Ask Dr. Zammitti: When are two phases of treatment necessary?

Usually patients in orthodontic treatment with Dr. Zammitti already have their permanent teeth – they are pre-teens, teens and adults. But in some cases Dr. Zammitti and team have to start treatment earlier, even before the patient’s permanent teeth come in. Dr. Zammitti calls this the “two-phase treatment.”

When we have patients at Zammitti Orthodontics with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:
• An upper or lower jaw that is not growing correctly
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch early problems, the team at Zammitti Orthodontics recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, esthetic result that will remain stable throughout your life.

Enjoy your weekend!