There seems to be a lot of confusion about why some children start orthodontic treatment early (Phase I), only to have treatment again, when all the permanent teeth have erupted (Phase II), and why some children have orthodontic treatment only once, after all the permanent teeth have erupted (Comprehensive Treatment).
What is Phase I Orthodontic Treatment?
Phase I orthodontic treatment, or “Early Treatment,” is often recommended to patients ages 7-10 who will benefit from beginning orthodontic treatment prior to the loss of all their primary teeth.
Should all children have Phase I orthodontic treatment?
No. Phase I treatment is recommended for children who have moderate to severe bite problems, such as “cross-bite” (the upper teeth fitting on the inside of the lower teeth), an underbite or an open bite. It may also be recommended for severely malaligned, or crowded teeth.
The goal of first phase treatment is to develop the jaw size to accommodate all the permanent teeth and relate the upper and lower jaws to each other.
Children sometimes exhibit early signs of jaw problems as they grow and develop. An upper and lower jaw that is over-growing or under-growing can be recognised at an early age.
If children after age 6 are found to have this jaw discrepancy, they are candidates for early orthodontic treatment, this will decrease the amount and complexity of treatment later, such as having to extract teeth.
Early growth guidance treatment can help coordinate this jaw growth. This early correction may prevent surgical procedures to align the upper and lower jaws.
Typically, children requiring early treatment will have a removable appliance (similar to a retainer) and/or 4-6 braces on the erupted permanent teeth. Treatment may also involve an expander if a cross-bite or severe crowding is present. Specifics of treatment will be discussed thoroughly with you and your child at the consultation.
In this phase, remaining permanent teeth are allowed to erupt. Retaining devices are not usually recommended since they may interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement while final eruption occurs. A successful first phase will have created room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.
Will treatment be needed again, later?
At the end of first phase treatment, teeth are not in their final positions – this will be determined and accomplished in the second phase of treatment.
Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six month basis.
Most patients will require a second phase of treatment after the rest of the permanent teeth erupt (Phase II treatment), although occasionally further treatment is not necessary.
This later treatment will be shorter and less complex than what would have otherwise been necessary. For example, the removal of permanent teeth may be avoided by having Phase I treatment.
This second phase of treatment is often just to align all the teeth into a perfect position, or “detail” the bite—with the bulk of the correction being completed in the first phase.
Timing and type of treatment are dependent upon the problem and its severity, but typically Phase I treatment will take 6-12 months and generally occurs between the ages of 7 and 10.
The eruption of the permanent teeth will usually take 12-24 months to erupt, after which your child will be ready for “final finishing” or “Phase II” treatment. This second phase of treatment can take from 12 to 24 months.
Call us on 4840 2832 for an initial consultation and we will determine the best time for treatment, outlining the treatment plan, the treatment duration and the approximate cost for the treatment.
ORTHODONTIC TREATMENT FOR ADOLESCENTS
Between the ages of 11 and 15 is the most common time for orthodontic treatment – and for good reason.
By age 12, most, if not all, permanent teeth have erupted and are in place and crooked teeth, gaps and bad bites can be easily detected. These problems will hardly ever correct themselves, so this is when most parents decide to seek orthodontic treatment.
This is also a good time for orthodontic treatment because negative association with braces is not present. Many children in this age range undergo orthodontic treatment and are able to be convinced to wear braces because they see their friends wearing them and they want to fit in.
Besides the benefits of fitting in with their friends, children at this age have high metabolisms, which can help shorten overall treatment time and reduce the discomfort of orthodontic treatment.
Braces today come in a variety of styles and materials, making life with braces much easier, more comfortable and even more stylish than in the past. Some are even invisible – ask us about Invisalign ®, Invisalign Teen ™, Incognito ™ or clear braces.
The one thing adolescents always want to know is “How long will I wear braces?”
The amount of time it takes to treat your malocclusion with braces depends on three key factors:
Early treatment– Early treatment allows monitorization of growth of the jaw and recommendations for further orthodontic treatment if it becomes necessary. Not everybody receives early orthodontic treatment, and in some cases, it may be recommended that a patient wait until they are older to receive treatment.
What needs correction– The amount of treatment needed in order to correct a problem will determine how long the process takes,. Different patients react to treatment differently; so, while it may take one patient only 12 months to complete their treatment, it may take another patient 24 months. Treatment times can vary depending on how quickly your body responds and how much work is needed to give you the smile you expect.
You!– Your willingness to use the appliances Dr Rodriguez gives you, plays a major role in the length of time it takes to complete your treatment. Always remember to take care of your braces and appliances; this truly will help making your treatment shorter.
Your Braces, Your Way!
At Braces 4U, we use the most innovative, braces available to suit your needs. The most common ones are available in either clear or metal and are very small and smooth, very cool and discreet. Now is a great time to be wearing braces; so don’t be shy, go wild and personalize your braces to fit your personality and lifestyle.
Eating with braces is another hot topic for many teens your age! You’ve probably heard from your parents and friends the long list of foods and drinks that you should avoid consuming while wearing braces.
Don’t let this worry you; before long you will be able to eat all the food that you enjoy, but until then you need to make few changes to your diet.
Braces are a big part of life of many young people like you. Wearing braces makes it easy to look good and feel good while giving you the perfect smile!
Please contact us on 4840 2832 with any questions you may have or to schedule your next appointment.
ORTHODONTIC TREATMENT FOR ADULTS
Orthodontic treatment is no longer just for teens and to satisfy adults aesthetics demands, Dr Rodriguez has made a commitment to treating adults with braces behind the teeth. Many adults today are choosing to have orthodontic treatment; in fact one in five orthodontic patients is over 21!
Many adult orthodontic patients have chosen to receive treatment because they understand the importance of maintaining their health, and they want to feel better about their overall appearance. Adults are taking advantage of the new technologies to receive orthodontic care and now you can too.
Some of the most common reason why adults should consider orthodontic treatment include:
- A bad bite or malocclusion, causing teeth to fit together incorrectly. A bad bite can cause damage to the teeth and gums, and is often responsible for TMJ (jaw joint and facial pain) and migraine headaches
- Teeth are crowded or spaced apart, possibly causing tooth decay or gum disease
- They want a more beautiful smile
- They want to correct shifting in their teeth that has occurred since having braces as a child
- Desire for a healthier mouth and a more confident smile
TREATMENT OPTIONS FOR ADULTS
For many adults , the thought of having metal braces is enough to discourage the for receiving treatment. However, today’s orthodontic treatment options offer a variety of braces and appliances that are comfortable, aesthetic and customized to meet your needs. Types of orthodontic appliances include:
- Clear ceramic braces
- Self ligating braces
- Lingual braces ( braces behind the teeth)
Dr Rodriguez extensive training and experience in using Incognito® (lingual braces) enable her to treat even the most complex orthodontic problems with this invisible technique. Dr Rodriguez is the only certified provider in the Mackay region.
The main difference between adult orthodontics and orthodontic for children and adolescents, is that in younger patients the jaws are still developing. For adults these bones have stopped growing, which may mean the possibility of orthognathic surgery to align the jaws. Other difference include:
- Gum or bone loss (periodontal disease) —Adults are more likely than children to experience gum recession or even bone loss due to gingivitis or advanced periodontal disease. Patients with straighter teeth are less likely to get gum disease.
- Worn or missing teeth —Over time teeth can become worn down and shift into different positions that can only be corrected with orthodontic care. Missing teeth can cause other teeth to shift and tilt, creating a bad bite and increasing the possibility of gum disease.
- Incomplete orthodontic treatment as a teen —Many adults received some orthodontic treatment as a child or teen, but never completed their treatment. As an adult, they choose to complete their orthodontic treatment to achieve the healthy, beautiful smile they always wanted.
Our practice also recognizes that adults and children have different needs and require a different level of attention and care. We will work with you to ensure that you receive the most appropriate treatments and that your needs are met with understanding and respect from us.
Why should you consider orthodontic treatment?
- Straight teeth are healthy teeth —Teeth that are properly aligned are easier to keep clean with flossing and brushing, and may help prevent other health problems.
- A beautiful, straight smile builds confidence —Orthodontic treatment can help boost your self-confidence, giving you a better quality of life and the freedom to smile without holding back!
- An ideal bite is a healthy bite –teeth that fit together properly experience less wear and tear. A proper bite makes a person less susceptible to migraine headaches, joint and jaw pain.
- Mouths left untreated can get worse —Not receiving orthodontic treatment when it’s needed can create long-term health issues costing you more in the end.
To learn more about the benefits of adult orthodontics please contact our office to schedule a consultation. We understand that you have a busy schedule, and we will work with you to make sure each visit is as convenient as possible.