Child Orthodontics in Luxembourg : Age, Treatment and CNS Reimbursement | Ares Dental

Orthodontics for children and adolescents

WHICH TREATMENTS TO CHOOSE ACCORDING TO AGE?

Does your child have overlapping teeth, a shifted jaw or breathes often with his mouth open?

These are signals that an orthodontist needs to evaluate quickly.

For orthodontic treatment to be as effective and short-lived as possible, it’s important to intervene at the right time.

Very often, your GP, school doctor or dentist will advise you to see an orthodontist, but you can also consult one on your own if you suspect a particular risk.

Orthodontic treatment can be considered as soon as the first permanent molar has appeared, sometimes even when there are only baby teeth, especially if the lower jaw is undershot. All these orthodontic treatments are available in Luxembourg. But there is also the possibility of braces for adults, so please consult us for a diagnosis.

Ares Dental welcomes children from an early age to its practices in Mamer and Strassen, with a gentle, tailored approach, and handles all CNS procedures. +352 26 31 35 17 – Orthodontic consultation available 6/7.

Younger patients consult an orthodontist mainly for :

Younger patients consult an orthodontist mainly in these cases:

Preventive treatment (between ages 6 and 8)

It is performed in temporary dentition between the ages of 6 and 8.

These orthodontic treatments are linked to developmental abnormalities, or bad habits such as finger sucking.

The interception phase (between ages 6 and 11)

It takes place in mixed dentition between the ages of 8 and 11. Most patients come for treatment at this time, when the so-called “milk teeth” cohabit with the permanent teeth.

Early treatment – necessary in cases of large sagittal, transverse or vertical jaw misalignments – makes it possible to take advantage of growth and correct dysfunctions (re-education of the orofacial musculature) and jaw misalignments.

The construction phase (between ages 11 and 17)

It is performed in permanent dentition between the ages of 11 and 17.

During this period, the therapeutic approach is different, as it is adapted to growth phenomena, particularly during puberty.

The rehabilitation process (growth complete)

Permanent teeth, no growth. Patients can therefore be treated in the same way as adults.

Functional problems related to disorders of the occlusion and jaw joints, but also aesthetic concerns play an important role in motivating patients.

Orthodontic retention is the crucial step after active treatment (braces, aligners) to keep teeth aligned and prevent recurrence, i.e. return to their original position.

Main objectives
  • Stabilize alignment: Prevent teeth from moving once the appliance is removed.
  • Prevent recurrence: Combat the natural tendency of teeth to shift.

Warning signs

Some of your child’s visible signs or behaviours should prompt you to consult your doctor as soon as possible, without waiting for the next check-up.

Visual signals :

  • Teeth that overlap, move apart or grow out of alignment.
  • Lower jaw advances more than the upper (or vice versa).
  • Upper front teeth clearly overhanging lower ones.
  • Upper and lower teeth not touching at the front (hollowness).
  • Asymmetrical smile or chin that deviates to one side.

Functional signals :

  • Regular mouth breathing (mouth open at rest or at night).
  • Nocturnal snoring or sleep disorders.
  • Difficulty chewing certain foods properly.
  • Speech problems (difficulty pronouncing certain sounds).
  • Persistent thumb sucking after 3-4 years.
  • Atypical swallowing (tongue projected forward).

Even in the absence of obvious signs, a screening visit at the age of 6-7 is strongly recommended.

Why baby teeth count too

A common misconception among parents:

“baby teeth are going to fall out anyway, so it doesn’t matter if they’re damaged or misplaced”. This is a mistake.

Milk teeth play a fundamental role in your child’s development:

They guide jaw growth.

They maintain the space necessary for the correct eruption of permanent teeth.

They contribute to facial balance and posture.

They enable correct chewing, essential for digestion and general development.

Premature loss (due to decay or trauma) reduces the available space and can lead to overlapping of the permanent teeth.

Failure to treat a diseased baby tooth often means preparing for an orthodontic orthodontic problem orthodontic problem.

Phases of orthodontic treatment for children

Orthodontic treatment for children generally takes place in two phases, depending on the age and nature of the problem.

  • Phase 1 – Interceptive orthodontics (4 to 10 years): This phase takes advantage of active jaw growth to correct abnormalities before they become more serious. Braces used at this age are lighter and less restrictive. The aim is not to align the permanent teeth, but to guide bone growth. This phase is indicated in particular for: crossbites (laterally shifted jaws), hollowness, narrowing of the palate, significant discrepancies between upper and lower jaws, and habits that need to be corrected (mouth-breathing, thumb-sucking). Typical duration: 6 to 18 months for this first phase.

  • Phase 2 – Main treatment (10 to 15 years) When most of the permanent teeth are in place (around 11-12 years), full orthodontic treatment can permanently correct the position of all teeth. This is the braces or aligners phase. Typical duration: 12 to 36 months, depending on the complexity of the case.
appareils dentaire enfant pexel

Equipment available for children

  • Removable appliance (plate): Consisting of a plastic plate with screws and springs, it guides jaw growth. To be worn day and/or night, as instructed. Ideal for the interceptive phase in young children.
  • Palatal breaker: fixed appliance placed on the palate to widen the upper arch. Used in cases of narrow palate or crossbite. Highly effective because it acts directly on the growing bone.
  • Braces (fixed multi-attachment): Brackets bonded to the teeth and connected by a wire. Used for complete treatments from age 10-12. Available in metal, ceramic or sapphire.
  • Transparent aligners (Invisalign Teen type): removable, transparent aligners for teenagers. Very discreet, they allow normal eating and brushing. Less suitable for severe anomalies and very young children.

Nutrition and hygiene during treatment

  • What your child can eat: Cooked vegetables, fruit cut into small pieces, pasta, rice, tender meats, dairy products. In general: anything that can be eaten without biting down hard and sticking to the brackets.
  • What to avoid with a fixed appliance: Hard candy, sticky toffees and licorice, chewing gum, chewy ice cream, whole apples, raw carrots, potato chips. These foods can break braces or displace wires, lengthening treatment time.
  • Brushing – a top priority: With a fixed appliance, brushing becomes more demanding and more important than ever. After every meal, brush with a soft brush with a compact head, dental floss and interdental brushes to clean around the brackets. Poor maintenance during orthodontics greatly increases the risk of cavities – often at the corners of the brackets.

Sports and activities with braces

Braces don’t prevent your child from playing sports.

A few precautions are nevertheless necessary:

  • Contact sports (rugby, martial arts, field hockey): a mouthguard adapted to the appliance is essential. A classic model cannot be used with braces; your orthodontist will prescribe a specific one.
  • Swimming: no restrictions with fixed braces. If the child wears a removable device, it must be removed before entering the water.
  • Wind instruments: a few weeks’ adaptation may be necessary, but the vast majority of musicians adapt perfectly to the device.

CNS reimbursement in Luxembourg The basic rule

Before age 17: CNS covers part of the orthodontic costs if treatment begins before your child’s 17th birthday. This date is assessed when the braces are fitted, not during the initial consultation.

This is a strict rule: if the appliance is fitted after the age of 17, no CNS reimbursement is possible. Procedures are reimbursed at 100% of conventional rates for those under 18 at the time of fitting.

Prior authorization procedure: Treatment requires prior authorization from the Contrôle Médical de la Sécurité Sociale (CMSS).

  • File: Ares Dental compiles and forwards the complete file (photos, 3D impressions, X-rays, detailed estimate).
  • Agreement: If the opinion is favorable, the CNS sends you the agreement with the exact amount reimbursed.
  • Deadline: Treatment must begin within 12 months of authorization.

Payment: Repayment is made in defined periods (6 months, 9 months, etc.) as the project progresses.

For cross-border commuters

Cross-border workers affiliated to the CNS enjoy the same rights as residents (100% coverage before the age of 18). Our administrative team will provide you with the necessary documents for your complementary health insurance (French or Belgian: CMCM, DKV, Foyer, AXA, GMI…).

No. Screening from the age of 6-7 is recommended, as some treatments need to be carried out during growth, when milk teeth are still present.

A few days’ discomfort is normal after fitting or adjustment, but disappears quickly and can be managed with paracetamol if necessary.

It varies: 6 to 18 months for an interceptive phase, and 12 to 36 months for a complete treatment.

The “Invisalign Teen” types are suitable from around 11-12 years of age, when most of the permanent teeth are in place.

It includes a full clinical examination and discussion. If necessary, photographs and X-rays are taken to establish the diagnosis. Treatment never begins at this first diagnostic appointment.

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