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Orthodontic Two-Phase Treatment

Two-phase orthodontic treatment is a dual step method of aligning a child’s teeth and producing a functional bite. Usually, two-step orthodontic treatments begin between the ages of 7 and 9, when many of the primary teeth remain in a child’s mouth. The braces stay on for a year or less, after which time they are removed and replaced with a retainer. This resting phase lasts about 3 years, after which time children return to the orthodontist for the second phase of treatment. Sometimes only a first phase is needed.

The only way to know if your child needs orthodontic treatment of any kind is by visiting an orthodontist. Children as young as 4 can be screened, although the AAO recommends waiting no longer than age 7. If your child is over age 7 and has not yet been screened, make an appointment for a consultation at your earliest convenience.

Between the first and second treatment phases, you’ll need to bring your child to the orthodontist periodically to monitor progress and check the condition of your child’s retainer. He or she may also need occasional x-rays to ensure everything is progressing smoothly and as planned. Sometimes a child only needs a Phase I treatment but this can only be determined once all the permanent teeth have erupted. Often a second phase of orthodontics is necessary.

Yes. Orthodontic appliances are designed for durability but can easily break when not cared for. You’ll need to ensure your child is following all directions for brushing around the braces and also exclude hard candies or foods that could damage the appliance components.

the American Association of Orthodontists endorses early childhood orthodontic treatments? The Association recommends an initial screening for every child no later than age 7. Because children this age have achieved approximately 80 percent of their total facial growth, a first phase of treatment during this time period can leverage remaining growth. By the time they reach age 11 or 12 (when the second phase of treatment is initiated), children have achieved more than 90 percent of their lifetime facial growth.

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