When are Two Phases of Orthodontic Treatment Necessary?

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases, it will be beneficial to the patient to begin orthodontic treatment earlier, even before the patient’s permanent teeth completely erupt. We call this “Two-Phase Treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.
These Examples include:

• An upper or lower jaw that is not growing correctly (over-bite/under-bite)
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in (crowding)
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly (cross-bite)

In these cases, we will start early and do one round of treatment – “Phase I” – while the patient still has their baby teeth. Phase I does not always involve braces, but will more than likely include a different type of appliance that help the jaw or palate grow into place. Dr. Varghese will follow up for “Phase II” every 4-6 months, until permanent teeth are in place. Generally Phase II involves the Damon System to align the teeth and correct the bite, or malocclusion.

In order to catch problems early, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontists). However, if your dentist or pediatrician see any sign that early treatment might be necessary, he or she may recommend your child visit Varghese Orthodontics even sooner.

All Consultations are complimentary, please call our office in North Aurora at 630.907.9680 or our Huntley office at 847.961.5515.

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