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
(248) 435-2000
from Bloomfield Hills
We love Dr. Bruno and the entire staff, they all do a wonderful job! I’m in my 4th child through there and would highly recommend!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
You guys are always able to get us in short notice and a fun crew.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Roseville
Great office !! Braces off in November and still look great !!!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Beverly Hills
Dr. Bruno and his staff are top notch. Myself and my four kids have been seen by Dr. Bruno since 2017. They consistently run on time while practicing todays safety measures. Dr Bruno thoroughly explains the process and is approachable when you need to ask a question. All the staff are friendly and accommodating. We have completed two beautiful smiles with three more in progress thanks to Bruno Orthodontics!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
My son is always well cared for at his visits.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
Very thorough and kind with my kids.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Madison Heights
My daughter has had nothing but excellent care since day one. The staff is friendly and Dr. Bruno is awesome!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Macomb
My daughter got an expander put in today. Everyone was great and it went really well.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
Kristi and Erin are incredible as always
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Berkley
I love the friendliness and professionalism of the entire staff, how clean they keep the office, and how they run on time. Dr. Bruno has done a fantastic job creating beautiful smiles for our family.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Troy
We felt very welcome. All our concerns/questions were addressed.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Warren
Extremely professional and friendly staff!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Clawson
Super friendly and organized and quick. Everyone was super nice and knew exactly what they were doing.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Roseville
Love coming here . Assistants are hilarious.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Madison Heights
Staff is always very friendly and efficient.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Oak Park
Always satisfied with the professionalism and expertise of the people who work in this office.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Clawson
Friendly and kind. Great treatment.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Sterling Heights
Our daughter has been a patient for several years, she is very comfortable with Dr. Bruno and his staff.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Birmingham
Extremely happy with Dr. Bruno and staff
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Ferndale
You always make it easy (and safe)!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Everyone is so nice! I have a great experience seeing Dr Bruno and his staff!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester Hills
Everyone is always professional and pleasant. They are the best!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Beverly Hills
Dr. Bruno and his staff are wonderful! My four kids and myself see them. Always efficient and professional. My 15 year son’s teeth are beautiful! My other three and myself are in the midst of our orthodontic process. Highly recommend Dr. Bruno’s services!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Birmingham
Amazing Job!!! Thank you for all the care and attention you have for our kids.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Amazing staff. Excellent communication. Would definitely recommend.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal oak
Great service every time
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester Hills
Outstanding service from office staff to consultation with Dr. Bruno who spent considerable time explaining the procedure ahead. Very professional and personable!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester
Great service as always with Dr. Bruno and Kristy!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Pleasant Ridge
This is a dumb survey. I used to be in marketing research if you ever want to do a relevant survey. We have been going to your practice for six years or more. Why do you care now why we came, as it’s not really relevant anymore (in terms of timeliness). Why aren’t you asking about things like promptness or communication now or something like that. And you keep sending the same survey. Are you actually doing something with the data that is being collected. Sorry for being a pain. I just hate irrelevant surveys that capture poor data.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Thank you! I love my new smile!
Bruno Orthodontics Bruno Orthodontics

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