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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

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. 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

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 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.

our patients love us

“Orthodontic treatment is not at all hard or painful. In fact all I needed to do was wear the Invisalign and that was about it. The instructions were clear and simple, the office staff made it fun & comfortable. Thanks to this, my teeth are straight.” ~ Tim P.

“My experience with braces was fantastic. Before I got them I didn’t feel very confident that I would be responsible with my braces or know enough to not feel nervous about getting them. Yet they reassured me that the process could go great and they answered my constant questions with smiles.” ~ Kaitlyn B.

“Invisalign really works... If you hate the hassle of braces then Invisalign is truly the best thing for you. 6 out of 5 stars, hands down. I highly recommend Invisalign for anyone who wants the best results in the most comfortable and convenient way possible.” ~ Matthew G.

“I didn’t think there was anything wrong with my smile. After all, I had the smile all my life. The gap, from my mom and the overbite from my dad. My teeth began to shift at age 37, and a referral was made for braces... The results were phenomenal! I received compliments in a daily basis. My smile is better, brighter, and most of all my X-ray looks like a human instead of a horse, LOL!” ~ Montreal P.

“The Invisalign experience has been phenomenal! Initially I was worried about pain or discomfort. However, there was no pain and discomfort was at a minimum. Dr. Holliday and his staff took care of me wonderfully. This has far exceeded my expectations. I would highly recommend Dr. Holliday and Invisalign!” ~ Gary Y.

“My overall experience was great. Everyone was very professional. They treated me great. I also got great results.” ~ Bradley A.

“Words can’t express how thankful I am for my new (and improved) smile… Mahalo Dr. Holliday and girls for treating me so great! Thanks a bunch. ~ Damien A.

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