After performing an initial evaluation the patient will be placed in one of the following orthodontic stages:
Guidance of Eruption Phase (Pre-Orthodontic)
Guidance of Eruption is a passive phase of orthodontic evaluation to monitor facial growth and dental development. The visits to our office during this observation phase are quick, easy and are scheduled anywhere from 3-12 months apart depending on the particular orthodontic assessment.
During this phase, selective extraction of deciduous teeth (baby teeth) may be recommended to encourage the passive alignment and proper eruption of the permanent teeth.
Phase I (Limited Treatment)
When necessary, significant dental and/or skeletal problems are corrected by utilizing growth orthopedics, limited braces and cooperation-dependent appliances. Phase I treatment may prevent surgical correction at a future date, may prevent extraction of permanent teeth at a future date, may decrease the severity or eliminate the need of future treatment and produce a more stable result when all orthodontics are complete. Phase I treatment is typically active for 12-18 months and may include holding appliances until all permanent teeth erupt. Most patients require Phase II treatment at approximately age 12 to complete treatment and fully correct the bite.
Phase II (Full Treatment)
When all or most of the permanent teeth are present, definitive orthodontic treatment is completed. The treatment can range from removable appliances to full braces in both dental arches. The goal of Phase II is to correct all esthetic and bite related problems.
During this stage the patient wears retainers. A retainer is a device worn full or part-time after braces have been removed. Retainers are designed to allow your teeth to settle into a proper and stable position and for the bones and muscles to adapt to the new dental positions. We encourage this stage to last a lifetime. As our bodies change with age and maturation teeth can shift into undesirable positions. In addition, some orthodontic solutions have a higher incidence of relapse.
Surgical Orthodontics (Orthognathic Surgery)
In cases with severe jaw misalignment, surgery may be required in conjunction with orthodontic treatment. This surgery occurs after growth is completed and usually occurs during the middle of orthodontic treatment. An oral/plastic surgeon will perform the surgery and work closely with us to achieve the optimal results.