Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Many people ask us “At what age should you bring your child in for bite and teeth alignment evaluations?” According to the American Association of Orthodontists, the prime age to have have your child assessed is when they reach the age of seven. At this age, some of their permanent teeth have already erupted. At this age too, orthodontists like Dr Mohamed AlJanabi of Brooklyn Orthodontics, can already pin point bite and space problems. Interception, if any bite problems are found, will ensure a healthier occlusion in the future. As they say, prevention isbetter than the cure. So asearly as that age, Dr AlJanabi can suggest jaw expanders, space maintainers or any other dental services that can decrease the possibilities of
malocclusion when your child’s other permanent teeth erupt. When interceptive procedures are applied, many complex bite problems can just be managed with simple jaw expansion.

As you may already know, orthodontic treatments take time. To lessen the active treatment time and costs, your child can be a candidate for two-phase orthodontic treatments. Two phase orthodontic treatments entails a waiting period where Dr. AlJanabi will guide the eruption of your child’s teeth after he/she has submitted to first phase of treatment (the interception stage) and then into the second phase of the orthodontic process when indicated. This is a highly focussed treatment plan that syndicates tooth alignment and physical and facial changes. With that, two- phase treatments mean to take full advantage of the possibility of a long-term stable and ideal
healthy bite.

Meet the phases

Phase I: the Interception

The groundwork of a healthy bite

Phase one starts when some of your child’s permanent teeth have erupted. This includes the four lower front teeth and the four permanent first molars. These are essential as anchors in orthodontic appliance design and installation. Normally, during this stage, jaw expanders, limited braces and habit (thumb sucking, mouth breathing etc) correcting appliances are suggested to improve the malocclusion. With these appliances, your child’s jaw will develop properly to create enough space for the upcoming permanent teeth.

First, Dr AlJanabi and our team will take all the necessary diagnostic records from your child: current bite registrations; face and mouth photographs; and various x-rays. These records will be the basis for treatment plans. If there are any sign of space problems or delays in jaw development, early orthodontic measures can treat the issue.

Since growth still occurs from ages 7-11, this is the ideal age range in implementing the
first phase of orthodontic treatment.

Rest Interval

During this period, we will wait for the remaining embedded permanent teeth to erupt. As you may remember, an appliance is already installed in the first phase of treatment. If these orthodontic appliances obstruct permanent teeth from erupting, these will be removed or adjusted. In this resting period too, we will monitor the success of the first phase of treatment. There should be ample space for the erupting teeth as planned in first phase of orthodontic treatment. There can be baby tooth extractions along the
way to accommodate the erupting permanent teeth.

You and your child will have to visit our office every six months. This is a periodic recall to examine the changes in their oral cavity and to observe their orthodontic progress.

Phase II: The Correction

Completing the active treatment

The first phase does not leave the teeth in their intended positions. It is in the second phase that your child’s teeth will be placed on the area that is most conducive for health. Normally, in this phase, Dr AlJanabi will fit upper and lower braces. This second phase of treatment usually commences after the last primary tooth is lost. It is usually done on children at 12-14 years old.

After every treatment phase, a retainer will maintain the position of the teeth for a certain time. This will prevent teeth recoil movement.

Whyshould you have the two-phase orthodontic
treatment

Two-phase orthodontic treatment is a comprehensive treatment that may start while a patient is still young and still has their baby teeth. This serves as a preventive option for more costly and prolonged correction of malocclusion. With the complete orthodontic plan in this two-phase treatment, a more precise and successful outcome can be expected.

What happens if you defer this treatment

Deferring this option even though your child may need it may result in a more complex invasive treatment plan later in their life. It may be more difficult to fix the bite problem when the treatment is delayed. An early recognition of the problem and acting on it will mark better outcomes.

I know you hope all the best for your child. This includes a healthy smile. If you are interested in that to your child, feel free to give us a call at Brooklyn Orthodontics and Dr. AlJanabi can suggest the best treatment plan available. The two-phase orthodontic treatment may just be the answer.

Animation of:Primary to Permenent Progression

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