Two Stage Orthodontic Treatment

For most of the last century, orthodontic treatment was not initiated until all of the “baby teeth” had fallen out. For most patients, this worked out fine with excellent final results. For some patients, however, results were less than satisfactory. These were patients with certain jaw problems, functional problems or problems that damaged or otherwise adversely affected the jaws or the permanent teeth.

We now know that these patients can be treated with the same excellent final results if treatment is done in two phases or stages. Generally, the first stage of treatment addresses the jaw problem, functional problem or problem adversely affecting the jaws or the permanent teeth. The second stage addresses the alignment and spacing of the teeth and the coordination of the upper and lower teeth.

Sometimes phase I treatment is initiated for elective, esthetic or cosmetic reasons. In these patients, the final results are the same, but some of the benefits of treatment can be enjoyed much sooner. The decision to start elective two phase treatment is often motivated by social factors. 

Compared to single stage treatment, the total treatment time may be more or the same and the cost is usually greater. This is more than made up for by the superior results of the orthodontic treatment.

For patients receiving phase I treatment, future treatment requirements are hard to predict, because they depend on growth and development that has yet to occur. Some patients will require no additional treatment. Most will require a second phase of treatment. Typically this involves full or partial braces and can last from as little as 6 to as many as 24 months or more. The specific treatment needs for your child can be determined by an orthodontic evaluation.

Dr. Frank R. Egan

www.TeethOnTheMove.com