Children with orthodontic issues often benefit from a two-phase treatment approach. While phase one starts when the child still has baby teeth, phase two orthodontics does not begin until all permanent teeth have come in. Orthodontists carefully design these treatment plans to maximize patient comfort and promote long-lasting results. Parents can support their children’s treatment by learning the basics of phase two orthodontics.
Phase two orthodontics is a comprehensive treatment stage that takes place after the permanent teeth have erupted, usually during adolescence. The primary goal during this phase is to fine-tune the alignment of the teeth and jaws, correct bite issues, and enhance facial balance. This stage often involves full braces or clear aligners to move the teeth into their final, ideal positions. Unlike phase one, which may focus more on guiding jaw growth or making space for incoming teeth, phase two aims to create a lasting and functional bite.
Treatments are typically longer during phase two orthodontics, ranging from 12 to 30 months, depending on the complexity of the case. During this time, the orthodontist makes careful adjustments to promote efficient and controlled tooth movement. By the end of this phase, the teeth should be well-aligned, the bite properly adjusted, and the smile's aesthetic appearance significantly improved. This final alignment reduces the risk of future dental problems and promotes better oral hygiene habits.
There is usually a resting period between the end of phase one and the beginning of phase two orthodontics. This phase allows the remaining permanent teeth to erupt naturally while the orthodontist continues to monitor oral development. No active treatment occurs during this time, but regular checkups help ensure that the teeth continue coming in as expected. The resting period is a main component of the two-phase approach, as it ensures that treatment is timed properly and does not interfere with natural growth patterns.
Maintaining the results of phase one during the resting period requires ongoing cooperation and monitoring. In many cases, children need to wear a retainer to preserve space or alignment achieved during the first phase. It is crucial to protect these early improvements so that phase two orthodontics can begin on a strong foundation. Consistent follow-up visits allow the orthodontist to detect any new concerns early and adjust the treatment timeline as necessary. Altogether, this can make the transition into phase two orthodontics more efficient.
Just like phase one orthodontics, preparation is the key to a smoother experience with phase two orthodontics. Parents play an important role in supporting the patient throughout this stage, reducing the patient’s stress and building their confidence about the process ahead. Here are three simple things parents can prepare to expect during phase two orthodontics.
Continuing with regular orthodontic appointments ensures that the transition between phases is seamless. During these checkups, the orthodontist will evaluate how the permanent teeth are coming in and determine the optimal timing for starting phase two orthodontics. These visits also allow for early detection of any issues that may interfere with progress. Maintaining this routine helps patients stay on track and fosters a sense of continuity throughout the treatment process.
Oral hygiene becomes even more important during phase two orthodontics, especially with braces or other fixed appliances in place. Parents can help by encouraging the use of special orthodontic toothbrushes, floss threaders, and fluoride rinses designed for patients undergoing orthodontic treatment. Helping patients make adjustments to daily habits can prevent common issues such as plaque buildup around brackets or increased gum inflammation. After all, good oral hygiene contributes to more predictable and efficient treatment outcomes.
Phase two orthodontics may include additional tools beyond braces or aligners, such as elastics, expanders, or temporary anchorage devices. Some patients may also require minor surgical procedures, like tooth extractions, to create space in the mouth and support proper alignment. Understanding that additional gear or treatment components may be needed helps parents and patients remain flexible and open to changes in the treatment plan. Clear communication with the orthodontist ensures that expectations are managed and each step of the process is explained in a supportive way.
Want to learn more about phase two orthodontics? Contact our Fullerton office today to get started. We can answer your questions about phase one and two orthodontics during a consultation.
Request an appointment here: https://www.fullertonfamilyorthodontics.com or call Fullerton Orthodontics & Children's Dentistry at (714) 459-8060 for an appointment in our Fullerton office.
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