Wittler Orthodontics

Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a specialized process combining 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 life.

What if I put off treatment?

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

Phase — One

Your 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 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.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.  A removable retainer or holding arch will be utilized to maintain the space for the child’s remaining permanent teeth. 

  • Monitoring your teeth's progress

At the end of the first phase of treatment, teeth are not in their final positions. As the remaining adult teeth come in, the retainers will need to be adjusted to accommodate the erupting teeth.  Therefore, periodic recall appointments for observation are necessary, usually on a three-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 may involve full upper and lower braces or Invisalign.

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.  If the second phase of orthodontic treatment is required, it usually requires full braces or Invisalign.  Retainers are worn after either phase to ensure you retain your beautiful smile.