Two Phase Treatment

What is Two-Phase treatment?

Two-phase treatment occurs when a patient is evaluated and needs intervention before starting regular orthodontic treatment, resulting in two separate treatment plans.

First phase of treatment

Phase I, early, or interceptive treatment is done while the jaws are still actively growing and a combination of primary and permanent teeth exist. The American Association of Orthodontists recommends that all children be screened by an orthodontist by age 7. This early screening allows for prevention and more successful correction of growth and developmental problems since a child's bone structure is actively growing. Preventative and interceptive orthodontics are two major goals of our treatment. We believe in early orthodontic treatment to modify unfavorable growth patterns of the jaws early on to decrease the need for extracting teeth or having jaw surgery in the future. This would allow for healthier, more esthetic, and more functional results as adults. Also, a great smile during those forming years can lead to greater self-confidence and better socialization. Another common added benefit of Phase I treatment is less Phase II treatment time.

The following are some of the issues that warrant Early Treatment:

  • Severe crowding
  • Large overbite (Deep bite)
  • Large overjet (Protrusion of front teeth or “Buck Teeth”)
  • Crossbite
  • Underbite
  • Open bite
  • Midlines not matching up
  • Jaws not growing coordinated
  • Thumb sucking
  • Tongue thrusting

 

Recall Phase

This is a very important phase of monitoring the growth and development of the jaws. In this phase, the remaining permanent teeth are allowed to erupt. We will see your child every six months or annually until all permanent teeth are erupted. At this time we will evaluate the need for a second phase of braces. We will take annual x-rays to monitor the development and Dr. Mojdehi-Barnes will discuss the findings with you. This service is complimentary to our existing first phase patients or to those new patients that did not need any first phase treatment.

Why a second phase of treatment?

At the end of phase I treatment, not all permanent teeth have erupted into their final positions. At that time it is not possible to predict the need for a second phase of treatment. Keep in mind that the goal of first phase therapy is not esthetic treatment, and typically, Phase II treatment is needed to achieve that. Our goal for your second phase orthodontic treatment is to give you correctly aligned teeth that provide ideal jaw function and a great smile! Patients who have undergone both Phase I and Phase II treatment are more likely to have lasting results.

This phase involves placing braces on all permanent teeth for about 18-24 months. Retainers are worn after this phase to maintain a healthy and beautiful smile for life.

  

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