Early orthodontic treatment, also known as phase one treatment, is not considered in every case. For us to consider using early treatment with a patient, he or she must meet one or more elements of the following criteria.

  • The patient is at risk of permanent tooth removal without the treatment
  • The patient is exhibiting problems with jaw growth
  • The teeth protrude in a way that puts the patient at risk of experiencing trauma
  • Harmful oral habits need to be addressed
  • Early treatment could simplify later treatment (phase two)
  • Problems with the teeth or jaw are effecting the patient’s speech

Resting/Observation Period

After Phase I is completed, all appliances are removed and the eruption of your child’s permanent teeth will be monitored at office visits about every four to six months. Retainers may or may not be recommended during this observation period.

Second Phase Treatment

It is important to understand that at the end of the first phase of treatment, the teeth are not in their final position. This will be accomplished in the corrective, second phase of treatment.
Each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, jaw joints and other teeth. When this equilibrium is established, the teeth will function together properly. Here, they will remain healthy and look the most attractive. This is the goal of the second phase of treatment.

The second phase of treatment is initiated when most of the permanent teeth have erupted and usually requires braces on all teeth for approximately 18 months. In many cases, this is significantly less time than one comprehensive phase of treatment would have taken.