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Greenville Office
843 South Main Street
Greenville, MS 38701
(662) 378-8645

Cleveland Office
816 East Sunflower Road
Cleveland, MS 38732
(662) 843-7730

Clarksdale Office
102 East Lee Drive, Suite B
Clarksdale, MS 38614
(662) 627-2666

Two-Phase Treatment

two-phase-treatmentWhat is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a very specialized process that encompasses tooth straightening and physical, facial changes. Dr. Engel believes that two-phase treatment has great advantages. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, esthetic result that will remain stable throughout your life.

What if I put off treatment?

The disadvantage of waiting for complete eruption of permanent teeth and having only one phase of treatment for someone with a jaw discrepancy is facing the possibility of a compromised result that may not be stable.

First Phase Treatment: Your foundation for a lifetime of beautiful teeth

The goal of first phase treatment is to develop the jaw size in order to accommodate all the permanent teeth and to 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 growing too much or not enough can be recognized at an early age. If children after age 6 are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Children in first phase treatment have a mixture of primary (baby) and permanent teeth.

Planning now can save your smile later

Because they are growing rapidly, children can benefit enormously from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. Thus, a good foundation can be established, providing adequate room for eruption of all permanent teeth. This early correction may prevent later removal of permanent teeth to correct overcrowding and/or surgical procedures to align the upper and lower jaws. Leaving such a condition untreated until all permanent teeth erupt could result in a jaw discrepancy too severe to achieve an ideal result with braces.

Making records to determine your unique treatment

Prior to beginning first phase treatment, orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of x-rays, photographs, and models of the teeth.

Resting Period

In this phase, the remaining permanent teeth are allowed to erupt. Retaining devices are often worn for a limited time after the completion of first phase treatment, but are then discontinued to allow the existing permanent teeth some freedom of movement while final eruption of teeth occurs. A goal of first phase is to create room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

Monitoring your teeth's progress

In other words, at the end of the first phase of 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 and in severe cases, permanent teeth still may need to be removed. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

Second Phase Treatment: Stay healthy and look attractive

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. Before beginning second phase treatment, another set of orthodontic records are taken.

Movement & Retention

At the beginning of the first phase, orthodontic records are made and a diagnosis and treatment plan established. Certain types of appliances are used in the first phase, as dictated by the problem. The second phase is initiated when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of 24 months. Retainers are worn after this phase to ensure you retain your beautiful smile.

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The Orthodontic Clinic provides quality orthodontics for children, teens, and adults in Greenville, Cleveland, and Clarksville, MS (Mississippi). Dr. E. Lee Engel specializes in orthodontics, offering Invisalign® and Damon® System. Contact The Orthodontic Clinic to schedule your orthodontic consultation.

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