age 7 is just right!

Just in time

Routinely, young patients and their parents present around the teenage years for the very first time. World-leading specialist orthodontic associations and societies recommend that young patients’ teeth development should be screened around the age of 7 years. This is the best age to assess how the teeth are growing and if the bite is correct.

By seeing an orthodontist early, the advantages may include

  • You can have peace of mind knowing your child’s development is going to plan
  • Somethings are best treated early – utilising the child’s growth
  • The bone is malleable and teeth move easily
  • Avoids some problems with bite and teeth alignment developing
  • It can save you money
  • Young patients are enthusiastic and co-operative
  • Helps reduce the chance of needing to remove permanent adult teeth later
  • Your child will grow, having their best smile on display
  • Straight teeth can improve your little one’s self esteem and appearance
  • Can move protruding teeth back, decreasing the risk of injury
  • You can plan if any future treatment is required

A few things

Our specialist orthodontist will look for

Baby tooth loss and eruption

Deciduous (baby) teeth are lost in a predictable order, and often when a baby tooth is lost too early or is over-retained, it can cause problems for the adult teeth coming through into the right place.
By the age of 7, most boys or girls will have lost 8 incisor baby teeth, should have 8 new adult incisor teeth and have 4 new adult molar teeth coming through! You see why it is a good time to have a check don’t you?
Sometimes removing a primary tooth early or maintaining a space where a tooth has been lost prematurely can prevent bigger problems later on.

Alignment

Teeth can be aligned at any age. However, the younger the patient, the more malleable and adaptive the bone and soft tissue structures are to being moved and changed by our treatment. Furthermore, because some crooked teeth can be more susceptible to wear, having uneven and compromised overlying gums are possibly more prone to damage due to trauma – treatment started earlier may be much better for our patients. Lastly, a child’s smile has a huge influence on how they interact with other children, their self-perception and self-esteem – so avoiding social implications may be the result of early treatment.

Crowding and spacing ( “Sharkies” and “Gappies” )

As early as age 7, an orthodontist is sometimes able to tell if there are any problems relating to the future alignment of the teeth. Things like crowding or spacing are immediately evident.
Crowding may be treated with space maintainers, expanders or teeth extractions (and a few other techniques). Spacing can be an indication that a baby tooth has been lost prematurely, a tooth never developed (missing), or that the teeth are just too small.

Missing teeth

One of the most difficult things to correct in orthodontics are missing teeth. Identifying this early can result in early planning and huge savings in both time and costs down the track. Sometimes, baby teeth can be taken out and the spaces redistributed, avoiding the need for braces later.

Protrusive front teeth ( having “Gappy” or “Buck” teeth )

By the age of 7 years, it will be obvious if the front upper teeth stick out. This is a situation we cannot always correct 100%, as we may need to wait for the majority of the permanent teeth to come through, before we are be able to correct the positions of the neighbouring teeth. However, we can often reduce the severity of most problems and make things a lot easier for our young patients… both orthodontically and socially!

Underbites

It is so important to see our patients with underbite problems early, as these patients may benefit the most from being treated early. It is important to aim to normalise the front teeth positions and the bite as early as possible, so that we can eliminate both shifting of the bite and damage to front teeth as a result of trauma from the occlusion. A definitive correction may not always result, but an improvement is almost always achieved!

Posterior crossbites

Posterior crossbites (upper teeth biting on the inside of the lower teeth) are a concern as they may result in the jaw shifting to the side. Often, this can also cause unsightly smiles and constricted upper arches. Correcting this early is hugely beneficial and makes life a lot easier!

Deepbite

A deep bite is problematic as it is one of the hardest things to correct in an adult, often requiring lengthy difficult treatment and maybe even surgery if severe enough. Correcting this early using plates or partial braces can be largely beneficial. Bites that are deep can result in gum damage (where the tooth teeth completely cover the lower teeth), tooth wear, and lower teeth crowding.

Habits (and anterior open bites)

A finger or thumb sucking habit can start to become very damaging in a 6-7 year old, with the development of an open contact between the front upper and lower teeth, where the tongue or thumb usually sit. It is imperative that every measure is taken to eliminate the habit before some serious outcomes take effect. We have many different tips, tricks and techniques up our sleeve to help your child stop the habit as easily and promptly as possible.

Anterior crossbites

Similar to posterior crossbites, anterior crossbites involve the upper teeth biting on the inside of the lower teeth. These can result in the jaw shifting to the side, tooth wear and unsightly smiles. They can sometimes indicate a more serious problem that is a result of the jaws being in the wrong position, so you can appreciate that assessing children early with this problem, is really important. Sometimes, we are able to make the most of the growing and bone changes that are occurring and carry out much simpler treatment, than if the same problem presents when the patient is an adult.

Dr. Adriana Perez

BDS (Ven/Esp) | MDS-Orth (Arg)
 
Dr. Adriana Perez grew up in Caracas, Venezuela. She is one of the registered specialist orthodontist working at Shakespeare Orthodontics in Auckland.

 

In 2008, Adriana graduated with a Bachelor of Dental Surgery from Santa Maria University in Caracas, Venezuela. After graduation, she worked in Venezuela in private practice, at the Orthopaedic Children’s Hospital (Dentistry/Orthodontics unit), and as a lecturer in the National Experimental University of the Armed Forces.

In the year 2011, Adriana moved to Argentina to specialise, gaining the Specialist Orthodontist degree from the University of Buenos Aires in 2013. While in Argentina, she worked as a part-time lecturer at the Orthodontics Department in the University of Buenos Aires, private practice, and at the Craniofacial Unit in the Paediatric Hospital Garrahan, looking after cleft lip new-born, children, and adolescent patients.

Adriana is a Spanish speaker. On her spare time she likes going to the beach, travelling, socialising with friends, playing video games, cooking, and going to the gym.

Orthodontist Adriana Perez

Dr. Azza Al-Ani

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

Dr Azza Al-Ani, grew up in Christchurch, is a registered specialist orthodontist working at Shakespeare Orthodontics in Auckland. You can find her at one of the clinics in the city, or at their Takapuna clinic on the North Shore. 

In 2009, Azza graduated with a Bachelor of Dental Surgery with Credit from the University of Otago.

She worked as a dental house surgeon at Auckland, Greenlane and Middlemore Hospitals; and as a dental officer at Sydney’s Westmead Hospital.

In 2012, she completed the Royal Australasian College of Dental Surgeons (RACDS) primary examinations.

Before commencing her specialist training, she held a part-time Professional Practice Fellow position at the Faculty of Dentistry, while working as a dentist in private practice.

In 2016, Azza graduated from the University of Otago with a Doctor of Clinical Dentistry in Orthodontics. She passed examinations to gain memberships into the Royal Australasian College of Dental Surgeons and the Royal College of Surgeons of Edinburgh.

She is also certified with the Australasian Orthodontic Board, and is a member of the New Zealand Association of Orthodontists, and the New Zealand Dental Association.

Azza’s area of research interest is hypodontia.
She has presented about this topic at the European Orthodontic Society Congress, and at the International Association Dental Research ANZ Scientific Meeting, and has been involved in the publication of numerous articles in peer-reviewed journals.

Outside of work, Azza loves spending time with her son and Mo (her husband), socialising with family and friends, overseas travel, and tries to keep up with Mo mountain biking.

Dr. Mo Al-Dujaili

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

 

Mo is a Specialist Orthodontist. He grew up in both New Zealand and Australia.

After completing a year in Health Sciences, and later physiotherapy, he qualified as a dentist in New Zealand. He spent the next four years working alongside his father in Sydney where he practised general dentistry. Mo then returned to Dunedin to specialise, gaining his specialist degree – Clinical Doctorate in Orthodontics from the University of Otago.

During the three years of specialist training, Mo had the privilege of learning from the best. The combined clinical and academic acumen of professors, doctors and staff provided an invaluable experience.

Meanwhile, Mo published and presented significant research and clinical cases at both national and international forums, including the International Association of Dental Research, the Australasian Begg Society of Orthodontics, the European Orthodontic Society and the New Zealand Dental Association conference.

A firm believer in maintaining high clinical standards, Mo successfully completed further examinations to become affiliated with the Royal College of Surgeons (Edinburgh) and the Royal Australasian College of Dental Surgeons (Sydney).

Mo is currently a part time senior lecturer at Auckland University of Technology, a Fellow of the World Federation of Orthodontists and also holds professional memberships with the New Zealand Association of Orthodontists, the New Zealand Dental Association and American Association of Orthodontists.

He has also been involved in the supervising and lecturing of students at the Auckland University of Technology.

Outside of work, Mo enjoys the precious time with his young family and the outdoors. He especially loves mountain biking, running, fishing, diving and, in winter, snowboarding.

Traveling along with his best friend and wife (Azza) around the world has also been a big part of Mo’s life. Mo is primarily based in Shakespeare Orthodontic’s city clinics and on the North Shore.