First Days in Braces

Early Treatment

The American Association of Orthodontists recommends that every child see an orthodontist by age 7, and perhaps earlier if a an orthodontic concern is identified. Around age 7, the first adult molars typically erupt, helping to define a patient’s back bite and allowing the orthodontist to more effectively evaluate the bite. Treatment at this age may not be necessary, but orthodontic monitoring can help anticipate the ideal timeline for the most effective treatment and also help to prevent more serious problems in the future.

Some results of effective early treatment:

  • Reducing the need for tooth removal
  • Creating space for crowded, erupting teeth
  • Reducing the risk of injury to protruding front teeth
  • Preserving needed space for permanent teeth
  • Reducing future orthodontic treatment time

Phase I and Phase II

Phase I is recommended for the above listed reasons for Early Treatment and for growth modification while the patient is growing/pre-puberty and recommended for nipping habits in the bud like digit sucking or tongue thrust.

Appliances used:

  • Rapid Maxillary Expander
  • Schwartz mandibular expander
  • 2×4
  • Twin Block
  • MARA
  • Reverse Pull Headgear
  • Lower lingual holding arch

Palatal Expander Device (PED)

Both removeable and fixed PEDs can be used to address crowding and other issues by expanding the upper jaw to make more room to accommodate tooth and/or jaw alignment.

Phase II includes comprehensive orthodontic treatment with full fixed appliances (braces).

Appliances used:

  • Metal brackets
  • Ceramic brackets
  • Invisalign
  • Invisalign teen
  • Inter arch elastics
  • Carriere