Early Treatment – Two Phase Orthodontic Treatment
First Phase: Phase I, or early interceptive treatment, can occur between the ages of six and ten. It is limited orthodontic treatment (i.e. expander or partial braces) before all of the permanent teeth have erupted. With Phase I treatment, we can make space for developing teeth as well as correct crossbites, overbites, underbites, and harmful oral habits.
Resting Period: In this phase, the remaining permanent teeth are allowed to erupt. At the end of Phase I, teeth are not in their final position. Periodic recall appointments for observation are necessary, usually on a 6 to 9 month basis, so we can determine the need for the second phase of treatment. Not all children have a resting phase.
Second Phase: Phase II treatment is also called comprehensive treatment because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.
Crooked teeth, improper bite, crowding, and improper skeletal positions are now being corrected in many people, regardless of age. Our office offers treatment plans suited to your individual needs. Typically, this involves a comprehensive orthodontic approach. In some cases, we work in conjunction with other dental specialists to offer you a combined treatment plan. We offer metal, clear and self-ligating braces with new bonding techniques. We are also pleased to offer Invisalign (www.invisalign.com) for many of our teen and adult patients, which is a series of clear/invisible aligners that straighten the teeth without traditional braces.
Types of Braces/Brackets
Metal: These are the most common type of bracket. They are made out of high-grade stainless steel. Recent improvements have resulted in smaller, more efficient and less noticeable braces.
Clear: Ceramic braces are made of translucent (clear) material. They are popular due to their cosmetic appeal.
Self-ligating: These braces have their own clips and do not require the use of “O” rings to hold the wire into the bracket.
Invisalign straightens your teeth with a series of clear, customized, removable appliances called aligners. These aligners are generated by computer simulation to gradually move the teeth without wires or braces. There may be as few as 12 or as many as 40 aligners in a sequence. As you replace each aligner with the next, your teeth will move.
This system is available for certain orthodontic bite problems. Ask us if you are a candidate for Invisalign.
Removing braces signals the start of the retention period of your orthodontic care. Please remember that this part is just as important as the active movement phase, to ensure ultimate success of your treatment. Usually the upper retainer is a removable appliance and the lower retainer is a small wire bonded to the inside of the lower front teeth. After a short period of full time wear, we generally recommend that the removable retainer is worn at night for an additional period of time.
In conjunction with orthodontic treatment, corrective jaw surgery (orthognathic surgery) treats and corrects abnormalities of the facial bones, specifically the jaws and the teeth. Often, these abnormalities cause difficulty associated with chewing, talking, sleeping and other routine activities. This combined treatment corrects these problems and will improve the overall appearance of your facial profile.
T.A.D.S. (Temporary Anchorage Device System)
TADS may be recommended to help move teeth when specific dental and skeletal problems are a concern. The use of TADS with orthodontic treatment can often help move the teeth to more ideal positions that were not possible in the past.