First Phase Treatment
Orthodontists can treat smiles at any age, but there is usually a best age for treatment to begin. An early examination allows the determination of how and when a child's particular orthodontic problems should be treated for maximum improvement. Early treatment may achieve results that are unattainable once the face and jaws have finished growing.
This treatment approach is considered interceptive or preventive.
Children sometimes exhibit early signs of jaw problems as they grow and develop. An upper jaw that is too narrow for example, can be recognized at an early age.
Since children are growing rapidly, they can benefit enormously from the first phase of orthodontic treatment because specific appliances can be prescribed that direct the growth of their upper and lower jaws toward an ideal relationship.
Thus, a good foundation can be established providing adequate room for eruption of all permanent teeth.
The goals of the fist phase of treatment are:
- influence jaw growth in a positive manner
- harmonize the widths of the dental arches
- improve eruption patterns
- decrease the risk of trauma to protruding upper front teeth
- correct/eliminate harmful oral habits
- improve esthetics and self esteem
- simplify and/or shorten treatment time for later corrective orthodontics
- reduce the likelihood of impacted permanent teeth
The first phase of treatment lasts approximately one year.
Resting/Observation Period
After Phase one treatment is completed, all appliances are removed and the eruption of your child's permanent teeth is monitored at office visits every 4 to 6 months. Retainers are usually worn on a nightly basis for part of this observation period.
Second Phase Treatment
It is important to understand that at the end of the first phase of treatment, the teeth are not in their final position. This will be accomplished in the corrective, second phase of treatment.
The second phase of treatment is initiated when most of the permanent teeth have erupted and usually requires braces on all teeth.
Functional Appliances
Functional appliances are used to influence growth of the jaws in order to effect changes in facial structure. In addition, they are often used before and in conjunction with fixed appliances. Timing of such therapy also is very important.