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Two-Phase Treatment

Two-Phase Orthodontic Treatment: The Appropriate Treatment at the Appropriate Time.

What is "two-phase" orthodontic treatment?

The goal of two-phase orthodontic treatment is to create a better environment for your child's permanent teeth. The first phase of treatment is done while the child still has many or most of their primary or "baby" teeth. The second phase takes place when the child has most or all of their permanent teeth. Braces may or may not be used during the first phase of treatment. Other appliances (the name used for braces and other devices for orthodontic correction) may be used.

Who needs the two-phase treatment?

Dr. Patras will thoroughly examine your child's mouth and study diagnostic records to determine if your child would benefit from this type of orthodontic treatment.

The first phase of treatment is initiated to:

  • prevent a problem, such as bad bite, from developing (preventive treatment),
  • intercept a developing problem (interceptive treatment),
  • or to guide the growth of the jaw bones that support the teeth (growth modification), which will eliminate the need for later tooth extractions.

Most patients will require a second phase of treatment, often with traditional braces, to complete the tooth and jaw alignment that was started during the first phase of treatment.

How will the two-phase treatment benefit my child?

The phase one treatment benefits patients physically, enabling them to bite or chew more effectively. It may reduce the risk of breaking front teeth that protrude, impaction of permanent teeth, and prevent future extractions of permanent dentition or surgery. A significant number of patients realize vastly improved self-esteem.

Typically, patients are more cooperative about appliance wear and oral hygiene if they begin at a younger age. The desired changes that result from a first phase of treatment will contribute to long-term stability.

The second phase completes the treatment by moving permanent teeth into their final, ideal position.

Does a child's growth affect orthodontic treatment?

Orthodontic treatment and a child's growth complement each other. By timing orthodontic treatment to predictable stages of dental development as your child grows, Dr. Patras will be able to guide jaws and teeth for optimal health and appearance. Some problems that can be treated quite well in a growing child may require corrective surgery if treated after growth has occurred.