Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase treatment is a specialized process that begins around the age of 8 or 9 years old with the first phase of treatment. This approach seeks to take advantage of the child’s growing phase to make adjustments that would be impossible later in life. This allows the child to see the best possible results while avoiding more invasive procedures later in life.

What if treatment is put off?

If treatment is put off, the results may not be ideal and the treatment plan may require more invasive treatment options.

Phase One

Setting the groundwork for a life full of smiles

Phase One of treatment seeks to guide jaw growth in a way that will best fit the permanent teeth while enhancing the upper and lower jaw relationship. Children can show early signs of jaw misalignment from an early age. Children aged six and above who have a jaw misalignment are candidates for early treatment. Children who are around the age of eight and have crowded teeth are typical candidates too. Early treatment is highly recommended in cases of crowding because it can prevent the need for permanent extractions later in life.


Records for diagnosis

Orthodontic records are used to diagnose the child and design the treatment plan. Records may include models of teeth, X-rays, and orthodontic photographs. The doctor will typically take records during a consultation to make a call if early treatment is necessary or not.

Resting Period

During the resting phase, permanent teeth are allowed to erupt without intervention. Retainers are not recommended during this phase because they interfere with eruption. This is the moment of truth to evaluate the success of the first phase in creating the necessary room for permanent teeth.

  • Monitoring the teeth’s progress Once phase one is completed, the teeth are not yet in their final positions. The second phase of treatment achieves this goal.

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.

The objective of the second phase is to “fine-tune” the smile by making sure that each tooth makes it to the exact location that will allow harmony of the face. Braces or clear aligners are used to align the teeth during phase 2, this process lasts an average of 2 years. Once phase 2 treatment is completed, the patient wears a retainer to maintain the teeth in their new positions.