Two-Phase Treatment
The American Association of Orthodontists recommends children see an orthodontist no later than age 7. Although it is usually best to wait for all of the permanent teeth to come in before starting orthodontic treatment, there are a few occasions when early treatment is needed. Early intervention can help prevent abnormal wear of teeth, injury to protruding teeth, and some disproportionate growth of the jaws. Underbites, overbites, crossbites, and excessive crowding are also main concerns that can be evaluated during your child's first visit. Also, teasing from peers and poor esteem can dictate early treatment. Dr. Johnson can make sure your child is treated at the most appropriate age.
At the complimentary consultation, Dr. Johnson will thoroughly evaluate facial balance and any orthodontic needs your child may have. He will also conduct an extensive TMJ (temporomandibular joint) evaluation. He can then determine if orthodontic treatment is indicated and when the best time to begin treatment would be.
Phase I Treatment
If early treatment is indicated then treatment will consist of fixing the immediate and serious problems with appliances and/or braces. Phase 1 treatment usually last 12-18 months. After the significant problems are solved the child will be placed in a resting period.
Resting Period
In this phase, the remaining permanent teeth are allowed to erupt. Selective removal of certain primary (baby) teeth may promote proper eruption of permanent teeth during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis. In other words, the first phase of treatment facilitates appropriate tooth position, but a second phase of treatment is necessary to finalize the bite and smile after all permanent teeth are present.
Phase 2 Treatment
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. Braces are usually needed for an average of 24 months in this phase. Retainers are worn after braces are removed in order to ensure you retain your beautiful smile.