Project Description


Orthodontic Extractions

The conventional orthodontic approach to treat malocclusions often involves the extraction of adult permanent teeth. Although extractions can improve the appearance of the teeth, at Pennant Hills Dental Centre we don’t’ want this to come at the expense of optimal facial aesthetics. Although extractions may be required to treat some malocclusions we would only recommend these to improve facial aesthetics and never to worsen your child’s profile (see Conventional extraction orthodontics can constrict the upper jaw and force the lower jaw (incorrectly) even further back which affect the overall facial profile.

At Pennant Hills Dental Centre we endeavor to save as many teeth as possible!

Early Intervention Orthodontics vs. Delayed Orthodontic Treatment

It is often standard to delay treatment until all the permanent teeth are present. However many parents are unaware that 60% of their child’s facial development is completed by age 8, and that 90% of facial development is completed by age 12. Therefore, waiting until all the permanent teeth are present or the child begins their growth spurt at puberty to begin treatment seems somewhat illogical. Among other factors, this treatment paradigm can permanently lock a child’s facial, cranial and dental development into less than ideal presentation and structure, because it has eliminated the opportunity to utilize natural growth principles into a treatment plan.

The ultimate goal is a ‘normal’ face and an aesthetically pleasing, functionally correct smile. The earlier the treatment is started, the sooner we can establish a normal environment for natural growth and development to proceed. Instead of one comprehensive course of treatment as a teenager, the idea of early treatment is to allow the young and growing child to have their problems solved early and if possible avoid lengthy and complex treatment required at a later stage.

The Right Time for an Orthodontic Check-up: No later than age 7

  • At Pennant Hills Dental Centre we may be able to spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present.
  • Early orthodontic treatment may prevent or intercept more serious problems from developing and may make treatment at a later age shorter and less complicated. In some cases, we will be able to achieve results that may not be possible once the face and jaws have finished growing.
  • Early treatment may give us the chance to:
    • Develop arches to allow uncomplicated eruption of permanent teeth
    • Guide jaw growth
    • Lower the risk of trauma to protruded front teeth
    • Correct harmful oral habits
    • Improve appearance which may have social implications for your child
    • Guide permanent teeth into a more favourable position
    • Create a more pleasing arrangement of teeth, lips and face.
  • Through an early orthodontic evaluation, you’ll be giving your child the best opportunity for a healthy, beautiful smile.
  • If your child is older than 7, it’s certainly not too late for a check up! We love seeing people of all ages at Pennant Hills Dental Centre.

Because patients differ in both physiological development and treatment needs, our goal is to provide each patient with the most appropriate treatment at the most appropriate time.

‘Bad Bites’ like those illustrated below, may benefit from early diagnosis and orthodontic treatment.


While we love treating children’s orthodontic needs we appreciate adults deserve straight teeth too!!

At Pennant Hills Dental Centre as well as offering conventional metal braces, we also offer more discrete and aesthetically pleasing orthodontic options such as Clear Damon Braces and Invisalign.


Invisalign is the virtually invisible alternative to braces that lets you keep smiling during your treatment. Invisalign uses a series of custom-made, clear, removable aligners that gradually move teeth toward the smile you’ve always wanted. Invisalign is so discreet, most people won’t even notice you’re wearing them. The total number of aligners will vary depending on the complexity of your malocclusion and the doctor’s treatment plan.

Learn More About Invisalign