Two Phase Orthodontics

What is Two Phase Orthodontics?

This is a planned management program that ensures correct alignment, aesthetics and functioning of teeth and jaws for a child’s future. At Elite Orthodontics we have attained much success with this approach to orthodontic treatment.

Leaving Treatment Too Late

Many times, when patients come to seek out orthodontic treatment they have left the timing of their child’s treatment too late. They think that orthodontic treatment usually occurs once the child has all their adult teeth and when all the baby teeth have all fallen out. In many instances this could unfortunately be an error.

Leaving treatment or orthodontic intervention to a later stage often creates complexities in the treatment plan that can be avoided. By seeing child patients at the early stages of their dental development, we aim to avoid prolonging or complicating future treatment.

The Main Advantages of Two Phase Orthodontics:

Your Child’s First Appointment

We recommend that your child has their first examination appointment with us around the age of 8. Apart from the advantages already mentioned, this also helps the child to become familiar with our team and the environment before we actively do any treatment.

Phase One

This is an interceptive phase with preventive advantages. It is usually carried out on children between the ages of approximately 8 and 9 years.

This stage is very important and is aimed at early correction or prevention of future dental disabilities using relatively simple and brief courses of orthodontic treatment, often with removable braces only. Intervention at this stage helps to establish the correct foundation for jaw and dental growth and development, and for more effective orthodontic treatment at a later stage, thus preventing complex treatment later on.

See also: Functional / Orthopaedic Braces / Removable Braces

Phase One Objectives

The goal of Phase One is not necessarily to bring about straight teeth at this time, because not all the milk teeth will have even fallen out at this age. The main goal of Phase One is to plan and predict what will happen in the future so that we can be prepared for it at the correct time. If needed, we can then implement the right interceptive therapy that will benefit your child at that stage of dental and facial development

We use special braces like arch expanders, or appliances that help the jaws to grow and develop correctly for the incoming adult teeth. It is at this time whilst the jaws are developing that we can easily fix issues such as cross-bites, overcrowding, over-bites, and under-bites, and prevent them from being firmly established in the mouth. We can also help with teeth that are sticking out unusually at this stage to help move them back. In this way, the risk of trauma and damage to the front teeth can be minimised.

See also: Orthodontic Problems | Functional / Orthopaedic Braces | Removable Braces

By identifying and addressing at an early stage possible future dental anomalies that may develop, one could prevent extractions, complex orthodontics and/or jaw surgery when the child becomes an adult.

Treatments in Phase One involve:

After Phase One, there is usually a period of rest with no appliances, to allow normal growth and development of the teeth and jaws to progress.

Find out more by visiting

Phase Two

This Phase usually begins around the age of 11-12, and it usually involves fixed braces or removable clear aligners. However we do start the planning process anywhere from 8 to 12 years of age.

See also: Treatments

At this stage we need to establish a new treatment plan based on the current bite and information gathered during Phase One and the rest period. New measurements and records are taken as part of a new orthodontic assessment.

The main goals of this phase are:

Next: Types of Braces