King Orthodontics Blog

When Are Two Phases of Treatment Necessary?

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 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.

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I have 4 children who are patients of King Orthodontics and we always look forward to our visits. The atmosphere is relaxing and the staff is kind, & courteous. To top it off, we have never had to wait more than 10 minutes or so! Dr. King... and Dr. Bryan, are kind and knowledgeable and easily accessible too. I can’t say enough about this practice!

Elizabeth K, Monroeville PA

I just wanted to take a minute to write and let you know what a wonderful addition Dr. DeMiria is to your office. I was in twice this week and saw Dr. DeMiria on Monday for the first time. She is absolutely wonderful - just so nice and she really seems to be invested in her patients. The entire staff at Wexford office is wonderful and Dr. DeMiria is just icing on the cake.

Jen R, Pittsburgh PA

I absolutely love King Orthodontics!! The staff are so friendly and actually care about you and your teeth. Almost everyone who works there knows you by name which is very uncommon for a place with so many patients. It is so worth the hour drive it takes me to get there. I would highly recommend King Orthodontics to anyone!!!!!

Andrew G, Midland PA