Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a specialized process that combines tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your child’s life.

What if treatment is put off?

Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your son or daughter’s smile. Early treatment is most effective for achieving lasting results.

Phase One

A Foundation for a Lifetime of Beautiful Smiles

The goal of Phase-One treatment is to help the jaw develop in a way that will accommodate all the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age.

If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if youngsters around the age of eight have crowded front teeth, early treatment can avoid the need to extract permanent teeth later.

  • Planning now can save your child’s smile later

    Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or for surgical procedures to realign the jaws.

  • Making records to determine your child’s 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. During your little one’s initial consultation, we will take records to determine if early treatment is necessary.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement.

A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

  • Monitoring the teeth’s progress

    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.

Phase Two

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. When this equilibrium is established, the teeth will function together properly. Phase Two usually involves full upper and lower braces.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw.

The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of 24 months. Retainers are worn after this phase to ensure your child retains his or her beautiful smile.

Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Dr. Bruno was very through. He explained things very well by answering all of my questions in a professional manner. I liked that if Dr. Bruno wasn't sure on something, that he was honest about it and answered it truthfully.
Bruno Orthodontics Bruno Orthodontics
from Clawson
Very comfortable having my son see you with the current guidelines.
Bruno Orthodontics Bruno Orthodontics
from Troy
Dr. Bruno seems very attentive knowledgeable and staff is friendly.
Bruno Orthodontics Bruno Orthodontics
from Birmingham
Such a great ortho experience
Bruno Orthodontics Bruno Orthodontics
from Rochester Hills
Dr. Bruno and the staff always do a fantastic job! Thank you.
Bruno Orthodontics Bruno Orthodontics
from Berkley
Always great service!
Bruno Orthodontics Bruno Orthodontics
from southfield
Congenial and professional doctor and staff, always. Have appreciated the reminders and flexibility, and just overall personable nature of everyone there. Thank you. I'll do my best to keep Ryan Stottlemyer wearing his retainers at night!
Bruno Orthodontics Bruno Orthodontics
from Clawson
Very smooth process. Good communication.
Bruno Orthodontics Bruno Orthodontics
from Washington
Always love my visits to the office! Staff is super friendly and Dr. Bruno is the best. As an adult in her 50’s who went through braces I can’t recommend this office to enough people! Dr. Bruno worked with my dentist and my periodontist and everyone was on the same page. Thanks Dr. Bruno and you amazing staff!
Bruno Orthodontics Bruno Orthodontics
from Birmingham
Outstanding employees! Highly recommend
Bruno Orthodontics Bruno Orthodontics
from Clawson
Thank you for the all of wonderful care from Dr. Bruno , and his staff .
Bruno Orthodontics Bruno Orthodontics
from Clawson
Dr Bruno, and staff have always been very professional, and wonderful job.
Bruno Orthodontics Bruno Orthodontics
from ROYAL OAK
We were pleased with the entire staff for all the work that was done. They were very friendly and professional.
Bruno Orthodontics Bruno Orthodontics
from Troy
I enjoyed talking with the front desk staff and the ortho team. I appreciated how Dr. Bruno talked about Dr. Greenlee since I was a former patient of his.
Bruno Orthodontics Bruno Orthodontics
from Clawson
It was good
Bruno Orthodontics Bruno Orthodontics
from Pleasant Ridge
We are very happy with the work you are doing with our kids
Bruno Orthodontics Bruno Orthodontics
from Pleasant Ridge
Always on time. Very thorough with explanations related to treatments or billing. Use of modern technology makes scheduling and contacting staff easy.
Bruno Orthodontics Bruno Orthodontics
from Oak park
We had a great experience, as always!
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Great first impression of the staff. The office is nice and clean while the staff were very professional.
Bruno Orthodontics Bruno Orthodontics
from Clawson
We are so happy to be with you all! Dr. Bruno and the entire staff are amazing!
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Friendly staff.
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Great experience. Great staff and wonderful orthodontist!
Bruno Orthodontics Bruno Orthodontics
from warren
My daughter feels very comfortable when she goes for her appointments
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Always amazing!
Bruno Orthodontics Bruno Orthodontics
from Grosse Pointe Farms
Love Dr. Bruno and the entire team.
Bruno Orthodontics Bruno Orthodontics
from Troy
Dr. Bruno and the girls are awesome. Love everybody and happy to recommend them! Definitely love the vibe and easy to schedule with them. Highly recommend!
Bruno Orthodontics Bruno Orthodontics
from Oak park
It’s always a great experience. The staff are professional and courteous. They do wonderful work.
Bruno Orthodontics Bruno Orthodontics
from Warren
Always friendly!!!
Bruno Orthodontics Bruno Orthodontics
from Clawson
Always such a great experience! The staff feels like family.
Bruno Orthodontics Bruno Orthodontics
from Berkley
Happy with the care our child receives with his braces
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