little girl

Two-Phase Treatment

Dr. Monacell has a sincere interest in the total overall health of your child. An examination focuses not only on the teeth, but also the profile, facial balance and structure, the jaw joints and your child’s sleep patterns. Dr. Monacell has advanced training and specializes in orthopedic appliances to influence growth and development of the jaws. Early screening allows him to supervise growth of the jaws and tooth eruption patterns.

What is the advantage of two-phase orthodontic treatment?

Modern orthodontics is about so much more straight teeth. For that reason, Dr. Monacell also practices dentofacial orthopedics, which refers to influencing jaw growth and development. Timing of proactive treatment is critical to the success of the overall outcome. If a problem is detected early on, Dr. Monacell can intercept and restore normal position and function.

What if I put off treatment?

Almost all of your child’s face and jaw growth is completed by the time all of their permanent teeth have erupted. We can only influence and take advantage of the growth that is occurring during treatment. We cannot change or influence the growth that has already occurred.

The disadvantage of waiting for complete eruption of permanent teeth, for someone with a jaw discrepancy, is facing the possibility of jaw surgery or a compromised result that may not be stable.

First Phase Treatment

Your foundation for a lifetime of beautiful teeth

Phase 1 treatment balances the smile with the growing face and promotes the very best profile. Early interceptive treatment maximizes your child’s dental and facial development and reduces the need to extract permanent teeth. Early interceptive treatment can shorten the time braces are needed in the future, and reduces the complexity. With the proper facial balance and jaw position, your child will also sleep better, and therefore feel and perform their very best.

Planning now can save your smile later

Because they are growing rapidly, children can benefit enormously from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. Thus, a good foundation can be established, providing adequate room for eruption of all permanent teeth. This early correction may prevent later removal of permanent teeth to correct overcrowding and/or surgical procedures to align the upper and lower jaws. Leaving such a condition untreated, until all permanent teeth erupt, could result in a jaw discrepancy too severe to achieve an ideal result with braces alone.

Making records to determine your unique treatment

Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, x-rays, and photographs.

Resting Period

Following active Phase I treatment there is a resting phase, during which the remaining permanent teeth are allowed to erupt. Fixed or cemented retaining devices are usually used to hold dental arch development while the remaining permanent teeth erupt.

The purpose of Phase I treatment was to influence growth and development. The second phase of treatment is all about straightening the teeth. It is best to allow the existing permanent teeth some freedom of movement while final eruption of teeth occurs. A successful first phase will have created room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

Monitoring your teeth’s progress

In other words, at the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

Second Phase Treatment

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. Aligned teeth create a better bite, which reduce stress, headaches, and strain on your supporting bone and tissue. Straight teeth and a broader smile enhance your facial features. A smile you can be proud to flash gives you the confidence needed to excel in school, work and your personal life. A broader smile and properly positioned jaw enhance your airway. Proper airway maintenance leads to better sleep, better concentration and overall better health.

Movement & Retention

The second phase is usually initiated when all permanent teeth have erupted, and generally requires braces on all the teeth. According to research, the average treatment time for full braces is 28-32 months. Excellent results in Phase I treatment can reduce this time significantly. Excellent patient cooperation with oral hygiene, elastic wear, protecting the braces from breakage and keeping appointments will also reduce active treatment time. Removable retainers are worn after this phase to ensure you retain your beautiful smile