Two-Phase 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 disadvantages of waiting for complete eruption of permanent teeth and having only one phase of treatment for someone with a jaw discrepancy are facing the possibility of a compromised result that may not be stable or needing surgery to correct the jaw discrepancy as an adult.

First Phase

Because they are growing rapidly, children can benefit enormously from an early phase of orthodontic treatment.  We utilize appliances that direct the growth relationship of the upper and lower jaws establishing a good foundation and providing adequate room for eruption of all permanent teeth. This early interceptive treatment may prevent later removal of permanent teeth to correct overcrowding and/or surgical procedures to align the upper and lower jaws. Waiting until all permanent teeth erupt could result in a jaw discrepancy too severe to correct with braces alone.

Resting Period

After the early phase is completed, the braces and/or appliances are removed.  During this time, the remaining permanent teeth are allowed to erupt. A successful first phase will have created room for teeth to find an eruption path. At the end of the first phase of treatment, teeth are not in their final positions. This will be accomplished in the second phase of treatment.  Usually a retainer is worn nightly to keep the changes achieved in the first phase.  Periodic observation appointments are necessary for Dr. Paciorek to monitor growth and development and to determine the best time to start the second phase of treatment.

Second Phase

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.  The second phase is typically initiated when all permanent teeth have erupted, and usually requires braces on for an average of 22 months. Retainers are worn after this phase to ensure you retain your beautiful smile.