Two-Phase Treatment

For some patients, a phased approach to orthodontic treatment can be the most effective way to achieve optimal results. This involves breaking treatment into two distinct phases to address specific issues at the best possible times.

In Phase One, the focus is on early intervention to correct problems that benefit from being addressed sooner, such as deficiencies in the upper jaw or challenges with tooth eruption. By intervening early, we can guide jaw growth, expand the upper arch, or address crowded or impacted teeth, setting the foundation for future alignment.

Phase Two, typically occurring several years later, focuses on the final alignment of the teeth to complete your treatment. This phase ensures that all remaining orthodontic issues are corrected for a healthy, lasting smile.

Benefits of Two-Phase Treatment:

  • Early correction of problems that are best addressed sooner (e.g., maxillary expansion, maxillary protraction, or correcting blocked or impacted teeth)
  • Prevention of future issues, such as ensuring proper tooth eruption, improving breathing, and reducing the need for more extensive surgeries
  • Boosted self-esteem during critical growth years
  • Lowered risk of dental injuries, particularly in cases of excessive overjet (protruding front teeth)
  • By taking a phased approach, we can create a treatment plan that not only improves dental health but also enhances overall facial harmony and confidence.

What if Treatment is Put Off?

Delaying orthodontic treatment can lead to the need for more invasive procedures later in life, which may not fully address your child’s smile or alignment concerns. Early treatment takes advantage of your child’s natural growth patterns, making it the most effective way to achieve long-lasting results and a healthy, confident smile.


The Resting Phase: Monitoring Progress Between Treatment Stages

During the resting phase, the remaining permanent teeth are allowed to erupt naturally without interference. Retaining devices are typically not recommended during this time, as they could restrict the freedom needed for proper tooth eruption. A successful first phase of treatment creates enough space for permanent teeth to follow their natural eruption path. Without this preparation, teeth could become impacted or severely displaced.

Ongoing Monitoring

At the end of the first phase, the teeth are not yet in their final positions—this will be addressed during the second phase of treatment. In some cases, selective removal of certain baby teeth may help guide permanent teeth into better positions. Regular check-ups, usually every six months, are important during this phase to monitor progress and ensure everything stays on track.

Phase Two: Perfecting Your Smile

The goal of Phase Two is to ensure that every tooth is in its ideal position, working in harmony with the lips, cheeks, tongue, and other teeth. When this balance is achieved, your teeth will function properly and your smile will look its best.

Phase Two typically involves full upper and lower braces, which are worn for an average of 24 months. This phase begins once all permanent teeth have erupted, building on the progress made during Phase One.

During Phase One, orthodontic records were created, and a treatment plan was developed to guide the alignment of the teeth and jaw using specific appliances. Phase Two focuses on refining that alignment and achieving long-term stability. After braces are removed, retainers are worn to preserve the results and keep your smile beautiful for years to come.