Two-Phase Treatment
What is the advantage of two-phase orthodontic treatment?
Two-phase orthodontic treatment is a process that encompasses tooth straightening and physical, facial changes. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish some dental and physical changes that otherwise may not be able to occur without more invasive procedures.
What if I put off treatment?
If a first phase of treatment is indicated, the disadvantage of waiting for complete eruption of permanent teeth and having only one phase of treatment for someone with a jaw discrepancy is facing the possibility of a compromised result.
First Phase Treatment: Your foundation for a lifetime of beautiful teeth
The goal of first phase treatment is 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 and 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 from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. 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 first set of braces are removed and the remaining permanent teeth are allowed to erupt. In some cases retaining devices are not recommended since they may interfere with eruption. In these cases it is best to allow the existing permanent teeth some freedom of movement while final eruption of teeth occurs.
Monitoring your teeth's progress
In other words, at the end of the first phase of treatment, 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 during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.
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.
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 24 months. Retainers are worn after this phase to ensure you retain your beautiful smile.
