Orthodontics · Orthopedic growth modification

Dentofacial orthopedics: guiding jaw growth early

First checkBy age 7
Typical phase9–15 months
GoalBalanced jaw growth
Starting from₹15,000EMI available · Consultation ₹200
Orthopedic growth modification

Orthopedic treatment uses the growth of a child's jaws to correct skeletal problems before they become fixed. Examples include a face mask to bring a small upper jaw forward in an underbite, and functional appliances to encourage the lower jaw in a Class II bite. Done at the right age, it can reduce or avoid the need for jaw surgery later.

Problems we can treat early

  • Underbite (Class III) with a small upper jaw
  • Protruding upper teeth with a set-back lower jaw (Class II)
  • Crossbites and jaw shifts
  • Habits such as thumb sucking affecting jaw shape

Common orthopedic appliances

  1. Face mask (reverse-pull headgear)Worn mainly at home and while sleeping, often with an expander, to bring the upper jaw forward.
  2. Functional appliancesRemovable or fixed devices that hold the lower jaw forward during growth.
  3. ExpandersWiden a narrow upper jaw to correct crossbites.
  4. Skeletally anchored optionsMini-screws or plates can make orthopedic forces more effective in selected patients.

Why see an orthodontist by age 7?

By about 7, enough permanent teeth and jaw growth are present to spot skeletal problems. Most children need no treatment yet, but for the few who do, the timing makes a real difference to what is possible without surgery.

Who will treat you

Dr. Mukund D. Sawant, MDS (Orthodontics) from PGIMER Chandigarh with All India Rank 1 and residency at AIIMS New Delhi, plans and supervises every orthopedic growth modification case at MDS Dental Care & Orthodontics, Badlapur.

Case gallery

Orthopedic growth modification cases

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Orthopedic growth modification: questions

What is the right age for a face mask?

Usually between 7 and 10 years, while the upper jaw sutures respond well to forward pull.

Will my child still need braces later?

Often a shorter second phase of braces is needed once permanent teeth erupt, to finish alignment.

Can orthopedic treatment avoid jaw surgery?

In many mild to moderate skeletal problems, early treatment can reduce or avoid the need for surgery. Severe or genetic cases may still need it after growth.

Next topic: Clear aligners →

Google reviews

What our orthodontic patients say.

★ 5.0 from 173 reviews on Google. Quoted as written by patients.

Read all on Google →
★★★★★
“I had braces treatment for my impacted canine tooth. In the beginning, I was little scared, but the doctor explained everything clearly. The treatment was done step by step and with proper care. … Now my impacted canine tooth is coming into the correct position, and my smile has improved.”
MMadhavi R.Impacted canine · braces · Google, Jan 2026
★★★★★
“I recently completed my braces treatment which was complex, took around 2.5 years, and I’m very happy with the results. He handled the treatment with utmost care, precision, and patience, Explained every step clearly, made sure I was comfortable throughout…”
DDarshi T.Complex braces · 2.5 years · Google, Oct 2025
★★★★★
“Got my invisalign treatment from mds clinic, had alignment n bite issue, now that my treatment is completed doctor has fixed the alignment n also now bite is proper, it was a very seemless journey… doctor made sure to not only align the teeth but fix the bite as well”
SS. S.Invisalign · alignment and bite · Google, Aug 2026
★★★★★
“After seeing the reports he confirmed that tooth removal was not required and there was sufficient space between [my] teeth to get them aligned properly. … on the day one Dr. Mukund mentioned the treatment would take only a year. And true to that my braces were removed in 1 year 1 month.”
LLaxmi N.Braces without extraction · 13 months · Google, Apr 2026
MDS Dental · Badlapur

Talk to an orthodontist about orthopedic growth modification

Every plan starts with a careful examination, a digital scan and an honest discussion of your options. No pressure, just clarity.