Group of teens showing off their straight teeth

Two-Phase Orthodontics

Myers Pediatric Dentistry & Orthodontics

Two-phase treatment can make it easier and faster to correct some dental problems. The first phase of a two-phase orthodontic treatment ideally begins after all four of the permanent first molars and all four of the permanent central incisors have come into the mouth. Most orthodontists place braces on only some of the teeth since the remaining baby teeth will fall out.

The second phase of treatment typically begins after the last primary tooth is lost, about the same time the 12-year-molars make their appearance. Treatment may begin earlier if the patient is having social problems due to their smile, the orthodontic problems are severe, or there are teeth that cannot take their place without help. Treatment will take too long if started too soon, and it will not be finished before the end of high school if started too late.

Two-phase orthodontics allows the orthodontist to achieve results he cannot accomplish in a single treatment later in life. Teeth that erupt through the wrong tissue may never look as good even if their position is corrected later on; extractions and surgery that may have been avoided with early intervention may become necessary.