 About Orthodontics
Why Braces? | For Children | Two-Phase Treatment | For Adults
Surgical Orthodontics | Orthodontic Treatments | Ortho Dictionary | Resources
 Two-Phase Treatment
What is the advantage of two-phase orthodontic treatment?
Two-phase orthodontic treatment is a very specialized process that encompasses tooth straightening, growth modification, and facial changes. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, esthetic result that will remain stable throughout your life.
What if I put off treatment?
Sometimes waiting for complete eruption of permanent teeth for a single phase of treatment may result in a compromised result that may be less stable. Prolonging treatment in some cases also necessitates extraction of additional permanent teeth.
First Phase Treatment: Your foundation for a lifetime of beautiful teeth
The goal of first phase treatment is to develop the jaw size in order to accommodate all the permanent teeth and to relate the upper and lower jaws to each other. Children sometimes exhibit early signs of jaw problems as they grow and develop. An upper or lower jaw that is growing too much or not enough can be recognized at an early age. If children after age 6 are found to have this jaw discrepancy, they are candidates for early orthodontic treatment.
Planning now can save your smile later
Because they are growing rapidly, children can benefit enormously from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. Thus, a good foundation can be established, providing adequate room for eruption of all the permanent teeth. This early correction may prevent later removal of permanent teeth to correct overcrowding and/or surgical procedures to align the upper and lower jaws. Leaving such a condition untreated until all permanent teeth erupt could result in a jaw discrepancy too severe to achieve an ideal result with braces.
Making records to determine your unique treatment
Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, x-rays, and photographs.
Resting Period
In this phase the remaining permanent teeth are allowed to erupt. Retaining devices are often used for a few months. A successful first phase will have created room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.
Monitoring your teeth's progress
At the end of the first phase of treatment some teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption of permanent teeth during this resting phase. Therefore, periodic recall appointments for observation are necessary.
Second Phase Treatment: Stay healthy and look attractive
The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly.
Movement & Retention
At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan established. Certain types of appliances were used in the first phase, as dictated by the problem. The second phase is initiated when all permanent teeth have erupted and usually requires braces on all the teeth for an average of 18 to 24 months. Retainers are worn after this phase to ensure you retain your beautiful smile.
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