Two Phase Treatment

What is the advantage of 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.

What if treatment is put off?

Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your child’s smile. Early treatment is most effective for achieving lasting results.

Phase One

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. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.

  • 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.
  • Making records to determine your child’s 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. During your child’s initial consultation, the doctor will take records to determine if early treatment is necessary.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. 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. 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.

Phase Two

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 usually involves full upper and lower braces.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of 24 months. Retainers are worn after this phase to ensure your child retains his or her beautiful smile.

Testimonial

When I noticed my child needed braces, I went for a consult with every orthodontic practice on the west side of Madison. I chose Greater Madison Orthodontics. The consultation was just wonderful. The process was explained to me in full and I left feeling completely confident in this team.

I knew I made the correct choice at the very first appointment. My child did not like the impressions being taken. The assistants were so wonderful talking her through it, holding her hand, counting down. Anything and everything to make her more comfortable. The staff is just wonderful. They are all very friendly and great at explaining everything they are doing. The Dental Assistants continue to be awesome, they are just the best. Always a smile and a genuine concern for their patients. They are wonderful educators on care of braces. These ladies are amazing, they work, tie & apply treatment so well. Doctor Doshi is just as wonderful as her assistants. They are very caring, creative and just great at what they do. Always a smile and every question you may have is answered. My child has received 5 star care at Greater Madison Orthodontics. I wouldn’t recommend anyone else to my family and friends. My child was having discomfort with an appliance on the 4th of July. No problem! We had an awesome assistant meet us to take care of the problem, on a holiday. Client service doesn’t get any better than that. I love knowing that I can call a team member anytime for assistance.

It has been a little over a year since we started the process and my child’s teeth are looking fantastic. I cannot wait to see the final result!

- Allie F. October 11, 2015

  • DeForest

    677 South Main Street
    DeForest, WI 53532
    (608) 846-3600
  • Stoughton

    800 Lincoln Avenue
    Stoughton, WI 53589
    (608) 873-7888

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