Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a very specialized process that encompasses tooth straightening and physical, facial changes. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, aesthetic result that will remain stable throughout your life.

What if I put off treatment?

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. Drs. Philbin and Reinheimer will discuss what these compromised results may be.

First Phase Treatment: your foundation for a lifetime of beautiful teeth

The goal of first phase treatment is to develop the jaw size in order to accommodate all the permanent teeth and 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 enormously from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. Thus, a good foundation can be established, providing adequate room for eruption of all permanent teeth. 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

After your first phase treatment, you will enter the resting period. In this phase, the remaining permanent teeth are allowed to erupt. During this period, you may wear a retainer as prescribed by your orthodontist. Teeth may shift some during this period, which is normal for this transitional time. A successful first phase will have created room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

• 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

During the first phase the orthodontist has no control over 16 unerupted permanent teeth. If problems still exist after they grow in, further treatment will be required. 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. When this equilibrium is established, the teeth will function together properly. In most cases you will require a second phase of treatment to finalize your bite and alignment of your teeth. Usually the second phase of treatment will be for a shorter period of time because of the results achieved in your first phase.

• 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 it usually requires braces on all the teeth for an average of 24 months at age 12-13 years. A separate fee will be quoted at that time. Retainers are worn after this final phase to ensure you retain your beautiful smile.

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