Warning: include(googleanalytics.php): failed to open stream: No such file or directory in /homepages/37/d613088482/htdocs/wp-content/themes/Caggiano Ortho/top.php on line 66

Warning: include(): Failed opening 'googleanalytics.php' for inclusion (include_path='.:/usr/lib/php7.0') in /homepages/37/d613088482/htdocs/wp-content/themes/Caggiano Ortho/top.php on line 66
caggiano orthodontics logo
braces consultation parsippany nj
316 Parsippany Road,
Parsippany, NJ 07054

(973) 887-8780

What Is Two-Phase Orthodontic Treatment?

NJ’s Favorite Award-Winning Orthodontist For Children in Parsippany, Morris Plains, Boonton, Mountain Lakes, Whippany, and Montville, NJ

What Is Two-Phase Orthodontic Treatment?

Two-phase orthodontic treatment consists of:

  • Early (phase I) treatment—Usually between the ages of 7 and 10
  • A maintenance phase
  • Phase II treatment—Initiated once most of the baby teeth have fallen out

The different phases of orthodontic treatment are described in detail below.

Why Is Two-Phase Orthodontic Treatment Necessary?

The American Association of Orthodontists recommends all children have an orthodontic screening around age 7. Usually the first permanent molars and permanent incisors have come in by that time. Orthodontic treatment and braces are not usually started at this age unless severe problems exist which will adversely affect the way the teeth are growing. Also, an upper and lower jaw that is growing too much or not enough can be recognized at this age. If children are found to have this jaw discrepancy, it is best to treat it sooner rather than later.

Some Problems That Need Early Orthodontic Treatment Include:

  • An anterior crossbite (1 or more of the upper front teeth are behind the lower front teeth upon biting)
  • A posterior crossbite (1 or more of the upper back teeth are inside the lower back teeth. This can cause a shift of the jaw upon closure)
  • Severe crowding
  • Crooked teeth causing psychological stress
  • When the midlines of the upper and lower teeth don’t line up (this potentially indicates other problems)
  • When upper or lower front teeth protrude excessively
  • Habits such as thumb sucking/finger sucking
  • Unusually early loss of a baby tooth that may allow the adjacent permanent teeth to shift

Early (phase I) treatment is only recommended in about 5-10% of the patients we evaluate. In most cases, growth and development is seen as normal and no intervention is required.

What Is Early Treatment (Phase I) And What Are The Advantages?

The major advantage of a two-phase treatment is to allow the permanent teeth to erupt into their best natural position and restore the normal developmental relationships of the teeth. The eruption of each tooth is affected by those around it, so proper positioning of the teeth during early development serves as the foundation for normal growth. In such cases that possess the problems listed above, treating them early can help avoid the development of more serious dental problems over time. Many of these orthodontic problems can be treated much more easily by working with the growth that takes place in younger children. Early treatment (phase I) often reduces the difficulty of comprehensive treatment (phase II) and helps make optimal treatment outcomes more achievable.

Other Benefits of Early (Phase I) Treatment Are:

  • Improve the airway – reduce snoring, sleep apnea, and ADHD-like symptoms
  • Adjust the width of upper and lower dental arches
  • Make space for permanent teeth (avoiding the need for extractions later)
  • Relate the upper and lower jaws to each other properly
  • Reduce the likelihood of impacted permanent teeth
  • Eliminate shifting of the jaw on closure

In other words, early treatment can simplify later treatment! Early treatment provides a good foundation for a smile that will last a lifetime.

What If I Don’t Do Early (Phase I) Treatment?

The disadvantage of not doing Phase I when recommended is facing the possibility of a compromised result that may not be stable. The longer some problems go unrecognized, the harder they are to treat. Many of these orthodontic problems can be treated much more easily by working with the growth that takes place in younger children. Some developmental problems, like functional shifts of the jaw, open bite tendencies, and under-bites, actually have a strong negative impact on facial growth. Early intervention for these developmental problems can have a significant impact on your child’s facial development and appearance. Other disadvantages of waiting for complete eruption of permanent teeth and having only one phase of treatment are:

  • Possible gum loss or visible enamel wear and notching of the teeth
  • Asymmetric jaw growth
  • Impaction of a permanent tooth or asymmetric eruption and tooth alignment
  • Extractions may be necessary
  • Only a compromised orthodontic result may be achievable
  • Extractions and/or oral surgery may be required to obtain a proper occlusion
  • Longer treatment time in braces

What Is The Maintenance Phase?

A successful first phase improves the appearance of the teeth and creates an unobstructed path for all of the teeth to erupt into the mouth. A normal developmental relationship is achieved, and usually only some of the permanent teeth have grown into position. In other words, some baby teeth may still need to fall out, and it is necessary to wait until all of the permanent teeth have erupted into position before the bite and final alignment of the teeth can be evaluated. This is called the maintenance phase.

Retainers are sometimes recommended to preserve the relationship achieved during the first phase of treatment, but these are then discontinued to allow the loss of the baby teeth and eruption of the permanent teeth. It is best to allow the existing permanent teeth some freedom of movement while final eruption of the permanent teeth occurs. In some instances, phase II may not be necessary if all the permanent teeth erupt properly. During the maintenance phase, periodic recall appointments are required to monitor growth and the eruption of the permanent teeth.

What Is The Second Phase Of Treatment?

The final alignment of the teeth and bite correction are the goals of the second phase of treatment. We strive to create harmony between the lips, cheeks, tongue, and other teeth.

Bite Correction Is Important For Several Reasons:

  1. Ideal positioning of the bite helps prevent accelerated tooth wear from functional interferences;
  2. Ideal positioning of the bite helps maintain a healthy TMJ (jaw) joint;
  3. Ideal positioning of your teeth and bite means you will have a more stable result.

What does this mean for you? Your teeth are more likely to remain healthy and straight throughout your life if you properly correct the way the teeth fit together and function.

braces appointment parsippany nj



dr caggiano award-winning orthodontist parsippany nj



caggiano orthodontics patient reviews
YOUR AWARD-WINNING ORTHODONTIST IN PARSIPPANY, MORRIS PLAINS, BOONTON, MOUNTAIN LAKES, WHIPPANY & MONTVILLE AREAS OF NJ
  • "The best orthodontist out there!! Wouldn't go any other place!
    Friendly staff, prompt service and great results!!"

    - Ella K.

    best new jersey orthodontist
  • "Dr. Caggiano's office is amazing. My son always gets taken at his appointment time, and is cared for well. They are efficient with everything, from appointment times (great reminders) and bookings, and the care is top notch. Looking for braces? Look no further. Caggiano Orthodontics is the place for you!"

    - Tiffany C.

    best parsippany orthodontist
  • "My 13 year old daughter got a new wire and first-time rubber bands for her braces. No problem - Doctor Caggiano and team took great care of her and she is all set! We enjoy each appointment at his office and visiting with him and his wonderful staff."

    - Paul N.

    best orthodontist in new jersey
  • "As usual, the staff at Caggiano orthodontics is extremely professional. Everything is clean and the staff couldn't be nicer. It also helps that you never have to wait more than a few minutes of your appointment time. Way to go!!!"

    - Liz K.

    best orthodontist in new jersey
  • "From the moment you open the door till you leave the office, one person is nicer then the next.. They are AMAZING"

    - Lola G.

    best parsippany nj orthodontist
"From the moment you open the door till you leave the office, one person is nicer then the next.. They are AMAZING"Lola G.5 star
"As usual, the staff at Caggiano orthodontics is extremely professional. Everything is clean and the staff couldn't be nicer. It also helps that you never have to wait more than a few minutes of your appointment time. Way to go!!!"Liz K.5 star
"My 13 year old daughter got a new wire and first-time rubber bands for her braces. No problem - Doctor Caggiano and team took great care of her and she is all set! We enjoy each appointment at his office and visiting with him and his wonderful staff."Paul N.5 star
"Dr. Caggiano's office is amazing. My son always gets taken at his appointment time, and is cared for well. They are efficient with everything, from appointment times (great reminders) and bookings, and the care is top notch. Looking for braces? Look no further. Caggiano Orthodontics is the place for you!"Tiffany C.5 star
"The best orthodontist out there!! Wouldn't go any other place! Friendly staff, prompt service and great results!!"Ella K.5 star
Read More
caggiano orthodontics google reviewscaggiano orthodontics facebook reviews
caggiano orthodontics yellowpages reviewscaggiano orthodontics healthgrades reviews
Caggiano Orthodontics HAS BEEN FEATURED IN...
AWARD-WINNING ORTHODONTIST IN PARSIPPANY, MORRIS PLAINS, BOONTON,
MOUNTAIN LAKES, WHIPPANY & MONTVILLE, NJ

best new jersry orthodontist for braces new jersey monthly best orthodontist for braces best new jersey orthodontics for braces n j top docs best orthodontist in parsippany america’s top orthodontist d r david caggiano
Dr. David Caggiano of Caggiano Orthodontics is an award-winning orthodontist serving Parsippany, NJ, Morris Plains, NJ, Boonton, NJ, Mountain Lakes, NJ, Hanover, NJ, Whippany, NJ, Montville, NJ, Lake Hiawatha, NJ, Morristown, NJ, Pine Brook, NJ, Dover, NJ and Denville, New Jersey (NJ). Caggiano Orthodontics offers the most advanced braces for children, teens and adults, including Damon braces, Invisalign, braces behind your teeth, clear ceramic braces, metal braces and even orthodontic treatment that can help you achieve your confident smile up to 35% faster!
Call us today for a your no-obligation, complimentary consultation for braces at our conveniently located orthodontics office in Parsippany, NJ!
© 2017 Caggiano Orthodontics - Parsippany's Best Orthodontist For Braces & Invisalign
Designed by JimmyMarketing.com