Understanding Two-Phase Orthodontic Treatment: Is It Right for Your Child?

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By Hildebrand Orthodontics | March 4, 2024

You might find it surprising to see a second-grader with a dental appliance, but orthodontic work isn’t reserved just for teenagers. The concept of two-phase orthodontic treatment is designed to address specific issues at different stages in your child’s development.

First Phase Treatment: Early Intervention

Around the age of seven, it’s recommended that every child undergoes an orthodontic evaluation to identify potential issues that could benefit from early intervention. Unlike orthodontics for older patients, the focus in the first phase is on the developing bone and muscle structures that shape your child’s bite and create space for permanent teeth.

  • Reducing Crowding: If your child’s mouth is small, there may not be enough space for permanent teeth to align properly. A palatal expander can gently enlarge the upper dental arch, providing room for adult teeth and potentially minimizing the need for extractions later.
  • Jaw and Bite Concerns: Problems with jaw and facial structure can be addressed while your child’s bones are still growing. Early treatment can help correct issues like crossbites, underbites, and open bites.
  • Protecting Teeth: Protruding front teeth are more susceptible to damage. Early orthodontic intervention can help reposition these teeth, reducing the risk of injury during play or sports.

Second Phase Treatment: Finalizing the Smile

After a resting period allowing permanent teeth to fully erupt, the second phase of treatment begins for older children. This phase focuses on perfecting tooth alignment and ensuring a comfortable, healthy bite using braces or aligners. The duration typically ranges from 12 to 24 months.

While two-phase treatment isn’t necessary for every child, early orthodontics may be recommended for unique reasons, setting the stage for a lifetime of beautiful smiles. Schedule an appointment with Dr. Jed Hildebrand at our Arlington, TX office to evaluate your child’s orthodontic needs, whether now or in the future.