Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a specialized process that combines tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your child's life.

What if treatment is put off?

Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your child's smile. Early treatment is most effective for achieving lasting results.

Phase One

A Foundation for a Lifetime of Beautiful Smiles

The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.

  • Planning now can save your child's smile later

    Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.

  • Making records to determine your child's unique 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 models of the teeth, X-rays, and photographs. During your child's initial consultation, the doctor will take records to determine if early treatment is necessary.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

  • Monitoring the teeth's progress

    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. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

Phase Two

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. Phase Two usually involves full upper and lower braces.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins 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 your child retains his or her beautiful smile.

read our 5 star reviews

“Dr. Gupta & his staff are very professional and friendly and they always treated us like family. We have spent a year and a half with some incredible people who always welcomed us with smiles and positive attitudes. It was an amazing journey and now my son has a smile he loves! ”
“I lived with crooked teeth for 34 years and decided that I deserved to have a beautiful smile. I did a lot of research and from recommendations by my friends and a referral from my dentist I visited Dr. Gupta. After 14 months of Invisalign Dr. Gupta was able to transform my smile. I could not be happier with my decision have my treatment done at Gupta Orthodontics!”
“I visited several orthodontists before deciding to go to Gupta Orthodontics. Dr. Gupta’s qualifications were impressive (computer engineer turned orthodontist with a degree from Harvard!). I wanted to go to the best doctor for my daughter’s treatment and after the initial exam with Dr. Gupta we knew that this was the office for us. 18 months later the results have been truly life changing for my daughter. We are blessed to have found this office.”
“As an adult I had some anxiety about getting braces but Dr. Gupta always made me feel comfortable. I never felt out of place. They welcome you by name at every appointment. Dr. Gupta always listened carefully to any concerns I had and addressed them fully. I never felt like he was rushing me through my appointments and I love the fact that he is a perfectionist. This was one of the best decisions I have ever made.”
“I never thought it would be remotely possible to find an office such as this one! Dr. Gupta's office encompasses everything that we could have hoped for. We looked forward to our visits not only because of the VIP experience they gave us at every visit but also because of the amazing individuals that they have on their team! My kids and I feel very fortunate to have found them!”
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