Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this two-phase treatment.
When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat. Examples include:
- An upper or lower jaw that is not growing correctly
- A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
- A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly
In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.
In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our children’s orthodontics team at our Pasadena orthodontic specialist practice even sooner. Early orthodontic treatment can help jaws grow into place properly.
Questions about timing? Contact our office so we can review your child’s needs and keep their two-phase plan on track.
