Between 70-85% of kids today have skeletal problems creating dental and jaw problems that need to be addressed ideally at age 7-9. However, many skeletal problems may be addressed until age 15 without surgical intervention.
A Phase I/Phase II orthodontic protocol is the optimal way to attain the best long term outcome for patients and should be considered for every child who is an orthodontic candidate.
Phase I is a proactive approach to address skeletal problems that manifest as dental problems. Examples include crowding, an overbite or under-bite. The ideal age to begin is 7 ½-9 for girls and 8-9 ½ for boys.
A BONDED expander is the preferred appliance for treatment in combination with anterior upper braces to attain bite alignment. The average treatment time for Phase I is 18 months to attain the greatest success. At Beaber Family Orthodontics, we measure success as a non-extraction, non-surgical orthodontic protocol in Phase II.
Phase I Treatment Goals:
Health — Esthetics — Function
8 — 11 years old, Takes 12 — 18 months
- Correct upper jaw width
- Correct cross-bites
- Align permanent teeth
- Correct skeletal/dental class II overbites
- Correct jaw joint dysfunction
- Better joint position/function/health
- Reduce tooth wear/grinding
- Create space for permanent teeth
- 16 teeth left to “guide” into normal positions
- Reduce extraction permanent teeth/jaw surgery
- Create better facial balance
- Prevent periodontal problems
- Normalize growth pattern
- Enhance airway function
- Prevent impacted teeth
Phase II occurs after the majority or all the baby teeth have been lost or nearly lost. For girls, usually age 11-13 and boys usually age 12-14. The goals in Phase II should include a non-extraction, non-surgical protocol, ideal bite alignment, facial esthetics and overall health for the temporomandibular joints and periodontium.
Phase II Treatment Goals:
Total Facial Harmony
12 — 15 years old, Takes 14 — 24 months
- Align and coordinate all 28 permanent teeth
- 12 year molars especially important
- Coordinate adult teeth and joints
- Health of joints, gums and bone muscles
- Ideal adult dental/facial esthetics
- Stability of teeth and joints
- Lifetime health and beauty of natural teeth
Combined orthodontic and orthognathic surgical correction of underlying skeletal discrepancies.