Early Orthodontic Treatment

The American Association of Orthodontists recommends that children see an orthodontist as early as age 7. At this point the orthodontist will evaluate whether your child will need orthodontic treatment.

What is two-phase orthodontic treatment?

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

Early treatment (also known as Phase One) typically begins around age eight or nine (Phase Two will begin around age 11 or older). The goal of early treatment is to correct the growth of the jaw and certain bite problems, such as underbite. Early treatment also helps to make room for permanent teeth to come in properly, lessening the chance of extractions in the future.

How to tell if your child may need early orthodontic treatment:

  • Early or late loss of baby teeth 
  • Crowded front teeth around age seven or eight
  • Difficulty chewing and/or biting
  • Sucking his or her thumb after age five
  • Speech impediments
  • Protruding teeth (the top teeth and the bottom teeth extend away from each other)
  • Teeth that don't come together in a normal manner or even at all

Phase One

A Foundation for a Lifetime of Beautiful Smiles

The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together.

  • Planning now can save your child's smile later

    Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

  • Monitoring the teeth's progress

    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.  

Phase Two

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. When this equilibrium is established, the teeth will function together properly.

Phase Two begins when all permanent teeth have erupted and usually involves full upper and lower braces for an average of 24 months. Retainers are worn after this phase to ensure your child retains his or her beautiful smile.


Most children lose all their baby teeth by age 13, and by the end of their teen years, the jaw bones will harden and stop growing. Orthodontic procedures for adults often take more time and can involve tooth extraction or oral surgery. Receiving early orthodontic treatment as a child can help prevent the need for orthodontics as an adult, leaving little to no chance of extraction or surgery in the future.

If your child is between the ages of seven and eight and shows signs of needing orthodontic care, or if you have been directed by your family dentist to visit the orthodontist, please contact our practice and schedule an appointment. Our team will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

 

 

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