Early Intervention

What Is Early Orthodontic Treatment?

 

 

Early orthodontic treatment, also called Phase 1 orthodontic treatment or interceptive orthodontics, is treatment provided while a child still has a combination of baby teeth and permanent teeth.

Unlike comprehensive orthodontic treatment, which usually begins after most permanent teeth have erupted, early treatment focuses on specific problems that may benefit from intervention during growth.

The goals may include:

  • Correcting certain developing bite problems.
  • Addressing a narrow upper jaw or posterior crossbite.
  • Creating space when indicated for developing permanent teeth.
  • Reducing the risk of trauma to severely protruding front teeth in selected cases.
  • Helping guide dental and jaw development when clinically appropriate.
  • Managing problems that could become more complicated if left untreated
In these situations, a complete treatment approach would be  in two steps; 

2-Phase Treatment

PHASE ONE

Phase one usually starts in mixed dentition. In early treatment, we are able to guide and correct the growth of your child’s jaw and regulate the width of the upper and lower arches. This will create more space for crowded teeth and avoids the need for permanent teeth extractions later in life and in some cases jaw surgery.

Why Phase 1;

Phase I only being between 9-18 months, simply corrects the immediate problems so that future treatment will be less complicated or of shorter duration.

Observation Period;

After Phase 1, we monitor the eruption of permanent teeth and the child's growth. This allows us to determine whether additional treatment is needed.

PHASE TWO

Phase Two usually occurs when most permanent teeth have erupted, around the age of 11-12 years old. Using both upper and lower arches, we can correct spaces, misaligned teeth, over and under bite issues.

Why Phase 2;

Phase Two often being 18-24 months allows us to focus on ensuring the teeth have good function, the bite is healthy, balanced and the teeth are aesthetically pleasing. In Phase Two we make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth., so the teeth will function together properly. You can expect to be seeing us every 6-8 weeks for your orthodontic checkups.

Retention Phase;

Once your child completes their treatment you will receive one set of retainers. Retainers are case specific and given out accordingly. We will continue to monitor you with retainers for 6 months – 1 year, then you will continue to wear your retainers to maintain your healthy, beautifully functioning smile.

Common Early Orthodontic Treatments

Every child's orthodontic needs are different. At Royal Orthodontics, we select appliances and treatment approaches based on the child's specific diagnosis and stage of growth.

1. Palatal Expansion

A narrow upper jaw can sometimes cause a posterior crossbite, dental crowding, or an imbalance in the way the upper and lower teeth fit together.

A palatal expander may be recommended to widen the upper jaw during an appropriate stage of growth.

Depending on the child's needs, expansion may help correct a crossbite, improve the relationship between the upper and lower arches, and create additional space.

Early evaluation is particularly valuable because the response to expansion can change as children grow.

2. Limited Braces (Phase 1 Braces)

Some children benefit from braces on selected permanent teeth before all their adult teeth have erupted.

Limited braces may be used to address specific tooth-position problems, such as certain anterior crossbites, significant rotations, or alignment concerns requiring timely correction.

The objective is not necessarily to straighten every tooth at this stage, but to address a particular problem.

3. Space Maintenance and Space Management

Baby teeth help preserve space for the permanent teeth developing beneath them.

When a baby tooth is lost prematurely, adjacent teeth may drift into the space, potentially affecting the eruption of permanent teeth.

In selected situations, a space maintainer or other orthodontic appliance may help preserve or manage that space.

4. Growth-Related Orthodontic Appliances

Certain bite discrepancies may benefit from treatment during specific periods of growth.

Depending on the diagnosis, an orthodontic appliance may be recommended to address a developing jaw or bite relationship.

Timing is important, and not all jaw discrepancies can be corrected through early treatment alone.

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