Indications
Dental problems related to jaw growth get worse, not better, with time. For this reason, the American Association of Orthodontists recommends initial examination by an orthodontist at age 7. Because they are growing rapidly, young children benefit enormously from appliances that balance the relationship between the upper and lower jaws and develop room for erupting permanent teeth.

Early arch development and growth guidance are indicated in cases of:

• Protruding incisors
• Bite problems
• Severe crowding
• Jaw disharmony
• Openbite
• Crossbite

Time Periods
Two-phase treatment separates orthodontic treatment into specific time periods, with each period being the best time to correct specific problems.

First Phase, Transition Period, Second Phase
The First Phase is active treatment. The Transition Period is to monitor growth, and the Second Phase is active treatment.

Phase I
Early intervention consists of jaw modification (orthopedics) when both permanent and baby teeth are present. The first phase is directed more at your child's muscles and jaws than the teeth, although some concerns regarding tooth positioning may be addressed. The goal of this phase is to create the healthiest environment possible for the eruption of permanent teeth. The first phase of treatment may not prevent the need for Phase II.

Phase II
The second and final phase of active treatment begins at the time the last baby teeth are lost. Final correction of tooth position, space closure, root paralleling and other refinements, which are important to functions and stability, are achieved during this stage. There will be a second fee presented when the second phase of treatment begins.

Benefits of Two-Phase Treatment

• Less need to remove teeth
• Less need for jaw surgery
• Improved self-image
• Less time in full braces
• Reduced risk of tooth fracture
• Improved function