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.
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 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 Orthodontists). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.